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dle účinné látky

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Přehled hrazených LP - <strong>dle</strong> účinné látky<br />

B03<br />

ANTIANEMIKA<br />

stav k 1. 4. 2010<br />

KOD NÁZEV<br />

DOPLNĚK DRZ IND1 LIM1/OME1 UHR ORC ZAP1 EKV_UHR<br />

B03XA02 parent. Darbepoetin alfa<br />

0028187 ARANESP 40 MCG SDR+IVN INJ SOL 1X0.4ML NB AEB P K /<br />

2 233,49 2 498,58 0,00 251,24<br />

0028427 ARANESP 40 MCG (SURECLICK) SDR INJ SOL 1X0.4ML AEB P K /<br />

2 233,49 2 429,20 0,00 251,24<br />

0028183 ARANESP 10 MCG SDR+IVN INJ SOL 1X0.4ML NB AEB P K /<br />

558,37 672,93 0,00 251,52<br />

0028184 ARANESP 15 MCG SDR+IVN INJ SOL1X0.375ML NB AEB P K /<br />

837,56 983,20 0,00 251,52<br />

0028185 ARANESP 20 MCG SDR+IVN INJ SOL 1X0.5ML NB AEB P K /<br />

1 116,74 1 318,89 0,00 251,52<br />

0028426 ARANESP 20 MCG (SURECLICK) SDR INJ SOL 1X0.5ML AEB P K /<br />

1 116,74 1 259,04 0,00 251,52<br />

B03XA03 parent. Pegepoetin beta<br />

0029020 MIRCERA 250 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P AL / HEM, INT, URN, J7 13 478,89 14 227,70 0,00 215,66<br />

0500248 MIRCERA 360 MCG/0,6 ML SDR+IVN INJ SOL 1X0.6ML RRG P A /<br />

20 255,73 20 255,73 0,00 225,06<br />

0029019 MIRCERA 200 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P AL /<br />

12 287,01 12 308,80 0,00 245,74<br />

0029017 MIRCERA 100 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P AL / HEM, INT, URN, J7 6 181,00 6 576,33 0,00 247,24<br />

0500247 MIRCERA 120 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P A /<br />

7 417,20 7 499,21 0,00 247,24<br />

0029018 MIRCERA 150 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P AL / HEM, INT, URN, J7 9 271,50 9 505,19 0,00 247,24<br />

0500244 MIRCERA 30 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P A /<br />

1 854,30 2 067,07 0,00 247,24<br />

0500245 MIRCERA 40 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P A /<br />

2 472,40 2 608,90 0,00 247,24<br />

0029015 MIRCERA 50 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P AL / HEM, INT, URN, J7 3 090,50 3 719,21 0,00 247,24<br />

