05 07 2010 Lista Medicamente

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sublista Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie Cantitate UT/amb Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS Mentiuni Grupa terapeutica RO Valabil de la Preţ maxim /amb Preţ cu ridicata /amb Preţ maxim /UT Preţ de referinţă/UT Valoare compensare/UT A W05404001 ULCORAN RANITIDINUM CAPS. 150mg 20 0A02BAO V 05-07-2010 6.52 4.82 0.326000 0.258899 0.233009 A W05395003 RANITIDIN ARENA 150mg RANITIDINUM COMPR. 150mg 20 0A02BAO V 05-07-2010 6.64 4.91 0.332000 0.258899 0.233009 A W05401002 RANITIDINA 150 mg RANITIDINUM COMPR. 150mg 20 0A02BAO V 05-07-2010 6.92 5.12 0.346000 0.258899 0.233009 A W07339001 RANITIDIN RANITIDINUM COMPR. 150mg 20 0A02BAO V 05-07-2010 5.35 3.96 0.267500 0.258899 0.233009 A W05408001 ZANTAC 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 10.65 7.88 0.532500 0.258899 0.233009 A W41440001 RANITIDINA 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 4.71 3.48 0.235500 0.235500 0.211950 A W07060001 RANITIDIN 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 7.63 5.65 0.381500 0.258899 0.233009 A W42410001 RANITIDINA LAROPHARM 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 6.06 4.48 0.303000 0.258899 0.233009 A W42722001 RANITIDINA LPH 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 6.90 5.11 0.345000 0.258899 0.233009 A W53915001 RANITIDINA ATB 150 MG RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 6.90 5.11 0.345000 0.258899 0.233009 A W07061001 RANITIDIN 300 mg RANITIDINUM COMPR. FILM. 300mg 10 0A02BAO V 05-07-2010 6.46 4.78 0.646000 0.517799 0.466019 A W42721001 RANITIDINA LPH 300 mg RANITIDINUM COMPR. FILM. 300mg 30 0A02BAO V 05-07-2010 17.26 12.77 0.575333 0.517799 0.466019 A W54029001 RANITIDINA ATB 300 mg RANITIDINUM COMPR. FILM. 300mg 10 0A02BAO V 05-07-2010 6.46 4.78 0.646000 0.517799 0.466019 A W54029002 RANITIDINA ATB 300 mg RANITIDINUM COMPR. FILM. 300mg 20 0A02BAO V 05-07-2010 12.90 9.54 0.645000 0.517799 0.466019 A W06812001 ARNETIN RANITIDINUM SOL. INJ. 25mg/ml 5 0A02BAP V 05-07-2010 12.63 9.34 2.526000 1.874097 1.686687 A W05411001 ZANTAC SOLUTIE INJECTABILA RANITIDINUM SOL. INJ. 25mg/ml 5 0A02BAP V 05-07-2010 14.90 11.02 2.980000 1.874097 1.686687 A W03078002 FAMODIN 20 FAMOTIDINUM COMPR. FILM. 20mg 30 0A02BAO V 05-07-2010 8.86 6.56 0.295333 0.258899 0.233009 A W42868002 FAMOTIDINA ZENTIVA 20mg FAMOTIDINUM COMPR. FILM. 20mg 30 0A02BAO V 05-07-2010 5.86 4.34 0.195333 0.195333 0.175799 A W54838001 QUAMATEL 20 mg FAMOTIDINUM COMPR. FILM. 20mg 28 0A02BAO V 05-07-2010 9.43 6.98 0.336785 0.258899 0.233009 A W12520002 QUAMATEL (R) 40 mg FAMOTIDINUM COMPR. FILM. 40mg 14 0A02BAO V 05-07-2010 9.43 6.98 0.673571 0.517799 0.466019 A W42867001 FAMOTIDINA ZENTIVA 40 mg FAMOTIDINUM COMPR. FILM. 40mg 30 0A02BAO V 05-07-2010 7.70 5.70 0.256666 0.256666 0.230999 A W03079002 FAMODIN 40 FAMOTIDINUM COMPR. FILM. 40mg 30 0A02BAO V 05-07-2010 12.30 9.10 0.410000 0.410000 0.369000 A W54839001 QUAMATEL 20 mg FAMOTIDINUM PULB+SOLV. PT. SOL. INJ./PERF. 20mg 5 0A02BAP V 05-07-2010 24.58 18.19 4.916000 4.916000 4.424400 A W53668001 NIZATIDIN VIM SPECTRUM 150 mg NIZATIDINUM CAPS. 150mg 20 0A02BAO V 05-07-2010 18.18 13.45 0.909000 0.258899 0.233009 A W51636002 RISEK OMEPRAZOLUM CAPS. ENTER. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009 A W14124002 ORTANOL S 10 mg OMEPRAZOLUM CAPS. GASTROREZ. 10mg 14 0A02BCO V 05-07-2010 8.91 6.59 0.636428 0.339449 0.305504 A W51693001 OMEZ OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 21.37 15.81 0.712333 0.678899 0.611009 A W12519001 ORTANOL (R) 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 8.06 5.96 0.575714 0.575714 0.518142 A W51254002 OMEPRAZOL BIOFARM 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 20.51 15.17 0.732500 0.678899 0.611009 A W51254001 OMEPRAZOL BIOFARM 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 10.82 8.01 0.772857 0.678899 0.611009 A W07481003 ULTOP OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009 A W42129001 OMEPRAZOL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009 A W42284001 OMEPRAZOL LPH 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 20 0A02BCO V 05-07-2010 12.77 9.45 0.638500 0.638500 0.574650 A W43134002 HELICID 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 20.74 15.34 0.740714 0.678899 0.611009 A W43134001 HELICID 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 10.03 7.42 0.716428 0.678899 0.611009 A W43709002 OMERAN 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 23.05 17.05 0.823214 0.678899 0.611009 A W43709001 OMERAN 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.22 10.52 1.015714 0.678899 0.611009 A W51990001 OMEPRAZOL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 22.63 16.74 0.754333 0.678899 0.611009 A W52044001 OMEPRAZOL TERAPIA 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 22.48 16.63 0.749333 0.678899 0.611009 A W52887001 OMEPRAZOL ARENA 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 21.96 16.25 0.732000 0.678899 0.611009 A W53138001 OMEPRAZOL FARMEX 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 20.80 15.39 0.693333 0.678899 0.611009 A W53267001 OMEPRAZOL RPH 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 22.10 16.35 0.736666 0.678899 0.611009 A W53340001 NOVOGAST 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 20 0A02BCO V 05-07-2010 15.01 11.11 0.750500 0.678899 0.611009 A W42284003 OMEPRAZOL LPH 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 10 0A02BCO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.582300 A W54326001 OMEPRAZOL FARMAL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009 A W54326002 OMEPRAZOL FARMAL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 28.84 21.34 1.030000 0.678899 0.611009 A W55066002 OMEPRAZOL OZONE 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 18.54 13.72 0.662142 0.662142 0.595927 A W14125001 ORTANOL 40 mg OMEPRAZOLUM CAPS. GASTROREZ. 40mg 7 0A02BCO V 05-07-2010 8.01 5.93 1.144285 1.144285 1.029856 A W52078002 OMERAN 40 OMEPRAZOLUM CAPS. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 26.10 19.31 1.864285 1.357799 1.222019 A W07975001 LOSEC MUPS 10 mg OMEPRAZOLUM COMPR. FILM. GASTROREZ. 10mg 14 0A02BCO V 05-07-2010 33.11 24.50 2.365000 0.339449 0.305504 A W07976001 LOSEC MUPS 20 mg OMEPRAZOLUM COMPR. FILM. GASTROREZ. 20mg 7 0A02BCO V 05-07-2010 24.90 18.42 3.557142 0.678899 0.611009 A W52018001 OMEDAR (R) OMEPRAZOLUM COMPR. FILM. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009 A W42951001 LEVANT 15 mg LANSOPRAZOLUM CAPS. GASTROREZ. 15mg 14 0A02BCO V 05-07-2010 6.55 4.85 0.467857 0.339449 0.305504 A W03936001 LANZUL LANSOPRAZOLUM CAPS. GASTROREZ. 30mg 14 0A02BCO V 05-07-2010 13.10 9.69 0.935714 0.678899 0.611009 A W42952001 LEVANT 30 mg LANSOPRAZOLUM CAPS. GASTROREZ. 30mg 14 0A02BCO V 05-07-2010 11.33 8.38 0.809285 0.678899 0.611009 A W51690004 LANZAP 30mg LANSOPRAZOLUM CAPS. GASTROREZ. 30mg 20 0A02BCO V 05-07-2010 16.61 12.29 0.830500 0.678899 0.611009 A W10517001 DUSPATALIN 200 mg MEBEVERINUM CAPS. ELIB. PREL. 200mg 30 0A03AAO V 05-07-2010 27.70 20.49 0.923333 0.923333 0.830999 A W10517002 DUSPATALIN 200 mg MEBEVERINUM CAPS. ELIB. PREL. 200mg 30 0A03AAO V 05-07-2010 27.70 20.49 0.923333 0.923333 0.830999 A W04080002 COLOSPASMIN MEBEVERINUM DRAJ. 100mg 20 0A03AAO V 05-07-2010 9.01 6.67 0.450500 0.450500 0.405450 A W42619001 PROMEBUTIN (R) 100 mg TRIMEBUTINUM COMPR. 100mg 20 0A03AAO V 05-07-2010 13.85 10.25 0.692500 0.230832 0.207749 A W51982001 TRIMEBUTIN 100 TRIMEBUTINUM COMPR. 100mg 30 0A03AAO V 05-07-2010 11.11 8.22 0.370333 0.230832 0.207749 A W52004001 COLPERIN 100 mg TRIMEBUTINUM COMPR. 100mg 30 0A03AAO V 05-07-2010 11.11 8.22 0.370333 0.230832 0.207749 A W08438001 DEBRIDAT 100 mg TRIMEBUTINUM COMPR. FILM. 100mg 30 0A03AAO V 05-07-2010 17.09 12.64 0.569666 0.230832 0.207749 A W42800002 IBUTIN (R) 300 mg TRIMEBUTINUM COMPR. FILM. ELIB. PREL. 300mg 20 0A03AAO V 05-07-2010 35.94 27.48 1.797000 0.692500 0.623250 A W07832001 DEBRIDAT TRIMEBUTINUM GRAN. PT. SUSP. ORALA 24mg/5ml 1 0A03AAO K 05-07-2010 12.02 8.89 12.020000 12.020000 10.818000 A W52909001 PAPAVERINA LAROPHARM 100 mg PAPAVERINI HYDROCHLORIDUM COMPR. 100mg 20 0A03ADO V 05-07-2010 4.42 3.27 0.221000 0.140512 0.126461 A W08933002 PAPAVERINA PAPAVERINI HYDROCHLORIDUM COMPR. 200mg 20 0A03ADO V 05-07-2010 5.38 3.98 0.269000 0.269000 0.242100 A W08691002 METOCLOPRAMID METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 1.16 0.86 0.029000 0.029000 0.026100 A W04258001 N - METOCLOPRAMID METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 1.36 1.01 0.034000 0.030600 0.027540 A W04254002 METOCLOPRAMID 10 mg METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 4.28 3.17 0.107000 0.030600 0.027540 A W54362001 METOCLOPRAMID ARENA 10 mg METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 1.39 1.03 0.034750 0.030600 0.027540 A W04256001 METOCLOPRAMID METOCLOPRAMIDUM PIC. ORALE-SOL. 7mg/ml 1 0A03FAO K 05-07-2010 2.85 2.11 2.850000 2.850000 2.565000 A W52254001 METOCLOPRAMID BIOFARM 1mg/5ml METOCLOPRAMIDUM SIROP 1mg/5ml 1 0A03FAO K 05-07-2010 8.66 6.41 8.660000 2.223321 2.000989 A W04255001 METOCLOPRAMID 10 mg METOCLOPRAMIDUM SOL. INJ. 5mg/ml 5 0A03FAP V 05-07-2010 8.67 6.41 1.734000 1.734000 1.560600 A W12227001 MOTILIUM 10 mg DOMPERIDONUM COMPR. FILM. 10mg 10 0A03FAO V 05-07-2010 12.30 9.10 1.230000 0.030600 0.027540 A W00187002 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 100 9A05AA02O V 05-07-2010 123.98 98.05 1.239800 1.239800 1.115820 A W00187001 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9A05AA02O V 05-07-2010 71.32 56.41 1.426400 1.372200 1.234980 A W00188001 URSOSAN ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9A05AA02O V 05-07-2010 68.61 54.26 1.372200 1.372200 1.234980 A W53024004 URSOCHOL 150 mg ACIDUM URSODEOXYCHOLICUM COMPR. 150mg 60 9A05AA02O V 05-07-2010 54.05 41.32 0.900833 0.823320 0.740988 A W53025002 URSOCHOL 300 mg ACIDUM URSODEOXYCHOLICUM COMPR. 300mg 20 9A05AA02O V 05-07-2010 35.80 27.37 1.790000 1.646641 1.481977 A W03917001 DUPHALAC (R) LACTULOSUM LICHID ORAL 66,7% 1 9A06AD11O V 05-07-2010 10.94 8.09 10.940000 7.070199 6.363179 A W44054002 LACTULOSE LACTULOSUM SIROP 65% 1 9A06AD11O V 05-07-2010 10.39 7.69 10.390000 10.335000 9.301500 A W44054001 LACTULOSE LACTULOSUM SIROP 65% 1 9A06AD11O V 05-07-2010 3.45 2.55 3.450000 3.444999 3.100499 A W54245003 LACTULOSE-MIP 650 mg/ml LACTULOSUM SIROP 650mg/ml 1 9A06AD11O V 05-07-2010 17.20 12.73 17.200000 17.200000 15.480000 A W54245004 LACTULOSE-MIP 650 mg/ml LACTULOSUM SIROP 650mg/ml 1 9A06AD11O V 05-07-2010 33.27 25.44 33.270000 33.270000 29.943000 A W54468001 LACTULAK 660 mg/ml LACTULOSUM SOL. ORALA 660 mg/ml 1 9A06AD11O V 05-07-2010 7.07 5.23 7.070000 6.996000 6.296400 A W07013005 LAEVOLAC 670mg/ml LACTULOSUM SOL. ORALA 670mg/ml 1 9A06AD11O V 05-07-2010 3.56 2.63 3.560000 3.551000 3.195900 A W05695001 NISTATINA NYSTATINUM COMPR. FILM. 500.000ui 20 0A07AAO V 05-07-2010 6.80 5.03 0.340000 0.340000 0.306000 A W07440001 SULFASALAZIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 50 0A07ECO V 05-07-2010 28.17 20.84 0.563400 0.563400 0.507060 A W52803001 SALAZOPYRIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 100 0A07ECO V 05-07-2010 31.17 23.06 0.311700 0.311700 0.280530 A W53996001 PENTASA MESALAZINUM COMPR. ELIB. PREL. 500mg 100 MSP 0A07ECO V 05-07-2010 155.01 126.97 1.550100 0.778521 0.700669 lista medicamente gratuite si compensate valabila cu data de 05.07.2010 1 / 135

Transcript of 05 07 2010 Lista Medicamente

Page 1: 05 07 2010 Lista Medicamente

subl

ista

Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W05404001 ULCORAN RANITIDINUM CAPS. 150mg 20 0A02BAO V 05-07-2010 6.52 4.82 0.326000 0.258899 0.233009A W05395003 RANITIDIN ARENA 150mg RANITIDINUM COMPR. 150mg 20 0A02BAO V 05-07-2010 6.64 4.91 0.332000 0.258899 0.233009A W05401002 RANITIDINA 150 mg RANITIDINUM COMPR. 150mg 20 0A02BAO V 05-07-2010 6.92 5.12 0.346000 0.258899 0.233009A W07339001 RANITIDIN RANITIDINUM COMPR. 150mg 20 0A02BAO V 05-07-2010 5.35 3.96 0.267500 0.258899 0.233009A W05408001 ZANTAC 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 10.65 7.88 0.532500 0.258899 0.233009A W41440001 RANITIDINA 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 4.71 3.48 0.235500 0.235500 0.211950A W07060001 RANITIDIN 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 7.63 5.65 0.381500 0.258899 0.233009A W42410001 RANITIDINA LAROPHARM 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 6.06 4.48 0.303000 0.258899 0.233009A W42722001 RANITIDINA LPH 150 mg RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 6.90 5.11 0.345000 0.258899 0.233009A W53915001 RANITIDINA ATB 150 MG RANITIDINUM COMPR. FILM. 150mg 20 0A02BAO V 05-07-2010 6.90 5.11 0.345000 0.258899 0.233009A W07061001 RANITIDIN 300 mg RANITIDINUM COMPR. FILM. 300mg 10 0A02BAO V 05-07-2010 6.46 4.78 0.646000 0.517799 0.466019A W42721001 RANITIDINA LPH 300 mg RANITIDINUM COMPR. FILM. 300mg 30 0A02BAO V 05-07-2010 17.26 12.77 0.575333 0.517799 0.466019A W54029001 RANITIDINA ATB 300 mg RANITIDINUM COMPR. FILM. 300mg 10 0A02BAO V 05-07-2010 6.46 4.78 0.646000 0.517799 0.466019A W54029002 RANITIDINA ATB 300 mg RANITIDINUM COMPR. FILM. 300mg 20 0A02BAO V 05-07-2010 12.90 9.54 0.645000 0.517799 0.466019A W06812001 ARNETIN RANITIDINUM SOL. INJ. 25mg/ml 5 0A02BAP V 05-07-2010 12.63 9.34 2.526000 1.874097 1.686687A W05411001 ZANTAC SOLUTIE INJECTABILA RANITIDINUM SOL. INJ. 25mg/ml 5 0A02BAP V 05-07-2010 14.90 11.02 2.980000 1.874097 1.686687A W03078002 FAMODIN 20 FAMOTIDINUM COMPR. FILM. 20mg 30 0A02BAO V 05-07-2010 8.86 6.56 0.295333 0.258899 0.233009A W42868002 FAMOTIDINA ZENTIVA 20mg FAMOTIDINUM COMPR. FILM. 20mg 30 0A02BAO V 05-07-2010 5.86 4.34 0.195333 0.195333 0.175799A W54838001 QUAMATEL 20 mg FAMOTIDINUM COMPR. FILM. 20mg 28 0A02BAO V 05-07-2010 9.43 6.98 0.336785 0.258899 0.233009A W12520002 QUAMATEL (R) 40 mg FAMOTIDINUM COMPR. FILM. 40mg 14 0A02BAO V 05-07-2010 9.43 6.98 0.673571 0.517799 0.466019A W42867001 FAMOTIDINA ZENTIVA 40 mg FAMOTIDINUM COMPR. FILM. 40mg 30 0A02BAO V 05-07-2010 7.70 5.70 0.256666 0.256666 0.230999A W03079002 FAMODIN 40 FAMOTIDINUM COMPR. FILM. 40mg 30 0A02BAO V 05-07-2010 12.30 9.10 0.410000 0.410000 0.369000

A W54839001 QUAMATEL 20 mg FAMOTIDINUMPULB+SOLV. PT. SOL. INJ./PERF. 20mg 5 0A02BAP V 05-07-2010 24.58 18.19 4.916000 4.916000 4.424400

