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["Kód","Název","Doplněk","Úhrada","Vykazovací limit","Maximální cena","Orientační cena"]
["0001017","MOXOSTAD 0,4 MG","POR TBL FLM 100X0.4MG",465.29,"","",""]
["0016916","MOXOSTAD 0,2 MG","POR TBL FLM 100X0.2MG",348.87,"","",""]
["0016926","MOXOSTAD 0,3 MG","POR TBL FLM 100X0.3MG",412.86,"","",""]
["0049941","BETALOC ZOK 100 MG","POR TBL PRO 100X100MG",{"v":141,"d":"141.00"},"","",""]
["0057358","CLIMARA 50","DRM EMP TDR 4X3.9MG",127.34,"","",""]
["0058038","BETALOC ZOK 50 MG","POR TBL PRO 100X50MG",{"v":106,"d":"106.00"},"","",""]
["0058041","BETALOC ZOK 200 MG","POR TBL PRO 30X200MG",{"v":56.4,"d":"56.40"},"","",295.88]
["0058042","BETALOC ZOK 200 MG","POR TBL PRO 100X200MG",{"v":188,"d":"188.00"},"","",""]
["0086606","MEDROL 16 MG","POR TBL NOB 50X16MG",380.01,"",299.84,443.62]
["0093616","MEDROL 4 MG","POR TBL NOB 30X4MG",128.28,"",{"v":59.1,"d":"59.10"},82.82]
["0101206","PRESTARIUM NEO","POR TBL FLM 30X5MG",{"v":112.8,"d":"112.80"},"",266.96,395.51]
["0101228","PRESTARIUM NEO FORTE","POR TBL FLM 30X10 MG",{"v":150.6,"d":"150.60"},"",418.09,604.92]
["0140227","METFORMIN BLUEFISH 500 MG","POR TBL FLM 60X500MG",82.05,"","",""]
["0140244","METFORMIN BLUEFISH 850 MG","POR TBL FLM 60X850MG",102.23,"","",""]
["0140250","METFORMIN BLUEFISH 850 MG","POR TBL FLM 100X850MG",170.39,"","",""]
["0140258","METFORMIN BLUEFISH 1000 MG","POR TBL FLM 60X1000MG",109.37,"","",""]
["0141641","CLOPIDOGREL STADA 75 MG POTAHOVANÉ TABLETY","POR TBL FLM 100X75MG I",1313.07,"",1116.48,1526.56]
["0141648","CLOPIDOGREL STADA 75 MG POTAHOVANÉ TABLETY","POR TBL FLM 100X75MG II",1313.07,"",1116.48,1526.56]
["0150401","METFORMIN BLUEFISH 850 MG","POR TBL FLM 120X850MG",204.47,"","",""]
["0150402","METFORMIN BLUEFISH 1000 MG","POR TBL FLM 120X1000MG",218.75,"","",""]
["0169002","CLOPIDOGREL STADA 75 MG POTAHOVANÉ TABLETY","POR TBL FLM 30X75MG I",393.92,"",292.59,433.01]
["0169010","CLOPIDOGREL STADA 75 MG POTAHOVANÉ TABLETY","POR TBL FLM 30X75MG II",393.92,"",292.59,433.01]
["0169018","CLOPIDOGREL STADA 75 MG POTAHOVANÉ TABLETY","POR TBL FLM 30X75MG III",393.92,"",292.59,433.01]
["0169028","CLOPIDOGREL STADA 75 MG POTAHOVANÉ TABLETY","POR TBL FLM 100X75MG III",1313.07,"",1116.48,1526.56]
["0176024","ZITROCIN 500 MG TBL","POR TBL FLM 3X500MG",183.21,"","",""]
["0176036","LANBICA 50 MG","POR TBL FLM 30X50MG",{"v":803.1,"d":"803.10"},"E",1698.11,2275.12]
["0176054","LANBICA 150 MG","POR TBL FLM 30X150MG",{"v":1297.5,"d":"1297.50"},"E",5772.84,7343.28]