20 Haziran 2009 CUMARTESİ

Resmî Gazete

Sayı : 27264

TEBLİĞ

Sosyal Güvenlik Kurumundan:

2008 YILI SOSYAL GÜVENLİK KURUMU SAĞLIK UYGULAMA

TEBLİĞİNDE DEĞİŞİKLİK YAPILMASINA DAİR TEBLİĞ

             MADDE 1 – 29/9/2008 tarihli ve 27012 sayılı birinci mükerrer Resmî Gazete’de yayımlanarak yürürlüğe giren “2008 Yılı Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliği” nin (SUT) “Yurt Dışından İlaç Getirilmesi” başlıklı (13) numaralı maddesinin son fıkrasından sonra gelmek üzere aşağıdaki fıkra eklenmiştir;

             “Sağlık Hizmetleri Fiyatlandırma Komisyonunca, fiyat artışı olması nedeni ile fiyatları güncellenen ve ithal ilaç provizyon sisteminde kaydı bulunmayan ilaçların onaylanan fiyatları “Yurtdışı İlaç Fiyat Listesi” (EK-2/G) Listesinde belirtilmiştir.”

             MADDE 2 – SUT’un (14.2) numaralı maddesinde aşağıda belirtilen düzenlemeler yapılmıştır.

             a) (14.2) numaralı maddenin ikinci fıkrasının birinci cümlesinde yer alan “%22” ibaresi “%15” olarak değiştirilmiştir.

             b)  (14.2) numaralı maddenin (ç) bendinde yer alan “%22” ibaresi “%15” olarak değiştirilmiştir. 

             MADDE 3 – Bu Tebliğin ekinde yer alan (1) numaralı liste, SUT ekine “Yurtdışı İlaç Fiyat Listesi (EK-2/G)” olarak ilave edilmiştir.

             MADDE 4 – SUT eki “Fiyatlandırılmış Tıbbi Sarf Malzemeleri Listesi” nde (EK-5/A); birim fiyat değişikliği yapılan kodlar ve belirlenen fiyatlar, bu Tebliğ eki (2) numaralı listede belirtildiği şekilde yeniden düzenlenmiştir.

             MADDE 5 – Bu Tebliğin;

             a) (1), (3) ve (4)  numaralı maddeleri 1/6/2009 tarihinden geçerli olmak üzere yayımı tarihinde,

             b) (2) numaralı maddesi 1/8/2009 tarihinde,

             yürürlüğe girer.

             MADDE 6 – Bu Tebliğ hükümlerini Sosyal Güvenlik Kurumu Başkanı yürütür.

 

YURTDIŞI İLAÇ FİYAT LİSTESİ

LİSTE 1 

 EK-2/G

İLACIN ADI

ETKEN MADDE

EŞDEĞER

GRUBU

  FİYATI

ACADION 250 MG 120 TB             

Tiopronin 250 mg tb-drj

I173B

44,95 €

ACTH HORMON 0.25 MG AMP.          

Tetracosactide 0.25 mg amp

I165A

11,84 €

ADAGEN 250 U/ML 4 FLK             

Pegademase bovine 250U/ml flk

I194A

15.850,00 €

ADDIPHOS 20 ML 10  FLK            

Phosphore flk

I137A

25,40 €

ADENOZIN 6 MG  6 AMP.             

Adenozin 6 mg amp

I002A

46,30 €

ADRECAR 6 MG 6 FLK                

Adenozin 6 mg amp

I002A

40,75 €

ALDURAZYM 100 E/ ML 1 FLK         

Laronidase 100 IU/ml flk

I098A

627,00 €

ALDURAZYME 100U/ML 5 ML 1*10 FLAKON

Laronidase 100 IU/ml flk

I098A

7.791,00 €

ALINIA 500 MG 60 TABLET           

Nitazoxanide 500 mg tab

I264A

872,15 €

ALK 801 BEE APIS MELLIFERA INIT.SET

Arı  allerjeni  (801 İdame Bal arısı )

