15.11.2012 Views

dle účinné látky

dle účinné látky

dle účinné látky

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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

L01<br />

CYTOSTATIKA<br />

stav k 1. 4. 2010<br />

KOD NÁZEV<br />

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

L01XX19 parent. Irinotekan<br />

0113666 IRINOTECAN ACTAVIS 20 MG/ML INF CNC SOL 1X2ML ACV P LS / ONK<br />

1 247,40 2 481,09 0,00 31,19<br />

0085008 CAMPTO INF CNC SOL 1X2ML/40MG PFX P B /<br />

1 572,44 2 574,94 0,00 39,31<br />

0085009 CAMPTO INF CNC SOL 1X5ML PFX P B /<br />

3 931,11 6 339,35 0,00 39,31<br />

0056006 CAMPTO INF CNC SOL 1X5ML/100MG PFX P B /<br />

3 931,11 6 351,44 0,00 39,31<br />

0056005 CAMPTO INF CNC SOL 1X2ML/40MG PFX P B /<br />

1 572,44 2 579,81 0,00 39,31<br />

0016166 CANRI INF CNC SOL 5ML/100MG HLS P B /<br />

3 931,11 4 758,53 0,00 39,31<br />

0016165 CANRI INF CNC SOL 2ML/40MG HLS P B /<br />

1 572,44 2 073,19 0,00 39,31<br />

L01XX23 p.o. Mitotan<br />

0028141 LYSODREN POR TBL FLM 100X500MG LHP P L / END,ONK<br />

17 737,93 18 397,29 659,36 177,38<br />

L01XX25 p.o. Bexaroten<br />

0027700 TARGRETIN POR CPS MOL 100X75MG EII P /<br />

31 446,55 31 446,55 0,00 314,47<br />

L01XX27 parent. Oxid arsenitý<br />

0027800 TRISENOX 1MG/ML INJ CNC SOL 10X10ML CFM P B /<br />

90 543,78 103 861,40 0,00 9 054,38<br />

L01XX32 parent. Bortezomib<br />

0028140 VELCADE 3,5 MG INJ PLV SOL 1X3.5 MG JAI P LS / ONK,HEM<br />

30 150,27 36 163,32 0,00 30 150,27<br />

L01XX33 p.o. Celecoxib<br />

0029824 ONSENAL 400 MG POR CPS DUR 10X400MG PFI P /<br />

399,81 613,87 187,70 39,98<br />

0029825 ONSENAL 400 MG POR CPS DUR 60X400MG PFI P /<br />

2 398,84 3 525,02 1 126,18 39,98<br />

0027556 ONSENAL 400 MG POR CPS DUR 60X400MG PPZ P /<br />

2 398,84 3 525,02 1 126,18 39,98<br />

L01XX35 p.o. Anagrelid<br />

0047614 THROMBOREDUCTIN 0,5 MG POR CPS DUR 100X0.5MG ORV P /<br />

12 493,20 12 493,20 0,00 124,93<br />

L02AB01 p.o. Megestrol<br />

0032098 MEGAPLEX 40 MG POR TBL NOB 30X40MG TPP L / ONK,HEM,URN,G<br />

YN,SEX<br />

260,31 347,28 0,00 34,71<br />

0100027 MEGACE 160 MG POR TBL NOB 30X160MG BMS L / ONK,HEM,URN,G<br />

YN,SEX<br />

1 041,23 1 346,86 0,00 34,71<br />

0032103 MEGAPLEX 160 MG POR TBL NOB 30X160MG TPP L / ONK,HEM,URN,G<br />

YN,SEX<br />

1 041,23 1 357,31 0,00 34,71<br />

0032105 MEGAPLEX 160 MG POR TBL NOB 100X160MG TPP L / ONK,HEM,URN,G<br />

YN,SEX<br />

3 470,76 3 511,30 0,00 34,71<br />

0053145 MEGACE SUSP. POR SUS 1X240ML BMS P /<br />

2 608,16 2 608,16 0,00 43,47<br />

L02AB02 p.o. Medroxyprogesteron<br />

