| Pharmacode | GTIN | Artikelname | Packungsgrösse | Status | Firma | PPUB | | | |
|---|
| Höchstvergütungsbetrag: 151.90 ( Stück ) MiGel Code: 05.11.02.00.1 | |
|
| 2314748 | 4005862029400 | BORT Symphysengurt GrL hautfarbe | | A | Orthosan AG | 154.30 | G | |  |
| 2314731 | 4005862029394 | BORT Symphysengurt GrM hautfarbe | | A | Orthosan AG | 154.30 | G | | |
| 2314725 | 4005862029387 | BORT Symphysengurt GrS hautfarbe | | A | Orthosan AG | 154.30 | G | | |
| 4378362 | 4005862048678 | BORT Symphysengurt GrXL hautfarbe | | A | Orthosan AG | 154.30 | G | | |
