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 EKV20014784 ROSEMIG 50 MG POR TBL FLM 2X50MG AMFI GB 31,30 273,69 242,39 2,03 15,650107976 SUMAMIGREN 50 MG POR TBL FLM 6X50MG APBC PL 93,90 420,69 326,79 6,10 15,650117770 SUMATRIPTAN ORION 50 MG POR TBL FLM 6X50MG AORN SF 93,90 539,73 445,83 6,10 15,650102494 CINIE 50 POR TBL NOB 6X50MG AZNP CZ 93,90 599,67 505,77 6,10 15,650014134 ROSEMIG 50 MG POR TBL FLM 6X50MG AMFI GB 93,90 659,60 565,70 6,10 15,650022094 ROSEMIG SPRINTAB 50 MG POR TBL SUS 6X50MG AMFI GB 103,28 687,88 584,60 6,10 17,210022096 ROSEMIG SPRINTAB 50 MG POR TBL SUS 2X50MG AMFI GB 34,43 272,18 237,75 2,03 17,220146269 SUMATRIPTAN MYLAN 100 MG POR TBL FLM 2X100MG AGNS GB 41,72 81,72 X 40,00 4,07 10,430010248 SUMIGRA 100 MG POR TBL FLM 2X100MG ASZK A 41,72 185,98 144,26 4,07 10,430107979 SUMAMIGREN 100 MG POR TBL FLM 2X100MG APBC PL 41,72 221,78 180,06 4,07 10,430117773 SUMATRIPTAN ORION 100 MG POR TBL FLM 2X100MG AORN SF 41,72 279,76 238,04 4,07 10,430102497 CINIE 100 POR TBL NOB 2X100MG AZNP CZ 41,72 311,10 269,38 4,07 10,430014786 ROSEMIG 100 MG POR TBL FLM 2X100MG AMFI GB 41,72 385,89 344,17 4,07 10,430107983 SUMAMIGREN 100 MG POR TBL FLM 6X100MG APBC PL 125,16 639,81 514,65 12,20 10,430117776 SUMATRIPTAN ORION 100 MG POR TBL FLM 6X100MG AORN SF 125,16 769,04 643,88 12,20 10,430102500 CINIE 100 POR TBL NOB 6X100MG AZNP CZ 125,16 885,05 759,89 12,20 10,430022098 ROSEMIG SPRINTAB 100 MG POR TBL SUS 2X100MG AMFI GB 45,89 385,89 340,00 4,07 11,47N02CC01 parent. Sumatriptan0047280 IMIGRAN INJ SOL 2X0.5ML/6MG AGLA GB E NEU P 1 098,16 1 180,07 81,91 81,91 549,08N02CC02 p.o. Naratriptan0053135 NARAMIG 2,5 MG POR TBL FLM 2X2.5MG AGLA GB 31,30 323,21 291,91 221,73 15,650053137 NARAMIG 2,5 MG POR TBL FLM 6X2.5MG AGLA GB 93,90 759,10 665,20 665,20 15,65N02CC03 p.o. Zolmitriptan0053084 ZOMIG 5 MG POR TBL FLM 3X5MG AAZN GB 62,59 959,85 897,26 897,26 10,430053080 ZOMIG 2,5 MG POR TBL FLM 3X2.5MG AAZN GB 46,95 502,33 455,38 448,63 15,65N02CC06 p.o. Eletriptan0059768 RELPAX 80 MG POR TBL FLM 2X80MG-ACL0059764 RELPAX 40 MG POR TBL FLM 2X40MGACÚhradaAPFX CZ 45,89 622,91 577,02 572,58 11,47APFX CZ 34,43 320,72 286,29 286,29 17,22N02CC07 p.o. Frovatriptan0018113 FROMEN POR TBL FLM 2X2.5 MG AMNI L 31,30 236,30 205,00 205,00 15,65N02CX01 p.o. Pizotifen0016314 SANDOMIGRAN 0,5 MG POR TBL OBD 30X0.5MG ANAI CZ 92,10 98,19 6,09 6,09 9,21Vysvětlivky: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 208 z 302
Informační číselník Svazu zdravotních pojišťoven ČR říjen 2012Kód Název Doplněk názvu DRZ ZEM LIM1 OME1 IND1 UHR1 MFC DNC Doplatek ZAP1 EKV1 EKV2N03AA02 p.o. Fenobarbital0068579 PHENAEMAL 0,1 POR TBL NOB 50X100MG ADET D 137,89 141,23 3,34 3,34 2,760068578 PHENAEMALETTEN POR TBL NOB 50X15MG ADET D 62,74 131,55 68,81 0,50 8,37N03AA03 p.o. Primidon0018489 LISKANTIN POR TBL NOB100X250MGN03AB02 p.o. Fenytoin0162694 EPILAN D GEROT POR TBL NOB100X100MG0062234 EPILAN D GEROT POR TBL NOB100X100MGÚhradaADET D 219,96 313,49 93,53 93,53 11,00AGCL A 75,98 81,42 5,44 5,44 2,28AGCL A 75,98 81,42 5,44 5,44 2,28N03AB02 parent. Fenytoin0107712 EPANUTIN PARENTERAL INJ SOL 5X5ML/250MG APFX CZ A 287,63 287,63 0,00 0,00 258,87N03AD01 p.o. Ethosuximid0163863 PETINIMID POR CPS MOL100X250MG0092041 PETINIMID POR CPS MOL100X250MGAGCL A 232,68 331,67 98,99 98,99 11,63AGCL A 232,68 331,67 98,99 98,99 11,63N03AE01 p.o. Klonazepam0085256 RIVOTRIL 2,5 MG/ML POR GTT SOL 1X10ML ARCE CZ 16,36 49,62 33,26 4,76 5,240014958 RIVOTRIL 2 MG POR TBL NOB 30X2MG ARCE CZ 58,91 75,87 16,96 11,42 7,850014957 RIVOTRIL 0,5 MG POR TBL NOB 50X0.5MG ARCE CZ 55,23 59,99 4,76 4,76 17,67N03AE01 parent. Klonazepam0014989 RIVOTRIL INJ SOL5X1ML/1MG+SOLV.ARCE CZ A 90,54 129,35 38,81 0,00 144,86N03AF01 p.o. Karbamazepin0071954 TIMONIL 150 RETARD POR TBL PRO 50X150MG ADET D 107,11 134,78 27,67 27,67 14,280098080 NEUROTOP POR TBL NOB 50X200MG AGCL A 70,58 129,36 58,78 36,89 7,060163877 NEUROTOP 200 MG POR TBL NOB 50X200MG AGCL A 70,58 129,36 58,78 36,89 7,060003417 BISTON POR TBL NOB 50X200MG AZEH SK 70,58 302,50 231,92 36,89 7,060016444 TEGRETOL CR 200 POR TBL PRO 50X200MG ANAI CZ 120,71 206,55 85,84 36,89 12,070096305 NEUROTOP RETARD 300 POR TBL PRO 50X300MG AGCL A 142,75 268,40 125,65 55,34 9,520163754 NEUROTOP RETARD 300 POR TBL PRO 50X300MG AGCL A 142,75 268,40 125,65 55,34 9,520060164 TIMONIL 300 RETARD POR TBL PRO 50X300MG ADET D 142,75 268,76 126,01 55,34 9,520060165 TIMONIL 300 RETARD POR TBL PRO ADET D 285,51 529,76 244,25 110,68 9,52100X300MGVysvětlivky: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 209 z 302
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InfoCis121004 - Svaz zdravotních pojišťoven ČR

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