A W53668001 NIZATIDIN VIM SPECTRUM 150 mg NIZATIDINUM CAPS. 150mg 20 0A02BAO V 05-07-2010 18.18 13.45 0.909000 0.258899 0.233009A W51636002 RISEK OMEPRAZOLUM CAPS. ENTER. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009A W14124002 ORTANOL S 10 mg OMEPRAZOLUM CAPS. GASTROREZ. 10mg 14 0A02BCO V 05-07-2010 8.91 6.59 0.636428 0.339449 0.305504A W51693001 OMEZ OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 21.37 15.81 0.712333 0.678899 0.611009A W12519001 ORTANOL (R) 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 8.06 5.96 0.575714 0.575714 0.518142A W51254002 OMEPRAZOL BIOFARM 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 20.51 15.17 0.732500 0.678899 0.611009A W51254001 OMEPRAZOL BIOFARM 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 10.82 8.01 0.772857 0.678899 0.611009A W07481003 ULTOP OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009A W42129001 OMEPRAZOL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009A W42284001 OMEPRAZOL LPH 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 20 0A02BCO V 05-07-2010 12.77 9.45 0.638500 0.638500 0.574650A W43134002 HELICID 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 20.74 15.34 0.740714 0.678899 0.611009A W43134001 HELICID 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 10.03 7.42 0.716428 0.678899 0.611009A W43709002 OMERAN 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 23.05 17.05 0.823214 0.678899 0.611009A W43709001 OMERAN 20 OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.22 10.52 1.015714 0.678899 0.611009A W51990001 OMEPRAZOL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 22.63 16.74 0.754333 0.678899 0.611009A W52044001 OMEPRAZOL TERAPIA 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 22.48 16.63 0.749333 0.678899 0.611009A W52887001 OMEPRAZOL ARENA 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 21.96 16.25 0.732000 0.678899 0.611009A W53138001 OMEPRAZOL FARMEX 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 20.80 15.39 0.693333 0.678899 0.611009A W53267001 OMEPRAZOL RPH 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 22.10 16.35 0.736666 0.678899 0.611009A W53340001 NOVOGAST 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 20 0A02BCO V 05-07-2010 15.01 11.11 0.750500 0.678899 0.611009A W42284003 OMEPRAZOL LPH 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 10 0A02BCO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.582300A W54326001 OMEPRAZOL FARMAL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009A W54326002 OMEPRAZOL FARMAL 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 28.84 21.34 1.030000 0.678899 0.611009A W55066002 OMEPRAZOL OZONE 20 mg OMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 18.54 13.72 0.662142 0.662142 0.595927A W14125001 ORTANOL 40 mg OMEPRAZOLUM CAPS. GASTROREZ. 40mg 7 0A02BCO V 05-07-2010 8.01 5.93 1.144285 1.144285 1.029856A W52078002 OMERAN 40 OMEPRAZOLUM CAPS. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 26.10 19.31 1.864285 1.357799 1.222019A W07975001 LOSEC MUPS 10 mg OMEPRAZOLUM COMPR. FILM. GASTROREZ. 10mg 14 0A02BCO V 05-07-2010 33.11 24.50 2.365000 0.339449 0.305504A W07976001 LOSEC MUPS 20 mg OMEPRAZOLUM COMPR. FILM. GASTROREZ. 20mg 7 0A02BCO V 05-07-2010 24.90 18.42 3.557142 0.678899 0.611009A W52018001 OMEDAR (R) OMEPRAZOLUM COMPR. FILM. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 14.42 10.67 1.030000 0.678899 0.611009A W42951001 LEVANT 15 mg LANSOPRAZOLUM CAPS. GASTROREZ. 15mg 14 0A02BCO V 05-07-2010 6.55 4.85 0.467857 0.339449 0.305504A W03936001 LANZUL LANSOPRAZOLUM CAPS. GASTROREZ. 30mg 14 0A02BCO V 05-07-2010 13.10 9.69 0.935714 0.678899 0.611009A W42952001 LEVANT 30 mg LANSOPRAZOLUM CAPS. GASTROREZ. 30mg 14 0A02BCO V 05-07-2010 11.33 8.38 0.809285 0.678899 0.611009A W51690004 LANZAP 30mg LANSOPRAZOLUM CAPS. GASTROREZ. 30mg 20 0A02BCO V 05-07-2010 16.61 12.29 0.830500 0.678899 0.611009A W10517001 DUSPATALIN 200 mg MEBEVERINUM CAPS. ELIB. PREL. 200mg 30 0A03AAO V 05-07-2010 27.70 20.49 0.923333 0.923333 0.830999A W10517002 DUSPATALIN 200 mg MEBEVERINUM CAPS. ELIB. PREL. 200mg 30 0A03AAO V 05-07-2010 27.70 20.49 0.923333 0.923333 0.830999A W04080002 COLOSPASMIN MEBEVERINUM DRAJ. 100mg 20 0A03AAO V 05-07-2010 9.01 6.67 0.450500 0.450500 0.405450A W42619001 PROMEBUTIN (R) 100 mg TRIMEBUTINUM COMPR. 100mg 20 0A03AAO V 05-07-2010 13.85 10.25 0.692500 0.230832 0.207749A W51982001 TRIMEBUTIN 100 TRIMEBUTINUM COMPR. 100mg 30 0A03AAO V 05-07-2010 11.11 8.22 0.370333 0.230832 0.207749A W52004001 COLPERIN 100 mg TRIMEBUTINUM COMPR. 100mg 30 0A03AAO V 05-07-2010 11.11 8.22 0.370333 0.230832 0.207749A W08438001 DEBRIDAT 100 mg TRIMEBUTINUM COMPR. FILM. 100mg 30 0A03AAO V 05-07-2010 17.09 12.64 0.569666 0.230832 0.207749A W42800002 IBUTIN (R) 300 mg TRIMEBUTINUM COMPR. FILM. ELIB. PREL. 300mg 20 0A03AAO V 05-07-2010 35.94 27.48 1.797000 0.692500 0.623250A W07832001 DEBRIDAT TRIMEBUTINUM GRAN. PT. SUSP. ORALA 24mg/5ml 1 0A03AAO K 05-07-2010 12.02 8.89 12.020000 12.020000 10.818000A W52909001 PAPAVERINA LAROPHARM 100 mg PAPAVERINI HYDROCHLORIDUM COMPR. 100mg 20 0A03ADO V 05-07-2010 4.42 3.27 0.221000 0.140512 0.126461A W08933002 PAPAVERINA PAPAVERINI HYDROCHLORIDUM COMPR. 200mg 20 0A03ADO V 05-07-2010 5.38 3.98 0.269000 0.269000 0.242100A W08691002 METOCLOPRAMID METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 1.16 0.86 0.029000 0.029000 0.026100A W04258001 N - METOCLOPRAMID METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 1.36 1.01 0.034000 0.030600 0.027540A W04254002 METOCLOPRAMID 10 mg METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 4.28 3.17 0.107000 0.030600 0.027540A W54362001 METOCLOPRAMID ARENA 10 mg METOCLOPRAMIDUM COMPR. 10mg 40 0A03FAO V 05-07-2010 1.39 1.03 0.034750 0.030600 0.027540A W04256001 METOCLOPRAMID METOCLOPRAMIDUM PIC. ORALE-SOL. 7mg/ml 1 0A03FAO K 05-07-2010 2.85 2.11 2.850000 2.850000 2.565000A W52254001 METOCLOPRAMID BIOFARM 1mg/5ml METOCLOPRAMIDUM SIROP 1mg/5ml 1 0A03FAO K 05-07-2010 8.66 6.41 8.660000 2.223321 2.000989A W04255001 METOCLOPRAMID 10 mg METOCLOPRAMIDUM SOL. INJ. 5mg/ml 5 0A03FAP V 05-07-2010 8.67 6.41 1.734000 1.734000 1.560600A W12227001 MOTILIUM 10 mg DOMPERIDONUM COMPR. FILM. 10mg 10 0A03FAO V 05-07-2010 12.30 9.10 1.230000 0.030600 0.027540A W00187002 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 100 9A05AA02O V 05-07-2010 123.98 98.05 1.239800 1.239800 1.115820A W00187001 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9A05AA02O V 05-07-2010 71.32 56.41 1.426400 1.372200 1.234980A W00188001 URSOSAN ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9A05AA02O V 05-07-2010 68.61 54.26 1.372200 1.372200 1.234980A W53024004 URSOCHOL 150 mg ACIDUM URSODEOXYCHOLICUM COMPR. 150mg 60 9A05AA02O V 05-07-2010 54.05 41.32 0.900833 0.823320 0.740988A W53025002 URSOCHOL 300 mg ACIDUM URSODEOXYCHOLICUM COMPR. 300mg 20 9A05AA02O V 05-07-2010 35.80 27.37 1.790000 1.646641 1.481977A W03917001 DUPHALAC (R) LACTULOSUM LICHID ORAL 66,7% 1 9A06AD11O V 05-07-2010 10.94 8.09 10.940000 7.070199 6.363179A W44054002 LACTULOSE LACTULOSUM SIROP 65% 1 9A06AD11O V 05-07-2010 10.39 7.69 10.390000 10.335000 9.301500A W44054001 LACTULOSE LACTULOSUM SIROP 65% 1 9A06AD11O V 05-07-2010 3.45 2.55 3.450000 3.444999 3.100499A W54245003 LACTULOSE-MIP 650 mg/ml LACTULOSUM SIROP 650mg/ml 1 9A06AD11O V 05-07-2010 17.20 12.73 17.200000 17.200000 15.480000A W54245004 LACTULOSE-MIP 650 mg/ml LACTULOSUM SIROP 650mg/ml 1 9A06AD11O V 05-07-2010 33.27 25.44 33.270000 33.270000 29.943000A W54468001 LACTULAK 660 mg/ml LACTULOSUM SOL. ORALA 660 mg/ml 1 9A06AD11O V 05-07-2010 7.07 5.23 7.070000 6.996000 6.296400A W07013005 LAEVOLAC 670mg/ml LACTULOSUM SOL. ORALA 670mg/ml 1 9A06AD11O V 05-07-2010 3.56 2.63 3.560000 3.551000 3.195900A W05695001 NISTATINA NYSTATINUM COMPR. FILM. 500.000ui 20 0A07AAO V 05-07-2010 6.80 5.03 0.340000 0.340000 0.306000A W07440001 SULFASALAZIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 50 0A07ECO V 05-07-2010 28.17 20.84 0.563400 0.563400 0.507060A W52803001 SALAZOPYRIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 100 0A07ECO V 05-07-2010 31.17 23.06 0.311700 0.311700 0.280530A W53996001 PENTASA MESALAZINUM COMPR. ELIB. PREL. 500mg 100 MSP 0A07ECO V 05-07-2010 155.01 126.97 1.550100 0.778521 0.700669

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W04124001SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE MESALAZINUM COMPR. GASTROREZ. 250mg 100 MSP 0A07ECO V 05-07-2010 67.08 53.05 0.670800 0.389259 0.350333

A W04126001SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE MESALAZINUM COMPR. GASTROREZ. 500mg 100 MSP 0A07ECO V 05-07-2010 120.65 95.42 1.206500 0.778521 0.700669

A W04126002SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE MESALAZINUM COMPR. GASTROREZ. 500mg 50 MSP 0A07ECO V 05-07-2010 73.68 58.27 1.473600 0.778521 0.700669

A W53998001 PENTASA MESALAZINUM SUPOZ. 1g 28 MSP 0A07ECR V 05-07-2010 173.39 142.03 6.192500 6.155190 5.539671A W04125003 SALOFALK (R) 250 mg MESALAZINUM SUPOZ. 250mg 10 MSP 0A07ECR V 05-07-2010 31.90 23.60 3.190000 1.538793 1.384913A W04127003 SALOFALK (R) 500 mg MESALAZINUM SUPOZ. 500mg 10 MSP 0A07ECR V 05-07-2010 50.89 38.91 5.089000 3.077595 2.769835A W04128001 SALOFALK 4 g/ 60 ml MESALAZINUM SUSP. RECTALA 4g/60ml 7 MSP 0A07ECR V 05-07-2010 169.22 138.61 24.174285 24.174285 21.756856A W00009002 TROMBOSTOP 2 mg ACENOCUMAROLUM COMPR. 2mg 30 0B01AAO V 05-07-2010 6.52 4.82 0.217333 0.180895 0.162806A W10586001 SINTROM (R) ACENOCUMAROLUM COMPR. 4mg 20 0B01AAO V 05-07-2010 6.75 4.99 0.337500 0.337500 0.303750A W07616001 TICLODIN TICLOPIDINUM COMPR. FILM. 250mg 20 0B01ACO V 05-07-2010 35.44 27.09 1.772000 1.203310 1.082979A W07968001 IPATON TICLOPIDINUM COMPR. FILM. 250mg 20 0B01ACO V 05-07-2010 33.30 25.46 1.665000 1.203310 1.082979A W53454001 TICLID (R) 250 mg TICLOPIDINUM COMPR. FILM. 250mg 20 0B01ACO V 05-07-2010 12.79 9.46 0.639500 0.639500 0.575550A W05001002 FITOMENADION 10 mg/ml PHYTOMENADIONUM SOL. INJ. 10mg/ml 5 9B02BA01P V 05-07-2010 10.20 7.55 2.040000 2.040000 1.836000A W43097001 FERROGRADUMET (R) FERROSI SULFAS COMPR. ELIB. PREL. 105mg 30 3B03A5O V 05-07-2010 8.55 6.33 0.285000 0.268388 0.241549A W51647001 FERRO-GRADUMET FERROSI SULFAS COMPR.FILM.ELIB.PREL 329,724mg 30 3B03A5O V 05-07-2010 7.80 5.77 0.260000 0.260000 0.234000A W08016001 TARDYFERON 80 mg FERROSI SULFAS DRAJ. ELIB. PREL. 80mg 30 3B03A5O V 05-07-2010 12.05 8.92 0.401666 0.204486 0.184037

A W44026001 MALTOFERCOMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT COMPR. MAST. 100mg 30 3B03A5O V 05-07-2010 21.45 15.87 0.715000 0.568017 0.511216

A W54079001 FERGLUROM FORTE 50 mg/mlCOMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PICATURI ORALE, SOL. 50mg/ml 1 3B03A5O K 05-07-2010 8.78 6.50 8.780000 8.572500 7.715250

A W42621001 PHARMA-FERRUM (R)COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PICATURI ORALE-SOL. 5% 1 3B03A5O K 05-07-2010 13.65 10.10 13.650000 13.650000 12.285000

A W42621002 PHARMA-FERRUM (R)COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PICATURI ORALE-SOL. 5% 1 3B03A5O K 05-07-2010 11.76 8.70 11.760000 8.572500 7.715250

A W51228001 FERRUM HAUSMANN (R)COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PICATURI ORALE-SOL. 50mg/ml 1 3B03A5O K 05-07-2010 13.50 9.99 13.500000 8.572500 7.715250

A W51231001 FERRUM HAUSMANN (R)COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT SIROP 10mg/ml 1 3B03A5O K 05-07-2010 15.35 11.36 15.350000 8.572500 7.715250

A W52797001 FERGLUROM 50mg/5mlCOMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT SIROP 50mg/5ml 1 3B03A5O K 05-07-2010 10.03 7.42 10.030000 5.715000 5.143500

A W10038001 SORBIFER DURULESCOMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM) COMPR. FILM. FARA CONCENT50 9B03AEN1O V 05-07-2010 14.82 10.96 0.296400 0.296400 0.266760

A W42875001 ACIFOL 5 mg ACIDUM FOLICUM COMPR. FILM. 5mg 30 9B03BB01O V 05-07-2010 7.37 5.45 0.245666 0.245666 0.221099A W42797002 DIGOXIN 0,25 mg DIGOXINUM COMPR. 0,25mg 25 9C01AA05O V 05-07-2010 2.79 2.06 0.111600 0.111600 0.100440A W42882001 DIGOXIN 0,5 mg/2 ml DIGOXINUM SOL. INJ. 0,5mg/ml 5 9C01AA05P V 05-07-2010 6.63 4.91 1.326000 1.326000 1.193400A W02550001 LANOXIN SOLUTIE ORALA DIGOXINUM SOL. ORALA 0,05mg/ml 1 9C01AA05O K 05-07-2010 11.06 8.18 11.060000 11.060000 9.954000A W54361001 CHINIDINA ARENA 200 mg CHINIDINI SULFAS COMPR. 200mg 20 9C01BA01O V 05-07-2010 12.36 9.14 0.618000 0.618000 0.556200A W05268001 PROPAFENONA 150 mg PROPAFENONUM COMPR. 150mg 20 9C01BC03O V 05-07-2010 49.86 38.12 2.493000 0.363900 0.327510A W10615001 RYTMONORM (R) PROPAFENONUM COMPR. FILM. 150mg 50 9C01BC03O V 05-07-2010 31.96 23.65 0.639200 0.363900 0.327510A W12499002 PROPAFENON AL 150 PROPAFENONUM COMPR. FILM. 150mg 50 9C01BC03O V 05-07-2010 18.66 13.81 0.373200 0.363900 0.327510A W12499001 PROPAFENON AL 150 PROPAFENONUM COMPR. FILM. 150mg 20 9C01BC03O V 05-07-2010 7.47 5.53 0.373500 0.363900 0.327510A W12499003 PROPAFENON AL 150 PROPAFENONUM COMPR. FILM. 150mg 100 9C01BC03O V 05-07-2010 34.86 26.65 0.348600 0.348600 0.313740A W43349003 PROPAFENON SANDOZ 150 mg PROPAFENONUM COMPR. FILM. 150mg 50 9C01BC03O V 05-07-2010 18.04 13.35 0.360800 0.360800 0.324720A W13542001 RYTMONORM PROPAFENONUM SOL. INJ. 70mg/20ml 5 9C01BC03P V 05-07-2010 36.70 28.06 7.340000 7.340000 6.606000A W00319002 SEDACORON (R) AMIODARONUM COMPR. 200mg 20 9C01BD01O V 05-07-2010 13.82 10.22 0.691000 0.368082 0.331274A W00319001 SEDACORON (R) AMIODARONUM COMPR. 200mg 50 9C01BD01O V 05-07-2010 28.55 21.12 0.571000 0.368082 0.331274A W00311002 AMIODARONA LPH 200 mg AMIODARONUM COMPR. 200mg 30 9C01BD01O V 05-07-2010 10.97 8.12 0.365666 0.365666 0.329099A W42162001 DARITMIN (R) 200 mg AMIODARONUM COMPR. 200mg 30 9C01BD01O V 05-07-2010 10.97 8.12 0.365666 0.365666 0.329099A W53954002 AMIODARONA ARENA 200 MG AMIODARONUM COMPR. 200mg 30 9C01BD01O V 05-07-2010 11.26 8.33 0.375333 0.368082 0.331274A W06951001 CORDARONE 200 mg AMIODARONUM COMPR. DIVIZ. 200mg 30 9C01BD01O V 05-07-2010 16.86 12.47 0.562000 0.368082 0.331274A W04591002 NITROMINT 2,6 mg NITROGLYCERINUM COMPR. ELIB. PREL. 2,6mg 60 0C01DAO V 05-07-2010 9.85 7.29 0.164166 0.110760 0.099684A W42792002 NITROGLICERINA 0,5 mg NITROGLYCERINUM COMPR. SUBLING. 0,5mg 20 0C01DASL V 05-07-2010 3.85 2.85 0.192500 0.114796 0.103317A W04587001 NITRODERM (R) TTS 5 NITROGLYCERINUM SIST. TERAP. TRANSDERM. 25mg 10 0C01DATD V 05-07-2010 18.43 13.64 1.843000 1.843000 1.658700A W07257001 NITROMINT NITROGLYCERINUM SPRAY SUBLINGUAL 0,4mg/doza 1 0C01DASL V 05-07-2010 15.25 11.28 15.250000 15.250000 13.725000A W13503001 DINITER SR 20 mg ISOSORBIDI DINITRAS CAPS. ELIB. PREL. 20mg 20 0C01DAO V 05-07-2010 5.44 4.02 0.272000 0.071000 0.063900A W13504001 DINITER SR 40 mg ISOSORBIDI DINITRAS CAPS. ELIB. PREL. 40mg 20 0C01DAO V 05-07-2010 9.01 6.67 0.450500 0.142000 0.127800A W44053001 ISOSORBIDE DINITRATE 10 mg ISOSORBIDI DINITRAS COMPR. 10mg 60 0C01DAO V 05-07-2010 2.13 1.58 0.035500 0.035500 0.031950A W03800001 ISODINIT (R) RETARD ISOSORBIDI DINITRAS COMPR. ELIB. PREL. 20mg 60 0C01DAO V 05-07-2010 3.93 2.91 0.065500 0.065500 0.058950A W54816001 ISODINIT(R) RETARD ISOSORBIDI DINITRAS COMPR. ELIB. PREL. 20mg 60 0C01DAO V 05-07-2010 3.93 2.91 0.065500 0.065500 0.058950A W03824001 OLICARD 40 mg RETARD ISOSORBIDI MONONITRAS CAPS. ELIB. PREL. 40mg 20 0C01DAO V 05-07-2010 11.99 8.87 0.599500 0.213000 0.191700A W03825001 OLICARD 60 mg RETARD ISOSORBIDI MONONITRAS CAPS. ELIB. PREL. 60mg 20 0C01DAO V 05-07-2010 19.12 14.15 0.956000 0.319501 0.287551A W13871002 MONONITRON (R) EP 60 mg ISOSORBIDI MONONITRAS COMPR. FILM. ELIB. PREL. 60mg 40 0C01DAO V 05-07-2010 36.32 27.77 0.908000 0.319501 0.287551A W53697001 PRIDAX 20mcg ALPROSTADILUM CONC. PT. SOL. PERF. 20mcg 5 CJAS 9C01EA01P V 05-07-2010 328.17 268.82 65.634000 55.412250 49.871025A W42917001 VASAPROSTAN 20 ALPROSTADILUM LIOF. PT. SOL. PERF. 20mcg 10 CJAS 9C01EA01P V 05-07-2010 520.05 442.11 52.005000 52.005000 46.804500A W53655001 TRIMETAZIDIN VIM SPECTRUM 20 mg TRIMETAZIDINUM CAPS. 20mg 30 0C01EBO V 05-07-2010 7.60 5.62 0.253333 0.253333 0.227999A W41825001 MODUXIN (R) 20 mg TRIMETAZIDINUM COMPR. FILM. 20mg 30 0C01EBO V 05-07-2010 7.60 5.62 0.253333 0.253333 0.227999A W14059001 DILATAN 20 mg TRIMETAZIDINUM COMPR. FILM. 20mg 30 0C01EBO V 05-07-2010 14.58 10.79 0.486000 0.285513 0.256962A W41842001 TRIMETAZIDINA LPH (R) 20 mg TRIMETAZIDINUM COMPR. FILM. 20mg 60 0C01EBO V 05-07-2010 15.19 11.24 0.253166 0.253166 0.227849A W54945001 PREDUCTAL 20 mg TRIMETAZIDINUM COMPR. FILM. 20mg 60 0C01EBO V 05-07-2010 23.37 17.29 0.389500 0.285513 0.256962A W07058001 PREDUCTAL MR 35 mg TRIMETAZIDINUM COMPR. FILM. ELIB. MODIF. 35mg 60 0C01EBO V 05-07-2010 49.62 37.94 0.827000 0.499649 0.449684A W13661001 TRIMETAZIDINA LPH (R) 35 mg TRIMETAZIDINUM COMPR. FILM. ELIB. MODIF. 35mg 60 0C01EBO V 05-07-2010 33.31 24.64 0.555166 0.499649 0.449684A W53199001 MODUXIN MR 35 mg TRIMETAZIDINUM COMPR. FILM. ELIB. PREL. 35mg 30 0C01EBO V 05-07-2010 16.67 12.33 0.555666 0.499649 0.449684A W42652001 TRIMETAZIDINA 20 mg TRIMETAZIDINUM DRAJ. 20mg 30 0C01EBO V 05-07-2010 14.44 10.68 0.481333 0.285513 0.256962A W04208001 DOPEGYT METHYLDOPUM COMPR. 250mg 50 9C02AB01O V 05-07-2010 12.63 9.34 0.252600 0.252600 0.227340A W54360001 CLONIDINA ARENA 0,15 mg CLONIDINUM COMPR. 0,15mg 50 0C02ACO V 05-07-2010 12.33 9.12 0.246600 0.246600 0.221940A W08738002 KAMIREN (vezi G04CAN1) DOXAZOSINUM COMPR. 1mg 30 0G04CAO V 05-07-2010 10.15 7.51 0.338333 0.249318 0.224386

