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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 />

B01<br />

Antikoagulancia, antitrombotika<br />

stav k 1. 10. 2011<br />

KOD NÁZEV<br />

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

B01AB05 parent. Enoxaparin<br />

0115405 CLEXANE INJ SOL 2X0.2ML/2KU SFK P /<br />

89,48 133,71 10,25 44,74<br />

0115400 CLEXANE INJ SOL 10X0.2ML/2KU SFK P /<br />

447,42 586,62 51,26 44,74<br />

0125286 CLEXANE INJ SOL 50X0.2ML/2KU SFK P /<br />

2 237,10 3 012,47 256,31 44,74<br />

0115406 CLEXANE INJ SOL 2X0.4ML/4KU SFK P /<br />

178,97 279,15 20,51 44,74<br />

0115401 CLEXANE INJ SOL 10X0.4ML/4KU SFK P /<br />

894,84 1 085,96 102,53 44,74<br />

0125287 CLEXANE INJ SOL 50X0.4ML/4KU SFK P /<br />

4 474,20 5 563,71 512,63 44,74<br />

0115407 CLEXANE INJ SOL 2X0.6ML/6KU SFK P /<br />

222,89 354,20 30,76 37,15<br />

0115402 CLEXANE INJ SOL 10X0.6ML/6KU SFK P /<br />

1 114,44 1 590,15 153,79 37,15<br />

0125288 CLEXANE INJ SOL 50X0.6ML/6KU SFK P /<br />

5 572,20 7 409,29 768,94 37,15<br />

0115408 CLEXANE INJ SOL 2X0.8ML/8KU SFK P /<br />

297,18 447,14 41,01 37,15<br />

0115403 CLEXANE INJ SOL 10X0.8ML/8KU SFK P /<br />

1 485,92 1 858,09 205,05 37,15<br />

0125289 CLEXANE INJ SOL 50X0.8ML/8KU SFK P /<br />

7 429,60 8 623,04 1 025,26 37,15<br />

0115409 CLEXANE INJ SOL 2X1ML/10KU SFK P /<br />

371,48 503,35 51,26 37,15<br />

0115404 CLEXANE INJ SOL 10X1ML/10KU SFK P /<br />

1 857,40 2 287,58 256,31 37,15<br />

0125290 CLEXANE INJ SOL 50X1ML/10KU SFK P /<br />

9 287,00 10 568,57 1 281,57 37,15<br />

0107951 CLEXANE FORTE INJ SOL 10X1ML/15KU SFK P /<br />

2 786,10 3 209,39 384,47 37,15<br />

0107950 CLEXANE FORTE INJ SOL 10X0.8ML/12KU SFK P /<br />

2 228,88 2 698,46 307,58 37,15<br />

B01AB06 parent. Nadroparin<br />

0032057 FRAXIPARINE INJ SOL 2X0.3ML GLA P /<br />

89,48 121,15 0,00 44,74<br />

0032058 FRAXIPARINE INJ SOL 10X0.3ML GLA P /<br />

447,42 586,96 0,00 44,74<br />

0032059 FRAXIPARINE INJ SOL 10X0.4ML GLA P /<br />

596,56 783,47 0,00 44,75<br />

0032060 FRAXIPARINE INJ SOL 2X0.6ML GLA P /<br />

178,97 239,00 0,00 44,74<br />

0032061 FRAXIPARINE INJ SOL 10X0.6ML GLA P /<br />

894,84 1 112,54 0,00 44,74<br />

0032063 FRAXIPARINE INJ SOL 10X0.8ML GLA P /<br />

1 114,43 1 589,35 0,00 41,79<br />

0032062 FRAXIPARINE INJ SOL 2X0.8ML GLA P /<br />

222,89 305,19 0,00 41,82<br />

0032064 FRAXIPARINE INJ SOL 10X1ML GLA P /<br />

1 393,03 1 393,03 0,00 41,80<br />

0059805 FRAXIPARINE FORTE INJ SOL 2X0.6ML GLA P /<br />

334,33 518,58 0,00 41,79<br />

