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HIZENTRA

200MG/ML INJ SOL 10X20ML

Maximum ex-factory price/Ex-factory price ? 81840,40 CZK
Legal basis of maximum ex-factory price/ex-factory price ? Maximum ex-factory price announced under the law.

Informace o základní úhradě

Core reimbursement from health insurance ? 40190,60 CZK
Maximum reimbursement from health insurance ? 53938,64 CZK
Legal basis of reimbursement from health insurance ? Reimbursement set by the law.
Indication restriction of reimbursement ? imunoglobuliny normální lidské pro s.c. aplikaci jsou předepisovány v indikacích: 1) Substituční léčba dospělých a dětí při syndromech primárního imunodeficitu jako: - kongenitální agamaglobulinémie a hypogamaglobulinémie - běžný variabilní imunodeficit - závažný kombinovaný imunodeficit - deficit podtříd IgG s opakujícími se infekcemi 2) Substituční léčba při myelomu nebo chronické lymfatické leukémii se závažnou sekundární hypogamaglobulinémií a opakujícími se infekcemi.
Prescribing doctor's specialisation ? Hematology and transfusion medicine, pediatric oncology a hematology
Allergology and clinical immunology
Reporting limit ? E: Unless it is advisable to transfer the prescription of the product to another doctor under paragraph 2 in light of the effect and safety of the product, the "E" symbol will mark the product in the decision.
Rough price for the final consumer ? 92768,73 CZK
Rough payment for the final consumer (for 1 prescribed package dispensed) ? 38830.09 CZK
Eligible extra payment ?
Eligible extra payment for individuals aged 65 and older ?
Medicinal products reimbursed from health insurance contain the amount of the maximum manufacturer´s price or the producer´s notified price for products which are not subjected to the regulation of the maximum manufacturer´s price, the amount of reimbursement from health insurance and the estimated price for the end consumer (pharmacy price).

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