Upozornění: Text přílohy byl získán strojově a nemusí přesně odpovídat originálu. Zejména u strojově nečitelných smluv, kde jsme použili OCR. originál smlouvy stáhnete odsud
Potvrzení objednávky 3RWYU]HQNDþ9729111171-19
þ9729111171-19
Dodavatel: PHARMOS a.s. ,ý19010290
Doklad: 9729111171-19 Datum: 03.06.2019 Doklad FNO: P08204-ust
3ĜHGPČW 1iNXS+9/3,9/33=7DGRSOĖNĤYêåLY\
Cena celkem bez DPH 901 818,63 CZK
Cena celkem s DPH 992 060,99 CZK
Seznam položek (48x) Jedn.cena Jedn.cena Množství
bez DPH s DPH
Název položky 20,0 bal
147,67 162,44 60,0
ACC LONG TBL EFF 20X600MG 600MG TBL EFF 20 44,21 48,63
ACIDUM ASCORBICUM BIOTIKA INJ 5X5ML 100MG/ML INJ SOL 5X5ML 36,26 39,89 5,0 bal
AJATIN PROFARMA TCT 1X50ML 100MG/ML DRM SOL 1X50ML 30,0
ALBUTEIN 200G/L INF SOL 1X50ML 567,03 623,73 50,0
ALBUTEIN 50G/L INF SOL 1X250ML 708,78 779,66
ALGIFEN NEO GTT 50ML 500MG/ML+5MG/ML POR GTT SOL 1X50ML 30,0 ks
ALMIRAL INJ 10X3ML/75MG 75MG/3ML INJ SOL 10X3ML 87,08 95,79 50,0 bal
ARGOFAN 75 SR 75MG TBL PRO 30 53,12 58,43
ASENTRA 100 POR TBL FLM 28X100MG 100MG TBL FLM 28 67,76 74,54 10,0
%DQPLQWK.DW]HPJJSHURUSDVWDSURNRþN\J 168,15 184,97 5,0 bal
BETALOC 1MG/ML INJ SOL 5X5ML 177,42 195,16 6,0 ks
BINOCRIT 30000 IU/0,75ML SDR+IVN INJ SOL 1X0.75ML 86,04 94,64
BUSCOPAN 20MG/ML INJ SOL 5X1ML INJ SOL 2309,16 2540,07 15,0
CEFOBID 1 G INJ SIC 1X1GM 1G INJ PLV SOL 1 80,67 88,74 100,0
CIMZIA 200MG INJ.SOL.2X1ML 200MG INJ SOL 2X1ML I 123,53 135,88
CIPRALEX 10 MG POR TBL FLM 56X10MG I TBL FLM 16652,51 18317,76 60,0
CITALEC 20 ZENTIVA 20MG TBL FLM 30 182,35 200,59 100,0 ks
'(%5,(&$6$1$48$*(/0//È+(9675<6.28.$7ýË6/20/ 89,86 98,85
DEPAKINE CHRONO 500MG 100 TBL 500MG TBL RET 100 240,06 276,07 6,0 ks
DETRALEX POR.TBL.FLM.60 500MG TBL FLM 60 307,64 338,40 5,0
DITHIADEN INJ.10X2ML 0,5MG/ML INJ SOL 10X2ML 269,72 296,69
DOLMINA 100 SR TBL RET 20X100MG 100MG TBL PRO 20 205,18 225,70 20,0
EXACYL INJ SOL 5X5ML/500MG 96,22 105,84 5,0 ks
EZICLEN KONC PEROR ROZTOK 2X180ML POR CNC SOL 2X176ML 113,31 124,64 5,0 bal
GUAJACURAN 5% INJ 10X10 ML 50MG/ML INJ SOL 10X10ML 164,06 180,47 10,0 bal
HELICID INF.LYOF.1X40MG 40MG INF PLV SOL 1 227,75 250,53 50,0 ks
LOPRIDAM 8MG/2,5MG/10MG TBL NOB 30 65,87 72,46 20,0 bal
METRONIDAZOL 500MG 10X100ML 5MG/ML INF SOL BBRAUN 148,62 163,48 30,0 bal
NASONEX NAS.SPR.SUS. 140X50RG 50MCG/DÁV NAS SPR SUS 140DÁV 349,42 384,36 30,0 bal
NOLPAZA 40MG TBL14 ENTEROSOLV 40MG TBL ENT 14 122,08 134,29 50,0 bal
125$'5(1$/,1/eý,9$,91,1)&1&62/;0/ 30,03 33,03 200,0 bal
NORDITROPIN SIMPLEXX 15MG/1.5ML INJ 15MG/1,5ML INJ SOL ZVL 1X1,5ML 641,19 705,31
OLYNTH 0,1% NAS SPR SOL 1X10ML 6530,52 7183,57 1,0
OPRYMEA 0,088 MG POR TBL NOB 30X0.088MG 63,09 69,40 30,0 bal
QUAMATEL INJ SIC 5X20MG+SOLV 20MG INJ/INF PSO LQF 5+5X5ML 50,82 55,90 10,0 bal
160,39 176,43 10,0 bal
50,0
30,0 bal
20,0 ks
1,0
60,0 bal
Str. 1 / 2 7.6.2019 22:56:15
3RWYU]HQNDþ9729111171-19
REBIF 22MCG INJ SOL 12X0,5ML 22MCG INJ SOL ISP 12X0,5ML 6669,75 7336,73 10,0 bal
SANDIMMUN NEORAL 25MG CPS.50X25MG 25MG CPS MOL 50 243,59 267,95 15,0 bal
SANDIMMUN NEORAL 50MG CPS.50X50MG 50MG CPS MOL 50 540,17 594,19 15,0 bal
SOLU-MEDROL INJ SIC 1X40MG+1ML 40MG/ML INJ PSO LQF 40MG+1ML 78,54 86,39 100,0 ks
SOLU-MEDROL INJ SIC 1X500MG+8ML 62,5MG/ML INJ PSO LQF 500MG+8ML 155,90 171,49
SYNTOSTIGMIN INJ 10X1ML 0,5MG/ML INJ SOL 10X1ML 61,85 68,04 8,0 ks
TARCEVA 100 MG 30TBL FLM 100MG TBL FLM 30 30,0 ks
TORVACARD NEO 20 MG POR TBL FLM 90X20MG TBL FLM 31238,66 34362,53
TRALGIT 100 INJ SOL 5X2ML/100MG 100MG/2ML INJ SOL 5X2ML 191,38 210,52 1,0 ks
VASOCARDIN 50 POR TBL NOB 50X50MG 53,29 58,62 3,0
VENORUTON FORTE 500MG TBL NOB 60 TBL NOB 71,81 78,99
VIT.B 12 INJ 5X1ML 1000 GAMA 1000MCG INJ SOL 5X1ML 306,48 337,13 50,0 bal
ZEFFIX 100MG 84TBL.OBD. 100MG TBL FLM 84 58,19 64,01 10,0
2,0
2471,04 2718,14
20,0 ks
20,0 bal
0JU,YDQD0LþNDORYi
.............................................................
LÉKÁRNA FNO
17. listopadu 1790, OSTRAVA-Poruba
Tel. 597 374 423
Str. 2 / 2 Digitally signed by
Ivana Mikalová
Date: 2019.06.07
22:56:20 +02:00
Fakultní nemocnice
Ostrava - Lékárna
7.6.2019 22:56:15