A W51947001DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) DOXAZOSINUM COMPR. 1mg 14 0G04CAO V 05-07-2010 10.79 7.98 0.770714 0.249318 0.224386

A W08738002 KAMIREN (vezi G04CAN1) DOXAZOSINUM COMPR. 1mg 30 0G04CAO V 05-07-2010 10.15 7.51 0.338333 0.249318 0.224386

A W51947001DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) DOXAZOSINUM COMPR. 1mg 14 0G04CAO V 05-07-2010 10.79 7.98 0.770714 0.249318 0.224386

A W08648002 KAMIREN (vezi G04CAN1) DOXAZOSINUM COMPR. 2mg 30 0G04CAO V 05-07-2010 17.03 12.60 0.567666 0.498637 0.448773

A W51948001DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) DOXAZOSINUM COMPR. 2mg 14 0G04CAO V 05-07-2010 12.51 9.26 0.893571 0.498637 0.448773

A W08648002 KAMIREN (vezi G04CAN1) DOXAZOSINUM COMPR. 2mg 30 0G04CAO V 05-07-2010 17.03 12.60 0.567666 0.498637 0.448773

A W51948001DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) DOXAZOSINUM COMPR. 2mg 14 0G04CAO V 05-07-2010 12.51 9.26 0.893571 0.498637 0.448773

A W08649002 KAMIREN (vezi G04CAN1) DOXAZOSINUM COMPR. 4mg 30 0G04CAO V 05-07-2010 30.79 22.78 1.026333 0.997274 0.897546

A W51949001DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) DOXAZOSINUM COMPR. 4mg 14 0G04CAO V 05-07-2010 17.33 12.82 1.237857 0.997274 0.897546

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W08649002 KAMIREN (vezi G04CAN1) DOXAZOSINUM COMPR. 4mg 30 0G04CAO V 05-07-2010 30.79 22.78 1.026333 0.997274 0.897546

A W51949001DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) DOXAZOSINUM COMPR. 4mg 14 0G04CAO V 05-07-2010 17.33 12.82 1.237857 0.997274 0.897546

A W13893001 CARDURA XL 4 mg (vezi G04CAN1) DOXAZOSINUM COMPR. ELIB. MODIF. 4mg 28 0G04CAO V 05-07-2010 46.37 35.45 1.656071 0.997274 0.897546A W13893001 CARDURA XL 4 mg (vezi G04CAN1) DOXAZOSINUM COMPR. ELIB. MODIF. 4mg 28 0G04CAO V 05-07-2010 46.37 35.45 1.656071 0.997274 0.897546A W43887002 KAMIREN XL 4 mg (vezi C02CA04) DOXAZOSINUM COMPR. FILM. ELIB. PREL. 4mg 30 0G04CAO V 05-07-2010 37.26 28.49 1.242000 0.997274 0.897546A W43887002 KAMIREN XL 4 mg (vezi C02CA04) DOXAZOSINUM COMPR. FILM. ELIB. PREL. 4mg 30 0G04CAO V 05-07-2010 37.26 28.49 1.242000 0.997274 0.897546A W43198002 NEFRIX 25 mg HYDROCHLOROTHIAZIDUM COMPR. 25mg 25 0C03AAO V 05-07-2010 3.47 2.57 0.138800 0.138800 0.124920A W13568001 IMPAMID (R) 2,5 mg INDAPAMIDUM COMPR. 2,5mg 30 0C03BAO V 05-07-2010 15.13 11.19 0.504333 0.504333 0.453899A W52005001 INDAPAMID MCC 1,5 mg INDAPAMIDUM COMPR. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.65 10.10 0.455000 0.350399 0.315359A W53212001 IDUREN SR 1,5 mg INDAPAMIDUM COMPR. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 10.63 7.86 0.354333 0.350399 0.315359A W53868001 DIUREMID SR 1,5 mg INDAPAMIDUM COMPR. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.65 10.10 0.455000 0.350399 0.315359A W55332006 INDAPAMIDA TEVA 1,5 mg INDAPAMIDUM COMPR. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.28 9.83 0.442666 0.350399 0.315359A W55068001 IZEPOX 1,5mg INDAPAMIDUM COMPR. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.65 10.10 0.455000 0.350399 0.315359A W13675001 INDAPAMID LPH (R) 2,5 mg INDAPAMIDUM COMPR. FILM. 2,5mg 30 0C03BAO V 05-07-2010 15.04 11.13 0.501333 0.501333 0.451199A W41975001 INDATER (R) 2,5 mg INDAPAMIDUM COMPR. FILM. 2,5mg 30 0C03BAO V 05-07-2010 14.87 11.00 0.495666 0.495666 0.446099A W42238001 INDAPAMID SR 1,5 mg LAROPHARM INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5 mg 20 0C03BAO V 05-07-2010 9.09 6.73 0.454500 0.350399 0.315359A W03592001 TERTENSIF (R) SR INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 21.00 15.54 0.700000 0.350399 0.315359A W13662001 INDAPAMID LPH (R) 1,5 mg INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.65 10.10 0.455000 0.350399 0.315359A W42707001 INDATER SR 1,5 mg INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.27 9.82 0.442333 0.350399 0.315359A W43065002 RAWEL SR 1,5 mg INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 11.68 8.64 0.389333 0.350399 0.315359A W52836001 IMPAMID SR 1,5 mg INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.13 9.71 0.437666 0.350399 0.315359A W52963001 INDAPAMID SR OZONE 1,5mg INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 20 0C03BAO V 05-07-2010 7.83 5.79 0.391500 0.350399 0.315359A W53216001 REDITENS SR 1.5 mg INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.65 10.10 0.455000 0.350399 0.315359A W53208005 INDAPAMIDA ACTAVIS 1,5 mg INDAPAMIDUM COMPR. FILM. ELIB. PREL. 1,5mg 30 0C03BAO V 05-07-2010 13.65 10.10 0.455000 0.350399 0.315359A W03265002 FUROSEMID MCC 40 mg FUROSEMIDUM COMPR. 40mg 20 9C03CA01O V 05-07-2010 1.62 1.20 0.081000 0.081000 0.072900A W42036002 FUROSEMID SLAVIA FUROSEMIDUM COMPR. 40mg 20 9C03CA01O V 05-07-2010 2.27 1.68 0.113500 0.081000 0.072900A W07878001 FUROSEMID EEL FUROSEMIDUM COMPR. 40mg 20 9C03CA01O V 05-07-2010 1.62 1.20 0.081000 0.081000 0.072900A W43155001 FUROSEMID ZENTIVA FUROSEMIDUM COMPR. 40mg 20 9C03CA01O V 05-07-2010 6.01 4.45 0.300500 0.081000 0.072900A W03264001 FUROSEMID LPH 40 mg FUROSEMIDUM COMPR. 40mg 20 9C03CA01O V 05-07-2010 3.04 2.25 0.152000 0.081000 0.072900A W52043001 FUROSEMID ARENA 40 mg FUROSEMIDUM COMPR. 40mg 20 9C03CA01O V 05-07-2010 1.60 1.18 0.080000 0.080000 0.072000A W42799002 FUROSEMID 20 mg/2 ml FUROSEMIDUM SOL. INJ. 10mg/ml 5 9C03CA01P V 05-07-2010 6.06 4.48 1.212000 1.212000 1.090800A W54824001 VEROSPIRON SPIRONOLACTONUM CAPS. 100mg 30 9C03DA01O V 05-07-2010 28.43 21.03 0.947666 0.861600 0.775440A W55360002 SPIRONOLACTONA ARENA 25 mg SPIRONOLACTONUM CAPS. 25mg 50 9C03DA01O V 05-07-2010 16.04 11.87 0.320800 0.215400 0.193860A W54823001 VEROSPIRON SPIRONOLACTONUM CAPS. 50mg 30 9C03DA01O V 05-07-2010 16.67 12.33 0.555666 0.430800 0.387720A W55359001 SPIRONOLACTONA ARENA 50 mg SPIRONOLACTONUM CAPS. 50mg 30 9C03DA01O V 05-07-2010 16.21 11.99 0.540333 0.430800 0.387720A W53792001 SPIRONOLACTONA EEL 25 mg SPIRONOLACTONUM COMPR. 25mg 20 9C03DA01O V 05-07-2010 4.30 3.18 0.215000 0.215000 0.193500A W53791001 SPIRONOLACTONA OZONE 25 mg SPIRONOLACTONUM COMPR. 25mg 50 9C03DA01O V 05-07-2010 10.77 7.97 0.215400 0.215400 0.193860A W55072001 SPIRONOLACTONA OZONE 25 mg SPIRONOLACTONUM COMPR. 25mg 50 9C03DA01O V 05-07-2010 10.77 7.97 0.215400 0.215400 0.193860A W08893001 SPIRONOLACTONA 25 mg SPIRONOLACTONUM COMPR. FILM. 25mg 50 9C03DA01O V 05-07-2010 16.18 11.97 0.323600 0.215400 0.193860A W52138001 ALSPIRON 25 mg SPIRONOLACTONUM COMPR. FILM. 25mg 20 9C03DA01O V 05-07-2010 4.30 3.18 0.215000 0.215000 0.193500A W41550001 ALSPIRON 50 mg SPIRONOLACTONUM COMPR. FILM. 50mg 20 9C03DA01O V 05-07-2010 13.71 10.14 0.685500 0.430800 0.387720

A W07005001 DIUREX 50

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) CAPS. 50mg/20mg 20 9C03EB01O V 05-07-2010 21.11 15.62 1.055500 1.055500 0.949950

A W53002004 PENTOXIFILINA SR ZENTIVA 400 mg PENTOXIFYLLINUM COMPR. ELIB. PREL. 400mg 20 9C04AD03O V 05-07-2010 10.22 7.56 0.511000 0.306975 0.276277A W53002005 PENTOXIFILINA SR ZENTIVA 400 mg PENTOXIFYLLINUM COMPR. ELIB. PREL. 400mg 50 9C04AD03O V 05-07-2010 15.36 11.36 0.307200 0.306975 0.276277A W53002006 PENTOXIFILINA SR ZENTIVA 400 mg PENTOXIFYLLINUM COMPR. ELIB. PREL. 400mg 100 9C04AD03O V 05-07-2010 30.69 22.71 0.306900 0.306900 0.276210A W53506004 PENTOXIFILINA SR ZENTIVA 600 mg PENTOXIFYLLINUM COMPR. ELIB. PREL. 600mg 20 9C04AD03O V 05-07-2010 13.94 10.31 0.697000 0.460462 0.414416A W53506005 PENTOXIFILINA SR ZENTIVA 600 mg PENTOXIFYLLINUM COMPR. ELIB. PREL. 600mg 50 9C04AD03O V 05-07-2010 26.10 19.31 0.522000 0.460462 0.414416A W53506006 PENTOXIFILINA SR ZENTIVA 600 mg PENTOXIFYLLINUM COMPR. ELIB. PREL. 600mg 100 9C04AD03O V 05-07-2010 50.49 38.60 0.504900 0.460462 0.414416A W54452002 VASONIT RETARD 600 mg PENTOXIFYLLINUM COMPR. ELIB. PREL. 600mg 50 9C04AD03O V 05-07-2010 33.56 24.83 0.671200 0.460462 0.414416A W13301001 ANGIOPENT 400 mg PENTOXIFYLLINUM COMPR. FILM. ELIB. PREL. 400mg 20 9C04AD03O V 05-07-2010 6.12 4.53 0.306000 0.306000 0.275400A W13574002 PENTOXI RETARD 400 mg PENTOXIFYLLINUM COMPR. FILM. ELIB. PREL. 400mg 40 9C04AD03O V 05-07-2010 22.37 16.55 0.559250 0.306975 0.276277A W13574001 PENTOXI RETARD 400 mg PENTOXIFYLLINUM COMPR. FILM. ELIB. PREL. 400mg 20 9C04AD03O V 05-07-2010 17.16 12.70 0.858000 0.306975 0.276277A W53123001 OXIFLUX 400 mg PENTOXIFYLLINUM COMPR. FILM. ELIB. PREL. 400mg 20 9C04AD03O V 05-07-2010 6.12 4.53 0.306000 0.306000 0.275400A W53123003 OXIFLUX 400 mg PENTOXIFYLLINUM COMPR. FILM. ELIB. PREL. 400mg 60 9C04AD03O V 05-07-2010 18.35 13.58 0.305833 0.305833 0.275249A W13302001 ANGIOPENT 600 mg PENTOXIFYLLINUM COMPR. FILM. ELIB. PREL. 600mg 20 9C04AD03O V 05-07-2010 16.41 12.14 0.820500 0.460462 0.414416A W53734001 TRENTAL (R) PENTOXIFYLLINUM DRAJ. ELIB. PREL. 400mg 20 9C04AD03O V 05-07-2010 9.43 6.98 0.471500 0.306975 0.276277A W05291001 PROPRANOLOL PROPRANOLOLUM COMPR. 10mg 50 0C07AAO V 05-07-2010 3.25 2.40 0.065000 0.028243 0.025418A W42179001 N - PROPRANOLOL 10 mg PROPRANOLOLUM COMPR. 10mg 50 0C07AAO V 05-07-2010 3.22 2.38 0.064400 0.028243 0.025418A W08683002 PROPRANOLOL 10 mg PROPRANOLOLUM COMPR. 10mg 50 0C07AAO V 05-07-2010 3.00 2.22 0.060000 0.028243 0.025418A W53171001 PROPRANOLOL FABIOL 10 mg PROPRANOLOLUM COMPR. 10mg 10 0C07AAO V 05-07-2010 0.72 0.53 0.072000 0.028243 0.025418A W53171002 PROPRANOLOL FABIOL 10 mg PROPRANOLOLUM COMPR. 10mg 50 0C07AAO V 05-07-2010 2.91 2.15 0.058200 0.028243 0.025418A W12724002 PROPRANOLOL EEL 40 mg PROPRANOLOLUM COMPR. 40mg 50 0C07AAO V 05-07-2010 3.25 2.40 0.065000 0.065000 0.058500A W08684002 PROPRANOLOL 40 mg PROPRANOLOLUM COMPR. 40mg 50 0C07AAO V 05-07-2010 3.25 2.40 0.065000 0.065000 0.058500A W53172001 PROPRANOLOL FABIOL 40 mg PROPRANOLOLUM COMPR. 40mg 10 0C07AAO V 05-07-2010 0.79 0.58 0.079000 0.079000 0.071100A W53172002 PROPRANOLOL FABIOL 40 mg PROPRANOLOLUM COMPR. 40mg 50 0C07AAO V 05-07-2010 3.25 2.40 0.065000 0.065000 0.058500A W53681002 PROPRANOLOL ARENA 40 mg PROPRANOLOLUM COMPR. 40mg 50 0C07AAO V 05-07-2010 4.96 3.67 0.099200 0.099200 0.089280A W41674001 SOTAGAMMA 160 SOTALOLUM COMPR. 160mg 20 0C07AAO V 05-07-2010 11.59 8.58 0.579500 0.451890 0.406701A W41674003 SOTAGAMMA 160 SOTALOLUM COMPR. 160mg 100 0C07AAO V 05-07-2010 58.30 44.57 0.583000 0.451890 0.406701A W08419001 SOTALOL AL 160 SOTALOLUM COMPR. 160mg 20 0C07AAO V 05-07-2010 11.14 8.24 0.557000 0.451890 0.406701A W08419002 SOTALOL AL 160 SOTALOLUM COMPR. 160mg 50 0C07AAO V 05-07-2010 26.86 19.87 0.537200 0.451890 0.406701A W08419003 SOTALOL AL 160 SOTALOLUM COMPR. 160mg 100 0C07AAO V 05-07-2010 54.50 41.67 0.545000 0.451890 0.406701A W07724004 DAROB (R) 80 mg SOTALOLUM COMPR. 80mg 20 0C07AAO V 05-07-2010 10.03 7.42 0.501500 0.225945 0.203350A W41673003 SOTAGAMMA 80 SOTALOLUM COMPR. 80mg 100 0C07AAO V 05-07-2010 39.23 29.99 0.392300 0.225945 0.203350A W41673001 SOTAGAMMA 80 SOTALOLUM COMPR. 80mg 20 0C07AAO V 05-07-2010 8.58 6.35 0.429000 0.225945 0.203350A W08420006 SOTALOL AL 80 SOTALOLUM COMPR. 80mg 100 0C07AAO V 05-07-2010 36.44 27.86 0.364400 0.225945 0.203350A W08420005 SOTALOL AL 80 SOTALOLUM COMPR. 80mg 50 0C07AAO V 05-07-2010 17.49 12.94 0.349800 0.225945 0.203350A W04265001 BLOXAN METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 14.02 10.37 0.467333 0.284249 0.255824A W04263002 BETAPROL 100 mg METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 10.92 8.08 0.364000 0.284249 0.255824A W04266001 EGILOK 100 mg METOPROLOLUM COMPR. 100mg 20 0C07ABO V 05-07-2010 6.55 4.85 0.327500 0.284249 0.255824A W07222003 METOPROLOL LPH 100 mg METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 7.10 5.25 0.236666 0.236666 0.212999A W07225001 METOPROLOL AL 100 METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 9.11 6.74 0.303666 0.284249 0.255824A W07225003 METOPROLOL AL 100 METOPROLOLUM COMPR. 100mg 100 0C07ABO V 05-07-2010 19.71 14.58 0.197100 0.197100 0.177390A W07225002 METOPROLOL AL 100 METOPROLOLUM COMPR. 100mg 50 0C07ABO V 05-07-2010 12.97 9.60 0.259400 0.259400 0.233460A W42176001 METOPROLOL 100 mg METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 9.48 7.01 0.316000 0.284249 0.255824A W52230001 METOPROLOL TERAPIA 100 mg METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 15.07 11.15 0.502333 0.284249 0.255824A W52474002 METOPROLOL MEDICO UNO 100 mg METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 7.00 5.18 0.233333 0.233333 0.209999

A W53669001 METOPROLOL VIM SPECTRUM 100 mg METOPROLOLUM COMPR. 100mg 20 0C07ABO V 05-07-2010 7.35 5.44 0.367500 0.284249 0.255824A W53941002 METOPROLOL ARENA 100 MG METOPROLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 7.00 5.18 0.233333 0.233333 0.209999A W55076001 METOPROLOL 100 mg METOPROLOLUM COMPR. 100mg 20 0C07ABO V 05-07-2010 8.07 5.97 0.403500 0.284249 0.255824

