OT\u00c1ZKA: V l\u00e9k\u00e1rn\u011b mi vydali na recept n\u011bco jin\u00e9ho, ne\u017e mi pan doktor p\u0159edepsal \u2013 pr\u00fd je to vlastn\u011b to sam\u00e9, celou cenu hrad\u00ed poji\u0161\u0165ovna a\u00a0p\u0159edepsan\u00fd l\u00e9k stejn\u011b nemaj\u00ed. Je takov\u00fd postup spr\u00e1vn\u00fd? Byl bych rad\u011bji dostal p\u016fvodn\u00ed l\u00e9k, na kter\u00fd jsem zvykl\u00fd. Odpov\u00edd\u00e1 VZP.<\/b><\/p>\n
ilustra\u010dn\u00ed foto: sxc.hu<\/p>\n
ODPOV\u011a\u010e:<\/b><\/p>\n
Obecn\u00e1 z\u00e1sada pro v\u00fddej na recept v\u00a0l\u00e9k\u00e1rn\u00e1ch je, \u017ee s\u00a0vyd\u00e1n\u00edm jin\u00e9ho ne\u017e p\u0159edepsan\u00e9ho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku v\u017edy mus\u00ed souhlasit pacient<\/b>. Jestli\u017ee nesouhlas\u00ed, l\u00e9k\u00e1rn\u00edk je povinen vydat, pop\u0159. objednat po domluv\u011b s\u00a0pacientem konkr\u00e9tn\u00ed l\u00e9k na receptu. Ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f m\u016f\u017ee b\u00fdt dod\u00e1n tent\u00fd\u017e nebo n\u00e1sleduj\u00edc\u00ed den.<\/p>\n
Nemaj\u00ed-li v\u00a0l\u00e9k\u00e1rn\u011b l\u00e9\u010div\u00fd p\u0159\u00edpravek p\u0159edepsan\u00fd na recept k\u00a0dispozici a\u00a0s\u00a0ohledem na zdravotn\u00ed stav pacienta je p\u0159itom nezbytn\u00e9 jeho okam\u017eit\u00e9 vyd\u00e1n\u00ed,<\/b> vyd\u00e1 l\u00e9k\u00e1rn\u00edk (v\u00a0souladu se z\u00e1konem o\u00a0l\u00e9\u010divech) pacientovi jin\u00fd l\u00e9\u010div\u00fd p\u0159\u00edpravek odpov\u00eddaj\u00edc\u00edch l\u00e9\u010debn\u00fdch vlastnost\u00ed, kter\u00fd je k\u00a0dispozici. Podm\u00ednky pro takovou n\u00e1hradu \u010di z\u00e1m\u011bnu p\u0159edepsan\u00e9ho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku stanov\u00ed vyhl\u00e1\u0161ka o\u00a0spr\u00e1vn\u00e9 l\u00e9k\u00e1rensk\u00e9 praxi. I\u00a0v\u00a0p\u0159\u00edpad\u011b, \u017ee je nezbytn\u00e9 okam\u017eit\u00e9 vyd\u00e1n\u00ed l\u00e9\u010div\u00e9ho p\u0159\u00edpravku, v\u0161ak mus\u00ed s\u00a0jeho n\u00e1hradou jin\u00fdm souhlasit s\u00e1m pacient. L\u00e9k\u00e1rn\u00edk mu pak m\u016f\u017ee vydat jin\u00fd ne\u017e p\u0159edepsan\u00fd l\u00e9\u010div\u00fd p\u0159\u00edpravek, pokud je tento shodn\u00fd z\u00a0hlediska \u00fa\u010dinnosti a\u00a0bezpe\u010dnosti a\u00a0obsahuje stejnou l\u00e9\u010divou l\u00e1tku se stejnou cestou pod\u00e1n\u00ed a\u00a0ve stejn\u00e9 l\u00e9kov\u00e9 form\u011b<\/b> (tzv. generikum). Nelze tak postupovat, jestli\u017ee p\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159 na recept vyzna\u010dil, \u017ee trv\u00e1 na vyd\u00e1n\u00ed p\u0159edepsan\u00e9ho konkr\u00e9tn\u00edho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku.<\/p>\n
Zam\u011bnit p\u0159edepsan\u00fd l\u00e9\u010div\u00fd p\u0159\u00edpravek za jin\u00fd s\u00a0jinou l\u00e9\u010divou l\u00e1tkou s\u00a0obdobn\u00fdmi l\u00e9\u010div\u00fdmi \u00fa\u010dinky nebo v\u00a0jin\u00e9 l\u00e9kov\u00e9 form\u011b<\/b> (nap\u0159. p\u0159i v\u00fdpadku konkr\u00e9tn\u00edho l\u00e9ku ve v\u00fdrob\u011b nebo distribuci) by mohl l\u00e9k\u00e1rn\u00edk pouze za p\u0159edpokladu, \u017ee tato z\u00e1m\u011bna bude odsouhlasena p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em<\/b>. Op\u011bt v\u0161ak mus\u00ed souhlasit i\u00a0pacient. Provedenou z\u00e1m\u011bnu l\u00e9k\u00e1rn\u00edk v\u017edy vyzna\u010d\u00ed na receptu, v\u010detn\u011b d\u00e1vkov\u00e1n\u00ed.<\/p>\n