I260A

150,00 €

ALKERAN 50 MG 1 AMP               

Melphalan 50 mg amp

I107A

42,50 €

ALPHA LIPON 200 MG 30 TB          

Thioctic Acid 200 mg tb

I181E

8,39 €

ALPHA LIPON 300 MG 100 TB          

Thioctic Acid 300 mg tb

I181C

36,91 €

ALPHA LIPON 300 MG 30 TAB         

Thioctic Acid 300 mg tb

I181C

11,67 €

ALPHA LIPON 300 MG 60 TB          

Thioctic Acid 300 mg tb

I181C

24,43 €

ALPROSTADİL 500 MCG FLK            

Alprostadil 500 mcg flk

I006C

274,50 €

ALUPENT 10 MG 100 TB              

Orsiprenalin Sülfat 10 mg tb

I123A

6,35 €

ALUPENT 20 MG 20 TB               

Orsiprenalin Sülfat 20 mg tb

I123B

5,00 €

ALYOSTAL VENIN GUEPES VESPULA 110MC

Arı  allerjeni  (110mcg Guepes vespula )

I260B

29,80 €

AMANTADIN 100 MG 100 TB           

Amantadine HCL 100 mg tb

I007A

9,35 €

AMANTADIN 200 MG 100 TB           

Amantadine HCL 200 mg tb

I007B

16,90 €

AMANTADIN SULFAT 100 MG 100 TB    

Amantadine Sülfat 100 mg tb

I008A

13,73 €

AMANTADIN SULFAT 100 MG 20 TB     

Amantadine Sülfat 100 mg tb

I008A

3,39 €

AMANTADIN SULFAT 100 MG 30 TB     

Amantadine Sülfat 100 mg tb

I008A

4,97 €

AMANTADIN SULFAT 200 MG 100 TB    

Amantadine Sülfat 200 mg tb

I008B

25,51 €

AMILORIDE 5 MG 28 TABLET          

Amilorid 5 mg tb

I011A

2,89 €

AMİLORİDE 5 MG 28 TB               

Amilorid 5 mg tb

I011A

3,00 €

AMMONAPS 500 MG 250 TB            

Fenilbütürat Sodyum 500 mg tb

I068A

825,00 €

AMMONAPS 960 MG G 260 GRAM GRANUL 

Fenilbütürat Sodyum 940 mg/gr granul

I068B

1.437,00 €

AMMONUL 50 ml 1 Amp

Sodyum Fenil bütirat 50 ml.amp.

I311A

2.000,00 €

AMPHOTERICIN B 50 MG AMP          

Amphoterin B  50mg amp

I200A

66,10 €

AMSIDINE 75 MG 6 AMP              

Amsacrine 75 mg amp

I012A

568,50 €

AMSIDYL 75 MG 6 AMP               

Amsacrine 75 mg amp

I012A

742,50 €

ANCOTIL 500 MG 100 TB             

Flucytosin 500 mg tb

I070A

62,44 €

ANDRACTIM JEL 80 G                

Androstanolone jel

I013A

6,60 €

ANTAGONIL 20 MG 100 CAP           

Nicardipin HCL 20 mg cap

I117A

6,70 €

ANTURAN 100 MG 84 TABLET          

Sülfinpirazon 100 mg tablet

I289A

9,35 €

APRESOLINE (HYDRALAZINE)          