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W04267001 EGILOK 25 mg METOPROLOLUM COMPR. 25mg 20 0C07ABO V 05-07-2010 1.90 1.41 0.095000 0.071062 0.063955A W42973001 METOPROLOL LPH 25 mg METOPROLOLUM COMPR. 25mg 20 0C07ABO V 05-07-2010 1.90 1.41 0.095000 0.071062 0.063955A W42025001 METOPROLOL 25 mg METOPROLOLUM COMPR. 25mg 30 0C07ABO V 05-07-2010 2.85 2.11 0.095000 0.071062 0.063955A W52472002 METOPROLOL MEDICO UNO 25 mg METOPROLOLUM COMPR. 25mg 30 0C07ABO V 05-07-2010 2.85 2.11 0.095000 0.071062 0.063955A W53922001 METOPROLOL ARENA 25 MG METOPROLOLUM COMPR. 25mg 30 0C07ABO V 05-07-2010 2.85 2.11 0.095000 0.071062 0.063955A W04264002 BETAPROL 50 mg METOPROLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.142124 0.127912A W04268001 EGILOK 50 mg METOPROLOLUM COMPR. 50mg 20 0C07ABO V 05-07-2010 3.50 2.59 0.175000 0.142124 0.127912A W07223003 METOPROLOL LPH 50 mg METOPROLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 4.73 3.50 0.157666 0.142124 0.127912A W07227001 METOPROLOL AL 50 METOPROLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.142124 0.127912A W07227003 METOPROLOL AL 50 METOPROLOLUM COMPR. 50mg 100 0C07ABO V 05-07-2010 8.38 6.20 0.083800 0.083800 0.075420A W07227002 METOPROLOL AL 50 METOPROLOLUM COMPR. 50mg 50 0C07ABO V 05-07-2010 7.07 5.23 0.141400 0.141400 0.127260A W42197001 METOPROLOL 50 mg METOPROLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.142124 0.127912A W52231001 METOPROLOL TERAPIA 50 mg METOPROLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 7.04 5.21 0.234666 0.142124 0.127912A W52473002 METOPROLOL MEDICO UNO 50 mg METOPROLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.142124 0.127912A W53670001 METOPROLOL VIM SPECTRUM 50 mg METOPROLOLUM COMPR. 50mg 20 0C07ABO V 05-07-2010 3.44 2.55 0.172000 0.142124 0.127912A W53940001 METOPROLOL ARENA 50 MG METOPROLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.142124 0.127912A W55075001 METOPROLOL 50 mg METOPROLOLUM COMPR. 50mg 20 0C07ABO V 05-07-2010 3.50 2.59 0.175000 0.142124 0.127912A W51986001 METOPROLOL RETARD 100 mg METOPROLOLUM COMPR. ELIB. PREL. 100mg 20 0C07ABO V 05-07-2010 11.11 8.22 0.555500 0.284249 0.255824A W04260001 BETALOC (R) ZOK 100 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 100mg 30 0C07ABO V 05-07-2010 25.64 18.97 0.854666 0.284249 0.255824A W43342001 EMZOK 100 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 100mg 30 0C07ABO V 05-07-2010 16.66 12.33 0.555333 0.284249 0.255824

A W53644004METOPROLOL SUCCINAT POLPHARMA 190 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 190mg 28 0C07ABO V 05-07-2010 21.16 15.66 0.755714 0.540074 0.486067

A W53641004METOPROLOL SUCCINAT POLPHARMA 23,75 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 23,75mg 28 0C07ABO V 05-07-2010 2.76 2.04 0.098571 0.067509 0.060758

A W53642004METOPROLOL SUCCINAT POLPHARMA 47,5 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 47,5mg 28 0C07ABO V 05-07-2010 9.49 7.02 0.338928 0.135018 0.121516

A W04262001 BETALOC (R) ZOK 50 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 50mg 30 0C07ABO V 05-07-2010 15.65 11.58 0.521666 0.142124 0.127912A W43341001 EMZOK 50 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 50mg 30 0C07ABO V 05-07-2010 10.18 7.53 0.339333 0.142124 0.127912

A W53643004METOPROLOL SUCCINAT POLPHARMA 95 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 95mg 28 0C07ABO V 05-07-2010 15.55 11.50 0.555357 0.270037 0.243033

A W43228004 METOSUCCINAT SANDOZ 190 mg METOPROLOLUM COMPR.FILM.ELIB.MOD. 190mg 30 0C07ABO V 05-07-2010 22.67 16.77 0.755666 0.540074 0.486067A W43226004 METOSUCCINAT SANDOZ 47,5 mg METOPROLOLUM COMPR.FILM.ELIB.MOD. 47,5mg 30 0C07ABO V 05-07-2010 8.12 6.01 0.270666 0.135018 0.121516A W43227004 METOSUCCINAT SANDOZ 95 mg METOPROLOLUM COMPR.FILM.ELIB.MOD. 95mg 30 0C07ABO V 05-07-2010 13.56 10.03 0.452000 0.270037 0.243033A W00489001 ATENOCOR 100 mg ATENOLOLUM COMPR. 100mg 30 0C07ABO V 05-07-2010 10.82 8.01 0.360666 0.360666 0.324599A W00491002 ATENOLOL LPH 100 mg ATENOLOLUM COMPR. 100mg 20 0C07ABO V 05-07-2010 7.03 5.20 0.351500 0.351500 0.316350A W13741001 ATENOLOL 100 mg ATENOLOLUM COMPR. 100mg 20 0C07ABO V 05-07-2010 6.24 4.62 0.312000 0.312000 0.280800A W53950002 ATENOLOL ARENA 100 MG ATENOLOLUM COMPR. 100mg 20 0C07ABO V 05-07-2010 6.24 4.62 0.312000 0.312000 0.280800A W00492002 ATENOLOL LPH 50 mg ATENOLOLUM COMPR. 50mg 20 0C07ABO V 05-07-2010 3.91 2.89 0.195500 0.195500 0.175950A W13703001 ATENOLOL MEDUMAN 50mg ATENOLOLUM COMPR. 50mg 20 0C07ABO V 05-07-2010 3.68 2.72 0.184000 0.184000 0.165600A W13740001 ATENOLOL 50 mg ATENOLOLUM COMPR. 50mg 20 0C07ABO V 05-07-2010 4.50 3.33 0.225000 0.225000 0.202500A W00490001 ATENOCOR 50 mg ATENOLOLUM COMPR. 50mg 30 0C07ABO V 05-07-2010 5.33 3.94 0.177666 0.177666 0.159899A W53949002 ATENOLOL ARENA 50 MG ATENOLOLUM COMPR. 50mg 20 0C07ABO V 05-07-2010 3.54 2.62 0.177000 0.177000 0.159300A W12244002 ATENOLOL 100 mg ATENOLOLUM COMPR. FILM. 100mg 20 0C07ABO V 05-07-2010 6.86 5.08 0.343000 0.343000 0.308700A W12244001 ATENOLOL 100 mg ATENOLOLUM COMPR. FILM. 100mg 30 0C07ABO V 05-07-2010 10.88 8.05 0.362666 0.362666 0.326399A W43306001 ATENOLOL 100 mg MEDO ATENOLOLUM COMPR. FILM. 100mg 20 0C07ABO V 05-07-2010 4.59 3.40 0.229500 0.229500 0.206550A W08713001 ATENOLOL 50 mg ATENOLOLUM COMPR. FILM. 50mg 50 0C07ABO V 05-07-2010 11.62 8.60 0.232400 0.232400 0.209160A W08713002 ATENOLOL 50 mg ATENOLOLUM COMPR. FILM. 50mg 30 0C07ABO V 05-07-2010 6.64 4.91 0.221333 0.221333 0.199199A W12507001 LOKREN 20 mg BETAXOLOLUM COMPR. FILM. 20mg 28 0C07ABO V 05-07-2010 22.77 16.85 0.813214 0.426374 0.383737A W42300002 BETAC BETAXOLOLUM COMPR. FILM. 20mg 28 0C07ABO V 05-07-2010 21.28 15.74 0.760000 0.426374 0.383737A W42300004 BETAC BETAXOLOLUM COMPR. FILM. 20mg 30 0C07ABO V 05-07-2010 27.41 20.28 0.913666 0.426374 0.383737A W42300003 BETAC BETAXOLOLUM COMPR. FILM. 20mg 20 0C07ABO V 05-07-2010 21.62 16.00 1.081000 0.426374 0.383737A W42300001 BETAC BETAXOLOLUM COMPR. FILM. 20mg 14 0C07ABO V 05-07-2010 15.07 11.15 1.076428 0.426374 0.383737A W13967001 BISOBLOCK 10 mg BISOPROLOLUM COMPR. 10mg 30 0C07ABO V 05-07-2010 16.50 12.21 0.550000 0.426374 0.383737A W54669001 BISOBLOCK 10 mg BISOPROLOLUM COMPR. 10mg 30 0C07ABO V 05-07-2010 16.50 12.21 0.550000 0.426374 0.383737A W13966001 BISOBLOCK 5 mg BISOPROLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 7.53 5.57 0.251000 0.213187 0.191868A W54668001 BISOBLOCK 5 mg BISOPROLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 7.53 5.57 0.251000 0.213187 0.191868A W00625001 CONCOR 10 mg BISOPROLOLUM COMPR. FILM. 10mg 30 0C07ABO V 05-07-2010 31.76 23.50 1.058666 0.426374 0.383737A W13630003 BISOGAMMA (R) 10 BISOPROLOLUM COMPR. FILM. 10mg 100 0C07ABO V 05-07-2010 49.31 37.70 0.493100 0.426374 0.383737A W13630002 BISOGAMMA (R) 10 BISOPROLOLUM COMPR. FILM. 10mg 50 0C07ABO V 05-07-2010 29.88 22.11 0.597600 0.426374 0.383737A W13630001 BISOGAMMA (R) 10 BISOPROLOLUM COMPR. FILM. 10mg 30 0C07ABO V 05-07-2010 18.07 13.37 0.602333 0.426374 0.383737A W08906002 CONCOR COR 10 mg BISOPROLOLUM COMPR. FILM. 10mg 30 0C07ABO V 05-07-2010 33.73 24.96 1.124333 0.426374 0.383737A W43154001 BISOTENS 10 mg BISOPROLOLUM COMPR. FILM. 10mg 30 0C07ABO V 05-07-2010 18.07 13.37 0.602333 0.426374 0.383737A W08907002 CONCOR COR 2,5 mg BISOPROLOLUM COMPR. FILM. 2,5mg 30 0C07ABO V 05-07-2010 14.73 10.90 0.491000 0.106593 0.095934A W00626001 CONCOR 5 mg BISOPROLOLUM COMPR. FILM. 5mg 30 0C07ABO V 05-07-2010 16.30 12.06 0.543333 0.213187 0.191868A W13629002 BISOGAMMA (R) 5 BISOPROLOLUM COMPR. FILM. 5mg 50 0C07ABO V 05-07-2010 13.99 10.35 0.279800 0.213187 0.191868A W13629001 BISOGAMMA (R) 5 BISOPROLOLUM COMPR. FILM. 5mg 30 0C07ABO V 05-07-2010 8.52 6.30 0.284000 0.213187 0.191868A W13629003 BISOGAMMA (R) 5 BISOPROLOLUM COMPR. FILM. 5mg 100 0C07ABO V 05-07-2010 24.95 18.46 0.249500 0.213187 0.191868A W08908002 CONCOR COR 5 mg BISOPROLOLUM COMPR. FILM. 5mg 30 0C07ABO V 05-07-2010 22.26 16.47 0.742000 0.213187 0.191868A W43153001 BISOTENS 5 mg BISOPROLOLUM COMPR. FILM. 5mg 30 0C07ABO V 05-07-2010 8.52 6.30 0.284000 0.213187 0.191868A W43389001 CARVEDILOL SANDOZ CARVEDILOLUM COMPR. 12,5 mg 30 0C07AGO V 05-07-2010 8.71 6.44 0.290333 0.290333 0.261299A W44082002 DILATREND (R) 12,5 mg CARVEDILOLUM COMPR. 12,5mg 28 0C07AGO V 05-07-2010 29.86 22.09 1.066428 0.353399 0.318059A W12649001 CORYOL 12,5 mg CARVEDILOLUM COMPR. 12,5mg 28 0C07AGO V 05-07-2010 12.45 9.21 0.444642 0.353399 0.318059A W42058001 TALLITON (R) 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 0C07AGO V 05-07-2010 13.27 9.82 0.442333 0.353399 0.318059A W42731002 ATRAM 12,5 CARVEDILOLUM COMPR. 12,5mg 30 0C07AGO V 05-07-2010 12.84 9.50 0.428000 0.353399 0.318059A W42742001 CARVEDILOL HELCOR 12,5 mg CARVEDILOLUM COMPR. 12,5mg 20 0C07AGO V 05-07-2010 8.69 6.43 0.434500 0.353399 0.318059A W42659001 CARVEDILOL LPH 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 0C07AGO V 05-07-2010 13.33 9.86 0.444333 0.353399 0.318059A W44030001 CARVEDILOL TEVA 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 0C07AGO V 05-07-2010 8.64 6.39 0.288000 0.288000 0.259200A W53658001 CARVEDILOL VIM SPECTRUM 12,5mg CARVEDILOLUM COMPR. 12,5mg 20 0C07AGO V 05-07-2010 6.70 4.96 0.335000 0.335000 0.301500A W53751001 GLADYCOR 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 0C07AGO V 05-07-2010 13.07 9.67 0.435666 0.353399 0.318059A W54103001 MIOCARVIL 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 0C07AGO V 05-07-2010 13.33 9.86 0.444333 0.353399 0.318059A W44083002 DILATREND (R) 25 mg CARVEDILOLUM COMPR. 25mg 28 0C07AGO V 05-07-2010 33.37 25.51 1.191785 0.706799 0.636119A W12648002 CORYOL 25 mg CARVEDILOLUM COMPR. 25mg 28 0C07AGO V 05-07-2010 21.99 16.27 0.785357 0.706799 0.636119A W42059001 TALLITON (R) 25 mg CARVEDILOLUM COMPR. 25mg 30 0C07AGO V 05-07-2010 23.56 17.43 0.785333 0.706799 0.636119A W42732001 ATRAM 25 CARVEDILOLUM COMPR. 25mg 30 0C07AGO V 05-07-2010 19.52 14.44 0.650666 0.650666 0.585599A W42743001 CARVEDILOL HELCOR 25 mg CARVEDILOLUM COMPR. 25mg 20 0C07AGO V 05-07-2010 15.69 11.61 0.784500 0.706799 0.636119A W43390001 CARVEDILOL SANDOZ CARVEDILOLUM COMPR. 25mg 30 0C07AGO V 05-07-2010 9.17 6.78 0.305666 0.305666 0.275099A W42658001 CARVEDILOL LPH 25 mg CARVEDILOLUM COMPR. 25mg 30 0C07AGO V 05-07-2010 23.56 17.43 0.785333 0.706799 0.636119A W44031001 CARVEDILOL TEVA 25 mg CARVEDILOLUM COMPR. 25mg 30 0C07AGO V 05-07-2010 9.04 6.69 0.301333 0.301333 0.271199A W53752001 GLADYCOR 25 mg CARVEDILOLUM COMPR. 25mg 30 0C07AGO V 05-07-2010 22.94 16.97 0.764666 0.706799 0.636119A W54104001 MIOCARVIL 25 mg CARVEDILOLUM COMPR. 25mg 30 0C07AGO V 05-07-2010 23.56 17.43 0.785333 0.706799 0.636119A W44081003 DILATREND (R) 6,25 mg CARVEDILOLUM COMPR. 6,25mg 28 0C07AGO V 05-07-2010 16.41 12.14 0.586071 0.176699 0.159029A W41867002 CORYOL (R) CARVEDILOLUM COMPR. 6,25mg 28 0C07AGO V 05-07-2010 6.43 4.76 0.229642 0.176699 0.159029A W41912001 TALLITON 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.176699 0.159029

