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

J01<br />

ANTIBAKTERIÁLNÍ LÁTKY PRO SYSTÉMOVÉ UŽITÍ<br />

stav k 1. 4. 2010<br />

KOD NÁZEV<br />

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

J01FA10 p.o. Azithromycin<br />

0014870 SUMAMED 500 MG POR TBL FLM 3X500MG PVL /<br />

183,21 301,16 31,74 36,64<br />

0095342 ZITROCIN 500 MG TBL POR TBL FLM 3X500MG PVL /<br />

183,21 253,22 31,74 36,64<br />

0155863 SUMAMED STD POR TBL FLM 2X500MG TPP /<br />

122,14 197,07 21,16 36,68<br />

0014952 SUMAMED STD POR TBL FLM 2X500MG PVL /<br />

122,14 206,03 21,16 36,68<br />

0095347 ZITROCIN STD POR TBL FLM 2X500MG PVL /<br />

122,14 206,03 21,16 36,68<br />

0085164 SUMAMED FORTE SIRUP POR PLV SUS 1X37,5ML PVL /<br />

333,95 437,49 31,74 66,79<br />

0155866 SUMAMED FORTE SIRUP POR PLV SUS 1X37,5ML TPP /<br />

333,95 437,49 31,74 66,79<br />

0155864 SUMAMED FORTE SIRUP POR PLV SUS 1X30ML TPP /<br />

268,62 408,11 25,39 67,16<br />

0014948 SUMAMED FORTE SIRUP POR PLV SUS 1X30ML PVL /<br />

268,62 426,44 25,39 67,16<br />

0155865 SUMAMED FORTE SIRUP POR PLV SUS 1X15ML TPP /<br />

137,88 188,72 12,70 68,94<br />

0155867 SUMAMED SIRUP POR PLV SUS 1X20ML TPP /<br />

94,49 119,52 8,46 71,05<br />

0014949 SUMAMED SIRUP POR PLV SUS 1X20ML PVL /<br />

94,49 124,93 8,46 71,05<br />

J01FA10 parent. Azithromycin<br />

0155862 SUMAMED 500 MG INFUZE INF PLV SOL 5X500MG TPP K /<br />

986,11 986,11 0,00 197,22<br />

0014951 SUMAMED 500 MG INFUZE INF PLV SOL 5X500MG PVL K /<br />

986,11 986,11 0,00 197,22<br />

0023190 ZITROCIN 500 MG INFUZE INF PLV SOL 5X500MG PVL K /<br />

986,11 986,11 0,00 197,22<br />

J01FF01 p.o. Klindamycin<br />

0107135 DALACIN C 150 MG POR CPS DUR 16X150MG PFX /<br />

68,88 107,80 32,84 34,44<br />

0003365 DALACIN C 150 MG POR CPS DUR 16X150MG PFX /<br />

68,88 107,80 32,84 34,44<br />

0091193 DALACIN C 150 MG POR CPS DUR 100X150MG PFX /<br />

430,47 635,75 205,28 34,44<br />

0107136 DALACIN C 150 MG POR CPS DUR 100X150MG PFX /<br />

430,47 635,75 205,28 34,44<br />

0083458 DALACIN C 300 MG POR CPS DUR 16X300MG PFX /<br />

137,75 215,27 65,69 34,44<br />

0100339 DALACIN C 300 MG POR CPS DUR 16X300MG PFX /<br />

137,75 215,27 65,69 34,44<br />

J01FF01 parent. Klindamycin<br />

0008808 DALACIN C INJ SOL 1X6ML/900MG PFX U / ATB<br />

189,03 254,79 0,00 378,06<br />

0098212 DALACIN C INJ SOL 3X6ML/900MG PFX U / ATB<br />

567,10 732,89 0,00 378,07<br />

0064630 KLIMICIN INJ SOL 10X4ML/600MG LEK U / ATB<br />

1 260,22 1 974,10 0,00 378,44<br />

0008807 DALACIN C INJ SOL 1X4ML/600MG PFX U / ATB<br />

