O B J E D N Á V K A (204377) _________________________________________________________________________________________________________ Objednatel: Dodavatel: Lékárna FN Motol Alliance HealthCare, s. r. o. V Úvalu 84 Podle trati 624/7 150 06 Praha 5 10800 Praha 10 Malesice IČO: 00064203 IČO: 14707420 DIČ: CZ000064203 DIČ: CZ14707420 Bankovní spojení: Zák.číslo: Číslo účtu: Datum obj: 03.11.2025 _________________________________________________________________________________________________________ Objednávka číslo: LEK-204377 Určeno pro: Sklad HVLP _________________________________________________________________________________________________________ Název+Popis Katalog. č. Počet MJ FLUTIFORM 50 MIKROGRAMŮ/5 MIKROGRAMŮ V JEDNÉ D 2 KS SIMBRINZA 10 MG/ML + 2 MG/ML, OPH GTT SUS 1X5M 1 KS HUMULIN M3 (30/70) KWIKPEN, 100IU/ML INJ SUS P 1 BAL CILOSTAZOL STADA 100 MG TABLETY, POR TBL NOB 2 1 BAL YLPIO, 80MG/2,5MG TBL NOB 30 1 BAL COMBAIR, 200MCG/6MCG/DÁV INH SOL PSS 1X180DÁV 1 KS ACC 200, cps 20x200mg 5 BAL ALGIFEN NEO, POR GTT SOL 1X50ML 120 BAL AMOKSIKLAV 625 MG, TBL OBD 21X625MG 10 BAL BACLOFEN-POLPHARMA 10 MG, POR TBL NOB 50X10MG 20 BAL BELODERM, DRM CRM1X30GM 0.05% 10 CALCICHEW D3, 500MG/200IU TBL MND 60 20 BAL CIFLOXINAL 500 MG, POR TBL FLM 10X500MG 6 BAL CLINDAMYCIN HAMELN, 150MG/ML INJ/INF SOL 10X4M 100 BAL CORYOL 6,25, PORTBLNOB 30X6.25MG 10 DIPHERELINE S.R., 11,25MG INJ PLQ SUS PRO 1+1X 5 BAL ESPUMISAN, PORCPSMOL50X40MG-BL 80 FAKTU, 50MG/G+10MG/G RCT UNG 1X20G 20 KS FENISTIL, 1MG/ML POR GTT SOL 1X20ML 30 KS FUROLIN, 100MG CPS DUR 30 10 BAL FUROSEMID BBP, 10MG/ML INJ SOL 10X2ML 46 BAL INFADOLAN, 1600IU/G+300IU/G UNG 30G II 32 KS ISOPTIN, 80MG TBL FLM 50 0191490 2 BAL LOCOID 0,1%, 1MG/G CRM 1X30G 10 KS NAKOM MITE, TBL 100X125MG 10 NEBIVOLOL SANDOZ, 5MG TBL NOB 28 10 BAL PRAGIOLA 150 MG, POR CPS DUR 56X150MG 20 BAL PREDNISON 5 LECIVA, TBL 20X5MG 50 PRENESSA, 4MG TBL NOB 30 30 BAL PRENESSA, 8MG TBL NOB 30 20 BAL PRENEWEL, 8MG/2,5MG TBL NOB 30 5 BAL SUMETROLIM, TBL 20X480MG 30 TANTUM VERDE, ORM GGR 1X240 ML 36 KS THIAMIN LECIVA, INJ 10X2ML/100MG 20 TRITTICO AC, 75MG TBL RET 45 20 BAL VANCOMYCIN VIATRIS, 500MG INF PLV SOL 1 160 KS CYCLOVISION, 10MG/ML OPH GTT SOL 1X10ML 5 RESICAL, 1,8MMOL/G POR/RCT PLV SUS 1X500G 1 KS UROLOGICKÁ ČAJOVÁ SMĚS, SPC 20 I MEGAFYT 30 BAL PEGASYS, 90MCG INJ SOL ISP 1X0,5ML+1J 1 KS FLUTIFORM 125 MIKROGRAMŮ/5 MIKROGRAMŮ V JEDNÉ 1 KS _________________________________________________________________________________________________________ Celkem bez dane: 126 030,45 Celkem s daní : 141 154,11