0500246 MIRCERA 60 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P A /<br />

3 708,60 3 854,14 0,00 247,24<br />

0029016 MIRCERA 75 MCG/0,3 ML SDR+IVN INJ SOL 1X0.3ML RRG P AL / HEM, INT, URN, J7 4 635,75 5 011,69 0,00 247,24<br />

B05AA01 parent. Albumin<br />

0047732 ALBUMIN HUMAN 20% OCTAPHARMA INF SOL 10X100ML OCZ B /<br />

15 950,48 15 950,48 0,00 1 595,05<br />

0042144 HUMAN ALBUMIN GRIFOLS 20% INF SOL 1X10ML GFO B /<br />

160,27 240,24 0,00 1 602,70<br />

0083141 ALBUMIN HUMAN 5% OCTAPHARMA INF SOL 1X100ML OCZ B /<br />

400,68 772,21 0,00 1 602,72<br />

0046933 ALBUMIN HUMAN 20% OCTAPHARMA INF SOL 1X50ML OCZ B /<br />

801,37 1 025,85 0,00 1 602,74<br />

0046931 ALBUMIN HUMAN 5% OCTAPHARMA INF SOL 1X250ML OCZ B /<br />

1 001,71 1 409,70 0,00 1 602,74<br />

0104050 HUMAN ALBUMIN 200 G/L BAXTER INF SOL 1X50ML BXT B /<br />

801,37 949,78 0,00 1 602,74<br />

0104058 HUMAN ALBUMIN 50 G/L BAXTER INF SOL 1X250ML BXT B /<br />

1 001,71 1 411,71 0,00 1 602,74<br />

0097909 HUMAN ALBUMIN GRIFOLS 20% INF SOL 1X50ML GFO B /<br />

801,37 1 094,37 0,00 1 602,74<br />

0097908 HUMAN ALBUMIN GRIFOLS 5% INF SOL 1X500ML GFO B /<br />

2 003,43 2 371,22 0,00 1 602,74<br />

0097907 HUMAN ALBUMIN GRIFOLS 5% INF SOL 1X250ML GFO B /<br />

1 001,71 1 321,39 0,00 1 602,74<br />

0083142 ALBUMIN HUMAN 20% OCTAPHARMA INF SOL 1X100ML OCZ B /<br />

1 602,75 1 786,52 0,00 1 602,75<br />

0047733 ALBUMIN HUMAN 20% OCTAPHARMA INF SOL 10X50ML OCZ B /<br />

8 013,76 9 173,44 0,00 1 602,75<br />

0047650 ALBUMIN HUMAN 5% OCTAPHARMA INF SOL 10X250ML OCZ B /<br />

10 017,20 12 568,73 0,00 1 602,75<br />

0047649 ALBUMIN HUMAN 5% OCTAPHARMA INF SOL 10X100ML OCZ B /<br />

4 006,88 6 932,90 0,00 1 602,75<br />

0104051 HUMAN ALBUMIN 200 G/L BAXTER INF SOL 1X100ML BXT B /<br />

1 602,75 1 928,16 0,00 1 602,75<br />

0097910 HUMAN ALBUMIN GRIFOLS 20% INF SOL 1X100ML GFO B /<br />

1 602,75 2 099,26 0,00 1 602,75<br />

B05AA06 parent. Želatinové přípravky<br />

0083274 GELOFUSINE INF SOL 1X500ML VAK BMM O /<br />

153,34 154,88 0,00 153,34<br />

B05AA07 parent. Hydroxyethylškrob<br />

0072158 HAES-STERIL 10% INF SOL 1X500ML PE FRE O /<br />

214,89 416,20 0,00 214,89<br />

0042386 HAES-STERIL 10% INF SOL 10X500ML PE FRE O /<br />

2 148,86 3 698,54 0,00 214,89<br />

0105933 TETRASPAN 6% INF SOL 10X500ML BMM O /<br />

2 148,86 3 278,26 0,00 214,89<br />

0100189 VOLUVEN INF SOL 1X500MLVAK+P FRE O /<br />

214,89 392,67 0,00 214,89<br />

0107658 VOLUVEN INF SOL 1X500MLVAK+P FRE O /<br />

214,89 392,67 0,00 214,89<br />

0003261 VOLUVEN INF SOL 10X250ML SKLO FRE O /<br />

1 074,43 1 924,37 0,00 214,89<br />

0003265 VOLUVEN INF SOL 10X500ML+P FRE O /<br />

2 148,86 3 459,69 0,00 214,89<br />

0003262 VOLUVEN INF SOL 10X500ML SKLO FRE O /<br />

2 148,86 2 938,40 0,00 214,89<br />

0003266 VOLUVEN INF SOL 15X500ML +P FRE O /<br />

3 223,29 5 103,45 0,00 214,89<br />

B05BA01 parent. Aminokyseliny<br />

0031988 CLINIMIX N9G20E INF SOL 6X1500ML BXF H /<br />

1 766,68 3 201,62 0,00 19,63<br />

0031984 CLINIMIX N14G30E INF SOL 6X1500ML BXF H /<br />

2 003,85 4 376,74 0,00 22,27<br />

0031986 CLINIMIX N17G35E INF SOL 6X1500ML BXF H /<br />

2 098,72 5 118,72 0,00 23,32<br />

0031989 CLINIMIX N9G20E INF SOL 4X2000ML BXF H /<br />

1 964,25 2 962,23 0,00 24,55<br />

0031985 CLINIMIX N14G30E INF SOL 4X2000ML BXF H /<br />

2 195,59 3 909,56 0,00 27,44<br />

0031987 CLINIMIX N17G35E INF SOL 4X2000ML BXF H /<br />

2 203,73 4 569,10 0,00 27,55<br />

0107475 PRIMENE 10% INF SOL 10X250ML 10% BXT H /<br />

688,66 4 253,92 0,00 27,55<br />

0107472 PRIMENE 10% INF SOL 20X100ML 10% BXT H /<br />

550,93 5 418,12 0,00 27,55<br />

0017818 AMINOVENOES N PAED 6% INF 10X250ML 6% FKA H /<br />

746,32 3 190,72 0,00 29,85<br />

0017817 AMINOVENOES N PAED 6% INF 10X100ML 6% FKA H /<br />

298,53 2 157,25 0,00 29,85<br />

0017819 AMINOVENOES N PAED 6% INF 10X500ML 6% FKA H /<br />

1 492,65 4 704,47 0,00 29,85<br />

0017811 AMINOVENOES N PAED 6% INF 1X100ML 6% FKA H /<br />

29,85 240,05 0,00 29,85<br />

0017813 AMINOVENOES N PAED 6% INF 1X500ML 6% FKA H /<br />

149,26 300,23 0,00 29,85<br />

0017812 AMINOVENOES N PAED 6% INF 1X250ML 6% FKA H /<br />

74,63 357,64 0,00 29,85<br />

B05BA02 parent. Tukové emulze<br />

0049973 INTRALIPID 10 % INF EML 12X500ML FKA H /<br />

2 636,79 2 691,40 0,00 43,95<br />

Vysvětlivky: UHR - úhrada pojišťovny základní, ZAP1 - započitatelný doplatek, EKV UHR - ekvivalent úhrady (úhrada za 1DDD), * - smluvní cena, § - zvýšená úhrada<br />

Strana 18

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