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 EKV2L04AX03 p.o. Methotrexát (pouze perorální)0118779 TREXAN 2,5 MG POR TBL NOB AORN SF E REV,DER 172,25 184,90 12,65 12,65 1,97100X2.5MG0118778 TREXAN 2,5 MG POR TBL NOB 30X2.5MG AORN SF E REV,DER 51,66 128,07 76,41 3,80 1,970157119 METHOTREXAT EBEWE 2,5 MG TABLETY POR TBL NOB 50X2.5MG AEBP A E ONK,HEM,REV,DER,GYN86,12 168,80 82,68 6,33 1,97Úhrada0157121 METHOTREXAT EBEWE 5 MG TABLETY POR TBL NOB 50X5MG AEBP A E ONK,HEM,REV,DER,GYN172,25 326,67 154,42 12,65 1,970157123 METHOTREXAT EBEWE 10 MG TABLETY POR TBL NOB 50X10MG AEBP A E ONK,HEM,REV,DER,GYNA229,63 359,27 129,64 25,30 1,310118793 TREXAN 10 MG POR TBL NOB 100X10MG ORN SF E REV,DER 459,23 1 427,18 967,95 50,60 1,31L04AX04 p.o. Lenalidomid0028939 REVLIMID 25 MG POR CPS DUR 21X25MG ACEW GB S P 151 833,61 186 707,19 34 873,58 0,00 5 408,16M01AB01 p.rect. Indometacin0093723 INDOMETACIN 50 BERLIN-CHEMIE RCT SUP 10X50MG ABCE D 33,99 68,72 34,73 24,89 6,800093724 INDOMETACIN 100 BERLIN-CHEMIE RCT SUP 10X100MG ABCE D 45,33 95,11 X 49,78 49,78 4,53M01AB05 p.o. Diklofenak0075604 DICLOFENAC AL 25 POR TBL FLM 50X25MG AAYL D 46,69 64,61 17,92 4,15 3,740075605 DICLOFENAC AL 25 POR TBL FLM 100X25MG AAYL D 93,38 122,65 29,27 8,30 3,740107918 APO-DICLO 50 MG POR TBL ENT 100X50MG AATX NL 175,52 217,42 41,90 16,60 3,510067541 ALMIRAL 50 POR TBL ENT 20X50MG AMOE CY 37,35 40,67 3,32 3,32 3,740021717 VERAL 50 MG POR TBL ENT 20X50MG AHPE CZ 37,35 54,34 16,99 3,32 3,740059137 MYOGIT 50 POR TBL ENT 20X50MG APFL D 37,35 56,02 18,67 3,32 3,740089024 DICLOFENAC AL 50 POR TBL FLM 20X50MG AAYL D 37,35 62,83 25,48 3,32 3,740097599 DICLOREUM 50 POR TBL ENT 30X50MG AASW I 56,03 85,04 29,01 4,98 3,740032612 MONOFLAM 50 MG POR TBL ENT 20X50MG AWIA D 37,35 68,88 31,53 3,32 3,740021726 VERAL 50 MG POR TBL ENT 50X50MG AHPE CZ 93,38 134,46 41,08 8,30 3,740015542 OLFEN-50 POR TBL ENT 20X50MG AMFS P 37,35 79,81 42,46 3,32 3,740089025 DICLOFENAC AL 50 POR TBL FLM 50X50MG AAYL D 93,38 142,08 48,70 8,30 3,740016032 VOLTAREN RAPID 50 MG TABLETY POR TBL OBD 10X50MG ANAI CZ 18,68 73,42 54,74 1,66 3,740058425 DOLMINA 50 POR TBL FLM 30X50MG AZNP CZ 56,03 121,91 65,88 4,98 3,740032614 MONOFLAM 50 MG POR TBL ENT 50X50MG AWIA D 93,38 172,19 78,81 8,30 3,740014827 FLECTOR EP RAPID 50 MG POR GRA 10X50MG-SÁČ AIBB SK 18,68 105,78 87,10 1,66 3,740089026 DICLOFENAC AL 50 POR TBL FLM 100X50MG AAYL D 186,77 276,37 89,60 16,60 3,740016031 VOLTAREN 50 POR TBL ENT 20X50MG ANAI CZ 37,35 133,02 95,67 3,32 3,740014828 FLECTOR EP RAPID 50 MG POR GRA 20X50MG-SÁČ AIBB SK 37,35 198,05 160,70 3,32 3,74Vysvětlivky: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 186 z 302
