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Přehled hrazených LP - dle účinné látky

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

B05<br />

Krevní náhrady, infuzní a perfuzní roztoky<br />

stav k 1. 10. 2011<br />

KOD NÁZEV<br />

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

B05AA07 parent. Hydroxyethylškrob<br />

0100050 HAES-STERIL 10% INF SOL 30X250ML PE FRE O /<br />

3 223,29 6 290,79 0,00 214,89<br />

0100189 VOLUVEN INF SOL 1X500MLVAK+P FRE O /<br />

214,89 392,67 0,00 214,89<br />

0003262 VOLUVEN INF SOL 10X500ML SKLO FRE O /<br />

2 148,86 2 938,40 0,00 214,89<br />

0105933 TETRASPAN 6% INF SOL 10X500ML BMM O /<br />

2 148,86 3 278,26 0,00 214,89<br />

0105936 TETRASPAN 6% INF SOL 10X500ML BMM O /<br />

2 148,86 3 278,26 0,00 214,89<br />

0003265 VOLUVEN INF SOL 10X500ML+P FRE O /<br />

2 148,86 3 459,69 0,00 214,89<br />

0003266 VOLUVEN INF SOL 15X500ML +P FRE O /<br />

3 223,29 5 103,45 0,00 214,89<br />

0072157 HAES-STERIL 10% INF SOL 1X500ML SKLO FRE O /<br />

214,89 336,76 0,00 214,89<br />

0072158 HAES-STERIL 10% INF SOL 1X500ML PE FRE O /<br />

214,89 416,20 0,00 214,89<br />

0105939 TETRASPAN 10 % INF SOL 10X500ML BMM O /<br />

2 148,86 3 681,27 0,00 214,89<br />

0042386 HAES-STERIL 10% INF SOL 10X500ML PE FRE O /<br />

2 148,86 3 698,54 0,00 214,89<br />

0105943 TETRASPAN 10 % INF SOL 20X500ML BMM O /<br />

4 297,72 7 384,14 0,00 214,89<br />

B05BA01 parent. Aminokyseliny<br />

0031988 CLINIMIX N9G20E INF SOL 6X1500ML BXF H /<br />

1 766,68 3 201,62 0,00 19,63<br />

0031984 CLINIMIX N14G30E INF SOL 6X1500ML BXF H /<br />

2 003,85 4 376,74 0,00 22,27<br />

0031986 CLINIMIX N17G35E INF SOL 6X1500ML BXF H /<br />

2 098,72 5 118,72 0,00 23,32<br />

0031989 CLINIMIX N9G20E INF SOL 4X2000ML BXF H /<br />

1 964,25 2 962,23 0,00 24,55<br />

0031985 CLINIMIX N14G30E INF SOL 4X2000ML BXF H /<br />

2 195,59 3 909,56 0,00 27,44<br />

0031987 CLINIMIX N17G35E INF SOL 4X2000ML BXF H /<br />

2 203,73 4 569,10 0,00 27,55<br />

0107475 PRIMENE 10% INF SOL 10X250ML 10% BXT H /<br />

688,67 4 253,92 0,00 27,55<br />

0107472 PRIMENE 10% INF SOL 20X100ML 10% BXT H /<br />

550,93 5 418,12 0,00 27,55<br />

0017813 AMINOVENOES N PAED 6% INF 1X500ML 6% FKA H /<br />

149,27 300,23 0,00 29,85<br />

0017811 AMINOVENOES N PAED 6% INF 1X100ML 6% FKA H /<br />

29,85 240,05 0,00 29,85<br />

0017812 AMINOVENOES N PAED 6% INF 1X250ML 6% FKA H /<br />

74,63 357,64 0,00 29,85<br />

0017817 AMINOVENOES N PAED 6% INF 10X100ML 6% FKA H /<br />

298,53 2 157,25 0,00 29,85<br />

0017818 AMINOVENOES N PAED 6% INF 10X250ML 6% FKA H /<br />

746,33 3 190,72 0,00 29,85<br />

0017819 AMINOVENOES N PAED 6% INF 10X500ML 6% FKA H /<br />

1 492,65 4 704,47 0,00 29,85<br />

B05BA02 parent. Tukové emulze<br />

0049973 INTRALIPID 10 % INF EML 12X500ML FKA H /<br />

2 636,79 2 691,40 0,00 43,95<br />

0049962 INTRALIPID 10 % INF EML 12X500ML FKA H /<br />

2 680,59 2 735,61 0,00 44,68<br />

0049972 INTRALIPID 20 % INF EML 6X1000ML FKA H /<br />

2 680,59 2 735,61 0,00 44,68<br />

0049961 INTRALIPID 10 % INF EML 1X500ML FKA H /<br />

