2. Article

Rīkojums stājas spēkā 2019.gada 1.aprīlī. Nacionālā veselības dienesta direktore I.Milaševiča 1.pielikums Nacionālā veselības dienesta 2019.gada 14.marta rīkojumam Nr.16-2/76 Kompensējamo zāļu sarakstā iekļautās zāles Zāļu vispārīgais nosaukums ATĶ kods Zāļu identifikācijas Nr. Zāļu nosaukums Reģistrācijas apliecības īpašnieks Forma Stiprums (mg) Iepa- ko- juma lie- lums Kom- pen- sā- cijas bāzes cena (EUR) Ap- tiekas cena ar PVN 12% (EUR) Kompensācijas summa (EUR) Saraksta kate- gorija Zāļu pa- zīme Refe- ren- ces cena 100% 75% 50% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Abacavirum/ Lamivudinum J05AR02 18-0056-01 Abacavir/ Lamivudine Mylan 600mg/ 300mg Mylan S.A.S apvalkotas tabletes 600/300 30 74.88 90.64 90.64 67.98 45.32 A R Amoxicillinum/ Acidum clavulanicum J01CR02 10-0307-01 Medoclav 875mg/125mg Medochemie Ltd. apvalkotas tabletes 875/125 14 4.25 5.95 5.95 4.46 2.98 A R Amoxicillinum/ Acidum clavulanicum J01CR02 17-0050-01 Medoclav 400mg/57mg/5ml Medochemie Ltd. pulveris iekšķīgi lietojamas suspensijas pagatavošanai 400/57mg/ 5ml 70ml 4.39 6.24 6.24 4.68 3.12 A R Atazanavirum J05AE08 EU/1/16/1091/009 Atazanavir Mylan Mylan S.A.S cietas kapsulas 300 30 259.62 297.55 297.55 223.16 148.78 A R Betahistinum N07CA01 14-0269-04 Betaserc 24mg Mylan IRE Healthcare Ltd mutē disperģējamas tabletes 24 60 9.07 12.32 9.36 7.02 4.68 A Bimatoprostum/ Timololum S01ED51 17-0169-01 Bimatoprost/ Timolol Mylan 0,3mg/5mg/ml Mylan S.A.S acu pilieni, šķīdums 0,3/5mg/ ml-3ml 1 gab. 8.01 10.95 5.01 3.76 2.51 A Calcipotriolum/ Betamethasonum D05AX52 16-0011-03 Cabemet 50mcg/0,5mg/g Sandoz d.d. ziede 0,05/ 0,5mg/g 60g 24.15 31.09 31.09 23.32 15.55 A R Cefuroximum J01DC02 10-0630-05 Axetine 500mg Medochemie Ltd. apvalkotas tabletes 500 10 6.37 8.83 8.83 6.62 4.42 A R Cefuroximum J01DC02 10-0630-10 Axetine 500mg Medochemie Ltd. apvalkotas tabletes 500 14 9.10 12.36 12.36 9.27 6.18 A R Dulaglutidum A10BJ05 EU/1/14/956/007 Trulicity Eli Lilly Nederland BV šķīdums injekcijām pildspalvveida pilnšļircēs 1,5mg/ 0,5ml 4 82.70 99.40 99.40 74.55 49.70 A R Ertugliflozinum/ Sitagliptinum A10BD24 EU/1/18/1266/013 Steglujan Merck Sharp & Dohme B.V. apvalkotas tabletes 5/100 98 217.02 249.84 212.66 159.50 106.33 A Ertugliflozinum/ Sitagliptinum A10BD24 EU/1/18/1266/014 Steglujan Merck Sharp & Dohme B.V. apvalkotas tabletes 15/100 98 217.02 249.84 212.66 159.50 106.33 A Lercanidipinum C08CA13 I000995-01 Lercapin 10mg Pharmamax SIA (paralēlais importētājs) apvalkotas tabletes 10 90 10.11 13.66 8.52 6.39 4.26 A P Lercanidipinum C08CA13 I000996-01 Lercapin 20mg Pharmamax SIA (paralēlais importētājs) apvalkotas tabletes 20 90 16.36 21.59 16.92 12.69 8.46 A P Lopinavirum/ Ritonavirum J05AR10 17-0051-02 Lopinavir/Ritonavir Accord 200mg/50mg Accord Healthcare Limited apvalkotas tabletes 200/50 120 228.31 262.48 262.48 196.86 131.24 A R Pegfilgrastimum L03AA13 EU/1/18/1327/001 Ziextenzo Sandoz GmbH šķīdums injekcijām pilnšļircē 6mg/ 0,6ml 1 432.60 491.29 491.29 368.47 245.65 A R Pentoxifyllinum C04AD03 95-0105-02 Pentilin 400mg KRKA d.d., Novo mesto ilgstošas darbības tabletes 400 100 10.55 14.22 14.22 10.67 7.11 A R Rosuvastatinum/ Ezetimibum C10BA06 18-0170-04 Rosazimib 10mg/10mg KRKA d.d., Novo mesto apvalkotas tabletes 10/10 30 12.50 16.74 16.74 12.56 8.37 A R Rosuvastatinum/ Ezetimibum C10BA06 18-0172-04 Rosazimib 20mg/10mg KRKA d.d., Novo mesto apvalkotas tabletes 20/10 30 13.31 17.79 17.79 13.34 8.90 A