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W42730002 ATRAM 6,25 CARVEDILOLUM COMPR. 6,25mg 30 0C07AGO V 05-07-2010 6.43 4.76 0.214333 0.176699 0.159029A W43388001 CARVEDILOL SANDOZ CARVEDILOLUM COMPR. 6,25mg 30 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.176699 0.159029A W42660001 CARVEDILOL LPH 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.176699 0.159029A W44029001 CARVEDILOL TEVA 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 0C07AGO V 05-07-2010 6.02 4.45 0.200666 0.176699 0.159029A W53663001 CARVEDILOL VIM SPECTRUM 6,25 mg CARVEDILOLUM COMPR. 6,25mg 20 0C07AGO V 05-07-2010 4.56 3.37 0.228000 0.176699 0.159029A W53750001 GLADYCOR 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 0C07AGO V 05-07-2010 6.69 4.95 0.223000 0.176699 0.159029A W54102001 MIOCARVIL 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.176699 0.159029A W42392001 CARVEDIGAMMA 12,5 mg CARVEDILOLUM COMPR. FILM. 12,5mg 30 0C07AGO V 05-07-2010 13.88 10.27 0.462666 0.353399 0.318059A W42393001 CARVEDIGAMMA 25 mg CARVEDILOLUM COMPR. FILM. 25mg 30 0C07AGO V 05-07-2010 24.24 17.93 0.808000 0.706799 0.636119A W42391001 CARVEDIGAMMA 6,25 mg CARVEDILOLUM COMPR. FILM. 6,25mg 30 0C07AGO V 05-07-2010 9.04 6.69 0.301333 0.176699 0.159029A W12452001 NORVASC 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 29.60 21.90 0.986666 0.576900 0.519210A W41513001 AMLOHEXAL 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W42020001 TENOX (R) 10 AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.21 14.21 0.640333 0.576900 0.519210A W44028002 AMLODIPINE-TEVA 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 5.12 3.79 0.170666 0.170666 0.153599A W52406001 ALOZUR 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W52417001 STAMLO M 10 mg AMLODIPINUM COMPR. 10mg 28 1C08CAO V 05-07-2010 14.64 10.83 0.522857 0.522857 0.470571A W52477001 VASOREX 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W52901001 CARDILOPIN 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W53203002 AMLODIPINA BIOGALENICA 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W53242003 AMLODIGAMMA 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 5.12 3.79 0.170666 0.170666 0.153599A W53242005 AMLODIGAMMA 10 mg AMLODIPINUM COMPR. 10mg 100 1C08CAO V 05-07-2010 17.03 12.60 0.170300 0.170300 0.153270A W53430001 ALMACOR 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W53512001 EPLODIN 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.21 14.21 0.640333 0.576900 0.519210A W53614001 AMLODIPINA ACTAVIS 10 mg AMLODIPINUM COMPR. 10mg 20 1C08CAO V 05-07-2010 12.82 9.49 0.641000 0.576900 0.519210A W53664001 AMLODIPIN VIM SPECTRUM 10 mg AMLODIPINUM COMPR. 10mg 20 1C08CAO V 05-07-2010 12.82 9.49 0.641000 0.576900 0.519210A W53936001 TARDIP 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.26 14.25 0.642000 0.576900 0.519210A W53936002 TARDIP 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.26 14.25 0.642000 0.576900 0.519210A W54891002 AGEN 10 AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W55079001 ALOZUR 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 19.23 14.23 0.641000 0.576900 0.519210A W55211005 AMLODIPINE VALEANT 10 mg AMLODIPINUM COMPR. 10mg 30 1C08CAO V 05-07-2010 17.87 13.22 0.595666 0.576900 0.519210A W55211006 AMLODIPINE VALEANT 10 mg AMLODIPINUM COMPR. 10mg 50 1C08CAO V 05-07-2010 32.06 23.72 0.641200 0.576900 0.519210A W55211008 AMLODIPINE VALEANT 10 mg AMLODIPINUM COMPR. 10mg 100 1C08CAO V 05-07-2010 62.06 47.45 0.620600 0.576900 0.519210A W12451001 NORVASC 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 19.89 14.72 0.663000 0.288450 0.259605A W41512001 AMLOHEXAL 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.34 8.39 0.378000 0.288450 0.259605A W42019001 TENOX (R) 5 AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.37 8.41 0.379000 0.288450 0.259605A W44027002 AMLODIPINE-TEVA 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 2.56 1.89 0.085333 0.085333 0.076799A W52405001 ALOZUR 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.00 8.14 0.366666 0.288450 0.259605A W52416001 STAMLO M 5 mg AMLODIPINUM COMPR. 5mg 28 1C08CAO V 05-07-2010 8.72 6.45 0.311428 0.288450 0.259605A W52478001 VASOREX 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.34 8.39 0.378000 0.288450 0.259605A W52900001 CARDILOPIN 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.34 8.39 0.378000 0.288450 0.259605A W53202002 AMLODIPINA BIOGALENICA 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 7.87 5.82 0.262333 0.262333 0.236099A W53239003 AMLODIGAMMA 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 2.56 1.89 0.085333 0.085333 0.076799A W53239005 AMLODIGAMMA 5 mg AMLODIPINUM COMPR. 5mg 100 1C08CAO V 05-07-2010 8.52 6.30 0.085200 0.085200 0.076680A W53429001 ALMACOR 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.33 8.38 0.377666 0.288450 0.259605A W53511001 EPLODIN 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.34 8.39 0.378000 0.288450 0.259605A W53613001 AMLODIPINA ACTAVIS 5 mg AMLODIPINUM COMPR. 5mg 20 1C08CAO V 05-07-2010 7.57 5.60 0.378500 0.288450 0.259605A W53665001 AMLODIPIN VIM SPECTRUM 5 mg AMLODIPINUM COMPR. 5mg 20 1C08CAO V 05-07-2010 7.43 5.50 0.371500 0.288450 0.259605A W53935001 TARDIP 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 10.80 7.99 0.360000 0.288450 0.259605A W53935002 TARDIP 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 10.80 7.99 0.360000 0.288450 0.259605A W54890002 AGEN 5 AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.22 8.30 0.374000 0.288450 0.259605A W55078001 ALOZUR 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 11.00 8.14 0.366666 0.288450 0.259605A W55210005 AMLODIPINE VALEANT 5 mg AMLODIPINUM COMPR. 5mg 30 1C08CAO V 05-07-2010 9.61 7.11 0.320333 0.288450 0.259605A W55210006 AMLODIPINE VALEANT 5 mg AMLODIPINUM COMPR. 5mg 50 1C08CAO V 05-07-2010 18.91 13.99 0.378200 0.288450 0.259605A W55210008 AMLODIPINE VALEANT 5 mg AMLODIPINUM COMPR. 5mg 100 1C08CAO V 05-07-2010 36.59 27.97 0.365900 0.288450 0.259605A W13294002 FELODIPIN AL 10 RETARD FELODIPINUM COMPR. ELIB. MODIF. 10mg 30 1C08CAO V 05-07-2010 45.63 34.89 1.521000 0.576900 0.519210A W13500002 FELODIPIN AL 2,5 RETARD FELODIPINUM COMPR. ELIB. MODIF. 2,5mg 30 1C08CAO V 05-07-2010 20.63 15.26 0.687666 0.144225 0.129802A W13500003 FELODIPIN AL 2,5 RETARD FELODIPINUM COMPR. ELIB. MODIF. 2,5mg 50 1C08CAO V 05-07-2010 33.27 25.44 0.665400 0.144225 0.129802A W13501002 FELODIPIN AL 5 RETARD FELODIPINUM COMPR. ELIB. MODIF. 5mg 30 1C08CAO V 05-07-2010 29.48 21.81 0.982666 0.288450 0.259605A W03102002 PLENDIL FELODIPINUM COMPR. ELIB. PREL. 10mg 30 1C08CAO V 05-07-2010 50.09 38.30 1.669666 0.576900 0.519210A W03103001 PLENDIL FELODIPINUM COMPR. ELIB. PREL. 2,5mg 30 1C08CAO V 05-07-2010 22.22 16.44 0.740666 0.144225 0.129802A W03104001 PLENDIL FELODIPINUM COMPR. ELIB. PREL. 5mg 30 1C08CAO V 05-07-2010 28.29 20.93 0.943000 0.288450 0.259605A W42170001 SISTAR 10 mg FELODIPINUM COMPR. FILM. ELIB. MODIF. 10mg 30 1C08CAO V 05-07-2010 30.35 22.45 1.011666 0.576900 0.519210A W42169001 SISTAR 2,5 mg FELODIPINUM COMPR. FILM. ELIB. MODIF. 2,5mg 30 1C08CAO V 05-07-2010 14.44 10.68 0.481333 0.144225 0.129802A W42168001 SISTAR 5 mg FELODIPINUM COMPR. FILM. ELIB. MODIF. 5mg 30 1C08CAO V 05-07-2010 18.38 13.60 0.612666 0.288450 0.259605A W06813001 AURONAL 10 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 10mg 30 1C08CAO V 05-07-2010 42.47 32.47 1.415666 0.576900 0.519210A W13587001 PRESID (R) 10 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 10mg 30 1C08CAO V 05-07-2010 33.47 24.76 1.115666 0.576900 0.519210A W53011001 FELODIPIN SANDOZ 10 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 10mg 30 1C08CAO V 05-07-2010 30.46 22.54 1.015333 0.576900 0.519210A W06814001 AURONAL 2,5 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 2,5mg 30 1C08CAO V 05-07-2010 16.43 12.16 0.547666 0.144225 0.129802A W13589001 PRESID (R) 2,5 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 2,5mg 30 1C08CAO V 05-07-2010 8.58 6.35 0.286000 0.144225 0.129802A W06815001 AURONAL 5 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 5mg 30 1C08CAO V 05-07-2010 26.59 19.67 0.886333 0.288450 0.259605A W13588001 PRESID (R) 5 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 5mg 30 1C08CAO V 05-07-2010 17.16 12.70 0.572000 0.288450 0.259605A W53010001 FELODIPIN SANDOZ 5 mg FELODIPINUM COMPR. FILM. ELIB. PREL. 5mg 30 1C08CAO V 05-07-2010 15.65 11.58 0.521666 0.288450 0.259605A W08258001 ADALAT CR 30 NIFEDIPINUM COMPR. ELIB. MODIF. 30mg 28 1C08CAO V 05-07-2010 29.80 22.05 1.064285 0.288450 0.259605A W04542001 NIFEDIPIN RETARD TERAPIA 20 mg NIFEDIPINUM COMPR. FILM. ELIB. PREL. 20mg 50 1C08CAO V 05-07-2010 8.38 6.20 0.167600 0.167600 0.150840A W44066002 EPILAT RETARD NIFEDIPINUM DRAJ. 20mg 20 1C08CAO V 05-07-2010 4.79 3.54 0.239500 0.192299 0.173069A W12461003 ISOPTIN (R) 40 mg VERAPAMILUM COMPR. FILM. 40mg 100 0C08DAO V 05-07-2010 17.04 12.61 0.170400 0.112799 0.101519A W12166002 VERAPAMIL AL 80 VERAPAMILUM COMPR. FILM. 80mg 100 0C08DAO V 05-07-2010 20.97 15.51 0.209700 0.209700 0.188730A W12166001 VERAPAMIL AL 80 VERAPAMILUM COMPR. FILM. 80mg 50 0C08DAO V 05-07-2010 10.48 7.75 0.209600 0.209600 0.188640A W06081002 ISOPTIN (R) 80 mg VERAPAMILUM COMPR. FILM. 80mg 50 0C08DAO V 05-07-2010 15.25 11.28 0.305000 0.225599 0.203039A W12255003 VEROGALID (R) ER 240 mg VERAPAMILUM COMPR. FILM. ELIB. PREL. 240mg 10 0C08DAO V 05-07-2010 10.69 7.91 1.069000 0.676800 0.609120A W12255004 VEROGALID (R) ER 240 mg VERAPAMILUM COMPR. FILM. ELIB. PREL. 240mg 30 0C08DAO V 05-07-2010 22.56 16.69 0.752000 0.676800 0.609120A W06083001 ISOPTIN RR VERAPAMILUM COMPR. FILM. ELIB. PREL. 240mg 20 0C08DAO V 05-07-2010 19.86 14.69 0.993000 0.676800 0.609120A W52127001 VERAPAMIL 40 mg VERAPAMILUM DRAJ. 40mg 50 0C08DAO V 05-07-2010 11.79 8.72 0.235800 0.112799 0.101519A W52126003 VERAPAMIL 80 mg VERAPAMILUM DRAJ. 80mg 50 0C08DAO V 05-07-2010 17.29 12.79 0.345800 0.225599 0.203039A W02584002 DILZEM 60 mg DILTIAZEMUM COMPR. 60mg 30 0C08DBO V 05-07-2010 12.39 9.17 0.413000 0.269000 0.242100A W44079001 DILTIAZEM EIPICO 60 mg DILTIAZEMUM COMPR. 60mg 20 0C08DBO V 05-07-2010 5.38 3.98 0.269000 0.269000 0.242100A W41897001 DILTIAZEM LPH 60 mg DILTIAZEMUM COMPR. 60mg 20 0C08DBO V 05-07-2010 5.38 3.98 0.269000 0.269000 0.242100A W12201003 DILTIAZEM ARENA 60 mg DILTIAZEMUM COMPR. 60mg 50 0C08DBO V 05-07-2010 13.34 9.87 0.266800 0.266800 0.240120A W02568001 CORZEM 120 DILTIAZEMUM COMPR. FILM. 120mg 10 0C08DBO V 05-07-2010 12.80 9.47 1.280000 0.538000 0.484200A W02586002 DILZEM 90 mg RETARD DILTIAZEMUM COMPR. FILM. ELIB. PREL. 90mg 30 0C08DBO V 05-07-2010 15.33 11.34 0.511000 0.403500 0.363150A W06859002 CAPTOPRIL 12,5 mg CAPTOPRILUM COMPR. 12,5mg 30 0C09AAO V 05-07-2010 2.94 2.18 0.098000 0.050085 0.045076A W41841001 CAPTOPRIL MCC 12,5 mg CAPTOPRILUM COMPR. 12,5mg 30 0C09AAO V 05-07-2010 2.94 2.18 0.098000 0.050085 0.045076A W06861002 CAPTOPRIL 25 mg CAPTOPRILUM COMPR. 25mg 30 0C09AAO V 05-07-2010 3.41 2.52 0.113666 0.100170 0.090153

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Grupa terapeutica RO Valabil de la

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A W00775001 CAPTOPRIL 25 mg CAPTOPRILUM COMPR. 25mg 30 0C09AAO V 05-07-2010 4.10 3.03 0.136666 0.100170 0.090153A W06860001 CAPTOPRIL 25 EEL CAPTOPRILUM COMPR. 25mg 20 0C09AAO V 05-07-2010 3.02 2.23 0.151000 0.100170 0.090153A W43029001 CAPTOPRIL - AC 25 mg CAPTOPRILUM COMPR. 25mg 20 0C09AAO V 05-07-2010 2.27 1.68 0.113500 0.100170 0.090153A W06857001 CAPTOPRIL MCC 25 mg CAPTOPRILUM COMPR. 25mg 30 0C09AAO V 05-07-2010 3.41 2.52 0.113666 0.100170 0.090153A W08550001 CAPTOPRIL LPH 25 mg CAPTOPRILUM COMPR. 25mg 30 0C09AAO V 05-07-2010 3.41 2.52 0.113666 0.100170 0.090153A W41981002 CAPTOPRIL SINTOFARM 25 mg CAPTOPRILUM COMPR. 25mg 30 0C09AAO V 05-07-2010 3.37 2.49 0.112333 0.100170 0.090153A W53677002 CAPTOPRIL ARENA 25 mg CAPTOPRILUM COMPR. 25mg 20 0C09AAO V 05-07-2010 2.27 1.68 0.113500 0.100170 0.090153A W53678001 CAPTOPRIL ARENA 50 mg CAPTOPRILUM COMPR. 50 mg 20 0C09AAO V 05-07-2010 2.67 1.98 0.133500 0.133500 0.120150A W06863002 CAPTOPRIL 50 mg CAPTOPRILUM COMPR. 50mg 20 0C09AAO V 05-07-2010 4.44 3.28 0.222000 0.200340 0.180306A W00777001 CAPTOPRIL 50 mg CAPTOPRILUM COMPR. 50mg 30 0C09AAO V 05-07-2010 6.66 4.93 0.222000 0.200340 0.180306A W06862001 CAPTOPRIL 50 EEL CAPTOPRILUM COMPR. 50mg 20 0C09AAO V 05-07-2010 3.85 2.85 0.192500 0.192500 0.173250A W43028001 CAPTOPRIL - AC 50 mg CAPTOPRILUM COMPR. 50mg 20 0C09AAO V 05-07-2010 2.67 1.98 0.133500 0.133500 0.120150A W42060001 CAPTOPRIL MCC 50 mg CAPTOPRILUM COMPR. 50mg 30 0C09AAO V 05-07-2010 4.50 3.33 0.150000 0.150000 0.135000A W00776003 CAPTOPRIL LPH 50 mg CAPTOPRILUM COMPR. 50mg 30 0C09AAO V 05-07-2010 3.91 2.89 0.130333 0.130333 0.117299A W08813001 ENALAPRIL 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.200340 0.180306A W12405001 ENALAPRIL 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.200340 0.180306A W42909001 ENALAPRIL SANDOZ 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 3.94 2.92 0.197000 0.197000 0.177300A W44078001 ENALAP ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.200340 0.180306A W02920001 ENALAPRIL LPH 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.200340 0.180306A W02922001 ENAP 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.200340 0.180306A W14084003 ENALAPRIL FABIOL 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.200340 0.180306A W41447001 ENALAPRIL SLAVIA 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.200340 0.180306A W41640001 ENALAPRIL AL 10 ENALAPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 6.58 4.87 0.219333 0.200340 0.180306A W51276001 RENITEC 10 mg ENALAPRILUM COMPR. 10mg 28 0C09AAO V 05-07-2010 10.49 7.76 0.374642 0.200340 0.180306A W52009001 ENALAPRIL TERAPIA 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 7.27 5.38 0.363500 0.200340 0.180306A W53672002 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 6.86 5.08 0.228666 0.200340 0.180306A W53672003 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 50 0C09AAO V 05-07-2010 11.22 8.30 0.224400 0.200340 0.180306A W53672004 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 100 0C09AAO V 05-07-2010 21.96 16.25 0.219600 0.200340 0.180306A W53672006 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 11.25 8.32 0.562500 0.200340 0.180306A W53666002 ENALAPRIL VIM SPECTRUM 10 mg ENALAPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 4.10 3.03 0.205000 0.200340 0.180306A W54952001 EDNYT 10 mg ENALAPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 10.17 7.52 0.339000 0.200340 0.180306A W54951001 EDNYT 2,5 mg ENALAPRILUM COMPR. 2,5mg 30 0C09AAO V 05-07-2010 8.23 6.09 0.274333 0.050085 0.045076A W12199001 ENALAPRIL 20 mg ENALAPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 7.92 5.86 0.396000 0.396000 0.356400A W42911001 ENALAPRIL SANDOZ 20 mg ENALAPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 10.15 7.51 0.507500 0.400680 0.360612A W12731001 EDNYT (R) 20 mg ENALAPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 17.57 13.00 0.585666 0.400680 0.360612A W02921001 ENALAPRIL LPH 20 mg ENALAPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 8.72 6.45 0.436000 0.400680 0.360612A W02923001 ENAP 20 mg ENALAPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 7.92 5.86 0.396000 0.396000 0.356400A W41487003 ENALAPRIL FABIOL 20 mg ENALAPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 7.10 5.25 0.355000 0.355000 0.319500A W41639001 ENALAPRIL AL 20 ENALAPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 11.59 8.58 0.386333 0.386333 0.347699A W51277001 RENITEC 20 mg ENALAPRILUM COMPR. 20mg 28 0C09AAO V 05-07-2010 17.07 12.63 0.609642 0.400680 0.360612A W52008001 ENALAPRIL TERAPIA 20 mg ENALAPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 11.09 8.21 0.554500 0.400680 0.360612A W53674001 ENALAPRIL ARENA 20 mg ENALAPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 11.11 8.22 0.370333 0.370333 0.333299A W53674004 ENALAPRIL ARENA 20 mg ENALAPRILUM COMPR. 20mg 50 0C09AAO V 05-07-2010 16.38 12.12 0.327600 0.327600 0.294840A W08814001 ENALAPRIL 5 mg ENALAPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.100170 0.090153A W12198001 ENALAPRIL 5 mg ENALAPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.100170 0.090153A W42908001 ENALAPRIL SANDOZ 5 mg ENALAPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.100170 0.090153A W12726001 EDNYT (R) 5 mg ENALAPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 8.23 6.09 0.274333 0.100170 0.090153A W41641001 ENALAPRIL AL 5 ENALAPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 5.24 3.88 0.174666 0.100170 0.090153A W02925001 ENAP 5 mg ENALAPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.100170 0.090153A W51275001 RENITEC 5 mg ENALAPRILUM COMPR. 5mg 28 0C09AAO V 05-07-2010 7.86 5.82 0.280714 0.100170 0.090153A W12811001 ENALAPRIL LPH (R) 5 mg ENALAPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 3.82 2.83 0.191000 0.100170 0.090153A W52937001 ENALAPRIL TERAPIA 5 mg ENALAPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 3.91 2.89 0.195500 0.100170 0.090153A W52938003 INVORIL 5 mg ENALAPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 5.50 4.07 0.183333 0.100170 0.090153A W53673001 ENALAPRIL ARENA 5 mg ENALAPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 5.56 4.11 0.185333 0.100170 0.090153A W53667001 ENALAPRIL VIM SPECTRUM 5 mg ENALAPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 3.64 2.69 0.182000 0.100170 0.090153A W02924001 ENAP (R) ENALAPRILUM SOL. INJ. 1,25mg/ml 5 0C09AAP V 05-07-2010 15.41 11.40 3.082000 3.082000 2.773800A W12794001 RANOLIP LISINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 14.95 11.06 0.498333 0.200340 0.180306A W42156001 LISIREN 10 mg LISINOPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 10.72 7.93 0.536000 0.200340 0.180306A W42593001 LISINOPRIL SANDOZ 10 mg LISINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 10.28 7.61 0.342666 0.200340 0.180306A W42829001 LISIGAMMA 10 mg LISINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 16.12 11.93 0.537333 0.200340 0.180306A W43054001 LISINOPRIL 10 MEDO LISINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 14.41 10.66 0.480333 0.200340 0.180306A W53748003 LISINOPRIL ACTAVIS 10 mg LISINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 12.84 9.50 0.428000 0.200340 0.180306A W53916001 LISINOPRIL ATB 10 MG LISINOPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 10.14 7.50 0.507000 0.200340 0.180306A W53916002 LISINOPRIL ATB 10 MG LISINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 15.73 11.64 0.524333 0.200340 0.180306A W54841001 TONOLYSIN 10 mg LISINOPRILUM COMPR. 10mg 28 0C09AAO V 05-07-2010 15.42 11.41 0.550714 0.200340 0.180306A W54843001 TONOLYSIN 2,5 mg LISINOPRILUM COMPR. 2,5mg 28 0C09AAO V 05-07-2010 8.72 6.45 0.311428 0.050085 0.045076A W12793001 RANOLIP LISINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 23.05 17.05 0.768333 0.400680 0.360612A W42088001 LISIREN 20 mg LISINOPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 15.62 11.56 0.781000 0.400680 0.360612A W42594001 LISINOPRIL SANDOZ 20 mg LISINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 15.02 11.11 0.500666 0.400680 0.360612A W42830001 LISIGAMMA 20 mg LISINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 28.47 21.06 0.949000 0.400680 0.360612A W43055001 LISINOPRIL 20 MEDO LISINOPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 14.41 10.66 0.720500 0.400680 0.360612A W53747003 LISINOPRIL ACTAVIS 20 mg LISINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 23.31 17.25 0.777000 0.400680 0.360612A W53917001 LISINOPRIL ATB 20 MG LISINOPRILUM COMPR. 20mg 10 0C09AAO V 05-07-2010 7.41 5.48 0.741000 0.400680 0.360612A W53917002 LISINOPRIL ATB 20 MG LISINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 23.42 17.33 0.780666 0.400680 0.360612A W54840001 TONOLYSIN 20 mg LISINOPRILUM COMPR. 20mg 28 0C09AAO V 05-07-2010 22.85 16.91 0.816071 0.400680 0.360612A W53918001 LISINOPRIL ATB 40 MG LISINOPRILUM COMPR. 40mg 10 0C09AAO V 05-07-2010 13.76 10.18 1.376000 0.801360 0.721224A W53918002 LISINOPRIL ATB 40 MG LISINOPRILUM COMPR. 40mg 30 0C09AAO V 05-07-2010 39.22 29.98 1.307333 0.801360 0.721224A W12795001 RANOLIP LISINOPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 7.63 5.65 0.254333 0.100170 0.090153A W42592001 LISINOPRIL SANDOZ 5 mg LISINOPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 7.13 5.28 0.237666 0.100170 0.090153A W42828001 LISIGAMMA 5 mg LISINOPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 10.09 7.47 0.336333 0.100170 0.090153A W43053001 LISINOPRIL 5 MEDO LISINOPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 8.64 6.39 0.288000 0.100170 0.090153A W53746003 LISINOPRIL ACTAVIS 5 mg LISINOPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 7.33 5.42 0.244333 0.100170 0.090153A W54842001 TONOLYSIN 5 mg LISINOPRILUM COMPR. 5mg 28 0C09AAO V 05-07-2010 9.26 6.85 0.330714 0.100170 0.090153A W55106005 VIVOKAR 10 mg RAMIPRILUM CAPS. 10mg 30 0C09AAO V 05-07-2010 24.88 18.41 0.829333 0.801360 0.721224A W55105005 VIVOKAR 2,5 mg RAMIPRILUM CAPS. 2,5mg 30 0C09AAO V 05-07-2010 10.00 7.40 0.333333 0.200340 0.180306A W55107005 VIVOKAR 5 mg RAMIPRILUM CAPS. 5mg 30 0C09AAO V 05-07-2010 15.01 11.11 0.500333 0.400680 0.360612A W51933002 VIVACE 10 mg RAMIPRILUM COMPR. 10 mg 28 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.801360 0.721224A W43077006 PIRAMIL 10 mg RAMIPRILUM COMPR. 10mg 28 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.801360 0.721224A W42940001 RAMIPRIL-AC 10 mg RAMIPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 24.88 18.41 0.829333 0.801360 0.721224A W42972001 AMPRIL 10 mg RAMIPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 24.87 18.40 0.829000 0.801360 0.721224A W42991001 HARTIL 10 mg RAMIPRILUM COMPR. 10mg 28 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.801360 0.721224A W43524001 ZENRA 10 RAMIPRILUM COMPR. 10mg 28 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.801360 0.721224A W43925003 RAMIGAMMA 10 mg RAMIPRILUM COMPR. 10mg 100 0C09AAO V 05-07-2010 38.02 29.07 0.380200 0.380200 0.342180

