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 EKV2N05BA09 p.o. Klobazam0065342 FRISIUM 10 POR TBL NOB 20X10MG ASFK CZ 57,91 85,46 27,55 27,55 5,79N05BA12 p.o. Alprazolam0170493 ALPRAZOLAM ORION 0,25 MG POR TBL NOB30X0.25MG0170495 ALPRAZOLAM ORION 0,25 MG POR TBL NOB100X0.25MG0091788 NEUROL 0,25 POR TBL NOB30X0.25MG0059754 FRONTIN 0,25 MG POR TBL NOB30X0.25MG0090957 XANAX 0,25 MG POR TBL NOB30X0.25MG0059755 FRONTIN 0,25 MG POR TBL NOB100X0.25MGÚhradaZORN SF 4,87 38,11 33,24 9,82 3,25ZORN SF 16,26 82,46 66,20 32,72 3,25AZNP CZ 7,92 35,44 X 27,52 9,82 5,28AEGB H 7,92 50,54 42,62 9,82 5,28APFX CZ 7,92 56,94 49,02 9,82 5,28AEGB H 26,41 90,41 64,00 32,72 5,280170497 ALPRAZOLAM ORION 0,5 MG POR TBL NOB 30X0.5MG ZORN SF 9,76 69,45 59,69 19,63 3,250170499 ALPRAZOLAM ORION 0,5 MG POR TBL NOB ZORN SF 32,53 97,97 65,44 65,44 3,25100X0.5MG0059756 FRONTIN 0,5 MG POR TBL NOB 30X0.5MG AEGB H 10,56 58,36 47,80 19,63 3,520090959 XANAX 0,5 MG POR TBL NOB 30X0.5MG APFX CZ 10,56 74,87 64,31 19,63 3,520006618 NEUROL 0,5 POR TBL NOB 30X0.5MG AZNP CZ 10,56 82,65 X 72,09 19,63 3,520059757 FRONTIN 0,5 MG POR TBL NOB AEGB H 35,19 194,55 159,36 65,44 3,52100X0.5MG0110034 HELEX RETARD 0,5 MG POR TBL PRO 30X0,5MG AKRK SLO 20,05 60,79 40,74 19,63 6,680083099 XANAX SR 0,5 MG POR TBL PRO 30X0.5MG APFX CZ 20,05 142,00 121,95 19,63 6,680170501 ALPRAZOLAM ORION 1 MG POR TBL NOB 30X1MG ZORN SF 14,07 117,14 103,07 39,26 2,350086656 NEUROL 1,0 POR TBL NOB 30X1MG AZNP CZ 14,07 124,66 X 110,59 39,26 2,350096977 XANAX 1 MG POR TBL NOB 30X1MG APFX CZ 14,07 130,44 116,37 39,26 2,350059758 FRONTIN 1 MG POR TBL NOB 30X1MG AEGB H 14,07 152,56 138,49 39,26 2,350170503 ALPRAZOLAM ORION 1 MG POR TBL NOB 100X1MG ZORN SF 46,92 253,98 207,06 130,88 2,350059759 FRONTIN 1 MG POR TBL NOB 100X1MG AEGB H 46,92 497,89 450,97 130,88 2,350110035 HELEX RETARD 1 MG POR TBL PRO 30X1MG AKRK SLO 26,77 85,73 58,96 39,26 4,460083100 XANAX SR 1 MG POR TBL PRO 30X1MG APFX CZ 26,77 211,62 184,85 39,26 4,460096983 XANAX 2 MG POR TBL NOB 50X2MG APFX CZ 46,92 373,56 326,64 130,88 2,350083101 XANAX SR 2 MG POR TBL PRO 30X2MG APFX CZ 35,69 324,48 288,79 78,53 2,970110036 HELEX RETARD 2 MG POR TBL PRO 30X2MG AKRK SLO 35,69 339,71 304,02 78,53 2,97N05BE01 p.o. Buspiron0066131 BUSPIRON-EGIS 5 MG POR TBL NOB 60X5MG AEGB H 60,11 85,87 25,76 25,51 6,010021013 BUSPIRON-EGIS 5 MG POR TBL NOB 30X5MG AEGB H 37,04 97,39 60,35 25,51 7,41Vysvětlivky: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 242 z 302
