InfoCis121004 - Svaz zdravotních pojišťoven ČR

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Informační číselník Svazu zdravotních pojišťoven ČR říjen 2012Kód Název Doplněk názvu DRZ ZEM LIM1 OME1 IND1 UHR1 MFC DNC Doplatek ZAP1 EKV1 EKV20107585 MUTAFLOR POR CPS ETD100X100MGA08AB01 p.o. Orlistat0027027 XENICAL 120 MG POR CPS DUR84X120MGÚhradaAARP D L PED 1 373,91 1 888,37 514,46 1,20 27,48ARRG GB 0,31 1 937,76 1 937,45 1 937,45 0,01A09AA02 p.o. Multienzymové přípravky (lipáza, proteáza apod.)0014814 KREON 10 000 POR CPS ETD 50 AAQH D P 229,68 248,69 19,01 0,00 22,970125117 PANZYNORM FORTE-N POR TBL FLM 10 AKRK SLO P 49,41 57,41 8,00 8,00 29,650040378 PANZYNORM FORTE-N POR TBL FLM 30 AKRK SLO P 148,24 187,87 39,63 24,00 29,650056167 PANGROL 20000 POR TBL ENT 50 I ABCE D P 247,06 344,63 97,57 40,00 29,650014811 KREON 25 000 POR CPS ETD 50 AAQH D P 397,05 601,51 204,46 50,00 47,650054534 PANZYTRAT 25 000 POR CPS DUR 50-SKLO AAJH F P 397,05 619,18 222,13 50,00 47,650008504 KREON 40 000 POR CPS ETD 50X400MG AAQH D P 635,28 933,53 298,25 80,00 47,650008505 KREON 40 000 POR CPS ETD AAQH D P 1 270,56 1 797,19 526,63 160,00 47,65100X400MGA10AB01 parent. Inzulin lidský0500830 INSUMAN RAPID 100 IU/ML INJ SOL 10X3ML/300UT ZSDN D L DIA 1 691,23 1 691,23 0,00 0,00 22,55SOLOSTAR0500827 INSUMAN RAPID 100 IU/ML INJ SOL 5X3ML/300UT ZSDN D L DIA 879,20 879,20 0,00 0,00 23,45SOLOSTAR0025689 INSUMAN RAPID 100 IU/ML INJ SOL 5X3ML/300UT ASDN D L DIA 879,20 879,20 0,00 0,00 23,450092608 HUMULIN R CARTRIDGE INJ SOL 5X3ML/300UT AELR CZ L DIA 898,31 898,31 0,00 0,00 23,950026486 ACTRAPID PENFILL 100 IU/ML INJ SOL 5X3ML ANOO DK L DIA 901,68 967,79 66,11 0,00 24,04A10AB04 parent. Inzulin lispro0029689 HUMALOG KWIKPEN 100 IU/ML INJ SOL 5X3ML/300UT AELH NL P 928,66 1 167,97 239,31 43,08 24,760025592 HUMALOG 100 IU/ML INJ SOL 5X3ML/300UT AELH NL P 1 100,47 1 143,55 43,08 43,08 29,350025590 HUMALOG 100 IU/ML INJ SOL 1X10ML/1KU AELH NL L DIA,END,INT 603,13 633,49 30,36 28,72 24,13A10AB05 parent. Inzulin aspart0026794 NOVORAPID FLEXPEN 100 U/ML INJ SOL 5X3ML ANOO DK L DIA, END, INT P 928,66 1 245,19 316,53 0,00 24,760026789 NOVORAPID PENFILL 100 U/ML INJ SOL 5X3ML ANOO DK P 1 100,47 1 202,49 102,02 0,00 29,350026786 NOVORAPID 100 U/ML INJ SOL 1X10ML ANOO DK L DIA, END, INT 603,13 603,13 0,00 0,00 24,13A10AB06 parent. Inzulin glulisin0027960 APIDRA 100 JEDNOTEK/ML SDR INJ SOL 5X3MLSOLOSTARASDN D P 928,66 976,30 X 47,64 18,80 24,76Vysvětlivky:UHR1 – úhrada, MFC – konečná cena, Doplatek – maximální doplatek, ZAP1 – započitatelný doplatek, DNC – dohodnutá nejvyšší cena,Úhrada EKV1, EKV2 – vypočtená úhrada za 1 ODTD nebo 1 DDD, k datu sestavení číselníku neúčtovaný LP pojišťovnám, LP bez doplatku pacientaStránka 14 z 302
