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Přehled hrazených LP - dle účinné látky

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

V08<br />

Kontrastní látky<br />

stav k 1. 10. 2011<br />

KOD NÁZEV<br />

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

V08AA05 parent. Kyselina joxitalamová<br />

V08AB02 parent. Johexol<br />

0096253 OMNIPAQUE 300 INJ SOL 10X50ML GHO K /<br />

4 842,51 6 840,75 0,00 96,85<br />

0017986 OMNIPAQUE 300 INJ SOL 10X50ML-PP GHO K /<br />

4 842,51 6 840,75 0,00 96,85<br />

0096256 OMNIPAQUE 300 INJ SOL 10X100ML GHO K /<br />

9 685,02 12 347,87 0,00 96,85<br />

0096259 OMNIPAQUE 300 INJ SOL 10X100ML-PP GHO K /<br />

9 685,02 12 347,87 0,00 96,85<br />

0096262 OMNIPAQUE 300 INJ SOL 10X200ML-PP GHO K /<br />

19 370,04 22 892,46 0,00 96,85<br />

0096260 OMNIPAQUE 300 INJ SOL 10X150ML-PP GHO K /<br />

14 527,53 18 160,73 0,00 96,85<br />

0096264 OMNIPAQUE 300 INJ SOL 6X500ML-PP GHO K /<br />

29 055,06 33 079,34 0,00 96,85<br />

0096271 OMNIPAQUE 350 INJ SOL 6X200MLSKLO GHO K /<br />

12 935,56 13 254,82 0,00 107,80<br />

0096270 OMNIPAQUE 350 INJ SOL 10X50ML GHO K /<br />

5 389,82 7 752,41 0,00 107,80<br />

0017988 OMNIPAQUE 350 INJ SOL 10X50ML PP GHO K /<br />

5 389,82 7 752,41 0,00 107,80<br />

0096273 OMNIPAQUE 350 INJ SOL 10X100ML PP GHO K /<br />

10 779,63 14 220,10 0,00 107,80<br />

0096267 OMNIPAQUE 350 INJ SOL 10X100ML GHO K /<br />

10 779,63 14 220,10 0,00 107,80<br />

0096278 OMNIPAQUE 350 INJ SOL 6X500ML PP GHO K /<br />

32 338,89 35 864,64 0,00 107,80<br />

0096274 OMNIPAQUE 350 INJ SOL 10X150ML PP GHO K /<br />

16 169,45 20 969,07 0,00 107,80<br />

0096275 OMNIPAQUE 350 INJ SOL 10X175ML PP GHO K /<br />

18 864,35 24 343,55 0,00 107,80<br />

0096251 OMNIPAQUE 300 INJ SOL 6X20ML GHO K /<br />

1 638,40 1 758,46 0,00 136,53<br />

0096252 OMNIPAQUE 300 INJ SOL 25X20ML GHO K /<br />

6 826,67 8 119,64 0,00 136,53<br />

0096265 OMNIPAQUE 350 INJ SOL 6X20ML GHO K /<br />

1 852,11 1 981,15 0,00 154,34<br />

0096266 OMNIPAQUE 350 INJ SOL 25X20ML GHO K /<br />

7 717,14 9 755,62 0,00 154,34<br />

0096257 OMNIPAQUE 300 INJ SOL 10X10ML GHO K /<br />

2 037,26 2 189,49 0,00 203,73<br />

0096269 OMNIPAQUE 350 INJ SOL 10X40ML AMP GHO K /<br />

6 173,71 6 315,47 0,00 154,34<br />

0096268 OMNIPAQUE 350 INJ SOL 10X50ML AMP GHO K /<br />

5 389,82 7 752,41 0,00 107,80<br />

0096276 OMNIPAQUE 350 INJ SOL 10X200ML PP GHO K /<br />

21 559,26 26 158,81 0,00 107,80<br />

0096277 OMNIPAQUE 350 INJ SOL 6X500MLSKLO GHO K /<br />

32 338,89 35 864,64 0,00 107,80<br />

V08AB04 parent. Jopamidol<br />

0032478 SCANLUX 300 MG/ML INJ SOL 30X100ML/30GM SBA K /<br />

24 881,05 24 881,05 0,00 82,94<br />

0032477 SCANLUX 300 MG/ML INJ SOL 30X50ML/15GM SBA K /<br />

13 015,02 13 015,02 0,00 86,77<br />

0052204 SCANLUX 300 MG/ML INJ SOL 10X100ML/30GM SBA K /<br />

8 741,82 8 741,82 0,00 87,42<br />

0032479 SCANLUX 300 MG/ML INJ SOL 20X200ML/60GM SBA K /<br />

35 522,08 35 522,08 0,00 88,81<br />

0052207 SCANLUX 300 MG/ML INJ SOL 10X200ML/60GM SBA K /<br />