0032121 MEDROPLEX 100 MG POR TBL NOB 100X100MG TPP L / ONK,HEM,URN,G<br />

YN,SEX<br />

1 182,22 1 288,91 0,00 118,22<br />

0058392 PROVERA 100 MG POR TBL NOB 100X100MG PFX L / ONK,HEM,URN,G<br />

YN,SEX<br />

1 182,22 1 400,94 0,00 118,22<br />

0032124 MEDROPLEX 500 MG POR TBL NOB 30X500MG TPP L / ONK,HEM,URN,G<br />

YN,SEX<br />

1 741,45 1 741,45 0,00 116,10<br />

0091618 PROVERA 500 MG POR TBL NOB 20X500MG PFX L / ONK,HEM,URN,G<br />

YN,SEX<br />

1 182,22 1 559,64 0,00 118,22<br />

0058390 PROVERA 500 MG POR TBL NOB 20X500MG PFX L / ONK,HEM,URN,G<br />

YN,SEX<br />

1 182,22 1 430,92 0,00 118,22<br />

L02AE02 parent. Leuprorelin<br />

0125299 ELIGARD 22,5 MG INJ PSO LQF 1X22.5MG VAN AEA P K /<br />

8 818,47 8 818,47 0,00 43,93<br />

0017241 ELIGARD 22,5 MG INJ PSO LQF 1X22.5MG SÁČ AEA P K /<br />

8 818,47 8 818,47 0,00 43,93<br />

0152301 ELIGARD 7,5 MG INJ PSO LQF 1X7.5MG VAN AEA P K /<br />

3 404,79 3 404,79 0,00 47,03<br />

0017243 ELIGARD 7,5 MG INJ PSO LQF 1X7.5MG SÁČ AEA P K /<br />

3 404,79 3 404,79 0,00 47,03<br />

0152302 ELIGARD 7,5 MG INJ PSO LQF 3X7.5MG VAN AEA P K /<br />

10 520,42 31 754,64 0,00 48,45<br />

0152300 ELIGARD 22,5 MG INJ PSO LQF 2X22.5MG VAN AEA P K /<br />

20 631,21 62 787,16 0,00 51,39<br />

0017242 ELIGARD 22,5 MG INJ PSO LQF 2X22.5MG SÁČ AEA P K /<br />

20 631,21 62 787,16 0,00 51,39<br />

0053714 LUCRIN DEPOT 11,25 MG INJ PSU LQF 1+2ML+STŘ ABU P K /<br />

9 739,29 9 739,29 0,00 120,83<br />

0076553 LUCRIN DEPOT 3,75 MG INJ PSU LQF 1X3.75MG ABB P K /<br />

3 506,81 3 616,78 0,00 131,64<br />

L02AE03 parent. Goserelin<br />

0012320 ZOLADEX DEPOT 10,8 MG IMP 1X10.8MG AZC P K /<br />

9 952,78 9 952,78 0,00 118,88<br />

0065386 ZOLADEX DEPOT 3,6 MG SDR IMP 1X3.6MG AZC P K /<br />

3 506,81 3 661,52 0,00 128,50<br />

L02AE04 parent. Triptorelin<br />

0006215 DIPHERELINE S.R. 11,25 MG INJ PSU LQF 1X11.25MG IEB P K /<br />

9 416,37 9 416,37 0,00 112,15<br />

0096107 DECAPEPTYL DEPOT INJ PSO LQF 3.75MG FEI P K /<br />

3 474,97 3 474,97 0,00 124,15<br />

0001656 DIPHERELINE S.R. 3 MG INJ PSU LQF 1X3MG IEB P K /<br />

3 496,62 3 496,62 0,00 156,17<br />

0058623 DIPHERELINE 0,1 MG INJ PSU LQF 7X0.1MG IEB P K /<br />

1 160,18 1 160,18 0,00 165,74<br />

0062707 DECAPEPTYL 0,1 MG INJ SOL 7X1ML/0.1MG FEI P K /<br />

1 442,29 1 517,04 0,00 206,04<br />

L02BA01 p.o. Tamoxifen<br />

0044056 TAMOXIFEN EBEWE 10 MG POR TBL NOB 30X10MG EBP /<br />

46,73 78,26 7,44 3,12<br />

0031581 TAMOPLEX 10 MG POR TBL NOB 100X10MG IV TPP /<br />

155,78 185,82 24,80 3,12<br />

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

Strana 85

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!