R Rosuvastatinum/ Perindoprilum/ Indapamidum C10BX13 18-0133-03 Triemma 10mg/4mg/1,25mg KRKA d.d., Novo mesto apvalkotas tabletes 10/4/1,25 30 12.08 16.20 6.00 4.50 3.00 A Rosuvastatinum/ Perindoprilum/ Indapamidum C10BX13 18-0135-03 Triemma 10mg/8mg/2,5mg KRKA d.d., Novo mesto apvalkotas tabletes 10/8/2,5 30 14.84 19.71 9.09 6.82 4.55 A Rosuvastatinum/ Perindoprilum/ Indapamidum C10BX13 18-0134-03 Triemma 20mg/4mg/1,25mg KRKA d.d., Novo mesto apvalkotas tabletes 20/4/1,25 30 13.57 18.12 7.50 5.63 3.75 A Rosuvastatinum/ Perindoprilum/ Indapamidum C10BX13 18-0136-03 Triemma 20mg/8mg/2,5mg KRKA d.d., Novo mesto apvalkotas tabletes 20/8/2,5 30 15.90 21.02 10.59 7.94 5.30 A Nacionālā veselības dienesta direktore I.Milaševiča 2.pielikums Nacionālā veselības dienesta 2019.gada 14.marta rīkojumam Nr.16-2/76 Kompensējamo zāļu sarakstā iekļautās medicīniskās ierīces Medicīniskā ierīce Identifikācijas Nr. Medicīniskās ierīces nosaukums Iesniedzējs Iepa- ko- juma lie- lums Kompen- sācijas bāzes cena (EUR) Aptiekas cena ar 12% PVN (EUR) Kompensācijas summa (EUR) Saraksta kate- gorija Pazīme Refe- rences cena 100% 75% 50% Inkontinences līdzekļi 18/02-033/32-01 Dailee Comfort Normal S Drylock Technologies s.r.o. 28 5.60 7.82 7.82 5.87 3.91 A R 18/02-032/32-01 Dailee Comfort Extra M Drylock Technologies s.r.o. 28 7.37 10.14 10.14 7.61 5.07 A R 18/02-011/32-01 Dailee Slip Maxi L/XL Drylock Technologies s.r.o. 28 12.58 16.84 16.84 12.63 8.42 A R 18/02-012/32-01 Dailee Slip Maxi XXL Drylock Technologies s.r.o. 28 12.87 17.21 17.21 12.91 8.61 A R 18/02-013/32-01 Dailee Pant Premium Super M Drylock Technologies s.r.o. 14 8.56 11.66 11.66 8.75 5.83 A R 18/02-014/32-01 Dailee Pant Premium Super L Drylock Technologies s.r.o. 14 9.81 13.27 13.27 9.95 6.64 A R 18/02-015/32-01 Dailee Pant Premium Super XL Drylock Technologies s.r.o. 14 11.29 15.18 15.18 11.39 7.59 A R 18/02-017/32-01 Dailee Pant Premium Normal S Drylock Technologies s.r.o. 14 5.24 7.35 7.35 5.51 3.68 A R 18/02-018/32/01 Dailee Pant Premium Normal M Drylock Technologies s.r.o. 14 5.21 7.31 7.31 5.48 3.66 A R 18/02-019/32-01 Dailee Pant Premium Normal L Drylock Technologies s.r.o. 14 5.54 7.74 7.74 5.81 3.87 A R 18/02-020/32-01 Dailee Pant Premium Normal XL Drylock Technologies s.r.o. 14 6.24 8.66 8.66 6.50 4.33 A R 18/02-022/32-01 Dailee Pant Premium Plus S Drylock Technologies s.r.o. 14 6.24 8.66 8.66 6.50 4.33 A R 18/02-023/32-01 Dailee Pant Premium Plus M Drylock Technologies s.r.o. 14 6.31 8.75 8.75 6.56 4.38 A R 18/02-024/32-01 Dailee Pant Premium Plus L Drylock Technologies s.r.o. 14 7.88 10.79 10.79 8.09 5.40 A R 18/02-025/32-01 Dailee Pant Premium Plus XL Drylock Technologies s.r.o. 14 8.43 11.49 11.49 8.62 5.75 A R 18/02-026/32-01 Dailee Fix Premium without legs S Drylock Technologies s.r.o. 5 2.94 4.19 4.19 3.14 2.10 A R 18/02-027/32-01 Dailee Fix Premium without legs M Drylock Technologies s.r.o. 5 2.93 4.18 4.18 3.14 2.09 A R 18/02-028/32-01 Dailee Fix Premium without legs L Drylock Technologies s.r.o. 5 3.07 4.36 4.36 3.27 2.18 A R 18/02-029/32-01 Dailee Fix Premium without legs XL Drylock Technologies s.r.o. 5 3.08 4.38 4.38 3.29 2.19 A R 18/02-030/32-01 Dailee Fix Premium without legs XXL Drylock Technologies s.r.o. 5 3.08 4.38 4.38 3.29 2.19 A R Nacionālā veselības dienesta direktore I.Milaševiča 3.pielikums Nacionālā veselības dienesta 2019.gada 14.marta rīkojumam Nr.16-2/76 Kompensācijas bāzes cenas un/vai references cenas maiņa