Hydralazin 25 mg tab

I083C

4,67 €

APRESOLINE 20 MG 1 AMP            

Hydralazin 20 mg amp

I083A

3,10 €

APRESOLINE 20 MG 5 AMP            

Hydralazin 20 mg amp

I083A

15,30 €

APTIVUS 250 MG 120 KAPSUL         

Tipranavir 250 mg kapsül

I284A

858,00 €

ARSENOX 10 MG 10 ML 1 AMPUL       

Arsenik Trioksit 10 mg/ml amp

I015A

380,00 €

ARTANE 2 MG 50 TB                 

Trihexyphenidyl 2 mg tb

I177A

2,00 €

ARTANE 5 MG 20 TB                 

Trihexyphenidyl 5 mg tb

I177B

2,00 €

ARTANE 5 MG 250 TB                

Trihexyphenidyl 5 mg tb

I177B

23,90 €

ARTANE 5 MG 50 TB                 

Trihexyphenidyl 5 mg tb

I177B

8,10 €

ARTERENOL 1 MG/ML 5 AMPUL         

Noradrenalin hydrochloride 1 mg/ml amp

I120A

2,44 €

ASTONIN-H 0.1 MG 100 TB           

Fludrokortizon 0.1 mg tb

I071A

20,68 €

ASTONIN-H 0.1 MG 50 TB            

Fludrokortizon 0.1 mg tb

I071A

25,80 €

ATRIANCE INFUSIONLOSUNG 250 mg/ml 6 amp.

Nelarabin 250 mg/50ml.flk.

I307A

2.950,00 €

ATROVENT LS %0.025 INH.COZ 5X20 ML

İpratropium bromür % 0,025 inhalasyon çözeltisi

I239B

32,00 €

ATROVENT NASAL SPREY 15 ML 345 DOZ

İpratropium bromür % 0,03  sprey

I239A

4,98 €

AVLOCLOR 250 MG 20 TB             

Chloroquin Phosphate 250 mg tb

I038A

2,10 €

B6 VICOTRAT 300 MG 100 TB         

B6 Vitamini  300 mg tb

I201A

10,85 €

B6 VICOTRAT 300 MG 50 TB.         