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W43925001 RAMIGAMMA 10 mg RAMIPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 10.48 7.75 0.524000 0.524000 0.471600A W54354001 TRITACE 10 RAMIPRILUM COMPR. 10mg 28 0C09AAO V 05-07-2010 34.56 26.42 1.234285 0.801360 0.721224A W51934002 VIVACE 2,5 mg RAMIPRILUM COMPR. 2,5 mg 28 0C09AAO V 05-07-2010 7.44 5.50 0.265714 0.200340 0.180306A W43075006 PIRAMIL 2,5 mg RAMIPRILUM COMPR. 2,5mg 28 0C09AAO V 05-07-2010 9.35 6.92 0.333928 0.200340 0.180306A W42939001 RAMIPRIL-AC 2,5 mg RAMIPRILUM COMPR. 2,5mg 30 0C09AAO V 05-07-2010 10.02 7.41 0.334000 0.200340 0.180306A W42970001 AMPRIL 2,5 mg RAMIPRILUM COMPR. 2,5mg 30 0C09AAO V 05-07-2010 9.98 7.38 0.332666 0.200340 0.180306A W42989001 HARTIL 2,5 mg RAMIPRILUM COMPR. 2,5mg 28 0C09AAO V 05-07-2010 9.35 6.92 0.333928 0.200340 0.180306A W43522001 ZENRA 2,5 RAMIPRILUM COMPR. 2,5mg 28 0C09AAO V 05-07-2010 9.35 6.92 0.333928 0.200340 0.180306A W54352003 TRITACE(R) 2,5 RAMIPRILUM COMPR. 2,5mg 28 0C09AAO V 05-07-2010 14.38 10.64 0.513571 0.200340 0.180306A W51932002 VIVACE 5 mg RAMIPRILUM COMPR. 5 mg 28 0C09AAO V 05-07-2010 10.12 7.49 0.361428 0.361428 0.325285A W43076006 PIRAMIL 5 mg RAMIPRILUM COMPR. 5mg 28 0C09AAO V 05-07-2010 10.14 7.50 0.362142 0.362142 0.325927A W42237001 RAMIPRIL-AC 5 mg RAMIPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 10.82 8.01 0.360666 0.360666 0.324599A W42971001 AMPRIL 5 mg RAMIPRILUM COMPR. 5mg 30 0C09AAO V 05-07-2010 10.83 8.01 0.361000 0.361000 0.324900A W42990001 HARTIL 5 mg RAMIPRILUM COMPR. 5mg 28 0C09AAO V 05-07-2010 10.14 7.50 0.362142 0.362142 0.325927A W43523001 ZENRA 5 RAMIPRILUM COMPR. 5mg 28 0C09AAO V 05-07-2010 10.14 7.50 0.362142 0.362142 0.325927A W43924003 RAMIGAMMA 5 mg RAMIPRILUM COMPR. 5mg 100 0C09AAO V 05-07-2010 25.81 19.10 0.258100 0.258100 0.232290A W43924001 RAMIGAMMA 5 mg RAMIPRILUM COMPR. 5mg 20 0C09AAO V 05-07-2010 7.07 5.23 0.353500 0.353500 0.318150A W54353001 TRITACE® 5 RAMIPRILUM COMPR. 5mg 28 0C09AAO V 05-07-2010 15.59 11.53 0.556785 0.400680 0.360612A W42225001 RAMIRAN 1,25 mg RAMIPRILUM COMPR. FILM. 1,25mg 30 0C09AAO V 05-07-2010 6.87 5.08 0.229000 0.100170 0.090153A W42074001 RAMIRAN 10 mg RAMIPRILUM COMPR. FILM. 10mg 30 0C09AAO V 05-07-2010 32.92 25.17 1.097333 0.801360 0.721224A W42226001 RAMIRAN 2,5 mg RAMIPRILUM COMPR. FILM. 2,5mg 30 0C09AAO V 05-07-2010 11.20 8.29 0.373333 0.200340 0.180306A W42073001 RAMIRAN 5 mg RAMIPRILUM COMPR. FILM. 5mg 30 0C09AAO V 05-07-2010 20.45 15.13 0.681666 0.400680 0.360612A W41895001 AQUIRIL 10 mg QUINAPRILUM COMPR. FILM. 10mg 30 0C09AAO V 05-07-2010 7.58 5.61 0.252666 0.133559 0.120203A W05345001 ACCUPRO 10 mg QUINAPRILUM COMPR. FILM. 10mg 30 0C09AAO V 05-07-2010 11.66 8.63 0.388666 0.133559 0.120203A W43896002 QUINARAN 10 mg QUINAPRILUM COMPR. FILM. 10mg 30 0C09AAO V 05-07-2010 7.58 5.61 0.252666 0.133559 0.120203A W41466001 ACCUPRO (R) 20 QUINAPRILUM COMPR. FILM. 20mg 30 0C09AAO V 05-07-2010 16.70 12.36 0.556666 0.267119 0.240407A W43897002 QUINARAN 20 mg QUINAPRILUM COMPR. FILM. 20mg 30 0C09AAO V 05-07-2010 15.02 11.11 0.500666 0.267119 0.240407A W43898002 QUINARAN 40 mg QUINAPRILUM COMPR. FILM. 40mg 30 0C09AAO V 05-07-2010 43.99 33.63 1.466333 0.534239 0.480815A W41465001 ACCUPRO (R) 5 QUINAPRILUM COMPR. FILM. 5mg 30 0C09AAO V 05-07-2010 8.18 6.05 0.272666 0.066779 0.060101A W43895002 QUINARAN 5 mg QUINAPRILUM COMPR. FILM. 5mg 30 0C09AAO V 05-07-2010 7.60 5.62 0.253333 0.066779 0.060101A W03249001 MONOPRIL 10 mg FOSINOPRILUM COMPR. 10mg 28 0C09AAO V 05-07-2010 20.79 15.38 0.742500 0.133559 0.120203A W52069001 FOSYPRIL 10 mg FOSINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 14.73 10.90 0.491000 0.133559 0.120203A W52069002 FOSYPRIL 10 mg FOSINOPRILUM COMPR. 10mg 30 0C09AAO V 05-07-2010 14.73 10.90 0.491000 0.133559 0.120203A W52012001 FOSINOPRIL TERAPIA 10 mg FOSINOPRILUM COMPR. 10mg 20 0C09AAO V 05-07-2010 15.44 11.42 0.772000 0.133559 0.120203A W51953001 MONOPRIL 20 mg FOSINOPRILUM COMPR. 20mg 28 0C09AAO V 05-07-2010 28.51 21.09 1.018214 0.267119 0.240407A W43926001 FOSINOPRIL TEVA 20 mg FOSINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 18.86 13.95 0.628666 0.267119 0.240407A W52068001 FOSYPRIL 20 mg FOSINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 25.55 18.90 0.851666 0.267119 0.240407A W52068002 FOSYPRIL 20 mg FOSINOPRILUM COMPR. 20mg 30 0C09AAO V 05-07-2010 25.55 18.90 0.851666 0.267119 0.240407A W52013001 FOSINOPRIL TERAPIA 20 mg FOSINOPRILUM COMPR. 20mg 20 0C09AAO V 05-07-2010 20.68 15.30 1.034000 0.267119 0.240407

A W43553001 ENALAPRIL HCT SANDOZ 10 mg/25 mg

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 10mg/25mg 30 YC09BAO V 05-07-2010 12.00 8.88 0.400000 0.397574 0.357817

A W01855001 ENAP HL

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 10mg+12,5mg 20 YC09BAO V 05-07-2010 8.86 6.56 0.443000 0.397574 0.357817

A W01854001 ENAP H

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 10mg+25mg 20 YC09BAO V 05-07-2010 9.80 7.25 0.490000 0.397574 0.357817

A W42590001 ENAP (R) HL 20 mg/12,5 mg

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 20 mg/12,5mg 20 YC09BAO V 05-07-2010 7.94 5.87 0.397000 0.397000 0.357300

A W43554001 ENALAPRIL HCT SANDOZ 20 mg/12,5 mg

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 20mg/12,5mg 30 YC09BAO V 05-07-2010 16.70 12.36 0.556666 0.397574 0.357817

A W13184001 VIMAPRIL HL

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. FARA CONCENT30 YC09BAO V 05-07-2010 8.84 6.54 0.294666 0.294666 0.265199

A W13185002 VIMAPRIL H

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. FARA CONCENT30 YC09BAO V 05-07-2010 11.79 8.72 0.393000 0.393000 0.353700

A W52319001 HARTIL HCT 2,5 mg/12,5mg

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 2,5mg/12,5mg 28 YC09BAO V 05-07-2010 23.16 17.14 0.827142 0.397574 0.357817

A W52395005 RAMIPRIL HCT-MEDOCHEMIE

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 2,5mg/12,5mg 30 YC09BAO V 05-07-2010 13.24 9.80 0.441333 0.397574 0.357817

A W52481005 TENSIL 2,5mg/12,5mg

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 2,5mg/12,5mg 30 YC09BAO V 05-07-2010 8.55 6.33 0.285000 0.285000 0.256500

A W52483001 EMREN HCT 2,5mg/12,5mg

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 2,5mg/12,5mg 30 YC09BAO V 05-07-2010 13.13 9.71 0.437666 0.397574 0.357817

A W54355001 TRITACE 2,5 PLUS

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 2,5mg/12,5mg 28 YC09BAO V 05-07-2010 24.53 18.15 0.876071 0.397574 0.357817

A W52320001 HARTIL HCT 5 mg/25mg

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 5mg/25mg 28 YC09BAO V 05-07-2010 29.38 21.74 1.049285 0.397574 0.357817

A W52396005 RAMIPRIL HCT-MEDOCHEMIE

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 5mg/25mg 30 YC09BAO V 05-07-2010 22.67 16.77 0.755666 0.397574 0.357817

A W52482005 TENSIL 5mg/25mg

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 5mg/25mg 30 YC09BAO V 05-07-2010 18.17 13.44 0.605666 0.397574 0.357817

A W52484001 EMREN HCT 5mg/25mg

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 5mg/25mg 30 YC09BAO V 05-07-2010 23.37 17.29 0.779000 0.397574 0.357817

A W54356001 TRITACE 5 PLUS

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. 5mg/25mg 28 YC09BAO V 05-07-2010 28.89 21.37 1.031785 0.397574 0.357817

A W52860001 LOZAP 100 LOSARTANUM COMPR. FILM. 100mg 30 0C09CAO V 05-07-2010 37.52 28.68 1.250666 1.066756 0.960080A W53261001 TALOSAN 100 mg LOSARTANUM COMPR. FILM. 100mg 30 0C09CAO V 05-07-2010 33.33 24.66 1.111000 1.066756 0.960080A W53261003 TALOSAN 100 mg LOSARTANUM COMPR. FILM. 100mg 30 0C09CAO V 05-07-2010 33.33 24.66 1.111000 1.066756 0.960080

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W54647005 LORISTA 100 mg LOSARTANUM COMPR. FILM. 100mg 28 0C09CAO V 05-07-2010 32.68 24.18 1.167142 1.066756 0.960080A W53254001 TALOSAN 12,5 mg LOSARTANUM COMPR. FILM. 12,5mg 30 0C09CAO V 05-07-2010 4.25 3.14 0.141666 0.133344 0.120010A W53254003 TALOSAN 12,5 mg LOSARTANUM COMPR. FILM. 12,5mg 30 0C09CAO V 05-07-2010 4.25 3.14 0.141666 0.133344 0.120010A W53259001 TALOSAN 25 mg LOSARTANUM COMPR. FILM. 25mg 30 0C09CAO V 05-07-2010 7.80 5.77 0.260000 0.260000 0.234000A W53259003 TALOSAN 25 mg LOSARTANUM COMPR. FILM. 25mg 30 0C09CAO V 05-07-2010 7.80 5.77 0.260000 0.260000 0.234000A W51364002 COZAAR LOSARTANUM COMPR. FILM. 50mg 28 0C09CAO V 05-07-2010 64.40 50.93 2.300000 0.533378 0.480040A W43459001 LORISTA LOSARTANUM COMPR. FILM. 50mg 28 0C09CAO V 05-07-2010 17.95 13.28 0.641071 0.533378 0.480040A W52859001 LOZAP 50 LOSARTANUM COMPR. FILM. 50mg 30 0C09CAO V 05-07-2010 19.58 14.49 0.652666 0.533378 0.480040A W53260001 TALOSAN 50 mg LOSARTANUM COMPR. FILM. 50mg 30 0C09CAO V 05-07-2010 17.87 13.22 0.595666 0.533378 0.480040A W53260003 TALOSAN 50 mg LOSARTANUM COMPR. FILM. 50mg 30 0C09CAO V 05-07-2010 17.87 13.22 0.595666 0.533378 0.480040A W53509001 LOSARTAN FARMAL 50 mg LOSARTANUM COMPR. FILM. 50mg 28 0C09CAO V 05-07-2010 17.84 13.20 0.637142 0.533378 0.480040A W52228002 SIMVASTATINA BIOGALENICA 10 mg SIMVASTATINUM COMPR. FILM. 10 mg 28 0C10AAO V 05-07-2010 8.72 6.45 0.311428 0.240749 0.216674A W10578002 SIMVOR 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.46 6.26 0.302142 0.240749 0.216674A W41756001 SIMVACARD (R) 10 SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.71 6.44 0.311071 0.240749 0.216674A W41481001 SIMGAL (R) 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.72 6.45 0.311428 0.240749 0.216674A W41615002 SIMVAHEXAL (R) 10 mg SIMVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 9.35 6.92 0.311666 0.240749 0.216674A W12477001 ZEPLAN (R) 10 mg SIMVASTATINUM COMPR. FILM. 10mg 14 0C10AAO V 05-07-2010 4.38 3.24 0.312857 0.240749 0.216674A W12477002 ZEPLAN (R) 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.72 6.45 0.311428 0.240749 0.216674A W51356001 ZOCOR 10 mg SIMVASTATINUM COMPR. FILM. 10mg 14 0C10AAO V 05-07-2010 6.72 4.97 0.480000 0.240749 0.216674A W51356002 ZOCOR 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 13.42 9.93 0.479285 0.240749 0.216674A W42158001 SINTENAL 10 mg SIMVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 9.34 6.91 0.311333 0.240749 0.216674A W42581001 SIMVAGAMMA 10 mg SIMVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 9.35 6.92 0.311666 0.240749 0.216674A W42581003 SIMVAGAMMA 10 mg SIMVASTATINUM COMPR. FILM. 10mg 100 0C10AAO V 05-07-2010 31.17 23.06 0.311700 0.240749 0.216674A W08725001 VASILIP 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.71 6.44 0.311071 0.240749 0.216674A W42328001 SIMVASTATIN LPH 10 mg SIMVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 9.35 6.92 0.311666 0.240749 0.216674A W43908002 VABADIN 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 22.93 16.97 0.818928 0.240749 0.216674A W52788003 SIMVASTATINA ACTAVIS 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.72 6.45 0.311428 0.240749 0.216674A W53328004 SIMVASTATIN ACCORD 10 mg SIMVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 9.24 6.84 0.308000 0.240749 0.216674A W53350004 SIMVASTATIN AUROBINDO 10 mg SIMVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 9.20 6.81 0.306666 0.240749 0.216674A W53368003 SIMVASTATIN BLUEFISH 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 3.16 2.34 0.112857 0.112857 0.101571A W54371001 RANVOR 10 mg SIMVASTATINUM COMPR. FILM. 10mg 14 0C10AAO V 05-07-2010 4.24 3.14 0.302857 0.240749 0.216674A W54371002 RANVOR 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.46 6.26 0.302142 0.240749 0.216674A W55062001 ZAREDIL 10 mg SIMVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 8.72 6.45 0.311428 0.240749 0.216674A W52227002 SIMVASTATINA BIOGALENICA 20 mg SIMVASTATINUM COMPR. FILM. 20 mg 28 0C10AAO V 05-07-2010 16.50 12.21 0.589285 0.481499 0.433349A W10580002 SIMVOR 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 15.76 11.66 0.562857 0.481499 0.433349A W41755001 SIMVACARD (R) 20 SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 16.50 12.21 0.589285 0.481499 0.433349A W41485001 SIMGAL (R) 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 16.50 12.21 0.589285 0.481499 0.433349A W41616002 SIMVAHEXAL (R) 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 17.70 13.10 0.590000 0.481499 0.433349A W12478002 ZEPLAN (R) 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 16.52 12.22 0.590000 0.481499 0.433349A W12478001 ZEPLAN (R) 20 mg SIMVASTATINUM COMPR. FILM. 20mg 14 0C10AAO V 05-07-2010 8.26 6.11 0.590000 0.481499 0.433349A W51357001 ZOCOR 20 mg SIMVASTATINUM COMPR. FILM. 20mg 14 0C10AAO V 05-07-2010 12.71 9.40 0.907857 0.481499 0.433349A W51357002 ZOCOR 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 25.41 18.80 0.907500 0.481499 0.433349A W42159001 SINTENAL 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 17.66 13.07 0.588666 0.481499 0.433349A W42582003 SIMVAGAMMA 20 mg SIMVASTATINUM COMPR. FILM. 20mg 100 0C10AAO V 05-07-2010 57.08 43.64 0.570800 0.481499 0.433349A W42582001 SIMVAGAMMA 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 17.70 13.10 0.590000 0.481499 0.433349A W08479001 VASILIP 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 16.50 12.21 0.589285 0.481499 0.433349A W41911001 SIMCOR 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 17.69 13.09 0.589666 0.481499 0.433349A W42327001 SIMVASTATIN LPH 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 17.69 13.09 0.589666 0.481499 0.433349A W43909002 VABADIN 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 44.36 33.91 1.584285 0.481499 0.433349A W52789003 SIMVASTATINA ACTAVIS 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 16.50 12.21 0.589285 0.481499 0.433349A W53329004 SIMVASTATIN ACCORD 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 17.69 13.09 0.589666 0.481499 0.433349A W53351004 SIMVASTATIN AUROBINDO 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 17.43 12.90 0.581000 0.481499 0.433349A W53369003 SIMVASTATIN BLUEFISH 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 13.57 10.04 0.484642 0.481499 0.433349A W53369004 SIMVASTATIN BLUEFISH 20 mg SIMVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 14.55 10.77 0.485000 0.481499 0.433349A W54372001 RANVOR 20 mg SIMVASTATINUM COMPR. FILM. 20mg 14 0C10AAO V 05-07-2010 7.89 5.84 0.563571 0.481499 0.433349A W54372002 RANVOR 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 15.76 11.66 0.562857 0.481499 0.433349A W55063001 ZAREDIL 20 mg SIMVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 16.52 12.22 0.590000 0.481499 0.433349A W41703002 SIMVAHEXAL (R) 30 mg SIMVASTATINUM COMPR. FILM. 30mg 30 0C10AAO V 05-07-2010 21.05 15.57 0.701666 0.701666 0.631499A W52226002 SIMVASTATINA BIOGALENICA 40 mg SIMVASTATINUM COMPR. FILM. 40 mg 28 0C10AAO V 05-07-2010 29.80 22.05 1.064285 0.963000 0.866700A W10582001 SIMVOR 40 mg SIMVASTATINUM COMPR. FILM. 40mg 14 0C10AAO V 05-07-2010 14.98 11.08 1.070000 0.963000 0.866700A W13137001 VASILIP (R) 40 mg SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 29.78 22.03 1.063571 0.963000 0.866700A W41754001 SIMVACARD (R) 40 SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 29.95 22.16 1.069642 0.963000 0.866700A W51365001 ZOCOR FORTE SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 44.36 33.91 1.584285 0.963000 0.866700A W51365002 ZOCOR FORTE SIMVASTATINUM COMPR. FILM. 40mg 14 0C10AAO V 05-07-2010 22.93 16.97 1.637857 0.963000 0.866700A W41446002 ZEPLAN (R) 40 mg SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 29.80 22.05 1.064285 0.963000 0.866700A W41446001 ZEPLAN (R) 40 mg SIMVASTATINUM COMPR. FILM. 40mg 14 0C10AAO V 05-07-2010 14.90 11.02 1.064285 0.963000 0.866700A W41480001 SIMGAL (R) 40 mg SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 29.80 22.05 1.064285 0.963000 0.866700A W41547001 SINTENAL 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 31.93 23.62 1.064333 0.963000 0.866700A W41704002 SIMVAHEXAL (R) 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 31.93 23.62 1.064333 0.963000 0.866700A W42583003 SIMVAGAMMA 40 mg SIMVASTATINUM COMPR. FILM. 40mg 100 0C10AAO V 05-07-2010 97.80 77.35 0.978000 0.963000 0.866700A W42583001 SIMVAGAMMA 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 31.93 23.62 1.064333 0.963000 0.866700A W43265001 SIMCOR 40 mg SIMVASTATINUM COMPR. FILM. 40mg 10 0C10AAO V 05-07-2010 10.65 7.88 1.065000 0.963000 0.866700A W43265002 SIMCOR 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 31.93 23.62 1.064333 0.963000 0.866700A W43910002 VABADIN 40 mg SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 67.39 53.30 2.406785 0.963000 0.866700A W52431001 SIMVASTATIN LPH 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 31.93 23.62 1.064333 0.963000 0.866700A W52790003 SIMVASTATINA ACTAVIS 40 mg SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 29.80 22.05 1.064285 0.963000 0.866700A W53330004 SIMVASTATIN ACCORD 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 31.93 23.62 1.064333 0.963000 0.866700A W53352004 SIMVASTATIN AUROBINDO 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 31.43 23.25 1.047666 0.963000 0.866700A W53370002 SIMVASTATIN BLUEFISH 40 mg SIMVASTATINUM COMPR. FILM. 40mg 14 0C10AAO V 05-07-2010 14.98 11.08 1.070000 0.963000 0.866700A W53370003 SIMVASTATIN BLUEFISH 40 mg SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 29.95 22.16 1.069642 0.963000 0.866700A W53370004 SIMVASTATIN BLUEFISH 40 mg SIMVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 18.49 13.68 0.616333 0.616333 0.554699A W54373001 RANVOR 40 mg SIMVASTATINUM COMPR. FILM. 40mg 14 0C10AAO V 05-07-2010 14.98 11.08 1.070000 0.963000 0.866700A W55064001 ZAREDIL 40 mg SIMVASTATINUM COMPR. FILM. 40mg 28 0C10AAO V 05-07-2010 18.34 13.57 0.655000 0.655000 0.589500A W54370001 RANVOR 5 mg SIMVASTATINUM COMPR. FILM. 5mg 14 0C10AAO V 05-07-2010 2.43 1.80 0.173571 0.120374 0.108337A W52432001 SIMVASTATIN LPH 80 mg SIMVASTATINUM COMPR. FILM. 80mg 30 0C10AAO V 05-07-2010 54.19 41.43 1.806333 1.806333 1.625699A W53331004 SIMVASTATIN ACCORD 80 mg SIMVASTATINUM COMPR. FILM. 80mg 30 0C10AAO V 05-07-2010 56.04 42.84 1.868000 1.868000 1.681200A W06752003 MEDOSTATIN LOVASTATINUM COMPR. 20mg 100 0C10AAO V 05-07-2010 67.43 53.33 0.674300 0.320999 0.288899A W06752001 MEDOSTATIN LOVASTATINUM COMPR. 20mg 10 0C10AAO V 05-07-2010 14.41 10.66 1.441000 0.320999 0.288899A W06752002 MEDOSTATIN LOVASTATINUM COMPR. 20mg 30 0C10AAO V 05-07-2010 20.74 15.34 0.691333 0.320999 0.288899A W43983002 MEDOSTATIN 40 mg LOVASTATINUM COMPR. 40mg 30 0C10AAO V 05-07-2010 47.54 36.35 1.584666 0.641999 0.577799A W43036001 PRAVATOR 10 mg PRAVASTATINUM COMPR. 10mg 28 0C10AAO V 05-07-2010 17.16 12.70 0.612857 0.240749 0.216674A W43037001 PRAVATOR 20 mg PRAVASTATINUM COMPR. 20mg 28 0C10AAO V 05-07-2010 22.40 16.57 0.800000 0.481499 0.433349A W43073002 PRALIP 40 mg PRAVASTATINUM COMPR. 40mg 30 0C10AAO V 05-07-2010 37.96 29.02 1.265333 0.963000 0.866700