Kompensējamo zāļu saraksta zālēm Zāļu vispārīgais nosaukums ATĶ kods Zāļu identifikācijas Nr. Zāļu nosaukums Reģ. apl. īpašnieks Forma Stiprums (mg) Iepako- juma lielums Kom- pen- sācijas bāzes cena (EUR) Aptie- kas cena ar PVN 12% (EUR) Kompensācijas summa (EUR) Saraksta kate- gorija Zāļu pazīme Refe- rences cena 100% 75% 50% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Abacavirum/ Lamivudinum J05AR02 I001010-01 Abacavir/ Lamivudine Teva 600/300mg WG apvalkotas tabletes 600/300 30 82.68 99.38 90.64 67.98 45.32 A P Abacavirum/ Lamivudinum J05AR02 I000886-01 Abacavir/ Lamivudine Teva 600/300mg PX apvalkotas tabletes 600/300 30 83.19 99.95 90.64 67.98 45.32 A P Abacavirum/ Lamivudinum J05AR02 16-0112-01 Abacavir/ Lamivudine Teva 600mg/ 300mg TE apvalkotas tabletes 600/300 30 83.20 99.96 90.64 67.98 45.32 A Abacavirum/ Lamivudinum J05AR02 16-0089-01 Iviverz 600mg/ 300mg AT apvalkotas tabletes 600/300 30 83.20 99.96 90.64 67.98 45.32 A Abacavirum/ Lamivudinum J05AR02 EU/1/04/298/002 Kivexa VI apvalkotas tabletes 600/300 30 329.07 375.33 90.64 67.98 45.32 A Acidum ibandronicum M05BA06 EU/1/12/798/005 Ibandronic acid Accord AR šķīdums injekcijām 3mg/3ml 1 14.60 19.42 19.42 14.57 9.71 A R Acidum ibandronicum M05BA06 13-0183-01 Ibandronic acid ratiopharm 3mg RP šķīdums injekcijām pilnšļircē 3mg/3ml 1 14.60 19.42 19.42 14.57 9.71 A R Acidum ibandronicum M05BA06 14-0099-01 Ivadron 3mg/3ml SM šķīdums injekcijām 3mg/3ml 1 14.60 19.42 19.42 14.57 9.71 A R Acidum ibandronicum M05BA06 11-0313-01 Osagrand 3mg/3ml ZE šķīdums injekcijām 3mg/3ml 1 15.37 20.37 19.42 14.57 9.71 A Acidum ibandronicum M05BA06 12-0117-01 Ossica 3mg GR šķīdums injekcijām 3mg/3ml 1 22.10 28.64 19.42 14.57 9.71 A Alogliptinum/ Metforminum A10BD13 EU/1/13/843/005 Vipdomet TK apvalkotas tabletes 12,5/850 56 28.07 35.78 21.69 16.27 10.85 A Amantadinum N04BB01 01-0187-02 Neomidantāns 100mg OL cietas kapsulas 100 50 16.50 21.76 6.09 4.57 3.05 A Amantadinum N04BB01 94-0219-02 PK-Merz 100mg MZ apvalkotas tabletes 100 90 8.02 10.96 10.96 8.22 5.48 A R Amoxicillinum/ Acidum clavulanicum J01CR02 99-0265-01 Amoksiklav 400/57mg/5ml SZ pulveris iekšķīgi lietojamas suspensijas pagatavošanai 400/57mg/ 5ml 70ml 4.62 6.54 6.24 4.68 3.12 A Amoxicillinum/ Acidum clavulanicum J01CR02 15-0236-03 Betaklav 400mg/57mg/5ml KR pulveris iekšķīgi lietojamas suspensijas pagatavošanai 400/57mg/ 5ml 70ml 4.62 6.54 6.24 4.68 3.12 A Amoxicillinum/ Acidum clavulanicum J01CR02 99-0039-02 Augmentin 400/57mg/5ml GK pulveris iekšķīgi lietojamas suspensijas pagatavošanai 400/57mg/ 5ml 70ml 8.72 11.87 6.24 4.68 3.12 A Betahistinum N07CA01 07-0262-02 Polvertic 16mg MH tabletes 16 30 3.76 5.29 2.62 1.97 1.31 A Betahistinum N07CA01 06-0220-02 Betahistine Actavis 16mg AT tabletes 16 60 3.72 5.23 5.23 3.92 2.62 A R Betahistinum N07CA01 11-0388-05 Vertimed 24mg MC tabletes 24 50 6.63 9.17 6.50 4.88 3.25 A Betahistinum N07CA01 12-0005-04 Betahistine Actavis 24mg AT tabletes 24 50 6.63 9.17 6.50 4.88 3.25 A Betahistinum N07CA01 I000805-01 Betaserc 24 PX tabletes 24 50 10.23 13.81 6.50 4.88 3.25 A P Betahistinum N07CA01 03-0317-02 Betaserc 24mg BD tabletes 24 50 10.30 13.91 6.50 4.88 3.25 A Betahistinum N07CA01 07-0371-05 Polvertic 24mg MH tabletes 24 60 9.63 13.04 7.80 5.85 3.90 A Betahistinum N07CA01 I000273-01 Betaserc 24mg EP tabletes 24 60 10.24 13.83 7.80 5.85 3.90 A P Betahistinum N07CA01 I000611-01 Betaserc 24mg MG tabletes 24 60 10.24 13.83 7.80 5.85 3.90 A P