POLIVY 30 MG INF PLV CSL 1

What is the maximum co-payment for POLIVY?

If the insurance company contributes, the maximum co-payment is 6 716,85 Kč. The maximum pharmacy price is 57 020,78 Kč. A pharmacy may provide the medicine for a lower price, but not for a higher price.

Does the medicine have reimbursement from public health insurance?

A medicine whose use is, in the public interest, appropriate to concentrate in specialized facilities pursuant to Section 15(10) of the Public Health Insurance Act. The medicine is reimbursed as ZÚLP and only from a facility that has a contract with the health insurer.

Does POLIVY have a counted co-payment set?

No, this medicine has no counted co-payment.

How much does the insurance company pay for one dispensed reimbursed pack?

50 303,93 Kč.

Does the insurance company pay a higher amount in some cases?

No, the medicine has no increased reimbursement.

Does the medicine have an indication restriction?

Polatuzumab vedotin je hrazen v první linii léčby difuzního velkobuněčného lymfomu (DLBCL), a to v kombinaci s rituximabem, cyklofosfamidem, doxorubicinem a prednisonem (R-CHP), u dospělých pacientů s IPI skóre 3-5 ve výkonnostním stavu ECOG 0-2.
Léčba je hrazena do progrese onemocnění, maximálně do vyčerpání 6 cyklů kombinované léčby, v rámci definovaného režimu jsou po vyčerpání 6 cyklů kombinované léčby (pokud nedojde k progresi) následně hrazeny 2 cykly rituximabu v monoterapii.

Rychlý přehled

Dosage form Powder infusion
Výdej Ne, lék nelze získat bez receptu.
Úhrada / doplatek / cena Lék, jehož použití je s ohledem na veřejný zájem účelné koncentrovat do specializovaných pracovišť dle § 15 odst. 10 zákona o veřejném zdravotním pojištění. Lék je hrazen jako ZÚLP a to pouze z pracoviště, které má smlouvu se zdravotní poj…
Kdo může předepsat Prescription is not conditional on a medical specialization.
Složení More information about the composition can be found in the SPC, section 6.1.
Dostupnost / výpadek The latest report from the manufacturer is from 16. 2. 2021. Výroba je oficiálně zahájena od 16. 2. 2021.
Kód SÚKL 0250251

Is it available without a medical prescription?

No, the medicine cannot be obtained without a prescription.

Which medical specialist may prescribe POLIVY?

Prescription is not conditional on a medical specialization.

What is the composition of POLIVY?

. More information about the composition can be found in the SPC, section 6.1.

Where can I find information about correct use of the medicine?

  • Documents could not be found v lokální importní databázi.

Which medicines are similar to POLIVY?

The medicine belongs to ATC group L01FX14. Název skupiny není v lokální importní databázi dostupný.

Who manufactures POLIVY?

Informace o výrobci není dostupná.

Is the medicine in shortage?

The latest report from the manufacturer is from 16. 2. 2021. Production has been officially started as of 16. 2. 2021.

What is the unique code for POLIVY?

The medicine has code 0250251. Code details can be found here.

How many packs of POLIVY were previously dispensed on prescriptions in Czechia?

Show prescription medicine consumption

How many packs of POLIVY were previously dispensed on request forms in Czechia?

Show request-form medicine consumption

Z čeho se skládá maximální cena léku?

The page was last updated on 22. 06. 2026

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