PÅ™ehled hrazených LP - dle úÄinné látky
PÅ™ehled hrazených LP - dle úÄinné látky
PÅ™ehled hrazených LP - dle úÄinné látky
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Přehled hrazených <strong>LP</strong> - <strong>dle</strong> účinné látky<br />
L03<br />
Imunostimulancia<br />
stav k 1. 10. 2011<br />
KOD NÁZEV<br />
DOPLNĚK DRZ IND1 LIM1/OME1 UHR ORC ZAP1 EKV_UHR<br />
L03AA02 parent. Filgrastim<br />
0500686 TEVAGRASTIM 48 MU/0,8 ML INJ+INF SOL 1X0.8ML TGK P A /<br />
2 345,52 2 345,52 0,00 1 709,56<br />
0149996 TEVAGRASTIM 48 MU/0,8 ML INJ+INF SOL 5X0.8ML TGK P A /<br />
13 165,46 13 165,46 0,00 1 919,97<br />
0500687 TEVAGRASTIM 48 MU/0,8 ML INJ+INF SOL 5X0.8ML TGK P A /<br />
13 165,46 13 165,46 0,00 1 920,00<br />
0149993 TEVAGRASTIM 30 MU/0,5 ML INJ+INF SOL 5X0.5ML TGK P A /<br />
8 245,65 8 245,65 0,00 1 923,99<br />
0500683 TEVAGRASTIM 30 MU/0,5 ML INJ+INF SOL 5X0.5ML TGK P A /<br />
8 245,65 8 245,65 0,00 1 923,99<br />
0500251 RATIOGRASTIM 30 MU/0,5 ML INJ+INF SOL 5X0.5ML RAT P A /<br />
8 547,54 8 547,54 0,00 1 994,43<br />
0500682 TEVAGRASTIM 30 MU/0,5 ML INJ+INF SOL 1X0.5ML TGK P A /<br />
1 722,26 1 722,26 0,00 2 002,63<br />
0500689 TEVAGRASTIM 48 MU/0,8 ML INJ+INF SOL 10X0.8ML TGK P A /<br />
29 990,40 36 296,60 0,00 2 179,53<br />
0078914 NEUPOGEN 30 MU/0,5 ML INJ SOL 5X0.5ML AEB P A /<br />
9 372,00 12 385,70 0,00 2 184,62<br />
0014902 NEUPOGEN 0,3 MG/ML INJ SOL 5X1ML AEB P A /<br />
9 372,00 12 390,49 0,00 2 184,62<br />
0014903 NEUPOGEN 0,3 MG/ML INJ SOL 5X1.6ML AEB P A /<br />
14 995,20 18 000,22 0,00 2 185,89<br />
0078906 NEUPOGEN 48 MU/0,5 ML INJ SOL 5X0.5ML AEB P A /<br />
14 995,20 19 848,20 0,00 2 185,89<br />
0500685 TEVAGRASTIM 30 MU/0,5 ML INJ+INF SOL 10X0.5ML TGK P A /<br />
18 744,00 22 416,35 0,00 2 186,81<br />
0500688 TEVAGRASTIM 48 MU/0,8 ML INJ+INF SOL 2X5X0.8ML TGK P A /<br />
29 990,40 36 296,60 0,00 2 186,85<br />
0500684 TEVAGRASTIM 30 MU/0,5 ML INJ+INF SOL 2X5X0.5ML TGK P A /<br />
18 744,00 22 416,35 0,00 2 188,03<br />
L03AA13 parent. Pegfilgrastim<br />
0149770 NEULASTA 6 MG INJ SOL 1X0.6ML-BLI II AEB P A / ONK, HEM<br />
23 749,41 32 044,95 0,00 1 187,47<br />
0028197 NEULASTA 6 MG INJ SOL 1X0.6ML AEB P A / ONK, HEM<br />
23 749,41 32 044,95 0,00 1 187,47<br />
L03AB01 parent. Interferon alfa přírodní<br />
0145445 MULTIFERON INJ SOL 6X0.5ML/3MU SWM P E / ONK, HEM, DER,<br />
GIT, INF<br />
2 811,55 14 484,89 11 673,34 312,39<br />
L03AB04 parent. Interferon alfa-2a<br />
0016558 ROFERON-A 3 MIU/0,5ML INJ SOL 5X0.5ML/3MU S RCE P E / ONK, HEM, DER,<br />
GIT, INF<br />
2 342,96 3 013,65 476,16 312,39<br />
0016557 ROFERON-A 6 MIU/0,5 ML INJ SOL 5X0.5ML/6MU S RCE P E / ONK, HEM, DER,<br />
GIT, INF<br />
4 685,92 5 870,20 952,31 312,39<br />
0016555 ROFERON-A 9 MIU/0,5 ML INJ SOL 5X0.5ML/9MU S RCE P E / ONK, HEM, DER,<br />
GIT, INF<br />
7 028,88 8 558,77 1 428,47 312,39<br />