Amphoterin B  50mg amp

I201A

7,75 €

BCNU 100 MG 1 AMP                 

Carmustine 100 mg amp-flk

I032A

22,23 €

BEFLOVINE 10 MG 20 TB             

B2 Vitamini (Riboflavin) 10 mg tb-drj

I019B

3,23 €

BENEMID 500 MG 30 TABLET          

Probenecid 500 mg tb

I143A

4,55 €

BENERVA 250 MG 40 TB              

Thiamine (B1 Vitamini) 250 mg tb

I167D

4,92 €

BENERVA 50 MG 100 TB              

Thiamine (B1 Vitamini) 50 mg tb

I167B

6,99 €

BENOQUIN KREM  % 20  35 GR        

Monobenzone %20 krem

I115A

45,42 €

BENZTROPINE 2 MG 100 TB           

Benztropin Mesilate 2 mg tb

I021A

17,25 €

BERINERT P 500 IE FLK             

C1  Esteraz Inhibitör içeren İnsan Plazması 500 IE flk

I027A

582,00 €

BERIVINE 50 MG 40 TB              

B2 Vitamini (Riboflavin) 50 mg tb

I019C

3,32 €

BETAIN HCL 1000 G POWDER          

Betain HCL toz

I022A

48,55 €

BEXINE 25 MG 24 TB                

Dextromethorphan 25 mg tb

I055A

5,60 €

BILTRICIDE 600 MG 6 TB            

Praziquantel 600 mg tb

I142B

34,95 €

BIO-QINON 10 10 MG 60 CAP         

Coenzyme Q 10 mg tb

I044A

9,90 €

BIO-QINON 10 100 MG 60 CAP        

Coenzyme Q 100 mg tb

I044F

109,80 €

BIO-QINON 10 30 MG 30 CAP         

Coenzyme Q 30 mg tb

I044C

17,90 €

BIO-QINON 10 30 MG 60 CAP         

Coenzyme Q 15 mg tb

I044C

20,25 €

BIOTIN 5 MG 100 TB                

Biotin 5 mg tb

I025B

20,00 €

BIOTIN 5 MG 150 TB                

Biotin 5 mg tb

I025B

13,00 €

BIOTIN 5 MG 20 TB                 

Biotin 5 mg tb

I025B

5,75 €

BIOTIN 5 MG 60 TB                 

Biotin 5 mg tb

I025B

11,00 €

BONDRONAT 6 MG 1 AMP              

İbondranate 6 mg  amp

I202A

309,00 €

BOTİLİNUM Tip-B (NeuroBloc veya MyoBloc) 5000 IU

Botulinum B Toksin

I301A

244,50 €

BRIETAL NATRIUM 500 MG 1 AMP      

Methohexital Sodium 500 mg amp-flk

I109A

9,65 €

BROFLEX 5 MG 5 ML 200 ML SURUP    

Trihexyphenidyl 5 mg /5 ml susp

I177C

10,15 €

BURINEX 1 MG 100 TB               

Bumetanid  1 mg tb

I203A

27,40 €

BURINEX 1 MG 20 TB                

Bumetanid  1 mg tb

I203A

7,40 €

BUSILVEX 6 MG ML 10 ML 8 AMPUL    

Busulfan 60 mg/ 10 ml ampul

I281A

2.621,60 €

BUSULFEX 60 MG 10 ML 8 AMPUL       

Busulfan 60 mg/ 10 ml ampul

I281A

3.220,00 €

CAFCIT 20 MG 10 AMPUL             

Kafein  20 mg ampul

I274A

376,70 €

CAPASTAT 1 G  1 AMP               

Capreomycin 1 gr amp

I029A

21,84 €

CAPTIMER 100 MG 50 DRJ             

Tiopronin 100 mg tb-drj

I173A

22,40 €

CAPTIMER 250 MG 100 DRJ           

Tiopronin 250 mg tb-drj

I173B

61,60 €

CARBAGLU 200 MG 5 TB              

Carglumic acid 200 mg tb

I031A

387,00 €

CARBAGLU 200 MG 60 TABLET         

Carglumic acid 200 mg tb

I031A

4.644,00 €

CARMUBRİS 100 MG FLK              

Carmustine 100 mg amp-flk

I032A

33,57 €

CATAPRESAN 150/100 TB             

Clonidin 150/100 tb

I204A

11,10 €

CATAPRESAN 75/100 TB              

Clonidin 75/100 tb

I204B

8,75 €

CATAPRESS 0.1 MG 100 TABLET       

Clonidin 0,1mg tb

I204C

9,27 €

CAVERJECT 10 MCG 2 AMP.           

Alprostadil 10 mcg flk

I006D

26,00 €

CAVERJET 40 MCG/ML. 10 AMPUL      

Alprostadil 40 mcg amp

I006B

362,70 €

CCNU/CEENU 10 MG.20 CAP.          

Lomustine 10 mg cap

I100C

188,15 €

CCNU/CEENU 100 MG.20 TB.          

Lomustine 100 mg cap

I100B

598,00 €

CCNU/CEENU 40 MG.20 CAP.          

Lomustine 40 mg cap

I100A

432,00 €

CEREBROLYSIN 1 ML 10 FLK          

Cerebrolysin (Porcine Brain Extract) flk

I035A

8,00 €

CHENOFALK 250 MG 100 KAPSUL       

Kenodeoksikolik asit 250 mg kapsül

I272A

43,45 €

CHLOROTIAZIDE 250 MG 100 TB.      

