O B J E D N Á V K A _________________________________________________________________________________________________ Odběratel: Dodavatel: FNKV PHARMOS,a.s. Těšínská 1349/296 71600 Ostrava-Radvanice IČO: 00064173 IČO: 19010290 DIČ: DIČ: CZ19010290 Bankovní spojení: Číslo účtu: Datum obj: 15.12.2025 _________________________________________________________________________________________________ Objednávka číslo: LEK-782196 Určeno pro: Výdej pro nemocnici _________________________________________________________________________________________________ Název+Popis Katalog. č. Počet MJ Cena/J Cena celk. Brintellix 10 mg, tbl flm 28x10mg 1 BAL 599.11 599.11 Cardilan, inj 10x10ml 30 173.26 5 197.80 Colchicum-dispert, por tbl obd 20x500rg 3 BAL 176.27 528.81 Concor 10mg, tbl flm 30 2 BAL 143.51 287.02 Corvaton forte, 4mg tbl nob 30 2 BAL 60.58 121.16 Cotylena, 100mg vag tbl nob 6 2 BAL 78.44 156.88 Depo-Medrol 40 mg/ml, inj sus 1x1ml/40mg 30 68.22 2 046.50 Diozen, 500mg tbl flm 120 5 BAL 250.22 1 251.10 Ewofex 180 mg, por tbl flm 30x180mg 2 BAL 159.03 318.06 Ezen, 10mg tbl nob 30 ii 10 BAL 52.32 523.20 Fenolax, 5mg tbl ent 30 1 BAL 95.10 95.10 Fortrans, por plv sol 4 5 BAL 188.09 940.45 Garamycin schwamm, 130mg spo med 1 1 KS 1 996.09 1 996.09 Gutron, 5mg tbl nob 50 2 BAL 312.68 625.36 Helides 40 mg, cps 28x40mg 5 BAL 116.38 581.90 Imazol krempasta, drm pst 1x30g 20 BAL 132.35 2 647.00 Infalin duo , aur gtt sol 1x10ml 2 BAL 165.18 330.36 Ketosteril tbl, tbl obd 100 1 1 090.04 1 090.04 Levetiracetam stada arzneimittel ag, 1000mg tb 5 BAL 256.91 1 284.55 Levetiracetam stada arzneimittel ag, 500mg tbl 5 BAL 256.91 1 284.54 Locoid 0,1%, 1mg/g ung 1x30g 2 KS 62.41 124.82 Lozap H, por tbl flm 90 1 BAL 126.37 126.37 Medrol 16 mg, por tblnob50x16mg-b 1 BAL 181.65 181.65 Metoclopramide noridem, 5mg/ml inj sol 50(10x5 10 BAL 210.38 2 103.80 Moxostad, 0,4mg tbl flm 30 1017356703 3 BAL 53.85 161.55 Peroxid vodiku 3%, liq 1x100ml 10 KS 50.61 506.10 Ponvory 20mg, 20mg tbl flm 28 Výjimka BAL Výjimka Výjimka Reasec, tbl 20x2.5mg 2 166.05 332.10 Risperidon actavis, 1mg tbl flm 60 1 BAL 127.08 127.08 Smecta 3g SD, por plv sus 10x3gm 5 BAL 160.66 803.30 Soluvit N , inf plv sol 10x1lag 7 1 381.02 9 667.14 Sumetrolim, tbl 20x480mg Výjimka Výjimka Výjimka Trittico AC 75mg, tbl ret 45 10 BAL 128.70 1 287.00 Zodac, por tbl flm 30x10mg 5 39.31 196.55 Zoxon 2, tbl 30x2mg 1 158.08 158.08 _________________________________________________________________________________________________ Celkem bez dane: 152 545.87 Celkem s daní : 170 851.37