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A W43843001 PRAVATOR 40 mg PRAVASTATINUM COMPR. 40mg 28 0C10AAO V 05-07-2010 35.43 27.09 1.265357 0.963000 0.866700A W03106001 LIPANTHYL (R) 100 FENOFIBRATUM CAPS. 100mg 48 0C10ABO V 05-07-2010 20.69 15.31 0.431041 0.431041 0.387936A W43325002 LIPOFIB 160 mg FENOFIBRATUM CAPS. 160mg 30 0C10ABO V 05-07-2010 50.38 38.52 1.679333 0.696232 0.626609A W07015002 LIPANTHYL 200 M FENOFIBRATUM CAPS. 200mg 10 0C10ABO V 05-07-2010 13.53 10.01 1.353000 0.870291 0.783261A W43326001 LIPOFIB 200 mg FENOFIBRATUM CAPS. 200mg 30 0C10ABO V 05-07-2010 27.77 20.55 0.925666 0.870291 0.783261A W52247001 FENOFIBRAT TERAPIA 200 mg FENOFIBRATUM CAPS. 200mg 30 0C10ABO V 05-07-2010 25.75 19.05 0.858333 0.858333 0.772499A W52248001 LIPOFIB 267 mg FENOFIBRATUM CAPS. 267mg 30 0C10ABO V 05-07-2010 33.46 25.58 1.115333 1.115333 1.003799A W52246001 LIPOFIB 67 mg FENOFIBRATUM CAPS. 67mg 30 0C10ABO V 05-07-2010 12.19 9.02 0.406333 0.291547 0.262392A W13125001 FENOFIBRAT LPH 200 mg FENOFIBRATUM CAPS. PULB. MICRONIZATA 200mg 20 0C10ABO V 05-07-2010 17.57 13.00 0.878500 0.870291 0.783261A W13251001 LIPIVIM FENOFIBRATUM CAPS. PULB. MICRONIZATA 200mg 30 0C10ABO V 05-07-2010 26.36 19.50 0.878666 0.870291 0.783261A W43691001 LIPANTIL NANO 145 mg FENOFIBRATUM COMPR. FILM. 145mg 30 0C10ABO V 05-07-2010 34.67 26.51 1.155666 0.630960 0.567864A W55561006 FENOFIBRAT TEVA 160 mg FENOFIBRATUM COMPR. FILM. 160mg 30 0C10ABO V 05-07-2010 26.83 19.85 0.894333 0.696232 0.626609A W12180001 LIPANTHYL SUPRA 160 mg FENOFIBRATUM COMPR. FILM. ELIB. MODIF. 160mg 10 0C10ABO V 05-07-2010 13.76 10.18 1.376000 0.696232 0.626609A W12180002 LIPANTHYL SUPRA 160 mg FENOFIBRATUM COMPR. FILM. ELIB. MODIF. 160mg 30 0C10ABO V 05-07-2010 39.93 30.53 1.331000 0.696232 0.626609A W04306001 MEDACTER MICONAZOLUM CREMA 2% 1 1D01ACTD V 05-07-2010 8.54 6.32 8.540000 8.540000 7.686000A W13742001 MICONAZOL NITRAT 2% MICONAZOLUM CREMA 2% 1 1D01ACTD V 05-07-2010 6.81 5.04 6.810000 6.322500 5.690250A W04314001 MICONAL ECOBI MICONAZOLUM CREMA 20mg/g 1 1D01ACTD V 05-07-2010 9.49 7.02 9.490000 9.483750 8.535375A W14069002 BIAZOL 10 mg/g BIFONAZOLUM CREMA 10mg/g 1 1D01ACTD V 05-07-2010 9.45 6.99 9.450000 4.741875 4.267687A W42008001 CLOVIRAL (R) 5% ACICLOVIRUM CREMA 5% 1 9D06BB03TD V 05-07-2010 6.38 4.72 6.380000 5.047200 4.542480A W00040001 ZOVIRAX ACICLOVIRUM CREMA 5% 1 9D06BB03TD V 05-07-2010 21.02 15.55 21.020000 2.103000 1.892700A W00030001 ACICLOVIR 5% ACICLOVIRUM CREMA 5% 1 9D06BB03TD V 05-07-2010 4.96 3.67 4.960000 2.103000 1.892700A W00030002 ACICLOVIR 5% ACICLOVIRUM CREMA 5% 1 9D06BB03TD V 05-07-2010 7.58 5.61 7.580000 6.309000 5.678100A W52926001 ACICLOVIR MK ACICLOVIRUM CREMA 5% 1 9D06BB03TD V 05-07-2010 4.19 3.10 4.190000 3.154500 2.839050A W52926002 ACICLOVIR MK ACICLOVIRUM CREMA 5% 1 9D06BB03TD V 05-07-2010 6.72 4.97 6.720000 6.309000 5.678100A W51497001 ACIKLOVIR CREMA ACICLOVIRUM CREMA 50mg/g 1 9D06BB03TD V 05-07-2010 5.90 4.37 5.900000 2.103000 1.892700A W51497002 ACIKLOVIR CREMA ACICLOVIRUM CREMA 50mg/g 1 9D06BB03TD V 05-07-2010 8.84 6.54 8.840000 4.206000 3.785400A W52146002 ACICLOVIR HYPERION ACICLOVIRUM CREMA 50mg/g 1 9D06BB03TD V 05-07-2010 7.30 5.40 7.300000 6.309000 5.678100A W53041001 ACICLOVIR TIS 50mg/g ACICLOVIRUM CREMA 50mg/g 1 9D06BB03TD V 05-07-2010 4.68 3.46 4.680000 4.680000 4.212000A W55128001 ACICLOVIR SLAVIA 50 mg/g ACICLOVIRUM CREMA 50mg/g 1 9D06BB03TD V 05-07-2010 6.70 4.96 6.700000 6.309000 5.678100A W12026001 HIDROCORTIZON 1% HYDROCORTISONUM UNGUENT 1% 1 9D07AA02TD V 05-07-2010 7.37 5.45 7.370000 5.656428 5.090785A W53471001 HIDROCORTIZON FITERMAN 10 mg/g HYDROCORTISONUM UNGUENT 10mg/g 1 9D07AA02TD V 05-07-2010 5.65 4.18 5.650000 5.650000 5.085000A W53471002 HIDROCORTIZON FITERMAN 10 mg/g HYDROCORTISONUM UNGUENT 10mg/g 1 9D07AA02TD V 05-07-2010 9.91 7.33 9.910000 9.898750 8.908875A W44047001 BETADERM BETAMETHASONUM CREMA 0,1% 1 9D07AC01TD V 05-07-2010 5.95 4.40 5.950000 2.121600 1.909440A W43718001 BELODERM CREMA BETAMETHASONUM CREMA 0,5mg/g 1 9D07AC01TD V 05-07-2010 8.84 6.54 8.840000 7.956000 7.160400A W53912001 EKARZIN 0,5MG/G BETAMETHASONUM CREMA 0,5mg/g 1 9D07AC01TD V 05-07-2010 7.37 5.45 7.370000 7.370000 6.633000A W44048001 BETADERM BETAMETHASONUM UNGUENT 0,1% 1 9D07AC01TD V 05-07-2010 5.95 4.40 5.950000 2.121600 1.909440A W43719001 BELODERM UNGUENT BETAMETHASONUM UNGUENT 0,5mg/g 1 9D07AC01TD V 05-07-2010 8.84 6.54 8.840000 7.956000 7.160400A W51339001 GYNOZOL 200 MICONAZOLUM CAPS. VAG. 200mg 6 1G01AFV V 05-07-2010 5.95 4.40 0.991666 0.991666 0.892499A W51340001 GYNOZOL 400 MICONAZOLUM CAPS. VAG. 400mg 3 1G01AFV V 05-07-2010 5.70 4.22 1.900000 1.900000 1.710000A W08391001 MEDACTER MICONAZOLUM CREMA VAG. 2% 1 1G01AFV V 05-07-2010 19.32 14.29 19.320000 11.109373 9.998436A W04315001 MICONAL ECOBI MICONAZOLUM CREMA VAG. 20mg/g 1 1G01AFV V 05-07-2010 13.88 10.27 13.880000 11.109373 9.998436A W04316001 MICONAL ECOBI MICONAZOLUM OVULE 50mg 15 1G01AFV V 05-07-2010 8.97 6.64 0.598000 0.356069 0.320462A W04317001 MICONAL ECOBI MICONAZOLUM SOL. VAGINALA 2mg/ml 5 1G01AFV V 05-07-2010 17.95 13.28 3.590000 2.136418 1.922776A W42873003 MALEAT DE ERGOMETRINA 0,2 mg/ml ERGOMETRINUM SOL. INJ. 0,2mg/ml 5 9G02AB03P V 05-07-2010 5.93 4.39 1.186000 1.186000 1.067400A W12903002 UNDESTOR TESTOCAPS 40 mg TESTOSTERONUM CAPS. MOI 40mg 60 9G03BA03O V 05-07-2010 47.22 36.10 0.787000 0.787000 0.708300A W42963001 ANDROGEL 50 mg TESTOSTERONUM GEL 50mg 30 9G03BA03TD V 05-07-2010 222.82 182.52 7.427333 7.427333 6.684599A W53387001 NEBIDO 1000 mg/4 ml TESTOSTERONUM SOL. INJ. 1000mg/4ml 1 9G03BA03P V 05-07-2010 483.56 408.63 483.560000 483.560000 435.204000A W03029001 OESTROGEL (R) ESTRADIOLUM GEL 0,06% 1 0G03CATD V 05-07-2010 16.56 12.25 16.560000 9.814500 8.833050A W03025001 ESTREVA (R) ESTRADIOLUM GEL 0,1% 1 0G03CATD V 05-07-2010 29.34 21.71 29.340000 10.223437 9.201093A W53395002 CLIMARA ESTRADIOLUM PLASTURE TRANSDERM. 50mcg/24ore 4 0G03CATD V 05-07-2010 33.25 25.42 8.312500 8.312500 7.481250A W55212001 ANIPROSIN 2 mg (vezi C02CA04) DOXAZOSINUM COMPR. 2 mg 30 9G04CAN1O V 05-07-2010 13.10 9.69 0.436666 0.398416 0.358574A W55212001 ANIPROSIN 2 mg (vezi C02CA04) DOXAZOSINUM COMPR. 2 mg 30 9G04CAN1O V 05-07-2010 13.10 9.69 0.436666 0.398416 0.358574A W55214002 ANIPROSIN 4 mg (vezi C02CA04) DOXAZOSINUM COMPR. 4mg 30 9G04CAN1O V 05-07-2010 23.14 17.12 0.771333 0.771333 0.694199A W55214002 ANIPROSIN 4 mg (vezi C02CA04) DOXAZOSINUM COMPR. 4mg 30 9G04CAN1O V 05-07-2010 23.14 17.12 0.771333 0.771333 0.694199A W08307001 LEMOD SOLU 125 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 125mg 1 9H02AB04P V 05-07-2010 8.78 6.50 8.780000 8.257500 7.431750A W08310001 LEMOD SOLU 500 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 500mg 1 9H02AB04P V 05-07-2010 30.94 22.89 30.940000 30.940000 27.846000A W04237001 SOLU - MEDROL ACT-O-VIAL METHYLPREDNISOLONUM LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml 1 9H02AB04P V 05-07-2010 20.42 15.11 20.420000 16.515000 14.863500A W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.082833 0.074549A W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.082833 0.074549A W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.074099A W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.082833 0.074549A W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.082833 0.074549A W54315001 HYDROCORTISONE ROUSSEL HYDROCORTISONUM COMPR. 10mg 25 9H02AB09O V 05-07-2010 13.56 10.03 0.542400 0.542400 0.488160A W51319001 HYDROCORTISONE 100 mg HYDROCORTISONUM LIOF. + SOLV. PT. SOL. INJ. 100mg 1 9H02AB09P V 05-07-2010 3.90 2.89 3.900000 3.167099 2.850389A W44080001 HYDROCORTISONE SUCCINAT SODIC HYDROCORTISONUM LIOF. + SOLV. PT. SOL. INJ. 100mg 1 9H02AB09P V 05-07-2010 3.90 2.89 3.900000 3.167099 2.850389A W51320001 HYDROCORTISONE 500 mg HYDROCORTISONUM LIOF. PT. SOL. INJ. + SOLV. 500mg 1 9H02AB09P V 05-07-2010 11.88 8.79 11.880000 11.880000 10.692000A W51922003 HIDROCORTIZON HEMISUCCINAT HYDROCORTISONUM SOL. INJ. I.V. 25mg/5ml 5 9H02AB09P V 05-07-2010 21.28 15.74 4.256000 0.791774 0.712597A W02885004 DOXICICLINA DOXYCYCLINUM CAPS. 100mg 20 0J01AAO V 05-07-2010 6.98 5.16 0.349000 0.349000 0.314100A W12627001 DOXICICLINA 100 mg DOXYCYCLINUM CAPS. 100mg 10 0J01AAO V 05-07-2010 3.57 2.64 0.357000 0.357000 0.321300A W42906001 DOXICICLINA SANDOZ 100 mg DOXYCYCLINUM CAPS. 100mg 10 0J01AAO V 05-07-2010 3.59 2.66 0.359000 0.359000 0.323100A W02896001 UNIDOX SOLUTAB DOXYCYCLINUM COMPR. DISP. 100mg 10 0J01AAO V 05-07-2010 9.57 7.08 0.957000 0.398646 0.358781A W43836001 VIBRAMYCIN D DOXYCYCLINUM COMPR. DISP. 100mg 10 0J01AAO V 05-07-2010 10.48 7.75 1.048000 0.398646 0.358781A W00347001 AMOXICILINA ARENA 250 mg AMOXICILLINUM CAPS. 250mg 20 0J01CAO K 05-07-2010 5.93 4.39 0.296500 0.275850 0.248265A W00346001 AMOXICILINA ANTIBIOTICE 250 mg AMOXICILLINUM CAPS. 250mg 20 0J01CAO K 05-07-2010 6.22 4.60 0.311000 0.275850 0.248265A W41579001 OSPAMOX 250 mg AMOXICILLINUM CAPS. 250mg 12 0J01CAO K 05-07-2010 4.44 3.28 0.370000 0.275850 0.248265

A W42903001 AMOXICILINA SANDOZ 250 mg CAPSULE AMOXICILLINUM CAPS. 250mg 20 0J01CAO K 05-07-2010 6.13 4.54 0.306500 0.275850 0.248265A W08747001 AMOXICILINA 250 mg AMOXICILLINUM CAPS. 250mg 20 0J01CAO K 05-07-2010 4.85 3.59 0.242500 0.242500 0.218250A W52433001 AMOXICILINA FARMEX 250 mg AMOXICILLINUM CAPS. 250mg 20 0J01CAO K 05-07-2010 5.24 3.88 0.262000 0.262000 0.235800A W52939001 RANOXIL 250 mg AMOXICILLINUM CAPS. 250mg 20 0J01CAO K 05-07-2010 6.13 4.54 0.306500 0.275850 0.248265A W55176001 AMOXICILINA 250 mg AMOXICILLINUM CAPS. 250mg 20 0J01CAO K 05-07-2010 4.85 3.59 0.242500 0.242500 0.218250A W00369001 EPHAMOX 500 mg AMOXICILLINUM CAPS. 500mg 12 0J01CAO V 05-07-2010 6.53 4.83 0.544166 0.472500 0.425250A W00351001 AMOXICILINA ANTIBIOTICE 500 mg AMOXICILLINUM CAPS. 500mg 10 0J01CAO V 05-07-2010 5.41 4.00 0.541000 0.472500 0.425250A W44073001 E - MOX AMOXICILLINUM CAPS. 500mg 8 0J01CAO V 05-07-2010 7.52 5.56 0.940000 0.472500 0.425250A W08428003 AMOXICILINA FORTE 500 mg AMOXICILLINUM CAPS. 500mg 10 0J01CAO V 05-07-2010 5.90 4.37 0.590000 0.472500 0.425250A W08428001 AMOXICILINA FORTE 500 mg AMOXICILLINUM CAPS. 500mg 20 0J01CAO V 05-07-2010 8.78 6.50 0.439000 0.439000 0.395100A W13739001 AMOXICILINA ARENA 500 mg AMOXICILLINUM CAPS. 500mg 10 0J01CAO V 05-07-2010 5.67 4.20 0.567000 0.472500 0.425250A W00375001 MOXILEN AMOXICILLINUM CAPS. 500mg 16 0J01CAO V 05-07-2010 7.21 5.33 0.450625 0.450625 0.405562

A W42902001 AMOXICILINA SANDOZ 500 mg CAPSULE AMOXICILLINUM CAPS. 500mg 10 0J01CAO V 05-07-2010 4.90 3.63 0.490000 0.472500 0.425250A W13736001 AMOXICILINA FORTE 500 mg AMOXICILLINUM CAPS. 500mg 10 0J01CAO V 05-07-2010 4.85 3.59 0.485000 0.472500 0.425250A W52940001 RANOXIL 500 mg AMOXICILLINUM CAPS. 500mg 20 0J01CAO V 05-07-2010 9.26 6.85 0.463000 0.463000 0.416700A W55177001 AMOXICILINA FORTE 500 mg AMOXICILLINUM CAPS. 500mg 10 0J01CAO V 05-07-2010 4.85 3.59 0.485000 0.472500 0.425250

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W41600001 OSPAMOX 1000 mg AMOXICILLINUM COMPR. FILM. 1000mg 12 0J01CAO V 05-07-2010 11.60 8.58 0.966666 0.945000 0.850500A W41578001 OSPAMOX 500 mg AMOXICILLINUM COMPR. FILM. 500mg 12 0J01CAO V 05-07-2010 5.67 4.20 0.472500 0.472500 0.425250A W54366002 REBOXIL 1g AMOXICILLINUM COMPR. PT. DISP. ORALA 1g 21 0J01CAO V 05-07-2010 19.37 14.33 0.922380 0.922380 0.830142

A W00363001 DUOMOX 1000 mg AMOXICILLINUMCOMPR. PT. DISPERSIE ORALA 1000mg 20 0J01CAO V 05-07-2010 23.71 17.54 1.185500 0.945000 0.850500

A W00364001 DUOMOX 250 mg AMOXICILLINUMCOMPR. PT. DISPERSIE ORALA 250mg 20 0J01CAO K 05-07-2010 10.09 7.47 0.504500 0.275850 0.248265

A W00365001 DUOMOX 500 mg AMOXICILLINUMCOMPR. PT. DISPERSIE ORALA 500mg 20 0J01CAO V 05-07-2010 14.73 10.90 0.736500 0.472500 0.425250

A W00366001 DUOMOX 750 mg AMOXICILLINUMCOMPR. PT. DISPERSIE ORALA 750mg 20 0J01CAO V 05-07-2010 19.71 14.58 0.985500 0.708750 0.637875

