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

H01<br />

HORMONY HYPOFÝZY A HYPOTALAMU<br />

stav k 1. 4. 2010<br />

KOD NÁZEV<br />

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

H01AC01 parent. Somatropin<br />

0066752 GENOTROPIN 36 M.J.(12MG) INJ PSO LQF 5X36UT PFX L / J5<br />

40 400,72 40 846,23 125,88 448,90<br />

0025169 GENOTROPIN 36 M.J.(12MG) INJ PSO LQF 5X36UT PFX L / J5<br />

40 400,72 44 858,64 125,88 448,90<br />

0025167 GENOTROPIN 16 M.J.(5,3MG) INJ PSO LQF 5X16UT PFX L / J5<br />

18 075,48 20 338,95 55,94 451,89<br />

0061229 GENOTROPIN 16 M.J.(5.3MG) INJ PSO LQF 5X16UT PFX L / J5<br />

18 075,48 18 555,59 55,94 451,89<br />

0092317 HUMATROPE 18 IU (6MG) INJ PSO LQF 1X18UT ELR L / J5<br />

4 066,98 4 860,77 12,59 451,89<br />

0092320 HUMATROPE 36 IU (12MG) INJ PSO LQF 36UT ELR L / J5<br />

8 133,97 9 098,29 25,18 451,89<br />

0092323 HUMATROPE 72 IU (24MG) INJ PSO LQF 72UT ELR L / J5<br />

16 267,93 16 318,28 50,35 451,89<br />

0001165 NORDITROPIN SIMPLEXX 10MG/1.5ML INJ SOL 1X1.5ML/10MG NOO L / J5<br />

6 778,30 9 123,45 20,98 451,89<br />

0001163 NORDITROPIN SIMPLEXX 15MG/1.5ML INJ SOL 1X1.5ML/15MG NOO L / J5<br />

10 167,46 14 043,08 31,47 451,89<br />

0001167 NORDITROPIN SIMPLEXX 5MG/1.5ML INJ SOL 1X1.5ML/5MG NOO L / J5<br />

3 389,15 4 025,91 10,49 451,89<br />

0028134 NUTROPINAQ INJ SOL 1X2ML IEB L / J5<br />

6 778,30 7 879,66 20,98 451,89<br />

0028135 NUTROPINAQ INJ SOL 3X2ML IEB L / J5<br />

20 334,92 23 238,48 62,94 451,89<br />

0099964 SAIZEN 8 MG CLICK.EASY INJ PSO LQF 1X8MG MJL L / J5<br />

5 422,64 6 281,75 16,78 451,89<br />

0056362 ZOMACTON 4 MG INJ PSO LQF 5X4.32MG FEI L / J5<br />

13 556,61 15 034,45 41,96 451,89<br />

H01AX01 parent. Pegvisomant<br />

0027631 SOMAVERT INJ PSO LQF 30X20MG+SO PFI P O /<br />

108 260,58 108 260,58 0,00 1 804,34<br />

0027630 SOMAVERT INJ PSO LQF 30X15MG+SO PFI P O /<br />

81 285,73 81 285,73 0,00 1 806,35<br />

H01BA02 lok. Desmopresin<br />

0119535 MINIRIN SPRAY NAS SPR SOL 5ML/0.5MG FRL /<br />

1 049,04 1 124,33 65,86 52,45<br />

0119536 MINIRIN SPRAY NAS SPR SOL 6ML/0.6MG FRL /<br />

1 258,85 1 337,88 79,03 52,45<br />

0023188 MINIRIN SPRAY NAS SPR SOL 5ML/0.5MG FEG /<br />

1 049,04 1 124,33 65,86 52,45<br />

H01BA02 p.o. Desmopresin<br />

0042451 MINIRIN 0,1 MG TABLETY POR TBL NOB 30X0.1MG FRL P /<br />

715,73 715,73 0,00 95,43<br />

0042452 MINIRIN 0,2 MG TABLETY POR TBL NOB 30X0.2MG FRL P /<br />

1 343,31 1 343,31 0,00 89,55<br />

0018563 MINIRIN MELT 60 MCG POR LYO 30X60RG FRL P /<br />

609,17 609,17 0,00 81,22<br />

0018566 MINIRIN MELT 120 MCG POR LYO 30X120RG FRL P /<br />

1 153,24 1 153,24 0,00 76,88<br />

H01BA04 parent. Terlipresin<br />

0044357 REMESTYP 1,0 INJ SOL 5X10ML/1MG FRL H /<br />

