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Přehled hrazených LP - dle účinné látky

Přehled hrazených LP - dle účinné látky

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

A16<br />

Trávicí trakt a metabolismus, jiná léčiva<br />

stav k 1. 10. 2011<br />

KOD NÁZEV<br />

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

A16AA02 p.o. Ademethionin<br />

0012317 TRANSMETIL 500 MG TABLETY POR TBL ENT 10X500MG ABK P E / GIT,INT,INF,GYN 365,39 365,39 0,00 73,08<br />

A16AA02 parent. Ademethionin<br />

0012319 TRANSMETIL 500 MG INJEKCE INJ PSO LQF 5X500MG ABK P AE / GIT,INT,INF,GYN 484,24 484,24 0,00 96,85<br />

A16AA06 p.o. Betain<br />

0028726 CYSTADANE 1 G POR PLV SOL 180GM OEP P S /<br />

12 695,20 13 423,94 0,00 423,17<br />

A16AB02 parent. Imigluceráza<br />

0028020 CEREZYME INF PLV CSL 1X400UT GZE P S /<br />

36 793,08 44 446,42 0,00 27 663,97<br />

A16AB03 parent. Agalsidáza alfa<br />

0027287 REPLAGAL INF CNC SOL 1X3.5MG SHY P S /<br />

43 162,06 53 851,00 0,00 12 332,02<br />

A16AB04 parent. Agalsidáza beta<br />

0025483 FABRAZYME 35 MG INF PLV SOL 1X35MG GZE P S /<br />

86 163,07 95 047,71 0,00 12 309,01<br />

A16AB05 parent. Laronidáza<br />

0026354 ALDURAZYME INF CNC SOL 1X5ML GZE P S /<br />

15 695,45 18 435,24 0,00 31 390,90<br />

A16AB07 parent. Alglukosidáza alfa<br />

0026096 MYOZYME 50 MG INF PLV CSL 1X50MG/LAH GZE P S / J4<br />

12 622,47 14 344,82 0,00 25 244,94<br />

A16AB09 parent. Idursulfáza<br />

0027982 ELAPRASE 2 MG/ML IVN INF CNC SOL 1X3ML SHY P ES / INT,PED<br />

78 358,00 82 194,23 0,00 13 059,67<br />

A16AX01 parent. Kyselina tioktová<br />

0084378 THIOGAMMA 600 INJECT INJ SOL 5X20ML/600MG WGP A /<br />

662,31 946,16 0,00 44,15<br />

0055380 THIOGAMMA 600 INJECT INJ SOL 20X20ML/600MG WGP A /<br />

2 749,80 3 928,29 0,00 45,83<br />

0052225 THIOCTACID 600 T INJ SOL 5X24ML/600MG MHO A /<br />

689,80 985,43 0,00 45,99<br />

0084379 THIOGAMMA 600 INJECT INJ SOL 10X20ML/600MG WGP A /<br />

1 452,85 2 075,50 0,00 48,43<br />

0084382 THIOGAMMA 600 INJECT INJ SOL 1000X20ML/0.6G WGP A /<br />

150 956,00 162 451,98 0,00 50,32<br />

A16AX03 p.o. Natrium-fenylbutyrát<br />

0026269 AMMONAPS 500 MG POR TBL NOB 250X500MG BVS P /<br />

18 797,63 19 470,04 0,00 3 007,62<br />

0026271 AMMONAPS 940 MG/G POR GRA 1X266GM BVS P /<br />

33 601,69 33 601,69 0,00 2 688,14<br />

A16AX04 p.o. Nitisinon<br />

0028408 ORFADIN 5 MG POR CPS DUR 60X5MG BVS P S / J4<br />

48 061,74 48 061,74 0,00 3 204,12<br />

0028409 ORFADIN 10 MG POR CPS DUR 60X10MG BVS P S / J4<br />

76 777,06 87 299,36 0,00 2 559,24<br />

A16AX06 p.o. Miglustat<br />

