Acting in compliance with Section 39n(1) of Act No. 48/1997 Coll., on Public Health Insurance, as amended (“Act”), the State Institute for Drug Control publishes the List of Prices and Reimbursements for Medicinal Products and Foods for Special Medicinal Purposes Covered by the Public Health Insurance Scheme (“List”). The List, published on the 1stday of the calendar month, includes a full list of medicinal products (MPs) and foods for special medicinal purposes (FSMPs) covered by the public health insurance scheme that are reimbursed by decision of the Institute, including the maximum or announced ex-factory prices, the amount and terms of reimbursement, incl. the maximum possible reimbursement for the end consumer, and the supplementary payment in the eligible limit.
In addition, the List contains basic reimbursements of reference groups, explaining how the basic reimbursements were set, along with a full list of medicinal products and foods for special medical purposes classified in the reference groups, and the maximum prices of medicinal products and foods for special medical purposes where the Institute has the power to make decisions on the maximum price, and a full list of medicinal products and foods for special medical purposes with an explanation how the maximum prices were set.
List includes 10% and 15% VAT, Price directive of Ministry of Health 1/2019/FAR and Price decision 1/19-FAR, both valid since 1.1.2019.
The corrections of the List, as issued by the Institute, include the found error for the LP XALOPTIC 0,005%(0,05MG/ML) OPH GTT SOL 1X2,5ML, product ID 0127547, that should not be included in the List valid as of 1 June 2019, as its reimbursement was canceled. At the same time, the positions of reimbursement of the medicinal products XALKORI, product IDs 0193646 and 0193648, were changed so that the permanent reimbursement in the indication without the highly innovative status is transferred to the position of JUHR1 and the permanent reimbursement with the highly innovative status is transferred to the position of UHR2.
List of prices of medicinal products and foods for special medical purposes
List of prices of medicinal products and foods for special medical purposes used in institutional care only