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Přehled hrazených LP - dle účinné látky

Přehled hrazených LP - dle účinné látky

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

B05<br />

Krevní náhrady, infuzní a perfuzní roztoky<br />

stav k 1. 10. 2011<br />

KOD NÁZEV<br />

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

B05BA02 parent. Tukové emulze<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 />

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

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

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 />

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

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

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

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

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

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

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

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

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

173,58 567,46 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 />

15,86 16,70 0,00 3,17<br />

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

15,93 22,40 0,00 3,19<br />

0096874 GLUKÓZA 5 BRAUN INF SOL 1X1000ML-PE BMM O /<br />

33,67 43,95 0,00 3,37<br />

0050272 INFUSIO GLUCOSI 5 MEDIEKOS G5 INF SOL 1000M<strong>LP</strong>P INK O /<br />

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

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

336,66 429,45 0,00 3,37<br />

0115023 5% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

INF SOL 20X500ML-PE FEK O /<br />

336,66 597,46 0,00 3,37<br />

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

17,21 22,26 0,00 3,44<br />

0115021 5% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

0146623 5% GLUCOSE IN WATER FOR INJECTION<br />

FRESENIUS<br />

INF SOL 1X500ML-PE FEK O /<br />

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

INF SOL 1X500ML-PE FEK O /<br />

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

0083949 INFUSIO GLUCOSI 5 MEDIEKOS G5 INF SOL 500M<strong>LP</strong>VC INK O /<br />

17,81 25,46 0,00 3,56<br />

0086341 INFUSIO GLUCOSI 5% INFUSIA INF SOL 1X500ML-PE FEK O /<br />

17,81 25,57 0,00 3,56<br />

0050271 INFUSIO GLUCOSI 5 MEDIEKOS G5 INF SOL 500M<strong>LP</strong>P INK O /<br />

17,81 26,72 0,00 3,56<br />

0031458 5% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

0031455 5% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

INF SOL 1X500ML-PP FEK O /<br />

17,81 27,12 0,00 3,56<br />

INF SOL 1X500ML-SKL FEK O /<br />

17,81 28,72 0,00 3,56<br />

0062373 INFUSIO GLUCOSI 5 IMUNA INF SOL 1X500ML(SKLO) ISS O /<br />

17,81 36,80 0,00 3,56<br />

0085569 INFUSIO GLUCOSI 5 IMUNA INF SOL 1X500ML ISS O /<br />

17,81 48,93 0,00 3,56<br />

0031456 5% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

0146614 5% GLUCOSE IN WATER FOR INJECTION<br />

FRESENIUS<br />

INF SOL 12X500ML-SK FEK O /<br />

213,71 258,18 0,00 3,56<br />

INF SOL 12X500ML-SK FEK O /<br />

213,71 258,18 0,00 3,56<br />

0098901 GLUKÓZA 5% VIAFLO INF SOL 20X500ML BXT O /<br />

356,19 521,76 0,00 3,56<br />

0096877 GLUKÓZA 10 BRAUN INF SOL 1X500ML-PE BMM O /<br />

18,20 25,00 0,00 3,64<br />

0115016 10% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

0031434 10% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

INF SOL 1X500ML-PE FEK O /<br />

19,34 23,62 0,00 3,87<br />

INF SOL 1X500ML-SKL FEK O /<br />

19,34 33,60 0,00 3,87<br />

0062377 INFUSIO GLUCOSI 10 IMUNA INF SOL 1X500ML(SKLO) ISS O /<br />

19,34 38,24 0,00 3,87<br />

0096872 GLUKÓZA 5 BRAUN INF SOL 1X250ML-PE BMM O /<br />

15,62 24,83 0,00 6,25<br />

0146622 5% GLUCOSE IN WATER FOR INJECTION<br />

FRESENIUS<br />

0031453 5% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

INF SOL 1X250ML-PE FEK O /<br />

15,62 25,01 0,00 6,25<br />

INF SOL 1X250ML-SKL FEK O /<br />

15,62 27,12 0,00 6,25<br />

0092767 INFUSIO GLUCOSI 5 MEDIEKOS G5 INF SOL 200M<strong>LP</strong>VC INK O /<br />

12,50 24,07 0,00 6,25<br />

0086966 ARDEANUTRISOL G 5 INF SOL 1X250ML ARD O /<br />

15,62 27,36 0,00 6,25<br />

0062372 INFUSIO GLUCOSI 5 IMUNA INF SOL 1X250ML(SKLO) ISS O /<br />

15,62 29,16 0,00 6,25<br />

0042224 5% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

INF SOL 12X250ML FEK O /<br />

187,49 279,25 0,00 6,25<br />

0098894 GLUKÓZA 5% VIAFLO INF SOL 30X250ML BXT O /<br />

468,72 696,82 0,00 6,25<br />

0097735 GLUCOSE 10%W/V I.V.B.P.BIEFFE INF SOL 1X250ML(SKLO) BFF O /<br />

18,35 22,04 0,00 7,34<br />

0062376 INFUSIO GLUCOSI 10 IMUNA INF SOL 1X250ML(SKLO) ISS O /<br />

21,30 30,47 0,00 8,52<br />

0047252 GLUKÓZA 5 BRAUN INF SOL 1X100ML-PE BMM O /<br />

12,13 17,86 0,00 12,13<br />

0096871 GLUKÓZA 5 BRAUN INF SOL 1X100ML-SKLO BMM O /<br />

13,26 16,80 0,00 13,26<br />

0047256 GLUKÓZA 5 BRAUN INF SOL 20X100ML-PE BMM O /<br />

286,29 336,85 0,00 14,31<br />

0062370 INFUSIO GLUCOSI 5 IMUNA INF SOL 1X100ML(SKLO) ISS O /<br />

14,73 26,91 0,00 14,73<br />

0098886 GLUKÓZA 5% VIAFLO INF SOL 50X100ML BXT O /<br />

736,56 1 087,83 0,00 14,73<br />

0003433 10% DEXTROSE IN WATER FOR<br />

INJECTION FRESENIUS<br />

INF SOL 20X100ML-SK FEK O /<br />

445,40 474,54 0,00 22,27<br />

0062374 INFUSIO GLUCOSI 10 IMUNA INF SOL 1X100ML(SKLO) ISS O /<br />

23,13 27,42 0,00 23,13<br />

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

Strana 23

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