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Přehled hrazených LP - <strong>dle</strong> účinné látky<br />

B05<br />

NÁHRADY PLAZMY A PERFÚZNÍ ROZTOKY<br />

stav k 1. 4. 2010<br />

KOD NÁZEV<br />

DOPLNĚK DRZ IND1 LIM1/OME1 UHR ORC ZAP1 EKV_UHR<br />

B05BA02 parent. Tukové emulze<br />

0049962 INTRALIPID 10 % INF EML 12X500ML FKA H /<br />

2 680,59 2 735,61 0,00 44,68<br />

0049972 INTRALIPID 20 % INF EML 6X1000ML FKA H /<br />

2 680,59 2 735,61 0,00 44,68<br />

0049969 INTRALIPID 10 % INF EML 1X500ML FKA H /<br />

231,76 312,90 0,00 46,35<br />

0049961 INTRALIPID 10 % INF EML 1X500ML FKA H /<br />

231,76 309,33 0,00 46,35<br />

0031527 SOYACAL 10% INF EML 20X250ML GFL H /<br />

2 317,56 4 494,04 0,00 46,35<br />

0031528 SOYACAL 10% INF EML 10X500ML GFL H /<br />

2 317,56 3 561,56 0,00 46,35<br />

0088771 CLINOLEIC 20% INF EML 20X250ML BXT H /<br />

2 356,16 5 583,70 0,00 47,12<br />

0088772 CLINOLEIC 20% INF EML 10X500ML BXT H /<br />

2 356,16 4 019,76 0,00 47,12<br />

0030941 CLINOLEIC 20% INF EML 10X250ML-SKL BXT H /<br />

1 178,08 2 855,71 0,00 47,12<br />

0030942 CLINOLEIC 20% INF EML 10X500ML-SKL BXT H /<br />

2 356,16 3 439,46 0,00 47,12<br />

0015293 INTRALIPID 20 % INF EML 10X250ML FKA H /<br />

1 178,08 3 492,97 0,00 47,12<br />

0015295 INTRALIPID 20 % INF EML 12X500ML FKA H /<br />

2 827,39 4 886,44 0,00 47,12<br />

0049958 INTRALIPID 20 % INF EML 12X250ML FKA H /<br />

1 413,69 3 933,99 0,00 47,12<br />

0049971 INTRALIPID 20 % INF EML 1X1000ML FKA H /<br />

471,23 611,81 0,00 47,12<br />

0049975 INTRALIPID 20 % INF EML 12X500ML FKA H /<br />

2 827,39 4 111,08 0,00 47,12<br />

0049965 INTRALIPID 20 % INF EML 1X250ML FKA H /<br />

117,80 447,22 0,00 47,12<br />

0049957 INTRALIPID 20 % INF EML 1X250ML FKA H /<br />

117,80 386,12 0,00 47,12<br />

0049954 INTRALIPID 20 % INF EML 1X500ML FKA H /<br />

235,62 475,28 0,00 47,12<br />

0049967 INTRALIPID 20 % INF EML 1X500ML FKA H /<br />

235,62 482,66 0,00 47,12<br />

0016337 LIPOPLUS 20% INF EML 10X250ML-SKLO BMM H /<br />

1 178,08 3 437,57 0,00 47,12<br />

0016333 LIPOPLUS 20% INF EML 1X250ML-SKLO BMM H /<br />

117,80 385,92 0,00 47,12<br />

0016338 LIPOPLUS 20% INF EML 10X500ML-SKLO BMM H /<br />

2 356,16 4 837,03 0,00 47,12<br />

0016334 LIPOPLUS 20% INF EML 1X500ML-SKLO BMM H /<br />

235,62 542,06 0,00 47,12<br />

0101418 SMOFLIPID INF EML 1X250ML FKA H /<br />

117,80 1 345,18 0,00 47,12<br />

0101419 SMOFLIPID INF EML 1X500ML FKA H /<br />

235,62 2 602,62 0,00 47,12<br />

0101420 SMOFLIPID INF EML 10X100ML FKA H /<br />

471,23 5 068,88 0,00 47,12<br />

0101422 SMOFLIPID INF EML 10X500ML FKA H /<br />

2 356,16 23 274,77 0,00 47,12<br />

0101421 SMOFLIPID INF EML 10X250ML FKA H /<br />

1 178,08 11 995,70 0,00 47,12<br />

0018731 SMOFLIPID INF EML 1X250ML FKA H /<br />

117,80 1 119,10 0,00 47,12<br />

0018735 SMOFLIPID INF EML 10X500ML FKA H /<br />

2 356,16 5 100,24 0,00 47,12<br />

0018733 SMOFLIPID INF EML 10X100ML FKA H /<br />

471,23 4 209,48 0,00 47,12<br />

0018734 SMOFLIPID INF EML 10X250ML FKA H /<br />

1 178,08 4 279,58 0,00 47,12<br />

0018732 SMOFLIPID INF EML 1X500ML FKA H /<br />