0016553 ROFERON-A 18 MIU/0,6ML INJ SOL 3X 0.6ML/18MU RCE P E / ONK, HEM, DER,<br />
GIT, INF<br />
8 434,66 10 148,82 1 714,16 312,39<br />
L03AB05 parent. Interferon alfa-2b<br />
0025766 INTRONA 10 MIU INJ SOL 1X1ML/10MU+S SBS P E / ONK, HEM, DER,<br />
GIT, INF<br />
1 561,97 1 780,87 183,23 312,39<br />
0025777 INTRONA 18 MIU INJ SOL 1X1.2ML/18MU SBS P E / ONK, HEM, DER,<br />
GIT, INF<br />
2 811,55 3 356,52 329,81 312,39<br />
0025780 INTRONA 30 MIU INJ SOL 1X1.2ML/30MU SBS P E / ONK, HEM, DER,<br />
GIT, INF<br />
4 685,92 5 468,34 549,68 312,39<br />
0025783 INTRONA 60 MIU INJ SOL 1X1.2ML/60MU SBS P E / ONK, HEM, DER,<br />
GIT, INF<br />
9 371,84 10 471,20 1 099,36 312,39<br />
L03AB07 parent. Interferon beta-1a<br />
0027262 REBIF 44 MCG INJ SOL 12X0.5ML MJL P S /<br />
18 342,65 31 580,48 0,00 149,38<br />
0027257 REBIF 22 MCG INJ SOL 1X0.5ML MJL P S /<br />
1 146,42 2 213,92 0,00 223,91<br />
0027259 REBIF 22 MCG INJ SOL 12X0.5ML MJL P S /<br />
13 756,99 24 868,76 0,00 224,06<br />
0026063 REBIF 8,8 MCG+22 MCG INJ SOL 6X0.2ML+6X0.5ML MJL P S /<br />
9 629,89 25 287,68 0,00 224,06<br />
0500512 REBIF 44 MCG/0,5 ML INJ SOL 4X1.5ML MJL P S /<br />
18 342,65 31 397,67 0,00 448,26<br />
0026251 AVONEX INJ PSO LQF 4X30RG/DÁV BLD P S /<br />
18 342,65 24 482,32 0,00 657,21<br />
0026252 AVONEX INJ SOL 4X30RG/DÁV+4JEH BLD P S /<br />
18 342,65 24 482,32 0,00 657,21<br />
0500511 REBIF 22 MCG/0,5 ML INJ SOL 4X1.5ML MJL P S /<br />
13 756,99 25 143,34 0,00 799,83<br />
L03AB08 parent. Interferon beta-1b<br />
0500792 BETAFERON INJPSOLQF12X(1+1PS+1AJ+2T)TI<br />
TR<br />
BYP P S /<br />
15 722,27 21 066,47 0,00 545,91<br />
0500353 EXTAVIA 250 MCG/ML INJ PSO LQF 15X(1+1.2ML) NEH P S /<br />
19 652,84 25 508,05 0,00 545,91<br />
0027897 BETAFERON INJ PSO LQF 15X(1+1PS+1AJ+2A) BYP P S /<br />
19 652,84 26 752,45 0,00 545,91<br />
0026208 BETAFERON INJ PSO LQF 15+15PS. BYP P S /<br />
19 652,84 26 752,45 0,00 545,91<br />
L03AB10 parent. Peginterferon alfa-2b<br />
0027495 PEGINTRON 120 INJ PSO LQF 1X120RG SBS P B /<br />
6 460,52 7 627,53 0,00 403,78<br />
0027499 PEGINTRON 150 INJ PSO LQF 1X150RG SBS P B /<br />
8 075,66 9 503,95 0,00 403,78<br />
0027491 PEGINTRON 100 INJ PSO LQF 1X100RG SBS P B /<br />
5 383,77 6 631,38 0,00 403,88<br />
L03AB11 parent. Peginterferon alfa-2a<br />
0027396 PEGASYS 180 MCG/0.5ML INJ SOL 1X0.5ML RRG P B /<br />
5 906,07 5 906,07 0,00 853,48<br />
0027394 PEGASYS 135 MCG/0.5ML INJ SOL 1X0.5ML RRG P B /<br />
4 835,04 4 835,04 0,00 931,61<br />
L03AC01 parent. Aldesleukin<br />
0052228 PROLEUKIN 18 MIU INJ PLV SOL 1X1MG NAI P S /<br />
4 587,72 5 370,48 0,00 4 587,72<br />
L03AX p.o. Jiná imunostimulancia<br />
Vysvětlivky: UHR - úhrada pojišťovny základní, ORC - orientační cena, ZAP1 - započitatelný doplatek, EKV UHR - ekvivalent úhrady (úhrada za 1DDD), § - zvýšená úhrada<br />
Strana 95