126,01 178,62 0,00 381,85<br />

0004234 DALACIN C INJ SOL 1X2ML/300MG PFX U / ATB<br />

69,33 90,76 0,00 407,82<br />

0097878 KLIMICIN INJ SOL 10X2ML/300MG LEK U / ATB<br />

693,61 1 087,25 0,00 415,34<br />

J01FF02 p.o. Linkomycin<br />

0091997 NELOREN POR CPS DUR 16X500MG LEK / ATB 109,94 136,00 26,06 24,76<br />

J01FF02 parent. Linkomycin<br />

0097565 NELOREN INJ SOL 10X2ML/600MG LEK U / ATB<br />

173,41 193,25 0,00 52,08<br />

J01GB01 inhal. Tobramycin<br />

0102571 BRAMITOB INH SOL 56X300MG/4ML TOI P /<br />

50 394,47 50 394,47 0,00 899,90<br />

0017984 TOBI 300 MG/5 ML NEBULISER<br />

SOLUTION<br />

J01GB03 lok. Gentamicin<br />

INH SOL 56X300MG/5ML NAI P /<br />

59 162,24 59 162,24 0,00 1 056,47<br />

0055680 GARAMYCIN SCHWAMM DRM SPO 1X130MG ICA U / ATB<br />

2 130,39 2 188,48 0,00 2 130,39<br />

0144328 GARAMYCIN SCHWAMM DRM SPO 1X130MG EUS U / ATB<br />

2 130,39 2 188,48 0,00 2 130,39<br />

J01GB03 parent. Gentamicin<br />

0096414 GENTAMICIN LEK 80 MG/2 ML INJ SOL 10X2ML/80MG LEK U / ATB<br />

79,56 85,63 0,00 23,89<br />

0096413 GENTAMICIN LEK 40 MG/2 ML INJ SOL 10X2ML/40MG LEK U / ATB<br />

68,43 75,05 0,00 40,98<br />

J01GB06 parent. Amikacin<br />

0011785 AMIKIN 1 G INJ SOL 1X4ML/1GM BMS U / ATB<br />

289,68 289,68 0,00 289,68<br />

0003952 AMIKIN 500 MG INJ SOL 1X2ML/500MG BMS U / ATB<br />

146,74 169,20 0,00 293,48<br />

0003951 AMIKIN 100 MG INJ SOL 1X2ML/100MG BMS U / ATB<br />

33,84 33,84 0,00 338,40<br />

J01GB07 parent. Netilmicin<br />

0083736 NETROMYCINE 400MG/2ML INJ SOL 1X2ML/400MG SBS U / ATB<br />

312,12 312,12 0,00 273,79<br />

0090485 NETROMYCINE 200MG/2ML INJ SOL 1X2ML/200MG SBS U / ATB<br />

157,05 157,05 0,00 275,53<br />

J01MA01 p.o. Ofloxacin<br />

0055636 OFLOXIN 200 POR TBL FLM 10X200MG ZNP /<br />

67,52 177,96 38,58 13,50<br />

0054391 TAROFLOX 200 POR TBL FLM 10X200MG SFK /<br />

67,52 133,59 38,58 13,50<br />

0017412 ZANOCIN 200 MG POR TBL FLM 10X200MG RXY /<br />

67,52 106,10 38,58 13,50<br />

J01MA01 parent. Ofloxacin<br />

0066137 OFLOXIN INF INF SOL 1X100ML/200MG ZNP U / ATB<br />

96,44 516,24 0,00 192,88<br />

J01MA02 p.o. Ciprofloxacin<br />

0087104 CIFLOXINAL POR TBL FLM 10X250MG PMP /<br />

33,76 47,93 2,51 13,50<br />

0053201 CIPHIN 250 POR TBL FLM 10X250MG ZEH /<br />

33,76 68,88 2,51 13,50<br />

0015653 CIPLOX 250 POR TBL FLM 10X250MG CIW /<br />

33,76 37,91 2,51 13,50<br />

0094453 CIPRINOL 250 POR TBL FLM 10X250MG KRK /<br />

33,76 41,72 2,51 13,50<br />

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

Strana 72

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