Betahistinum N07CA01 11-0388-09 Vertimed 24mg MC tabletes 24 100 12.60 16.87 13.00 9.75 6.50 A Betahistinum N07CA01 07-0371-06 Polvertic 24mg MH tabletes 24 100 12.60 16.87 13.00 9.75 6.50 A Bimatoprostum/ Timololum S01ED51 17-0178-01 Bimatoprost/ Timolol Teva 0,3mg/5mg/ml TE acu pilieni, šķīdums 0,3/5mg/ ml-3ml 1 gab. 7.31 10.06 5.01 3.76 2.51 A Bimatoprostum/ Timololum S01ED51 17-0178-02 Bimatoprost/ Timolol Teva 0,3mg/5mg/ml TE acu pilieni, šķīdums 0,3/5mg/ ml-3ml 3 gab. 22.43 29.03 15.04 11.28 7.52 A Calcipotriolum/ Betamethasonum D05AX52 16-0011-02 Cabemet 50mcg/0,5mg/g SZ ziede 0,05/ 0,5mg/g 30g 13.38 17.88 15.55 11.66 7.78 A Calcipotriolum/ Betamethasonum D05AX52 03-0019-03 Daivobet 50mcg/0,5mg/g LE ziede 0,05/ 0,5mg/g 30g 19.55 25.52 15.55 11.66 7.78 A Calcipotriolum/ Betamethasonum D05AX52 09-0366-02 Xamiol 50mcg/0,5mg/g LE gels 0,05/ 0,5mg/g 30g 19.55 25.52 15.55 11.66 7.78 A Calcipotriolum/ Betamethasonum D05AX52 12-0011-02 Daivobet 50mcg/0,5mg/g LE gels 0,05/ 0,5mg/g 30g 19.55 25.52 15.55 11.66 7.78 A Dolutegravirum/ Abacavirum/ Lamivudinum J05AR13 EU/1/14/940/001 Triumeq VI apvalkotas tabletes 50/600/ 300 30 920.00 1037.18 561.09 420.82 280.55 A Exenatidum A10BJ01 EU/1/11/696/003 BYDUREON AZ pulveris un šķīdinātājs ilgstošas darbības injekciju suspensijas pagatavošanai pildspalvveida pilnšļircē 2 4 94.64 112.77 99.40 74.55 49.70 A Levodopum/ Carbidopum/ Entacaponum N04BA03 14-0201-08 Levodopa/Carbidopa/ Entacapone Teva 50mg/12,5mg/200mg TE apvalkotas tabletes 50/12,5/ 200 100 31.44 39.76 39.76 29.82 19.88 A R Levodopum/ Carbidopum/ Entacaponum N04BA03 14-0203-08 Levodopa/Carbidopa/ Entacapone Teva 100mg/25mg/200mg TE apvalkotas tabletes 100/25/ 200 100 29.82 37.86 37.86 28.40 18.93 A R Levodopum/ Carbidopum/ Entacaponum N04BA03 EU/1/03/260/007 Stalevo OR apvalkotas tabletes 100/25/ 200 100 34.88 43.80 37.86 28.40 18.93 A Levodopum/ Carbidopum/ Entacaponum N04BA03 14-0204-08 Levodopa/Carbidopa/ Entacapone Teva 125mg/31,25mg/200mg TE apvalkotas tabletes 125/31,25/ 200 100 46.50 57.48 47.31 35.48 23.66 A Levodopum/ Carbidopum/ Entacaponum N04BA03 EU/1/03/260/031 Stalevo OR apvalkotas tabletes 125/31,25/ 200 100 47.84 59.05 47.31 35.48 23.66 A Levodopum/ Carbidopum/ Entacaponum N04BA03 14-0207-08 Levodopa/Carbidopa/ Entacapone Teva 200mg/50mg/200mg TE apvalkotas tabletes 200/50/ 200 100 46.35 57.30 57.30 42.98 28.65 A R Levodopum/ Carbidopum/ Entacaponum N04BA03 EU/1/03/260/021 Stalevo OR apvalkotas tabletes 200/50/ 200 100 47.69 58.87 57.30 42.98 28.65 A Linagliptinum/ Metforminum A10BD11 EU/1/12/780/006 Jentadueto BO apvalkotas tabletes 2,5/850 60 39.07 48.73 23.24 17.43 11.62 A Lipegfilgrastimum L03AA14 EU/1/13/856/001 Lonquex TE šķīdums injekcijām pilnšļircē 6mg/ 0,6ml 1 843.81 951.84 491.29 368.47 245.65 A Liraglutidum A10BJ02 EU/1/09/529/002 Victoza NO šķīdums injekcijām pildspalvveida pilnšļircēs 18mg/3ml 2 82.84 99.56 71.00 53.25 35.50 A Metoprololum C07AB02 05-0091-04 Metoprolol HEXAL Z 95mg HL ilgstošas darbības tabletes 100* 30 3.88 5.45 3.58 2.69 1.79 A Oxcarbazepinum N03AF02 99-0279-01 Trileptal 300mg NF apvalkotas tabletes 300 50 10.33 13.94 13.94 10.46 6.97 A R Oxcarbazepinum N03AF02 99-0280-01 Trileptal 600mg NF apvalkotas tabletes 600 50 18.64 24.39 24.39 18.29 12.20 A R Pegfilgrastimum L03AA13 EU/1/18/1313/001 Pelgraz AR šķīdums injekcijām pilnšļircē 6mg/ 0,6ml 1 463.50 525.90 491.29 368.47 245.65 A Pegfilgrastimum L03AA13 EU/1/02/227/004 Neulasta AG šķīdums