Informační číselník Svazu zdravotních pojišťoven ČR říjen 2012Kód Název Doplněk názvu DRZ ZEM LIM1 OME1 IND1 UHR1 MFC DNC Doplatek ZAP1 EKV1 EKV20021728 VERAL 75 RETARD POR TBL RET 20X75MG AHPE CZ 56,03 80,48 24,45 4,98 3,740119672 DICLOFENAC DUO PHARMASWISS 75 MG POR CPS RDR 30X75MG APVP CZ 84,05 156,18 72,13 7,47 3,740125121 APO-DICLO SR 100 POR TBL RET 30X100MG AATX NL 105,57 129,18 23,61 9,96 3,520125122 APO-DICLO SR 100 POR TBL RETAATX NL 351,89 429,89 78,00 33,20 3,52100X100MG0097596 DICLOREUM RETARD POR TBL PRO 20X100MG AASW I 74,71 113,56 38,85 6,64 3,740075631 DICLOFENAC AL RETARD POR TBL RET 20X100MG AAYL D 74,71 118,13 43,42 6,64 3,740021731 VERAL 100 RETARD POR TBL RET 30X100MG AHPE CZ 112,06 167,27 55,21 9,96 3,740015539 OLFEN-100 SR POR CPS PRO AMFS P 74,71 149,62 74,91 6,64 3,7420X100MG0058880 DOLMINA 100 SR POR TBL PRO 20X100MG AZNP CZ 74,71 156,45 81,74 6,64 3,740075632 DICLOFENAC AL RETARD POR TBL RET 50X100MG AAYL D 186,77 283,03 96,26 16,60 3,740075633 DICLOFENAC AL RETARD POR TBL RETAAYL D 373,53 538,27 164,74 33,20 3,74100X100MG0015626 VOLTAREN RETARD POR TBL PRO 30X100MG ANAI CZ 112,06 395,32 283,26 9,96 3,740046620 UNO POR TBL RET 10X150MG ARAT D 56,03 93,71 37,68 4,98 3,740046621 UNO POR TBL RET 20X150MG ARAT D 112,06 187,42 75,36 9,96 3,74M01AB05 p.rect. Diklofenak0042612 MONOFLAM 100 MG RCT SUP 10X100MG AWIA D 45,33 111,57 66,24 66,24 4,530052455 VERAL 100 MG RCT SUP 10X100MG AHPE CZ 45,33 111,57 66,24 66,24 4,53M01AB05 parent. Diklofenak0066759 DICLOREUM INJ SOL 6X3ML/75MG AASW I A 46,50 47,29 0,79 0,00 10,330067547 ALMIRAL INJ SOL 10X3ML/75MG AMOE CY A 77,49 80,87 3,38 0,00 10,330103409 VERAL 75 INJ SOL 5X3ML/75MG AHPE CZ A 38,75 54,98 16,23 0,00 10,330054539 DOLMINA INJ INJ SOL 5X3ML/75MG AZNP CZ A 38,75 83,82 X 45,07 0,00 10,330015541 OLFEN-75 INJ SOL 5X2ML AMFS P A 38,75 107,73 68,98 0,00 10,330015629 VOLTAREN INJ SOL 5X3ML/75MG ANAI CZ A 38,75 117,82 79,07 0,00 10,33M01AC01 p.o. Piroxikam0011068 PIROXICAM AL 20 POR TBL NOB 20X20MG AAPA D 40,26 46,10 5,84 5,84 2,010084717 HOTEMIN 20 MG POR CPS DUR 20X20MG AEGB H 40,26 59,41 19,15 5,84 2,010049503 FLAMEXIN POR TBL NOB 20X20MG ACHS I 40,26 151,84 111,58 5,84 2,010049522 FLAMEXIN POR TBL NOB 30X20MG ACHS I 60,39 268,66 208,27 8,76 2,01M01AC01 parent. Piroxikam0068649 HOTEMIN INJ SOL 5X1ML/20MG AEGB H A 51,67 69,97 18,30 0,00 10,33M01AC06 p.o. Meloxikam0143365 APO-MELOXICAM 7,5 MG POR TBL NOB 20X7.5MG AATX NL 48,90 71,86 22,96 0,00 4,89ÚhradaVysvětlivky: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 187 z 302
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InfoCis121004 - Svaz zdravotních pojišťoven ČR

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