Klorotiyazid 250 mg tb

I253A

10,20 €

CHOLESTEROL MODULE 450 GRAM TOZ   

Cholosterol 450 gram toz

I258A

72,07 €

CLADRIBINE 10 MG FLC              

Cladribine flk

I042A

299,20 €

CLINORIL 100 MG 60 TB             

Sulindac 100 mg tb

I157A

11,80 €

CLINORIL 200 MG 60 TB             

Sulindac 200 mg tb

I157B

22,70 €

COENZYME Q 10 10 MG 60 CAP        

Coenzyme Q 10 mg tb

I044A

10,67 €

COENZYME Q 10 100 MG 60 CAP       

Coenzyme Q 100 mg tb

I044F

40,00 €

COENZYME Q 10 120 MG 120 CAP      

Coenzyme Q 120 mg tb

I044G

72,77 €

COENZYME Q 10 120 MG 30 CAP       

Coenzyme Q 120 mg tb

I044G

24,53 €

COENZYME Q 10 120 MG 60 CAP       

Coenzyme Q 120 mg tb

I044G

40,50 €

COENZYME Q 10 15 MG 60 CAP        

Coenzyme Q 15 mg tb

I044B

14,53 €

COENZYME Q 10 200 MG 30 CAP       

Coenzyme Q 200 mg tb

I044H

64,78 €

COENZYME Q 10 250 MG 30 CAP       

Coenzyme Q 250 mg tb

I044I

71,47 €

COENZYME Q 10 30 MG 30 CAP        

Coenzyme Q 15 mg tb

I044C

16,90 €

COENZYME Q 10 30 MG 60 CAP        

Coenzyme Q 15 mg tb

I044C

20,42 €

COENZYME Q 10 50 MG 30 CAP        

Coenzyme Q 50 mg tb

I044D

9,97 €

COENZYME Q 10 50 MG 60 CAP        

Coenzyme Q 50 mg tb

I044D

17,28 €

COENZYME Q 10 500 MG 30 CAP       

Coenzyme Q 500 mg tb

I044J

72,36 €

COENZYME Q 10 60 MG 120 CAP       

Coenzyme Q 60 mg tb

I044E

74,65 €

COENZYME Q 10 60 MG 30 CAP        

Coenzyme Q 60 mg tb

I044E

15,47 €

COENZYME Q 10 60 MG 60 CAP        

Coenzyme Q 60 mg tb

I044E

29,13 €

COENZYME Q 50 ML SUSP.            

Coenzyme Q susp

I044K

27,66 €

COFFEINUM N 200 MG 50 TB.         

Kafein  200 mg tablet

I274B

5,85 €

COLCHICINE  OPOK 1 MG 20 TB       

Colchicine 1 mg tb

I045A

2,40 €

COLCHICINE 0.5 MG/ ML 10AMP       

Colchicine 0,5 mg amp

I045B

78,10 €

COLCHICINE HOUDE 1 MG 20 TB       

Colchicine 1 mg tb

I045A

2,61 €

COLCHICINE OPOCALCIUM 10 MG 20 TB.

Colchicine 10 mg tab

I045C

2,55 €

COLIMYCINE 500.000 U/ML  1 AMP    

Colistin Sülfat 500.000 IU/ML amp

I046A

1,00 €

COLISTIN 1.000.000 IU INHALER 20VIA

Colistin Sülfat 1.000.000 IU INH amp

I046C

50,00 €

COLOMYCIN 1.000.000 IU 1 AMP      

Colistin Sülfat 1.000.000 IU amp

I046B

2,90 €

COLOMYCIN 2 MİLYON U 1 AMP        

Colistin Sülfat 2.000.000 IU amp

I046D

6,20 €

COLOMYCIN 2.000.000 I.U 1*10 AMP  

Colistin Sülfat 2.000.000 IU amp

I046D

51,20 €

COLOMYCIN 500.000 IU 10 AMP       

Colistin Sülfat 500.000 IU/ML amp

I046A

18,90 €

CORGARD 80 MG 28 TB               

Nadolol 80 mg tb

I205A

5,55 €

COROTROP 10 MG 10 ML 10 AMP       

Milrinon 10mg amp

I206A

316,36 €

CORTEF 10 MG 100 TB               

Hydrocortison 10 mg tb

I085B

51,60 €

CORTISON 25 MG 100 TB.            

Kortison Asetat  25 mg tb

I254A

45,20 €

COSMEGEN 0,5 mg.1x1 flk.

Daktinomisin 0,5 mg.flk.