injekcijām pilnšļircē 6mg/ 0,6ml 1 554.14 627.41 491.29 368.47 245.65 A Pentoxifyllinum C04AD03 99-0699-02 Trental 400mg SF ilgstošas darbības tabletes 400 100 12.17 16.32 14.22 10.67 7.11 A Quetiapinum N05AH04 08-0340-06 Quetiapine Teva 200mg TE apvalkotas tabletes 200 60 6.27 8.70 8.70 6.53 4.35 A R Quetiapinum N05AH04 07-0232-05 Kventiax 200mg KR apvalkotas tabletes 200 60 6.61 9.14 8.70 6.53 4.35 A Quetiapinum N05AH04 09-0111-14 Quetiapine Actavis 200mg AT apvalkotas tabletes 200 60 11.05 14.87 8.70 6.53 4.35 A Quetiapinum N05AH04 07-0335-03 Ketilept 300mg EG apvalkotas tabletes 300 30 4.85 6.83 6.50 4.88 3.25 A Quetiapinum N05AH04 07-0233-05 Kventiax 300mg KR apvalkotas tabletes 300 60 10.11 13.66 13.01 9.76 6.51 A Ramiprilum/ Amlodipinum C09BB07 12-0136-02 Ramdacordia 5mg/5mg SZ cietas kapsulas 5/5 30 2.43 3.48 2.40 1.80 1.20 A Ramiprilum/ Amlodipinum C09BB07 12-0138-02 Ramdacordia 10mg/5mg SZ cietas kapsulas 10/5 30 4.09 5.73 4.08 3.06 2.04 A Ramiprilum/ Amlodipinum C09BB07 12-0137-02 Ramdacordia 5mg/10mg SZ cietas kapsulas 5/10 30 2.44 3.49 2.97 2.23 1.49 A Rosuvastatinum/ Ezetimibum C10BA06 14-0194-03 Rosulip 10mg/10mg EG cietas kapsulas 10/10 30 20.14 26.24 16.74 12.56 8.37 A Rosuvastatinum/ Ezetimibum C10BA06 14-0195-03 Rosulip 20mg/10mg EG cietas kapsulas 20/10 30 23.10 29.84 17.79 13.34 8.90 A Saxagliptinum/ Metforminum A10BD10 EU/1/11/731/003 Komboglyze AZ apvalkotas tabletes 2,5/850 60 38.47 48.03 23.24 17.43 11.62 A Sertralinum N06AB06 06-0026-01 Sertralin Actavis 50mg AT apvalkotas tabletes 50 28 4.03 5.66 4.78 3.59 2.39 A Sitagliptinum/ Metforminum A10BD07 EU/1/08/455/003 Janumet MS apvalkotas tabletes 50/850 56 36.58 45.81 21.69 16.27 10.85 A Sitagliptinum/ Metforminum A10BD07 EU/1/08/455/015 Janumet MS apvalkotas tabletes 50/850 196 127.91 150.04 75.92 56.94 37.96 A Vildagliptinum/ Metforminum A10BD08 17-0118-02 Vilspox 50mg/850mg SZ apvalkotas tabletes 50/850 60 17.70 23.24 23.24 17.43 11.62 A R Vildagliptinum/ Metforminum A10BD08 EU/1/07/425/021 Eucreas NF apvalkotas tabletes 50/850 60 41.45 51.53 23.24 17.43 11.62 A Nacionālā veselības dienesta direktore I.Milaševiča 4.pielikums Nacionālā veselības dienesta 2019.gada 14.marta rīkojumam Nr.16-2/76 References cenas maiņa Kompensējamo zāļu saraksta medicīniskajām ierīcēm Medicīniskā ierīce Identifikācijas Nr. Medicīniskās ierīces nosaukums Iesniedzējs Iepa- ko- juma lie- lums Kompen- sācijas bāzes cena (EUR) Aptiekas cena ar 12% PVN (EUR) Kompensācijas summa (EUR) Saraksta kate- gorija Pazīme Refe- rences cena 100% 75% 50% 1 2 3 4 5 6 7 8 9 10 11 12 Inkontinences līdzekļi 15/02-001/26-01 Abena Abri-Flex S1 Premium Prāna Ko SIA 14 6.09 8.47 7.35 5.51 3.68 A 15/02-002/26-01 Abena Abri-Flex M1 Premium Prāna Ko SIA 14 6.58 9.11 7.31 5.48 3.66 A 15/02-003/26-01 Abena Abri-Flex L1 Premium Prāna Ko SIA 14 7.48 10.27 7.74 5.81 3.87 A 15/02-004/26-01 Abena Abri-Flex XL1 Premium Prāna Ko SIA 14 7.74 10.61 8.66 6.50 4.33 A 15/02-005/26-01 Abena Abri-Flex S2 Premium Prāna Ko SIA 14 7.74 10.61 8.66 6.50 4.33 A 15/02-006/26-01 Abena Abri-Flex M2 Premium Prāna Ko SIA 14 7.74 10.61 8.75 6.56 4.38 A 15/02-007/26-01 Abena Abri-Flex L2 Premium Prāna Ko SIA 14 9.68 13.10 10.79 8.09 5.40 A 15/02-008/26-01 Abena Abri-Flex XL2 Premium Prāna Ko SIA 14 11.66 15.66 11.49 8.62 5.75 A 15/02-012/04-01 Attends Pull-Ons 5M OneMed SIA 18 8.00 10.94 9.40 7.05 4.70 A 15/02-013/04-01 Attends Pull-Ons 5L OneMed SIA 18 8.98 12.21 9.95 7.46 4.98 A 15/02-009/04-01 