Informační číselník Svazu zdravotních pojišťoven ČR říjen 2012Kód Název Doplněk názvu DRZ ZEM LIM1 OME1 IND1 UHR1 MFC DNC Doplatek ZAP1 EKV1 EKV20027118 APIDRA 100 JEDNOTEK/ML SDR INJ SOL 5X3ML ASDN D P 1 100,47 1 119,27 18,80 18,80 29,35OPTICLIK0028290 APIDRA 100 JEDNOTEK/ML SDR INJ SOL 5X3ML ASDN D P 1 100,47 1 213,66 113,19 18,80 29,35A10AC01 parent. Inzulin lidský0500836 INSUMAN BASAL 100 IU/ML INJ SUS 10X3ML/300UT ZSDN D L DIA 1 691,23 1 691,23 0,00 0,00 22,55SOLOSTAR0025694 INSUMAN BASAL 100 IU/ML INJ SUS 5X3ML/300UT ASDN D L DIA 879,20 879,20 0,00 0,00 23,450500833 INSUMAN BASAL 100 IU/ML INJ SUS 5X3ML/300UT ZSDN D L DIA 879,20 879,20 0,00 0,00 23,45SOLOSTAR0092607 HUMULIN N (NPH) CARTRIDGE INJ SUS 5X3ML/300UT AELR CZ L DIA 898,31 898,31 0,00 0,00 23,950025677 INSULATARD PENFILL 100 IU/ML INJ SUS 5X3ML/300UT ANOO DK L DIA 901,68 1 000,54 98,86 0,00 24,040180182 HUMULIN N (NPH) CARTRIDGE INJ SUSZELR CZ L DIA, END, INT 955,41 955,41 0,00 0,00 25,485X3ML/300UTKWIKPENA10AD01 parent. Inzulin lidský0500848 INSUMAN COMB 25 INJ SUS 10X3ML/300UT ZSDN D L DIA 1 691,23 1 691,23 0,00 0,00 22,55SOLOSTAR0025704 INSUMAN COMB 25 INJ SUS 5X3ML/300UT ASDN D L DIA 879,20 879,20 0,00 0,00 23,450500845 INSUMAN COMB 25 INJ SUS 5X3ML/300UT ZSDN D L DIA 879,20 879,20 0,00 0,00 23,45SOLOSTAR0092605 HUMULIN M3 (30/70) CARTRIDGE INJ SUS 5X3ML/300UT AELR CZ L DIA 898,31 898,31 0,00 0,00 23,950026602 MIXTARD 30 PENFILL 100IU/ML INJ SUS 5X3ML ANOO DK L DIA 901,68 1 020,21 118,53 0,00 24,040180184 HUMULIN M3 (30/70) CARTRIDGE INJ SUSZELR CZ L DIA,END,INT 982,10 982,10 0,00 0,00 26,195X3ML/300UTKWIKPENA10AD04 parent. Inzulin lispro0029691 HUMALOG MIX 25 KWIKPEN 100 IU/ML INJ SUS 5X3ML/300UT AELH NL P 928,66 1 178,88 250,22 99,43 24,760029693 HUMALOG MIX 50 KWIKPEN 100 IU/ML INJ SUS 5X3ML/300UT AELH NL P 928,66 1 178,88 250,22 99,43 24,760025596 HUMALOG MIX 25 100 IU/ML INJ SUS 5X3ML/300UT AELH NL P 1 100,47 1 199,90 99,43 99,43 29,350025594 HUMALOG MIX 50 100 IU/ML INJ SUS 5X3ML/300UT AELH NL P 1 100,47 1 199,90 99,43 99,43 29,35A10AD05 parent. Inzulin aspart0026767 NOVOMIX 30 FLEXPEN 100 U/ML INJ SUS 5X3ML ANOO DK L DIA, END, INT P 928,66 1 253,62 324,96 0,00 24,760026762 NOVOMIX 30 PENFILL 100 U/ML INJ SUS 5X3ML ANOO DK P 1 054,97 1 054,97 0,00 0,00 28,13A10AE04 parent. Inzulin glargin0027949 LANTUS 100 JEDNOTEK/ML SDR INJ SOL 10X3ML ZSDN D E DIA, END, INT P 3 056,43 3 056,43 0,00 0,00 40,75SOLOSTAR0027507 LANTUS 100 JEDNOTEK/ML SDR INJ SOL 10X3ML ZSDN D E DIA, END, INT P 3 116,60 3 116,60 0,00 0,00 41,550027506 LANTUS 100 JEDNOTEK/ML SDR INJ SOL 5X3ML ASDN D E DIA,END,INT P 1 648,61 1 834,03 185,42 0,00 43,960028262 LANTUS 100 JEDNOTEK/ML SDR INJ SOL 5X3ML ASDN D E DIA,END,INT P 1 648,61 1 834,03 185,42 0,00 43,96OPTICLIKÚhradaVysvětlivky:UHR1 – úhrada, MFC – konečná cena, Doplatek – maximální doplatek, ZAP1 – započitatelný doplatek, DNC – dohodnutá nejvyšší cena,Úhrada EKV1, EKV2 – vypočtená úhrada za 1 ODTD nebo 1 DDD, k datu sestavení číselníku neúčtovaný LP pojišťovnám, LP bez doplatku pacientaStránka 15 z 302
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