235,62 2 161,42 0,00 47,12<br />

0031530 SOYACAL 20% INF EML 20X250ML GFL H /<br />

2 356,16 4 574,72 0,00 47,12<br />

0031531 SOYACAL 20% INF EML 10X500ML GFL H /<br />

2 356,16 4 568,37 0,00 47,12<br />

0064639 STRUCTOLIPID 20 % INF EML 12X500ML FKA H /<br />

2 827,39 7 390,50 0,00 47,12<br />

0064600 STRUCTOLIPID 20 % INF EML 10X500ML FKA H /<br />

2 356,16 9 399,04 0,00 47,12<br />

0031975 STRUCTOLIPID 20 % INF EML 1X500ML FKA H /<br />

235,62 1 058,04 0,00 47,12<br />

0031976 STRUCTOLIPID 20 % INF EML 1X250ML FKA H /<br />

117,80 924,11 0,00 47,12<br />

0031977 STRUCTOLIPID 20 % INF EML 10X250ML FKA H /<br />

1 178,08 4 678,66 0,00 47,12<br />

0031526 SOYACAL 10% INF EML 20X100ML GFL H /<br />

1 754,89 1 801,31 0,00 87,74<br />

0031529 SOYACAL 20% INF EML 20X100ML GFL H /<br />

1 890,71 1 938,39 0,00 94,54<br />

0049956 INTRALIPID 10 % INF EML 12X100ML FKA H /<br />

1 717,73 1 763,79 0,00 143,14<br />

0049960 INTRALIPID 10 % INF EML 10X100ML FKA H /<br />

1 441,43 1 484,89 0,00 144,14<br />

0049970 INTRALIPID 10 % INF EML 1X100ML FKA H /<br />

147,41 159,47 0,00 147,41<br />

0049959 INTRALIPID 10 % INF EML 1X100ML FKA H /<br />

149,93 162,30 0,00 149,93<br />

0001452 OMEGAVEN INF EML 1X50ML FKA H /<br />

75,40 1 873,47 0,00 150,80<br />

0001287 OMEGAVEN INF EML 10X100ML FKA H /<br />

1 508,18 13 098,51 0,00 150,82<br />

0001252 OMEGAVEN INF EML 10X50ML FKA H /<br />

754,09 16 730,20 0,00 150,82<br />

0001772 OMEGAVEN INF EML 1X100ML FKA H /<br />

150,82 3 581,14 0,00 150,82<br />

0015291 INTRALIPID 20 % INF EML 10X100ML FKA H /<br />

1 735,75 2 149,08 0,00 173,57<br />

0016336 LIPOPLUS 20% INF EML 10X100ML-SKLO BMM H /<br />

1 735,75 3 002,94 0,00 173,57<br />

0049974 INTRALIPID 20 % INF EML 12X100ML FKA H /<br />

2 082,90 2 156,56 0,00 173,58<br />

0049955 INTRALIPID 20 % INF EML 1X100ML FKA H /<br />

173,58 246,80 0,00 173,58<br />

0049963 INTRALIPID 20 % INF EML 1X100ML FKA H /<br />

173,58 251,14 0,00 173,58<br />

0101417 SMOFLIPID INF EML 1X100ML FKA H /<br />

173,58 567,46 0,00 173,58<br />

0018730 SMOFLIPID INF EML 1X100ML FKA H /<br />

173,58 473,80 0,00 173,58<br />

B05BA03 parent. Cukry<br />

0097736 GLUCOSE 10%W/V I.V.B.P.BIEFFE INF SOL 1X500ML(SKLO) BFF O /<br />

15,17 15,17 0,00 3,03<br />

0096873 GLUKÓZA 5 BRAUN INF SOL 1X500ML-PE BMM O /<br />

15,93 21,33 0,00 3,19<br />

0046996 GLUKÓZA 5 BRAUN INF SOL 1X500ML-PE BMM O /<br />

15,93 21,29 0,00 3,19<br />

0098902 GLUKÓZA 5% VIAFLO INF SOL 10X1000ML BXT O /<br />

325,38 325,38 0,00 3,25<br />

0046997 GLUKÓZA 5 BRAUN INF SOL 1X1000ML-PE BMM O /<br />

33,67 41,71 0,00 3,37<br />

0050272 INFUSIO GLUCOSI 5 MEDIEKOS G5 INF SOL 1000MLPP INK O /<br />

33,67 48,41 0,00 3,37<br />

0097737 GLUCOSE 10%W/V I.V.B.P.BIEFFE INF SOL 1X500ML BFF O /<br />

17,21 20,79 0,00 3,44<br />

0115021 5% DEXTROSE IN WATER FOR INF SOL 1X500ML-PE FEK O /<br />

17,81 22,23 0,00 3,56<br />

Vysvětlivky: UHR - úhrada pojišťovny základní, ZAP1 - započitatelný doplatek, EKV UHR - ekvivalent úhrady (úhrada za 1DDD), * - smluvní cena, § - zvýšená úhrada<br />

Strana 19

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