Attends Pull-Ons 8M OneMed SIA 16 8.42 11.48 10.00 7.50 5.00 A 15/02-010/04-01 Attends Pull-Ons 8L OneMed SIA 16 10.54 14.21 12.33 9.25 6.17 A 15/02-011/04-01 Attends Pull-Ons 8XL OneMed SIA 14 9.84 13.32 11.49 8.62 5.75 A 15/02-004/04-01 Attends Slip Regular 10XL OneMed SIA 14 7.91 10.83 8.61 6.46 4.31 A 17/02-004/27-01 Depend Pants Super for Men S/M Jelgavfarm SIA 10 3.92 5.50 5.22 3.92 2.61 A 16/02-007/04-01 iD Expert Slip Super L OneMed SIA 28 13.94 18.59 16.84 12.63 8.42 A 16/02-008/04-01 iD Expert Slip Super XL OneMed SIA 14 7.51 10.32 8.61 6.46 4.31 A 16/02-013/04-01 iD Pants Plus S OneMed SIA 14 5.52 7.72 7.35 5.51 3.68 A 16/02-014/04-01 iD Pants Plus M OneMed SIA 14 5.91 8.22 7.31 5.48 3.66 A 16/02-015/04-01 iD Pants Plus L OneMed SIA 14 6.63 9.17 7.74 5.81 3.87 A 16/02-016/04-01 iD Pants Plus XL OneMed SIA 14 7.29 10.02 8.66 6.50 4.33 A 16/02-017/04-01 iD Pants Super M OneMed SIA 14 7.00 9.65 8.75 6.56 4.38 A 16/02-018/04-01 iD Pants Super L OneMed SIA 14 8.75 11.91 10.79 8.09 5.40 A 16/02-019/04-01 iD Pants Super XL OneMed SIA 14 9.34 12.67 11.49 8.62 5.75 A 17/02-016/30-01 Lille Suprem Fit Maxi L Ontex BVBA 20 9.46 12.82 12.03 9.02 6.02 A 17/02-002/30-01 Lille Suprem Fit Extra Plus XL Ontex BVBA 20 10.19 13.76 12.29 9.22 6.15 A 17/02-011/30-01 Lille Suprem Pants Extra M Ontex BVBA 14 5.60 7.82 7.31 5.48 3.66 A 17/02-012/30-01 Lille Suprem Pants Extra L Ontex BVBA 14 5.83 8.12 7.74 5.81 3.87 A 17/02-013/30-01 Lille Suprem Pants Extra XL Ontex BVBA 14 6.57 9.09 8.66 6.50 4.33 A 17/02-003/30-01 Lille Suprem Pants Maxi S Ontex BVBA 14 6.57 9.09 8.66 6.50 4.33 A 17/02-004/30-01 Lille Suprem Pants Maxi M Ontex BVBA 14 6.64 9.18 8.75 6.56 4.38 A 17/02-005/30-01 Lille Suprem Pants Maxi L Ontex BVBA 14 8.30 11.33 10.79 8.09 5.40 A 17/02-006/30-01 Lille Suprem Pants Maxi XL Ontex BVBA 14 8.87 12.06 11.49 8.62 5.75 A 17/02-009/30-01 Lille Suprem Pants Super L Ontex BVBA 14 6.30 8.74 7.74 5.81 3.87 A 17/02-010/30-01 Lille Suprem Pants Super XL Ontex BVBA 14 6.92 9.55 8.66 6.50 4.33 A 16/02-002/15-01 MoliCare Form extra Magnum Medical SIA 30 6.32 8.76 8.38 6.29 4.19 A 16/02-003/15-01 MoliCare Form super plus Magnum Medical SIA 30 8.31 11.35 10.86 8.15 5.43 A 11/02-064/15-01 MoliCare Premium Mobile 8S Magnum Medical SIA 14 7.57 10.39 7.35 5.51 3.68 A 11/02-065/15-01 MoliCare Premium Mobile 8M Magnum Medical SIA 14 8.12 11.10 8.75 6.56 4.38 A 11/02-066/15-01 MoliCare Premium Mobile 8L Magnum Medical SIA 14 10.26 13.85 10.79 8.09 5.40 A 15/02-016/15-01 MoliCare Premium Mobile 8XL Magnum Medical SIA 14 10.09 13.63 11.49 8.62 5.75 A 18/02-001/15-01 MoliCare Premium Mobile 10M Magnum Medical SIA 14 9.01 12.24 11.66 8.75 5.83 A 18/02-002/15-01 MoliCare Premium Mobile 10L Magnum Medical SIA 14 10.33 13.94 13.27 9.95 6.64 A 18/02-003/15-01 MoliCare Premium Mobile 10XL Magnum Medical SIA 14 11.88 15.94 15.18 11.39 7.59 A 15/02-018/15-01 MoliCare Premium Slip maxi L Magnum Medical SIA 14 7.34 10.09 8.42 6.32 4.21 A 17/02-001/21-01 SENI Active Classic S TZMO Latvija SIA 30 15.42 20.43 15.75 11.81 7.88 A 17/02-002/21-01 SENI Active Classic M TZMO Latvija SIA 30 17.05 22.44 15.66 11.75 7.83 A 17/02-003/21-01 SENI Active Classic L TZMO Latvija SIA 30 18.28 23.96 16.59 12.44 8.30 A 17/02-004/21-01 SENI Active Classic XL TZMO Latvija SIA 30 19.69 25.69 18.56 13.92 9.28 A 14/02-001/21-01 SENI Active Normal S TZMO Latvija SIA 30 13.68 18.26 15.75 11.81 7.88 A 14/02-002/21-01 SENI Active Plus S TZMO Latvija