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"annexes": {
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"Voimassa olevan hankintalains\u00e4\u00e4d\u00e4nn\u00f6n (1397\/2016) 40 \u00a7 2 mom 2 kohdan mukaan hankintayksikk\u00f6 voi valita suorahankinnan, mik\u00e4li teknisest\u00e4 tai yksinoikeuden suojaamiseen liittyv\u00e4st\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan; lis\u00e4edellytyksen\u00e4 on, ett\u00e4 j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole eik\u00e4 kilpailun puuttuminen johdu hankinnan ehtojen keinotekoisesta kaventamisesta.",
"",
"Suomen markkinoilla on vain yksi brolusitsumabivalmiste, Beovu\u00ae. Brolusitsumabi (Beovu\u00ae) on tarkoitettu neovaskulaarisen (kostean) silm\u00e4npohjan ik\u00e4rappeuman (Age-Related Macular Degeneration, AMD) hoitoon aikuisille. Beovu\u00ae annostellaan injektiona silm\u00e4n sis\u00e4lle lasiaistilaan. Se on saanut Euroopassa myyntiluvan helmikuussa 2020.",
"",
"Silm\u00e4npohjan ik\u00e4rappeuma on yleisin n\u00e4k\u00f6vammaisuuden aiheuttaja kehittyneiss\u00e4 maissa. AMD-potilaista noin 10\u221220 % sairastaa kosteaa tautimuotoa. Brolusitsumabi v\u00e4hent\u00e4\u00e4 ep\u00e4normaalia uudissuonien muodostusta ja verisuonten l\u00e4p\u00e4isevyytt\u00e4 ja on verisuonen endoteelikasvutekij\u00e4 A -reitin (VEGF-A) est\u00e4j\u00e4. Muita samaan tarkoitukseen k\u00e4ytettyj\u00e4 VEGF-est\u00e4ji\u00e4 ovat bevasitsumabi, aflibersepti ja ranibitsumabi. ",
"",
"Terveydenhuollon palveluvalikoimaneuvosto (Palko) on 1.9.2021 antanut Suomessa suosituksen, jonka mukaan brolusitsumabi kuuluu kansalliseen palveluvalikoimaan neovaskulaarisen (kostean) silm\u00e4npohjan ik\u00e4rappeuman hoidossa tietyin edellytyksin. Palveluvalikoimaneuvoston n\u00e4kemyksen mukaan eri VEGF-est\u00e4jien v\u00e4lill\u00e4 ei ole kliinisesti merkitt\u00e4vi\u00e4 eroja vaikuttavuudessa, mutta turvallisuusn\u00e4k\u00f6kohdat huomioiden tulee brolusitsumabin k\u00e4ytt\u00f6 rajata tilanteisiin, joissa muut hoitovaihtoehdot eiv\u00e4t sovellu. Kansallinen l\u00e4\u00e4keneuvottelukunta puoltaa k\u00e4ytt\u00f6\u00e4 neuvotellulla hinnalla.",
"",
"HUS Apteekin hankintarengas hankkii Beovu\u00ae 120 mg\/ml injektioliuosta Novartis Finland Oy:lt\u00e4 12.4.2022\u2013 31.12.2023 ajan valmisteyhteenvedon ja Terveydenhuollon palveluvalikoimaneuvoston (Palko) suosituksen (1.9.2021) mukaiseen k\u00e4ytt\u00f6\u00f6n tilanteissa, joissa muut AMD hoitovaihtoehdot eiv\u00e4t sovellu. Hankinnan arvioitu arvo on noin 5 milj.\u20ac (ALV 0 %). Novartis Finland Oy:n kanssa on neuvoteltu erillinen sopimushinta em. aikav\u00e4lille, joten hankinnan todellinen ennakoitu arvonlis\u00e4veroton arvo on t\u00e4t\u00e4 tukkuhintaa alhaisempi."
]
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"hilmaSubmissionDate": "2022-05-02T10:47:25.3961838",
"dateCreated": "2022-05-02T09:40:49.4336732",
"dateModified": "2022-05-06T07:00:08.0617106"
}