Podle z\u00e1kona o\u00a0l\u00e9\u010divech nav\u00edc maj\u00ed v\u00a0l\u00e9k\u00e1rn\u011b pacienta v\u017edycky informovat o mo\u017en\u00fdch alternativ\u00e1ch <\/b>k\u00a0vyd\u00e1van\u00e9mu l\u00e9\u010div\u00e9mu p\u0159\u00edpravku a\u00a0s\u00a0jeho souhlasem mohou zam\u011bnit p\u0159edepsan\u00fd l\u00e9\u010div\u00fd p\u0159\u00edpravek za jin\u00fd,<\/b> kter\u00fd je shodn\u00fd z\u00a0hlediska jeho \u00fa\u010dinnosti a\u00a0bezpe\u010dnosti,<\/b> obsahuje stejnou l\u00e9\u010divou l\u00e1tku se stejnou cestou pod\u00e1n\u00ed a\u00a0stejnou l\u00e9kovou formou<\/b> (tj.\u00a0za generikum).<\/b> I\u00a0kdy\u017e tedy maj\u00ed p\u0159edepsan\u00fd l\u00e9\u010div\u00fd p\u0159\u00edpravek na sklad\u011b, mohou nap\u0159. m\u00edsto l\u00e9ku, kter\u00fd je poji\u0161\u0165ovnou hrazen\u00fd jen \u010d\u00e1ste\u010dn\u011b a\u00a0pacient by na n\u011bj dopl\u00e1cel, nab\u00eddnout<\/b> generikum, kter\u00e9 je pro pacienta bez doplatku. \u0158ada lid\u00ed to jist\u011b uv\u00edt\u00e1, ale pacient na z\u00e1m\u011bnu p\u0159istoupit nemus\u00ed, a\u00a0pak by m\u011bl po\u017e\u00e1dat o\u00a0objedn\u00e1n\u00ed toho, co m\u00e1 p\u0159edeps\u00e1no. Kdyby ov\u0161em l\u00e9ka\u0159 na receptu vyzna\u010dil, \u017ee trv\u00e1 na vyd\u00e1n\u00ed p\u0159edepsan\u00e9ho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku, nem\u016f\u017ee l\u00e9k\u00e1rna vyhov\u011bt ani p\u0159\u00edm\u00e9mu p\u0159\u00e1n\u00ed pacienta, kter\u00fd by cht\u011bl m\u00edsto toho l\u00e9k bez doplatku.<\/p>\n
Informaci o\u00a0maxim\u00e1ln\u00ed mo\u017en\u00e9 v\u00fd\u0161i doplatku na dan\u00fd l\u00e9\u010div\u00fd p\u0159\u00edpravek lze zjistit na str\u00e1nk\u00e1ch ministerstva zdravotnictv\u00ed (http:\/\/www.mzcr.cz\/leky.aspx<\/a><\/span><\/span>). Konkr\u00e9tn\u00ed odpov\u011b\u010f dostanete ve sv\u00e9 l\u00e9k\u00e1rn\u011b, nebo\u0165 z\u00e1vis\u00ed na aktu\u00e1ln\u00edch cen\u00e1ch dodavatel\u016f, mar\u017ei l\u00e9k\u00e1rny, aktu\u00e1ln\u00edch slev\u00e1ch atd. P\u0159esn\u011b dan\u00e1 (St\u00e1tn\u00edm \u00fastavem pro kontrolu l\u00e9\u010div) je jen maxim\u00e1ln\u00ed cena konkr\u00e9tn\u00edho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku a\u00a0v\u00fd\u0161e \u00fahrady, kterou plat\u00ed poji\u0161\u0165ovna, p\u0159i\u010dem\u017e doplatek pacienta je d\u00e1n rozd\u00edlem v\u00fd\u0161e ceny a\u00a0\u00fahrady.<\/p>\n Mgr. Old\u0159ich Tich\u00fd OT\u00c1ZKA: V l\u00e9k\u00e1rn\u011b mi vydali na recept n\u011bco jin\u00e9ho, ne\u017e mi pan doktor p\u0159edepsal \u2013 pr\u00fd je to vlastn\u011b to sam\u00e9, celou cenu hrad\u00ed poji\u0161\u0165ovna […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14127,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-19286","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19286","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=19286"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19286\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14127"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19286"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19286"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19286"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n<\/b>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed VZP<\/p>\n","protected":false},"excerpt":{"rendered":"