Informační číselník Svazu zdravotních pojišťoven ČR říjen 2012Kód Název Doplněk názvu DRZ ZEM LIM1 OME1 IND1 UHR1 MFC DNC Doplatek ZAP1 EKV1 EKV20066132 BUSPIRON-EGIS 10 MG POR TBL NOB 60X10MG AEGB H 98,77 149,78 51,01 51,01 4,940021006 BUSPIRON-EGIS 10 MG POR TBL NOB 30X10MG AEGB H 49,38 163,94 114,56 51,01 4,94N05BX01 p.o. Mefenoxalon0003645 DIMEXOL POR TBL NOB 30X200MG AGMP CZ 63,57 97,32 33,75 33,75 12,710085656 DORSIFLEX 200 MG POR TBL NOB 30X200MG ALEK SLO 63,57 97,32 33,75 33,75 12,71N05CD08 parent. Midazolam0030160 MIDAZOLAM TORREX 1 MG/ML INJ SOL 10X2ML/2MG ACQI CZ A 73,11 184,34 111,23 0,00 54,830127737 MIDAZOLAM ACCORD 5 MG/ML INJ+INF SOL 10X1ML AAHN GB A 182,77 193,80 11,03 0,00 54,830127736 MIDAZOLAM ACCORD 1 MG/ML INJ+INF SOL 10X5ML AAHN GB A 182,77 206,33 23,56 0,00 54,830030187 MIDAZOLAM TORREX 5 MG/ML INJ SOL 10X1ML/5MG ACQI CZ A 182,77 207,41 24,64 0,00 54,830109487 MIDAZOLAM B. BRAUN 1 MG/ML INJ SOL 20X5ML ABMM D A 365,55 399,23 33,68 0,00 54,830030164 MIDAZOLAM TORREX 1 MG/ML INJ SOL 10X5ML/5MG ACQI CZ A 182,77 317,81 135,04 0,00 54,830025034 DORMICUM INJ SOL 10X1ML/5MG ARCE CZ A 182,77 376,29 193,52 0,00 54,830109493 MIDAZOLAM B. BRAUN 5 MG/ML INJ SOL 10X3ML ABMM D A 486,71 486,71 0,00 0,00 48,670030205 MIDAZOLAM TORREX 5 MG/ML INJ SOL 10X3ML/15MG ACQI CZ A 491,95 491,95 0,00 0,00 49,200085325 DORMICUM INJ SOL 5X3ML/15MG ARCE CZ A 273,74 388,92 115,18 0,00 91,250109498 MIDAZOLAM B. BRAUN 5 MG/ML INJ SOL 20X10ML ABMM D A 2 207,55 2 207,55 0,00 0,00 33,110184095 MIDAZOLAM ACCORD 5 MG/ML INJ+INF SOL 10X10ML AAHN GB A 1 419,53 1 419,53 0,00 0,00 42,590030215 MIDAZOLAM TORREX 5 MG/ML INJ SOL 10X10ML/50MG ACQI CZ A 1 512,98 1 512,98 0,00 0,00 45,390127739 MIDAZOLAM ACCORD 5 MG/ML INJ+INF SOL 1X10ML AAHN GB A 155,16 155,16 0,00 0,00 46,550014987 DORMICUM INJ SOL 5X10ML/50MG ARCE CZ A 913,86 1 209,46 295,60 0,00 54,83N06AA02 p.o. Imipramin0176807 MELIPRAMIN POR TBL FLM 50X25MG AEGB H 108,20 140,95 32,75 32,75 8,660000200 MELIPRAMIN POR TBL OBD 50X25MG AEGB H 108,20 140,95 32,75 32,75 8,66N06AA04 p.o. Klomipramin0016029 ANAFRANIL 25 POR TBL OBD 30X25MG ANAI CZ 94,95 115,40 20,45 14,53 12,660016028 ANAFRANIL SR 75 POR TBL RET 20X75MG ANAI CZ 189,90 218,95 29,05 29,05 12,66N06AA08 p.o. Dibenzepin0016313 NOVERIL 240 POR TBL PRO 20X240MG ANAI CZ 216,98 216,98 0,00 0,00 13,56N06AA09 p.o. Amitriptylin0087167 AMITRIPTYLIN-SLOVAKOFARMA POR TBL FLM 50X28.3MG AZEH SK 51,42 55,32 3,90 3,90 2,73N06AA10 p.o. Nortriptylin0012343 NORTRILEN POR TBL FLM 50X25MG IPPVysvětlivky:ÚhradaALUN DK 134,06 134,06 0,00 0,00 8,04UHR1 – 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 243 z 302
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InfoCis121004 - Svaz zdravotních pojišťoven ČR

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