0059806 FRAXIPARINE FORTE INJ SOL 10X0.6ML GLA P /<br />

1 671,64 2 372,71 0,00 41,79<br />

0059807 FRAXIPARINE FORTE INJ SOL 2X0.8ML GLA P /<br />

445,77 687,98 0,00 41,78<br />

0059808 FRAXIPARINE FORTE INJ SOL 10X0.8ML GLA P /<br />

2 228,85 3 171,91 0,00 41,79<br />

0059810 FRAXIPARINE FORTE INJ SOL 10X1ML GLA P /<br />

2 786,07 3 433,20 0,00 41,79<br />

0054316 FRAXIPARIN MULTI INJ SOL 10X5ML/47.5KU GLA P /<br />

6 965,16 9 104,06 0,00 41,79<br />

B01AB11 p.o. Sulodexid<br />

0096118 VESSEL DUE F POR CPS MOL 50X250LSU ASW L / OPH,INT,NEU,DIA,<br />

GER<br />

389,67 591,00 201,33 15,59<br />

B01AB11 parent. Sulodexid<br />

0096117 VESSEL DUE F INJ SOL 10X2ML/600LSU ASW O /<br />

477,47 477,47 0,00 39,79<br />

B01AB12 parent. Bemiparin<br />

0030521 ZIBOR 2500 IU INJ SOL 10X0.2ML MNI P /<br />

639,18 639,18 0,00 63,92<br />

0030526 ZIBOR 3500 IU INJ SOL 10X0.2ML MNI P /<br />

894,85 1 081,64 0,00 63,92<br />

0108381 ZIBOR 25 000 IU INJ SOL 2X0.2ML/5000IU MNI P /<br />

242,27 492,98 0,00 60,57<br />

0107608 ZIBOR 25 000 IU INJ SOL 2X0.3ML/7500IU MNI P /<br />

363,40 626,80 0,00 60,57<br />

0107611 ZIBOR 25 000 IU INJ SOL 2X0.4ML/10000IU MNI P /<br />

484,53 782,69 0,00 60,57<br />

B01AC04 p.o. Klopidogrel<br />

0149920 CLOPIDOGREL KRKA 75 MG POR TBL FLM 28X75MG KRK P /<br />

140,28 140,28 0,00 5,01<br />

0142689 TROGRAN 75 MG POTAHOVANÉ<br />

TABLETY<br />

POR TBL FLM 28X75MG I GMP P /<br />

367,15 367,15 0,00 13,11<br />

0143535 CLOPIDOGREL ACTAVIS 75 MG POR TBL FLM 28X75MG II ACK P /<br />

367,66 367,66 0,00 13,13<br />

0141308 TESSYRON 75 MG POTAHOVANÉ<br />

TABLETY<br />

0163387 TESSYRON 75 MG POTAHOVANÉ<br />

TABLETY<br />

POR TBL FLM 30X75MG GDB P /<br />

393,92 393,92 0,00 13,13<br />

POR TBL FLM 90X75MG GDB P /<br />

1 181,76 1 181,76 0,00 13,13<br />

0149543 CLOPIDOGREL APOTEX 75 MG POR TBL FLM 30X75MG ATX P /<br />

393,92 393,92 0,00 13,13<br />

0149392 CLOPIDOGREL MYLAN 75 MG POR TBL FLM 90X75MG MYS P /<br />

1 181,76 1 181,76 0,00 13,13<br />

0149388 CLOPIDOGREL MYLAN 75 MG POR TBL FLM 30X75MG MYS P /<br />

393,92 393,92 0,00 13,13<br />

0141641 CLOPIDOGREL STADA 75 MG<br />

POTAHOVANÉ TABLETY<br />

0169002 CLOPIDOGREL STADA 75 MG<br />

POTAHOVANÉ TABLETY<br />

POR TBL FLM 100X75MG I STD P /<br />

1 313,07 1 313,07 0,00 13,13<br />

POR TBL FLM 30X75MG I STD P /<br />

393,92 393,92 0,00 13,13<br />

0142806 PLAVOCORIN POR TBL FLM 28X75MG II DOZ P /<br />

367,66 367,66 0,00 13,13<br />

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

Strana 14

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