SIA 10 7.49 10.28 6.19 4.64 3.10 A 14/02-003/21-01 SENI Active Plus XL TZMO Latvija SIA 10 8.99 12.22 8.21 6.16 4.11 A 17/02-016/21-01 Seni Classic Trio Extra Large TZMO Latvija SIA 30 14.52 19.32 18.44 13.83 9.22 A 17/02-026/21-01 Seni Fix Plus Medium TZMO Latvija SIA 5 3.09 4.39 4.18 3.14 2.09 A 17/02-027/21-01 Seni Fix Plus Large TZMO Latvija SIA 5 3.23 4.58 4.36 3.27 2.18 A 17/02-028/21-01 Seni Fix Plus X-Large TZMO Latvija SIA 5 3.25 4.60 4.38 3.29 2.19 A 15/02-001/21-01 San Seni Normal TZMO Latvija SIA 30 7.12 9.81 8.38 6.29 4.19 A 15/02-002/21-01 San Seni Uni TZMO Latvija SIA 30 8.67 11.80 8.38 6.29 4.19 A 15/02-003/21-01 San Seni Maxi TZMO Latvija SIA 30 10.20 13.78 10.86 8.15 5.43 A 15/02-004/21-01 San Seni Plus TZMO Latvija SIA 30 12.09 16.21 10.86 8.15 5.43 A 10/02-031/10-01 SENI Super Trio Extra large TZMO Latvija SIA 10 6.26 8.68 6.15 4.61 3.08 A 14/02-013/21-01 SENI Super Quatro L TZMO Latvija SIA 10 5.52 7.72 6.01 4.51 3.01 A 16/02-008/21-01 Super Seni Plus Extra Large TZMO Latvija SIA 30 18.78 24.57 18.44 13.83 9.22 A 10/02-044/11-01 TENA PANTS maxi M Essity Latvia SIA 10 9.95 13.45 8.33 6.25 4.17 A 10/02-045/11-01 TENA PANTS maxi L Essity Latvia SIA 10 11.43 15.36 9.48 7.11 4.74 A 14/02-008/11-01 TENA PANTS maxi XL Essity Latvia SIA 10 13.99 18.66 10.84 8.13 5.42 A 14/02-007/11-01 TENA PANTS Normal S Essity Latvia SIA 15 7.29 10.02 7.88 5.91 3.94 A 13/02-003/11-01 TENA PANTS Normal M Essity Latvia SIA 18 9.04 12.29 9.40 7.05 4.70 A 13/02-004/11-01 TENA PANTS Normal L Essity Latvia SIA 18 10.13 13.69 9.95 7.46 4.98 A 13/02-005/11-01 TENA PANTS Normal XL Essity Latvia SIA 15 8.82 12.00 9.28 6.96 4.64 A 10/02-047/11-01 TENA PANTS plus S Essity Latvia SIA 14 9.31 12.63 7.35 5.51 3.68 A 10/02-048/11-01 TENA PANTS plus M Essity Latvia SIA 14 10.03 13.55 7.31 5.48 3.66 A 10/02-049/11-01 TENA PANTS plus L Essity Latvia SIA 14 11.34 15.24 7.74 5.81 3.87 A 10/02-050/11-01 TENA PANTS plus XL Essity Latvia SIA 12 11.11 14.95 7.42 5.57 3.71 A 10/02-051/11-01 TENA PANTS super S Essity Latvia SIA 12 10.42 14.06 7.42 5.57 3.71 A 10/02-052/11-01 TENA PANTS super M Essity Latvia SIA 12 11.11 14.95 7.50 5.63 3.75 A 10/02-053/11-01 TENA PANTS super L Essity Latvia SIA 12 12.52 16.77 9.25 6.94 4.63 A 13/02-001/11-01 TENA PANTS super XL Essity Latvia SIA 12 13.82 18.44 9.85 7.39 4.93 A 10/02-056/11-01 TENA Slip maxi L Essity Latvia SIA 24 14.73 19.58 14.43 10.82 7.22 A 16/02-003/11-03 TENA Slip Super XL Essity Latvia SIA 28 16.48 21.74 17.21 12.91 8.61 A Nacionālā veselības dienesta direktore I.Milaševiča 5. pielikums Nacionālā veselības dienesta 2019.gada 14.marta rīkojumam Nr.16-2/76 Saraksta kategorijas maiņa Kompensējamo zāļu saraksta zālēm Zāļu vispārīgais nosaukums ATĶ kods Zāļu identifikācijas Nr. Zāļu nosaukums Reģ. apl. īpašnieks Forma Stiprums (mg) Iepa- ko- juma lie- lums Kom- pen- sācijas bāzes cena (EUR) Aptiekas cena ar PVN 12% (EUR) Kompensācijas summa (EUR) Saraksta kate- gorija Zāļu pazīme Refe- rences cena 100% 75% 50% Atazanavirum J05AE08 EU/1/03/267/008 REYATAZ BM cietas kapsulas 300 30 370.89 422.17 297.55 223.16 148.78 A Lopinavirum/ Ritonavirum J05AR10 EU/1/01/172/006 Kaletra AI apvalkotas tabletes 100/25 60 97.07 115.49 115.49 86.62 57.75 A R Lopinavirum/ Ritonavirum J05AR10 EU/1/01/172/004 Kaletra AI apvalkotas tabletes 200/50 120 326.15 372.06 262.48 196.86 131.24 A Nacionālā veselības dienesta direktore I.Milaševiča 6.pielikums Nacionālā veselības dienesta 2019.gada 