0027034 ZAVESCA 100 MG POR CPS DUR 84X100MG ACB P S /<br />

187 025,82 187 025,82 0,00 6 679,49<br />

B01AA03 p.o. Warfarin<br />

0119775 LAWARIN 2 POR TBL NOB 100X2MG PMP /<br />

95,12 95,12 0,00 3,57<br />

0119774 LAWARIN 2 POR TBL NOB 50X2MG PMP /<br />

48,81 48,81 0,00 3,66<br />

0094113 WARFARIN ORION 3 MG POR TBL NOB 100X3MG ORN /<br />

148,37 148,37 0,00 3,71<br />

0119776 LAWARIN 5 POR TBL NOB 50X5MG PMP /<br />

91,70 133,14 0,00 2,75<br />

0119777 LAWARIN 5 POR TBL NOB 100X5MG PMP /<br />

183,39 233,47 0,00 2,75<br />

0094114 WARFARIN ORION 5 MG POR TBL NOB 100X5MG ORN /<br />

183,39 241,96 0,00 2,75<br />

B01AB01 parent. Heparin<br />

0000477 HEPARIN FORTE LÉČIVA INJ SOL 5X1ML/25KU ZNP A /<br />

291,58 625,82 0,00 23,33<br />

0013318 HEPARIN SANDOZ 25 000 IU/5 ML INJ SOL 10X5ML/25KU SZK A /<br />

583,16 960,85 0,00 23,33<br />

0093746 HEPARIN LÉČIVA INJ SOL 1X10ML/50KU ZNP A /<br />

116,63 554,20 0,00 23,33<br />

B01AB02 parent. Antithrombin III<br />

0137484 ANBINEX INJ PSO LQF 1X500UT GFO U /<br />

3 789,35 3 789,35 0,00 15 788,96<br />

0119619 ANTITHROMBIN III GRIFOLS INJ PSO LQF 1X500UT GFO U /<br />

3 789,35 3 789,35 0,00 15 788,96<br />

0085771 KYBERNIN P INJ PSO LQF 1X500UT+SOL CGM U /<br />

3 789,35 3 789,35 0,00 15 788,96<br />

0093173 ANTITHROMBIN III IMMUNO INJ PSO LQF 1X500UT BXG U /<br />

4 453,91 4 913,34 0,00 18 557,96<br />

0093174 ANTITHROMBIN III IMMUNO INJ PSO LQF 1X1KU BXG U /<br />

8 905,41 9 054,25 0,00 18 552,94<br />

0085772 KYBERNIN P INJ PSO LQF 1X1KU+SOLV CGM U /<br />

8 907,83 10 086,27 0,00 18 557,98<br />

0137483 ANBINEX INJ PSO LQF 1X1000UT GFO U /<br />

8 907,83 10 639,66 0,00 18 557,98<br />

0119620 ANTITHROMBIN III GRIFOLS INJ PSO LQF 1X1000UT GFO U /<br />

8 907,83 10 639,66 0,00 18 557,98<br />

B01AB04 parent. Dalteparin<br />

0107732 FRAGMIN 2500 M.J.(ANTI-XA)/0,2 ML INJ SOL 10X0.2ML/2.5KU PFX P /<br />

447,43 623,57 115,30 44,74<br />

0107734 FRAGMIN 5000 M.J.(ANTI-XA)/0,2 ML INJ SOL 10X0.2ML/5KU PFX P /<br />

894,85 1 185,62 230,60 44,74<br />

0107736 FRAGMIN 7500 M.J.(ANTI-XA)/0,3 ML INJ SOL 10X0.3ML/7.5KU PFX P /<br />

1 044,75 1 445,98 345,90 34,83<br />

0122126 FRAGMIN 10000 M.J.(ANTI-XA)/0,4 ML INJ SOL 5X0.4ML/10KU PFX P /<br />

696,50 1 039,05 230,60 34,83<br />

0047694 FRAGMIN 10000 M.J.(ANTI-XA)/1ML INJ SOL 10X1ML/10KU PFX P /<br />

1 393,00 1 854,20 461,20 34,83<br />

0107731 FRAGMIN 10000 M.J.(ANTI-XA)/4 ML INJ SOL 10X4ML/10KU PFX P /<br />

1 393,00 1 854,20 461,20 34,83<br />

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

Strana 13

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