1 107,86 5 026,85 0,00 2 637,76<br />

0020253 GLYPRESSIN 1 MG INJ PSO LQF 5X1MG+1 FRL H /<br />

1 107,86 6 493,78 0,00 3 077,39<br />

H01BB02 parent. Oxytocin<br />

0000544 OXYTOCIN FERRING-LÉČIVA 5 IU INJ SOL 5X1ML/5UT FRL H /<br />

33,26 43,85 0,00 19,92<br />

0000543 OXYTOCIN FERRING-LÉČIVA 2 IU INJ SOL 5X2ML/2UT FRL H /<br />

29,81 39,49 0,00 44,49<br />

H01CA02 lok. Nafarelin<br />

0048196 SYNAREL NAS SPR SOL 1X8ML/60D PFX P /<br />

2 795,60 2 795,60 0,00 69,89<br />

0048195 SYNAREL NAS SPR SOL 1X4ML/30D PFX P /<br />

1 531,73 1 531,73 0,00 76,59<br />

H01CB01 parent. Somatostatin<br />

0155788 SOMATOSTATIN EUMEDICA 3 MG INF PSO LQF 1X3MG EUB P B /<br />

2 281,71 2 281,71 0,00 4 563,42<br />

0066824 SOMATOSTATIN-UCB 3 MG INF PSO LQF 1X3MG UCB P B /<br />

2 281,71 2 281,71 0,00 4 563,42<br />

H01CB02 parent. Oktreotid<br />

0015239 SANDOSTATIN LAR 30 MG INJ PSU LQF 1X30MG NAI P O /<br />

29 750,70 36 349,07 0,00 694,14<br />

0015243 SANDOSTATIN LAR 20 MG INJ PSU LQF 1X20MG NAI P O /<br />

25 232,24 29 835,96 0,00 883,17<br />

0015247 SANDOSTATIN 0,2 MG/ML INJ SOL 1X5ML/1MG NAI H /<br />

2 132,80 2 132,80 0,00 1 491,47<br />

0015245 SANDOSTATIN 0,1 MG/ML INJ SOL 5X1ML/0.1MG NAI H /<br />

1 152,66 1 152,66 0,00 1 623,46<br />

0015246 SANDOSTATIN 0,5 MG/ML INJ SOL 5X1ML/0.5MG NAI H /<br />

5 807,48 5 807,48 0,00 1 626,75<br />

0015244 SANDOSTATIN 0,05 MG/ML INJ SOL 5X1ML/0.05MG NAI H /<br />

626,22 626,22 0,00 1 739,50<br />

H01CB03 parent. Lanreotid<br />

0013804 SOMATULINE AUTOGEL 120 MG INJ SOL 1X0.5ML/120MG IEB P O /<br />

33 076,23 33 076,23 0,00 826,91<br />

0013806 SOMATULINE AUTOGEL 90 MG INJ SOL 1X0.3ML/90MG IEB P O /<br />

28 652,76 28 652,76 0,00 955,09<br />

0013805 SOMATULINE AUTOGEL 60 MG INJ SOL 1X0.3ML/60MG IEB P O /<br />

22 904,96 22 904,96 0,00 1 145,25<br />

H01CC01 parent. Ganirelix<br />

0027607 ORGALUTRAN 0.25MG/0.5ML INJ SOL 1X0.5ML/0.25MG ORG P O /<br />

967,31 1 111,44 0,00 967,31<br />

H01CC02 parent. Cetrorelix<br />

0027421 CETROTIDE 3 MG INJ PSO LQF 1X3MG SEY P O /<br />

4 835,85 6 375,27 0,00 402,99<br />

0027420 CETROTIDE 0,25 MG INJ PSO LQF 7X0.25MG SEY P O /<br />

5 228,67 5 228,67 0,00 746,95<br />

0027419 CETROTIDE 0,25 MG INJ PSO LQF 1X0.25MG SEY P O /<br />

967,31 1 161,78 0,00 967,31<br />

H02AA02 p.o. Fludrokortison<br />

0136013 FLUDROCORTISON SQUIBB POR TBL NOB 100X0.1MG /<br />

432,45 479,55 47,10 4,32<br />

H02AB01 parent. Betamethason<br />

0089869 DIPROPHOS INJ SUS 5X1ML/7MG SBS O /<br />

258,87 272,02 0,00 2,96<br />

0089870 DIPROPHOS INJ SUS 1X1ML/7MG SBS O / 52,24 58,30 * 0,00 2,99<br />

H02AB02 p.o. Dexamethason<br />

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

Strana 65

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