18 122,11 18 122,11 0,00 90,61<br />

0052201 SCANLUX 300 MG/ML INJ SOL 10X50ML/15GM SBA K /<br />

4 621,00 4 621,00 0,00 92,42<br />

0032484 SCANLUX 370 MG/ML INJ SOL 30X100ML/37GM SBA D /<br />

29 942,56 29 942,56 0,00 99,81<br />

0032483 SCANLUX 370 MG/ML INJ SOL 30X50ML/18.GM SBA D /<br />

15 563,51 15 563,51 0,00 103,76<br />

0052216 SCANLUX 370 MG/ML INJ SOL 10X100ML/37GM SBA D /<br />

10 445,05 10 445,05 0,00 104,45<br />

0052211 SCANLUX 370 MG/ML INJ SOL 10X50ML/18.5GM SBA D /<br />

5 222,55 5 543,31 0,00 104,45<br />

0052219 SCANLUX 370 MG/ML INJ SOL 10X200ML/37GM SBA D /<br />

20 890,20 21 683,98 0,00 104,45<br />

0032485 SCANLUX 370 MG/ML INJ SOL 20X200ML/74GM SBA D /<br />

41 780,40 42 645,81 0,00 104,45<br />

V08AB05 parent. Jopromid<br />

0052591 ULTRAVIST 300 INJ SOL 1X200ML BZB K /<br />

2 083,94 2 400,41 0,00 104,20<br />

0077016 ULTRAVIST 300 INJ SOL 10X50ML BZB K /<br />

5 209,86 6 505,43 0,00 104,20<br />

0077017 ULTRAVIST 300 INJ SOL 10X100ML BZB K /<br />

10 419,72 12 150,62 0,00 104,20<br />

0093625 ULTRAVIST 370 INJ SOL 1X100ML BZB D /<br />

1 044,51 1 575,47 0,00 104,45<br />

0093626 ULTRAVIST 370 INJ SOL 1X200ML BZB D /<br />

2 089,02 2 952,98 0,00 104,45<br />

0077018 ULTRAVIST 370 INJ SOL 10X50ML BZB D /<br />

5 222,55 7 700,60 0,00 104,45<br />

0077019 ULTRAVIST 370 INJ SOL 10X100ML BZB D /<br />

10 445,10 14 417,53 0,00 104,45<br />

0151208 ULTRAVIST 370 INJ SOL 8X500ML BZB D /<br />

41 780,40 54 039,78 0,00 104,45<br />

0077015 ULTRAVIST 240 INJ SOL 10X50ML BZB D /<br />

5 454,35 6 320,68 0,00 109,09<br />

0077024 ULTRAVIST 300 INJ SOL 10X20ML BZB K /<br />

2 638,03 2 638,03 0,00 131,90<br />

V08AB07 parent. Joversol<br />

0014750 OPTIRAY 300 INJ SOL 10X150ML(A) CDN K /<br />

12 866,18 12 866,18 0,00 85,77<br />

0014751 OPTIRAY 300 INJ SOL 10X200ML(A) CDN K /<br />

18 381,07 18 381,07 0,00 91,91<br />

0014749 OPTIRAY 300 INJ SOL 10X100ML(A) CDN K /<br />

9 525,70 9 525,70 0,00 95,26<br />

0014748 OPTIRAY 300 INJ SOL 10X75ML(A) CDN K /<br />

7 187,21 7 187,21 0,00 95,83<br />

0014747 OPTIRAY 300 INJ SOL 10X50ML(A) CDN K /<br />

4 847,20 4 847,20 0,00 96,94<br />

0014753 OPTIRAY 300 INJ SOL 10X50ML(B) CDN K /<br />

4 934,58 5 105,12 0,00 98,69<br />

0014754 OPTIRAY 300 INJ SOL 10X50ML(C) CDN K /<br />

4 934,58 5 734,49 0,00 98,69<br />

0014755 OPTIRAY 300 INJ SOL 10X100ML(C) CDN K /<br />

9 869,16 10 956,14 0,00 98,69<br />

0014756 OPTIRAY 300 INJ SOL 10X125ML(C) CDN K /<br />

12 336,45 13 530,16 0,00 98,69<br />

0014764 OPTIRAY 350 INJ SOL 10X200ML(A) CDN K /<br />

20 335,90 20 335,90 0,00 101,68<br />

0014752 OPTIRAY 300 INJ SOL 10X30ML(B) CDN K /<br />

3 127,32 3 127,32 0,00 104,24<br />

0014757 OPTIRAY 320 INJ SOL 10X50ML(A) CDN K /<br />

5 435,39 6 135,15 0,00 108,71<br />

0014760 OPTIRAY 320 INJ SOL 10X100ML(C) CDN K /<br />

10 870,77 12 289,31 0,00 108,71<br />

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

Strana 146

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