I305A

5,02 €

COUMADIN 1 MG 100 TABLET          

Varfarin 1 mg tb

I240A

40,25 €

COUMADIN 2 MG 20 TABLET           

Varfarin 2 mg tb

I240B

1,85 €

CREATIN 750 MG 100 CAP            

Creatinine Monohydrate 750 mg cap

I048A

13,20 €

CREATIN 750 MG 300 CAP            

Creatinine Monohydrate 750 mg cap

I048A

36,36 €

CREATIN MONOHYDRAT 100 G POWDER   

Creatinine Monohydrate toz

I048B

30,40 €

CREATIN MONOHYDRAT 1000 G POWDER  

Creatinine Monohydrate toz

I048B

24,30 €

CREATIN MONOHYDRAT 500 G POWDER   

Creatinine Monohydrate toz

I048B

13,25 €

CRH 100 MCG 1 AMP                  

Corticorelin Trifluoroacetat 100 mcg amp

I047A

113,40 €

CRH 100 MCG 5 AMP                 

Corticorelin Trifluoroacetat 100 mcg amp

I047A

472,37 €

CROMO VON CT 100 MG 100 CAP       

Cromoglicin Saure 100 mg cap

I049A

45,55 €

CUPRIMINE 250 MG 100 TB           

Penicillamine 250 mg cap

I128B

354,60 €

CYMBALTA 60 MG 28 CAP             

Duloxetin HCL 60 mg cap

I186C

51,00 €

CYSTADENE 180 G TOZ                

Betain Anhydr

I022B

496,50 €

CYSTAGON 150 MG 100 TB            

Cysteamine Bitartarate 150 mg tb

I050B

234,90 €

CYSTAGON 50 MG 100 TB             

Cysteamine Bitartarate 50 mg tb

I050A

93,00 €

CYSTEAMIN %0.1 ML OFT.GTT         

Cysteamine Bitartarate %0.1 göz damlası

I050C

64,70 €

CYSTICIDE 500 MG 90 TB            

Praziquantel 500 mg tb

I142A

412,78 €

CYTOTECT CP 10 ML 1 FLK           

Cytomegalovirus ımmunglobulins   1 flk

I207A

185,64 €

CYTOTECT CP 20 ML 1 FLK           

Cytomegalovirus ımmunglobulins   1 flk

I207A

353,88 €

CYTOTECT CP 50 ML 1 FLK           

Cytomegalovirus ımmunglobulins   1 flk

I207A

901,43 €

CYTOVENE 50 MG 90 CAP             

Gancıclovir 50 mg cap

I191A

897,10 €

DACOGEN  50 MG 1X1 FKL            

Desitabin 50 mg  AMP

I208A

1.127,75 €

DANTRIUM 100 MG 100 CAP           

Dantrolen Sodium 100 mg cap

I051D

71,20 €

DANTRIUM 100 MG 30 CAP            

Dantrolen Sodium 100 mg cap

I051D

14,09 €

DANTRIUM 20 MG 12 AMP             

Dantrolen Sodium 20 mg amp

I051A

318,00 €

DANTRIUM 25 MG 50 CAP             

Dantrolen Sodium 25 mg cap

I051B

6,70 €

DANTRIUM 50 MG 100 CAP            

Dantrolen Sodium 50 mg cap

I051C

48,30 €

DANTRIUM 50 MG 50 CAP             

Dantrolen Sodium 50 mg cap

I051C

26,15 €

DANTROLEN 20 MG 12 AMP            

Dantrolen Sodium 20 mg amp

I051A

533,60 €

DAP (3-4 DIAMINO PURIDINE)20 MG 100

3-4 Diamino Pyridine 20 mg tb

I001A

153,90 €

DAPSON 100 MG 250 TB              

Dapson 100 mg tb

I052B

16,50 €

DAPSON 100 MG 28 TB               

Dapson 100 mg tb

I052B

22,27 €

DAPSON 50 MG 100 TB               

Dapson 50 mg tb

I052A

39,80 €

DAPSON 50 MG 25 TB                

Dapson 50 mg tb

I052A

9,52 €

DAPSON 50 MG 28 TB                

Dapson 50 mg tb

I052A

13,70 €

DAPSON 50 MG 50 TB                

Dapson 50 mg tb

I052A

20,60 €

DARAPRIM 25 MG 30 TB              

Pyrimethamine 25 mg tb

I146A

3,45 €

DELIMMUN 500 MG 100 TB            

Inosine 500 mg tb

I090A

83,32 €

DELIMMUN 500 MG 20 TB             

Inosine 500 mg tb

I090A

17,85 €

DELIMMUN 500 MG 40 TB             

Inosine 500 mg tb

I090A