14.marta rīkojumam Nr.16-2/76 No Kompensējamo zāļu saraksta svītrotās zāles Zāļu vispārīgais nosaukums Zāļu identifikācijas Nr. Zāļu nosaukums Reģ. apl. īpašnieks Forma Stip- rums (mg) Iepako- juma lie- lums Kompen- sācijas bāzes cena (EUR) Aptiekas cena ar PVN 12% (EUR) Saraksta kate- gorija 1 2 3 4 5 6 7 8 9 10 Acidum zoledronicum 14-0039-01 Zoledronic Acid PharmIdea 4mg/5ml PharmIdea SIA koncentrāts infūziju šķīduma pagatavošanai 4mg/5ml 1 32.07 40.50 A Amlodipinum 08-0357-04 Amlodipine Teva 5mg Teva Pharma B.V. tabletes 5 30 0.66 0.96 A Amlodipinum/ Valsartanum 16-0091-03 Amlodipine/ Valsartan Teva 5mg/160mg Teva B.V. apvalkotas tabletes 5/160 28 7.39 10.16 A Amlodipinum/ Valsartanum 16-0092-03 Amlodipine/ Valsartan Teva 10mg/160mg Teva B.V. apvalkotas tabletes 10/160 28 8.40 11.46 A Anagrelidum EU/1/17/1256/001 Anagrelide Mylan Mylan S.A.S cietas kapsulas 0,5 100 229.21 263.49 A Betahistinum 11-0388-01 Vertimed 24mg Medochemie Ltd. tabletes 24 20 3.73 5.25 A Candesartanum 12-0177-05 Cantar 16mg Teva Pharma B.V. tabletes 16 28 12.89 17.24 A Candesartanum/ Hydrochlorothiazidum 12-0282-04 Candesartan cilexetil/ Hydrochlorothiazide Teva 16mg/12,5mg Teva Pharma B.V. tabletes 16/12,5 28 12.89 17.24 A Candesartanum/ Hydrochlorothiazidum 11-0257-03 Candesartan HCT Actavis 16mg/12,5mg Actavis Group PTC ehf tabletes 16/12,5 28 4.72 6.66 A Ciclosporinum 13-0168-03 Ciqorin 50mg Teva Pharma B.V. mīkstas kapsulas 50 50 27.65 35.29 A Dorzolamidum/ Timololum 10-0237-01 Dorzolamide/ Timolol Teva 20mg/5mg/ml Teva Pharma B.V. acu pilieni, šķīdums 20/5mg/ ml-5ml 1 gab. 4.86 6.85 A Erlotinibum EU/1/05/311/003 Tarceva Roche Registration GmbH apvalkotas tabletes 150 30 1658.39 1864.17 A Levetiracetamum EU/1/11/701/001 Levetiracetam Teva Teva Pharma B.V. apvalkotas tabletes 250 30 4.60 6.51 A Metoprololum 01-0228-01 Emzok 100mg TEVA Czech Industries s.r.o. ilgstošas darbības tabletes 100 30 2.82 4.03 A Metoprololum 07-0314-08 Metoprolol-ratiopharm retard 100mg Ratiopharm GmbH ilgstošas darbības tabletes 100 60 5.77 8.04 A Oxcarbazepinum 09-0250-03 Oxcarbazepine Teva 300mg Teva Pharma B.V. apvalkotas tabletes 300 50 7.03 9.70 A Oxcarbazepinum 09-0251-03 Oxcarbazepine Teva 600mg Teva Pharma B.V. apvalkotas tabletes 600 50 14.06 18.75 A Ramiprilum 09-0040-07 Ramimed 5mg Medochemie Ltd. tabletes 5 50 2.16 3.10 A Ramiprilum 09-0041-07 Ramimed 10mg Medochemie Ltd. tabletes 10 50 4.37 6.20 A Ramiprilum 07-0091-04 Polapril 2,5mg Medana Pharma SA cietas kapsulas 2,5 28 2.01 2.89 A Ramiprilum 07-0092-04 Polapril 5mg Medana Pharma SA cietas kapsulas 5 28 2.56 3.66 A Ramiprilum 07-0093-04 Polapril 10mg Medana Pharma SA cietas kapsulas 10 28 4.35 6.18 A Rosuvastatinum 13-0284-04 Rovasyn 5mg Medochemie Ltd. apvalkotas tabletes 5 30 2.15 3.09 A Rosuvastatinum 12-0098-05 Rosuvastatin Actavis 10mg Actavis Group PTC ehf apvalkotas tabletes 10 60 6.80 9.40 A Telmisartanum EU/1/10/639/012 Telmisartan Actavis Actavis Group PTC ehf tabletes 40 28 3.16 4.48 A Temozolomidum EU/1/09/606/003 Temozolomide Teva Teva Pharma B.V. cietas kapsulas 20 5 12.62 16.89 A Temozolomidum EU/1/09/606/005 Temozolomide Teva Teva Pharma B.V. cietas kapsulas 100 5 56.88 69.68 A Travoprostum 14-0119-01 Bondulc 40mcg/ml Actavis Group PTC ehf acu pilieni, šķīdums 0,04mg/ml- 2,5ml 1 gab. 7.17 9.88 A Verapamilum 98-0345-02 Verapamil-ratiopharm 80mg Ratiopharm GmbH apvalkotas tabletes 80 50 2.29 3.28 A Nacionālā veselības dienesta direktore I.Milaševiča