231,76 309,33 0,00 46,35<br />

0049969 INTRALIPID 10 % INF EML 1X500ML FKA H /<br />

231,76 312,90 0,00 46,35<br />

0049971 INTRALIPID 20 % INF EML 1X1000ML FKA H /<br />

471,23 611,81 0,00 47,12<br />

0049954 INTRALIPID 20 % INF EML 1X500ML FKA H /<br />

235,62 475,28 0,00 47,12<br />

0049967 INTRALIPID 20 % INF EML 1X500ML FKA H /<br />

235,62 482,66 0,00 47,12<br />

0016333 LIPOPLUS 20% INF EML 1X250ML-SKLO BMM H /<br />

117,80 385,92 0,00 47,12<br />

0049957 INTRALIPID 20 % INF EML 1X250ML FKA H /<br />

117,80 386,12 0,00 47,12<br />

0016334 LIPOPLUS 20% INF EML 1X500ML-SKLO BMM H /<br />

235,62 542,06 0,00 47,12<br />

0049965 INTRALIPID 20 % INF EML 1X250ML FKA H /<br />

117,80 447,22 0,00 47,12<br />

0031976 STRUCTOLIPID 20 % INF EML 1X250ML FKA H /<br />

117,80 924,11 0,00 47,12<br />

0031975 STRUCTOLIPID 20 % INF EML 1X500ML FKA H /<br />

235,62 1 058,04 0,00 47,12<br />

0018731 SMOFLIPID INF EML 1X250ML FKA H /<br />

117,80 1 119,10 0,00 47,12<br />

0030942 CLINOLEIC 20% INF EML 10X500ML-SKL BXT H /<br />

2 356,16 3 439,46 0,00 47,12<br />

0101418 SMOFLIPID INF EML 1X250ML FKA H /<br />

117,80 1 345,18 0,00 47,12<br />

0049975 INTRALIPID 20 % INF EML 12X500ML FKA H /<br />

2 827,39 4 111,08 0,00 47,12<br />

0088772 CLINOLEIC 20% INF EML 10X500ML BXT H /<br />

2 356,16 4 019,76 0,00 47,12<br />

0030941 CLINOLEIC 20% INF EML 10X250ML-SKL BXT H /<br />

1 178,08 2 855,71 0,00 47,12<br />

0018732 SMOFLIPID INF EML 1X500ML FKA H /<br />

235,62 2 161,42 0,00 47,12<br />

0015295 INTRALIPID 20 % INF EML 12X500ML FKA H /<br />

2 827,39 4 886,44 0,00 47,12<br />

0016337 LIPOPLUS 20% INF EML 10X250ML-SKLO BMM H /<br />

1 178,08 3 437,57 0,00 47,12<br />

0015293 INTRALIPID 20 % INF EML 10X250ML FKA H /<br />

1 178,08 3 492,97 0,00 47,12<br />

0101419 SMOFLIPID INF EML 1X500ML FKA H /<br />

235,62 2 602,62 0,00 47,12<br />

0016338 LIPOPLUS 20% INF EML 10X500ML-SKLO BMM H /<br />

2 356,16 4 837,03 0,00 47,12<br />

0049958 INTRALIPID 20 % INF EML 12X250ML FKA H /<br />

1 413,69 3 933,99 0,00 47,12<br />

0018735 SMOFLIPID INF EML 10X500ML FKA H /<br />

2 356,16 5 100,24 0,00 47,12<br />

0018734 SMOFLIPID INF EML 10X250ML FKA H /<br />

1 178,08 4 279,58 0,00 47,12<br />

0031977 STRUCTOLIPID 20 % INF EML 10X250ML FKA H /<br />

1 178,08 4 678,66 0,00 47,12<br />

0018733 SMOFLIPID INF EML 10X100ML FKA H /<br />

471,23 4 209,48 0,00 47,12<br />

0088771 CLINOLEIC 20% INF EML 20X250ML BXT H /<br />

2 356,16 6 728,05 0,00 47,12<br />

0064639 STRUCTOLIPID 20 % INF EML 12X500ML FKA H /<br />

2 827,39 7 390,50 0,00 47,12<br />

0101420 SMOFLIPID INF EML 10X100ML FKA H /<br />

471,23 5 068,88 0,00 47,12<br />

0064600 STRUCTOLIPID 20 % INF EML 10X500ML FKA H /<br />

2 356,16 9 399,04 0,00 47,12<br />

0101421 SMOFLIPID INF EML 10X250ML FKA H /<br />

1 178,08 11 995,70 0,00 47,12<br />

0049956 INTRALIPID 10 % INF EML 12X100ML FKA H /<br />

1 717,73 1 763,79 0,00 143,14<br />

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

Strana 22

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