Příloha č. 4
Seznam hromadně vyráběných léčivých přípravků pro léčbu hemofilie, které jsou hrazeny formou zvlášť účtovaných léčivých přípravků nad rámec paušálu
+-----+-----------+--------------------------------+---------------------------+
| č. | Kód | Název | Doplněk názvu |
+-----+-----------+--------------------------------+---------------------------+
| 1. | 03051 | BEBULIN TIM 4 | inj sic 1x600ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 2. | 03052 | BEBULIN TIM 4 | inj. sic 1x1.2ku + sol |
+-----+-----------+--------------------------------+---------------------------+
| 3. | 08607 | BEBULIN TIM 4 | inj sic 1x200ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 4. | 44999 | BERIATE P 1000UT | inj sic 1ku + 10 ml |
+-----+-----------+--------------------------------+---------------------------+
| 5. | 45000 | BERIATE P 1000UT | inj sic 1ku + 10ml |
+-----+-----------+--------------------------------+---------------------------+
| 6. | 45001 | BERIATE P 250UT | inj sic 250UT + 2.5ml |
+-----+-----------+--------------------------------+---------------------------+
| 7. | 45002 | BERIATE P 250UT | inj sic 250ut + 2.5ml |
+-----+-----------+--------------------------------+---------------------------+
| 8. | 45003 | BERIATE P 500UT | inj sic 500ut + 5ml |
+-----+-----------+--------------------------------+---------------------------+
| 9. | 45004 | BERIATE P 500UT | inj sic 500ut + 5ml |
+-----+-----------+--------------------------------+---------------------------+
| 10. | 59486 | MONOCLATE-P | inj sic 1x250ut |
+-----+-----------+--------------------------------+---------------------------+
| 11. | 59487 | MONOCLATE-P | inj sic 1x500ut |
+-----+-----------+--------------------------------+---------------------------+
| 12. | 59488 | MONOCLATE-P | inj sic 1x1000ut |
+-----+-----------+--------------------------------+---------------------------+
| 13. | 60379 | HAEMOCTIN SDH 250 | inj sic 1x250ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 14. | 60380 | HAEMOCTIN SDH 500 | inj sic 1x500ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 15. | 60381 | HAEMOCTIN SDH 1000 | inj sic 1x1ku + solv. |
+-----+-----------+--------------------------------+---------------------------+
| 16. | 75079 | IMMUNINE 600I.E. | inj sic 1x600ut + 5ml |
+-----+-----------+--------------------------------+---------------------------+
| 17. | 75080 | IMMUNINE 1200I.E. | inj sic 1x2ku + 10ml |
+-----+-----------+--------------------------------+---------------------------+
| 18. | 83452 | KOATE HP 250 I.U. | inj lyo 1x250ut + 5ml |
+-----+-----------+--------------------------------+---------------------------+
| 19. | 83453 | KOATE HP 500 I.U. | inj lyo 1x500ut + 5ml |
+-----+-----------+--------------------------------+---------------------------+
| 20. | 83454 | KOATE HP 1000 I. U. | inj lyo 1000ut + 10ml |
+-----+-----------+--------------------------------+---------------------------+
| 21. | 83781 | FAKTOR IX P CENTEON 300UT | inj sic 300ut + 10ml |
+-----+-----------+--------------------------------+---------------------------+
| 22. | 83782 | FAKTOR IX P CENTEON 600UT | inj sic 600ut + 20ml |
+-----+-----------+--------------------------------+---------------------------+
| 23. | 83783 | FAKTOR IX P CENTEON 1200UT | inj sic 1.2ku + 30ml |
+-----+-----------+--------------------------------+---------------------------+
| 24. | 83785 | HAEMATE P | inj sic 1x250ut |
+-----+-----------+--------------------------------+---------------------------+
| 25. | 83786 | HAEMATE P | inj sic 1x500ut |
+-----+-----------+--------------------------------+---------------------------+
| 26. | 83787 | HAEMATE P | inj sic 1x1ku |
+-----+-----------+--------------------------------+---------------------------+
| 27. | 85676 | FEIBA TIM 4 | inj sic 1x500ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 28. | 85677 | FEIBA TIM 4 | inj sic 1x1ku + solv. |
+-----+-----------+--------------------------------+---------------------------+
| 29. | 87238 | FANHDI 250 IU | inj sic 1x250ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 30. | 87239 | FANHDI 500 IU | inj sic 1x500ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 31. | 87240 | FANHDI 1000 IU | inj sic 1x1ku + sol |
+-----+-----------+--------------------------------+---------------------------+
| 32. | 88335 | HAEMATE P | inj sic 1x250ut |
+-----+-----------+--------------------------------+---------------------------+
| 33. | 88336 | HAEMATE P | inj sic 1x500ut |
+-----+-----------+--------------------------------+---------------------------+
| 34. | 88337 | HAEMATE P | inj sic 1x1ku |
+-----+-----------+--------------------------------+---------------------------+
| 35. | 88800 | PORCINE FACTOR VIII:C(HYATE:C) | inj 20ml/400-700ut |
+-----+-----------+--------------------------------+---------------------------+
| 36. | 89027 | IMMUNATE STIM PLUS 250 | inj sic 1x250ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 37. | 89028 | IMMUNATE STIM PLUS 500 | inj sic 1x500ut + sol |
+-----+-----------+--------------------------------+---------------------------+
| 38. | 89029 | IMMUNATE STIM PLUS 1000 | inj sic 1x1ku + solv. |
+-----+-----------+--------------------------------+---------------------------+
| 39. | 89825 | NOVOSEVEN 1.2MG(=60KU) | inj sic 1x1.2mg + sol |
+-----+-----------+--------------------------------+---------------------------+
| 40. | 89826 | NOVOSEVEN 2.4MG(=120KU) | inj sic 1x2.4mg + sol |
+-----+-----------+--------------------------------+---------------------------+
| 41. | 91689 | KRYOBULIN TIM 3 | inj sic 1x1ku + 40ml |
+-----+-----------+--------------------------------+---------------------------+
| 42. | 91690 | KRYOBULIN TIM 3 | inj sic 500ut + 20ml |
+-----+-----------+--------------------------------+---------------------------+
| 43. | 91691 | KRYOBULIN TIM 3 | inj sic 250ut + 10ml |
+-----+-----------+--------------------------------+---------------------------+
| 44. | 92641 | NOVOSEVEN 4.8MG(=240KU) | inj sic 1x4.8mg + sol |
+-----+-----------+--------------------------------+---------------------------+
| 45. | 97407 | OCTAVI 250 I.U. | inj sic 1x250ut |
+-----+-----------+--------------------------------+---------------------------+
| 46. | 97408 | OCTAVI 500 I.U. | inj sic 1x500ut |
+-----+-----------+--------------------------------+---------------------------+
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