A W51639001 JULPHAMOX AMOXICILLINUM PULB. PT. SUSP. ORALA 125mg/5ml 1 0J01CAO K 05-07-2010 7.53 5.57 7.530000 2.758500 2.482650

A W42893001AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA AMOXICILLINUM PULB. PT. SUSP. ORALA 125mg/5ml 1 0J01CAO K 05-07-2010 5.73 4.24 5.730000 1.655100 1.489590

A W41580002 OSPAMOX (R) 125 mg/5 ml AMOXICILLINUM PULB. PT. SUSP. ORALA 125mg/5ml 1 0J01CAO K 05-07-2010 4.55 3.37 4.550000 1.655100 1.489590A W44094001 RANOXIL 125 mg/5 ml AMOXICILLINUM PULB. PT. SUSP. ORALA 125mg/5ml 1 0J01CAO K 05-07-2010 6.87 5.08 6.870000 2.758500 2.482650A W51638001 JULPHAMOX AMOXICILLINUM PULB. PT. SUSP. ORALA 250mg/5ml 1 0J01CAO K 05-07-2010 8.18 6.05 8.180000 5.517000 4.965300

A W42892002AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA AMOXICILLINUM PULB. PT. SUSP. ORALA 250mg/5ml 1 0J01CAO K 05-07-2010 4.87 3.60 4.870000 3.310200 2.979180

A W44074001 E - MOX AMOXICILLINUM PULB. PT. SUSP. ORALA 250mg/5ml 1 0J01CAO K 05-07-2010 4.87 3.60 4.870000 3.310200 2.979180A W00388002 OSPAMOX 250 mg/5 ml AMOXICILLINUM PULB. PT. SUSP. ORALA 250mg/5ml 1 0J01CAO K 05-07-2010 4.87 3.60 4.870000 3.310200 2.979180A W44095001 RANOXIL 250 mg/5 ml AMOXICILLINUM PULB. PT. SUSP. ORALA 250mg/5ml 1 0J01CAO K 05-07-2010 8.01 5.93 8.010000 5.517000 4.965300A W10693001 PENICILINA V 1 000 000 U.I. PHENOXYMETHYLPENICILLINUM COMPR. 1000000ui 20 0J01CEO V 05-07-2010 9.09 6.73 0.454500 0.304500 0.274050A W41595001 OSPEN (R) 1000 PHENOXYMETHYLPENICILLINUM COMPR. FILM. 1000000ui 12 0J01CEO V 05-07-2010 3.45 2.55 0.287500 0.287500 0.258750A W41594001 OSPEN (R) 1500 PHENOXYMETHYLPENICILLINUM COMPR. FILM. 1500000ui 12 0J01CEO V 05-07-2010 6.09 4.51 0.507500 0.456750 0.411075A W41596001 OSPEN (R) 500 PHENOXYMETHYLPENICILLINUM COMPR. FILM. 500000ui 12 0J01CEO V 05-07-2010 2.62 1.94 0.218333 0.152250 0.137025A W41597001 OSPEN 400 PHENOXYMETHYLPENICILLINUM SIROP 400000ui/5ml 1 0J01CEO V 05-07-2010 9.49 7.02 9.490000 0.203000 0.182700A W55416003 MOLDAMIN 1200000 UI BENZATHINI BENZYLPENICILLINUM PULB. PT. SUSP. INJ. 1200000UI 1 0J01CEP V 05-07-2010 3.61 2.67 3.610000 3.276451 2.948806A W00560003 MOLDAMIN (R) BENZATHINI BENZYLPENICILLINUM PULB. PT. SUSP. INJ. 600000ui 1 0J01CEP V 05-07-2010 1.39 1.03 1.390000 1.390000 1.251000A W04675002 OXACILINA ARENA 250 mg OXACILLINUM CAPS. 250mg 20 9J01CF04O V 05-07-2010 7.09 5.25 0.354500 0.296807 0.267126A W11729001 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 20 9J01CF04O V 05-07-2010 7.53 5.57 0.376500 0.296807 0.267126A W08782001 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 12 9J01CF04O V 05-07-2010 6.09 4.51 0.507500 0.296807 0.267126A W43090001 OXACILINA SANDOZ 250 mg OXACILLINUM CAPS. 250mg 20 9J01CF04O V 05-07-2010 7.69 5.69 0.384500 0.296807 0.267126A W04680001 OXACILINA OXACILLINUM CAPS. 250mg 20 9J01CF04O V 05-07-2010 5.67 4.20 0.283500 0.283500 0.255150A W12722004 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 20 9J01CF04O V 05-07-2010 6.02 4.45 0.301000 0.296807 0.267126A W52056001 OXACILINA FARMEX 250 mg OXACILLINUM CAPS. 250mg 20 9J01CF04O V 05-07-2010 6.72 4.97 0.336000 0.296807 0.267126A W55171004 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 20 9J01CF04O V 05-07-2010 6.02 4.45 0.301000 0.296807 0.267126A W07274001 OXACILINA 500 mg OXACILLINUM CAPS. 500mg 10 9J01CF04O V 05-07-2010 6.87 5.08 0.687000 0.593615 0.534253A W13743001 OXACILINA ARENA 500 mg OXACILLINUM CAPS. 500mg 10 9J01CF04O V 05-07-2010 6.18 4.57 0.618000 0.593615 0.534253A W12910001 OXACILINA FORTE 500 mg OXACILLINUM CAPS. 500mg 20 9J01CF04O V 05-07-2010 11.14 8.24 0.557000 0.557000 0.501300A W43092001 OXACILINA SANDOZ 500 mg OXACILLINUM CAPS. 500mg 10 9J01CF04O V 05-07-2010 7.03 5.20 0.703000 0.593615 0.534253A W13752001 OXACILINA FORTE 500 mg OXACILLINUM CAPS. 500mg 10 9J01CF04O V 05-07-2010 6.18 4.57 0.618000 0.593615 0.534253A W55172001 OXACILINA FORTE 500 mg OXACILLINUM CAPS. 500mg 10 9J01CF04O V 05-07-2010 6.18 4.57 0.618000 0.593615 0.534253

A W04684004 OXACILINA ANTIBIOTICE 500 mg OXACILLINUMPULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg 1 9J01CF04P V 05-07-2010 3.31 2.45 3.310000 2.686500 2.417850

A W04682003 OXACILINA ANTIBIOTICE 1 g OXACILLINUMPULB. PT. SOL. INJ./PERF.I.M./I.V. 1g 1 9J01CF04P V 05-07-2010 5.32 3.94 5.320000 5.320000 4.788000

A W04683004 OXACILINA ANTIBIOTICE 250 mg OXACILLINUMPULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg 1 9J01CF04P V 05-07-2010 1.74 1.29 1.740000 1.343250 1.208925

A W00400003 AMOKSIKLAV 2 x 1000 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 1000mg 14 9J01CR02O V 05-07-2010 39.04 29.85 2.788571 2.079999 1.871999

A W43757001 MEDOCLAV 1000 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 1000mg 14 9J01CR02O V 05-07-2010 40.62 31.06 2.901428 2.079999 1.871999

A W10621001 MEDOCLAV 375 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 250mg+125mg 16 9J01CR02O V 05-07-2010 22.59 16.71 1.411875 0.594285 0.534856

A W54453002 AMOXIPLUS 500/125 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 500/125mg 14 9J01CR02O V 05-07-2010 10.82 8.01 0.772857 0.772857 0.695571

A W12801002 AUGMENTIN 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 500mg+125mg 14 9J01CR02O V 05-07-2010 16.64 12.31 1.188571 1.188571 1.069713

A W12424001 MEDOCLAV 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 500mg+125mg 16 9J01CR02O V 05-07-2010 29.68 21.96 1.855000 1.188571 1.069713

A W00401004 AMOKSIKLAV 2 x 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 625mg 14 9J01CR02O V 05-07-2010 28.00 20.72 2.000000 1.188571 1.069713

A W43139002 ENHANCIN 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 625mg 28 9J01CR02O V 05-07-2010 32.99 24.41 1.178214 1.178214 1.060392

A W55401002 AMOXIPLUS 875 mg/125 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 875mg/125mg 14 9J01CR02O V 05-07-2010 18.94 14.01 1.352857 1.352857 1.217571

A W12800001 AUGMENTIN 1 gAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 875mg+125mg 14 9J01CR02O V 05-07-2010 29.12 21.54 2.080000 2.079999 1.871999

A W41860004 AUGMENTIN™ SRAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. ELIB. PREL. 1062,5mg 28 9J01CR02O V 05-07-2010 67.52 53.40 2.411428 2.377142 2.139427

A W51992004 AMOKSIKLAV QUICKTAB 1000 mgAMOXICILLINUM + ACIDUM CLAVULANICUM

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg 14 9J01CR02O V 05-07-2010 63.37 48.45 4.526428 2.079999 1.871999

A W51991002 AMOKSIKLAV QUICKTAB 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg 14 9J01CR02O V 05-07-2010 35.18 26.90 2.512857 1.188571 1.069713

A W10678001 MEDOCLAV 156,25 mg/5 mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 125mg+31,25/5m1 9J01CR02O K 05-07-2010 14.87 11.00 14.870000 7.987500 7.188750

A W00399001 AMOKSIKLAV 156,25mg/5mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 156,25mg/5ml 1 9J01CR02O K 05-07-2010 11.66 8.63 11.660000 7.987500 7.188750

A W10679001 MEDOCLAV FORTE 312,5mg/5mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 250mg+62,5mg/51 9J01CR02O K 05-07-2010 22.05 16.31 22.050000 15.975000 14.377500

A W00410004 AUGMENTIN BISAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 400mg+57mg/5m1 9J01CR02O K 05-07-2010 9.94 7.35 9.940000 8.946000 8.051400

A W00410002 AUGMENTIN BISAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 400mg+57mg/5m1 9J01CR02O K 05-07-2010 19.88 14.71 19.880000 17.892000 16.102800

A W00410001 AUGMENTIN BISAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 400mg+57mg/5m1 9J01CR02O K 05-07-2010 9.94 7.35 9.940000 8.946000 8.051400

A W42113003 AUGMENTIN (R) ESAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 642,90mg/5ml 1 9J01CR02O K 05-07-2010 34.22 26.16 34.220000 34.220000 30.798000

A W00402001 AMOKSIKLAV 312,5mg/5mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT.SUSP. ORALA 312,5mg/5ml 1 9J01CR02O K 05-07-2010 23.98 17.74 23.980000 15.975000 14.377500

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W43140001 ENHANCIN 312,5 mg/5 mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT.SUSP. ORALA 312,5mg/5ml 1 9J01CR02O K 05-07-2010 22.67 16.77 22.670000 15.975000 14.377500

A W01016005 CEFALEXINA ARENA 250 mg CEFALEXINUM CAPS. 250mg 20 0J01DBO V 05-07-2010 11.88 8.79 0.594000 0.434137 0.390723A W12083001 CEFALEXINA 250 mg CEFALEXINUM CAPS. 250mg 20 0J01DBO V 05-07-2010 11.79 8.72 0.589500 0.434137 0.390723A W41667001 OSPEXIN (R) 250 mg CEFALEXINUM CAPS. 250mg 12 0J01DBO V 05-07-2010 7.13 5.28 0.594166 0.434137 0.390723A W41880001 CEFALEXIN 250 mg CEFALEXINUM CAPS. 250mg 10 0J01DBO V 05-07-2010 4.85 3.59 0.485000 0.434137 0.390723A W43087001 CEFALEXIN SANDOZ 250 mg CAPSULE CEFALEXINUM CAPS. 250mg 10 0J01DBO V 05-07-2010 5.96 4.41 0.596000 0.434137 0.390723A W43267001 SPORIDEX 250 mg CEFALEXINUM CAPS. 250mg 10 0J01DBO V 05-07-2010 5.90 4.37 0.590000 0.434137 0.390723A W55184001 CEFALEXIN 250 mg CEFALEXINUM CAPS. 250mg 10 0J01DBO V 05-07-2010 4.85 3.59 0.485000 0.434137 0.390723A W12084001 CEFALEXINA 500 mg CEFALEXINUM CAPS. 500mg 10 0J01DBO V 05-07-2010 9.83 7.27 0.983000 0.868275 0.781447A W06883003 CEFALEXINA ARENA 500 mg CEFALEXINUM CAPS. 500mg 10 0J01DBO V 05-07-2010 8.97 6.64 0.897000 0.868275 0.781447A W41881001 CEFALEXIN 500 mg CEFALEXINUM CAPS. 500mg 10 0J01DBO V 05-07-2010 8.31 6.15 0.831000 0.831000 0.747900A W43268001 SPORIDEX 500 mg CEFALEXINUM CAPS. 500mg 10 0J01DBO V 05-07-2010 10.48 7.75 1.048000 0.868275 0.781447A W55185001 CEFALEXIN 500 mg CEFALEXINUM CAPS. 500mg 10 0J01DBO V 05-07-2010 8.31 6.15 0.831000 0.831000 0.747900A W41665001 OSPEXIN 1000 mg CEFALEXINUM COMPR. FILM. 1000mg 12 0J01DBO V 05-07-2010 15.76 11.66 1.313333 1.313333 1.181999A W41666001 OSPEXIN 500 mg CEFALEXINUM COMPR. FILM. 500mg 12 0J01DBO V 05-07-2010 11.85 8.77 0.987500 0.868275 0.781447

A W43093001CEFALEXIN SANDOZ 500 mg COMPRIMATE FILMATE CEFALEXINUM COMPR. FILM. 500mg 10 0J01DBO V 05-07-2010 9.89 7.32 0.989000 0.868275 0.781447

A W44128002 KEFLEX (R) 125 mg/5 ml CEFALEXINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DBO K 05-07-2010 6.18 4.57 6.180000 5.122500 4.610250A W41664001 OSPEXIN (R) 125 mg/5 ml CEFALEXINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DBO K 05-07-2010 7.60 5.62 7.600000 5.122500 4.610250

A W43088001CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA CEFALEXINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DBO K 05-07-2010 6.92 5.12 6.920000 5.122500 4.610250

A W44127002 KEFLEX (R) 250 mg/5 ml CEFALEXINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DBO K 05-07-2010 10.45 7.73 10.450000 10.245000 9.220500

A W43089001CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA CEFALEXINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DBO K 05-07-2010 9.63 7.12 9.630000 9.630000 8.667000

A W41651001 OSPEXIN (R) 250 mg/5 ml CEFALEXINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DBO K 05-07-2010 9.61 7.11 9.610000 9.610000 8.649000A W01001001 CEXYL 250 mg CEFADROXILUM CAPS. 250mg 10 0J01DBO V 05-07-2010 18.51 13.69 1.851000 0.434137 0.390723A W42039001 CEFORAN (R) 500 mg CEFADROXILUM CAPS. 500mg 10 0J01DBO V 05-07-2010 12.99 9.61 1.299000 0.868275 0.781447A W41662001 CEXYL 500 mg CEFADROXILUM CAPS. 500mg 10 0J01DBO V 05-07-2010 13.42 9.93 1.342000 0.868275 0.781447A W52244001 CEFADROXIL TERAPIA CEFADROXILUM CAPS. 500mg 10 0J01DBO V 05-07-2010 9.49 7.02 0.949000 0.868275 0.781447A W41663002 CEXYL 1000 mg CEFADROXILUM COMPR. FILM. 1000mg 10 0J01DBO V 05-07-2010 26.09 19.30 2.609000 1.736550 1.562895A W41659001 CEXYL 125 mg/5 ml CEFADROXILUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DBO K 05-07-2010 12.02 8.89 12.020000 5.122500 4.610250A W41660001 CEXYL 250 mg/5 ml CEFADROXILUM GRAN. SUSP. ORALA 250mg/5ml 1 0J01DBO K 05-07-2010 22.37 16.55 22.370000 10.245000 9.220500A W42373001 CEROXIM 250 mg CEFUROXIMUM COMPR. 250mg 10 0J01DCO V 05-07-2010 14.35 10.62 1.435000 1.352250 1.217025A W53168001 CEFUROXIMA ANTIBIOTICE 250 mg CEFUROXIMUM COMPR. 250mg 10 0J01DCO V 05-07-2010 14.25 10.54 1.425000 1.352250 1.217025A W53168002 CEFUROXIMA ANTIBIOTICE 250 mg CEFUROXIMUM COMPR. 250mg 10 0J01DCO V 05-07-2010 14.25 10.54 1.425000 1.352250 1.217025A W42374001 CEROXIM 500 mg CEFUROXIMUM COMPR. 500mg 10 0J01DCO V 05-07-2010 30.12 22.28 3.012000 2.704500 2.434050A W53169001 CEFUROXIMA ANTIBIOTICE 500 mg CEFUROXIMUM COMPR. 500mg 10 0J01DCO V 05-07-2010 30.05 22.23 3.005000 2.704500 2.434050A W53169002 CEFUROXIMA ANTIBIOTICE 500 mg CEFUROXIMUM COMPR. 500mg 10 0J01DCO V 05-07-2010 30.05 22.23 3.005000 2.704500 2.434050A W42899001 AXYCEF (R) 125 CEFUROXIMUM COMPR. ACOPERITE 125mg 10 0J01DCO K 05-07-2010 9.80 7.25 0.980000 0.980000 0.882000A W42898001 AXYCEF (R) 250 CEFUROXIMUM COMPR. ACOPERITE 250mg 10 0J01DCO V 05-07-2010 11.79 8.72 1.179000 1.179000 1.061100A W42897001 AXYCEF (R) 500 CEFUROXIMUM COMPR. ACOPERITE 500mg 10 0J01DCO V 05-07-2010 20.17 14.92 2.017000 2.017000 1.815300A W12655001 ZINNAT (R) 125 mg CEFUROXIMUM COMPR. FILM. 125mg 10 0J01DCO K 05-07-2010 15.08 11.16 1.508000 1.334700 1.201230A W12657001 ZINNAT (R) 250 mg CEFUROXIMUM COMPR. FILM. 250mg 10 0J01DCO V 05-07-2010 16.56 12.25 1.656000 1.352250 1.217025A W12659001 ZINNAT (R) 500 mg CEFUROXIMUM COMPR. FILM. 500mg 10 0J01DCO V 05-07-2010 27.58 20.41 2.758000 2.704500 2.434050A W12552001 ZINNAT CEFUROXIMUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 19.37 14.33 19.370000 13.347000 12.012300A W43975002 CEROXIM 125mg/5ml CEFUROXIMUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 39.04 29.85 39.040000 26.694000 24.024600A W43976002 CEROXIM 250mg/5ml CEFUROXIMUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DCO K 05-07-2010 58.56 44.77 58.560000 53.388000 48.049200A W42900001 AXYCEF (R) 125 mg/5 ml CEFUROXIMUM PULB. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 17.63 13.04 17.630000 17.630000 15.867000A W12455001 CEFACLOR OZONE 250 mg CEFACLORUM CAPS. 250mg 15 0J01DCO V 05-07-2010 13.90 10.28 0.926666 0.676125 0.608512A W43078001 CECLODYNE 250 mg CEFACLORUM CAPS. 250mg 10 0J01DCO V 05-07-2010 16.04 11.87 1.604000 0.676125 0.608512A W00985003 CEFACLOR ARENA 250 mg CEFACLORUM CAPS. 250mg 10 0J01DCO V 05-07-2010 15.12 11.19 1.512000 0.676125 0.608512A W07215001 MEDOCLOR 250 CEFACLORUM CAPS. 250mg 16 0J01DCO V 05-07-2010 24.93 18.44 1.558125 0.676125 0.608512A W51694001 VERCEF 250 mg CEFACLORUM CAPS. 250mg 15 0J01DCO V 05-07-2010 13.76 10.18 0.917333 0.676125 0.608512A W52028001 CLORACEF (R) 250 CEFACLORUM CAPS. 250mg 16 0J01DCO V 05-07-2010 21.36 15.80 1.335000 0.676125 0.608512A W55187001 CEFACLOR OZONE 250 mg CEFACLORUM CAPS. 250mg 15 0J01DCO V 05-07-2010 13.90 10.28 0.926666 0.676125 0.608512A W44101001 VERCEF 500 mg CEFACLORUM CAPS. 500mg 15 0J01DCO V 05-07-2010 32.59 24.11 2.172666 1.352250 1.217025A W12219001 CEFACLOR OZONE 500 mg CEFACLORUM CAPS. 500mg 15 0J01DCO V 05-07-2010 29.48 21.81 1.965333 1.352250 1.217025A W07216001 MEDOCLOR 500 CEFACLORUM CAPS. 500mg 16 0J01DCO V 05-07-2010 45.99 35.16 2.874375 1.352250 1.217025A W43079001 CECLODYNE FORTE 500 mg CEFACLORUM CAPS. 500mg 10 0J01DCO V 05-07-2010 29.48 21.81 2.948000 1.352250 1.217025A W52029001 CLORACEF (R) FORTE 500 CEFACLORUM CAPS. 500mg 16 0J01DCO V 05-07-2010 28.47 21.06 1.779375 1.352250 1.217025A W55186001 CEFACLOR OZONE 500 mg CEFACLORUM CAPS. 500mg 15 0J01DCO V 05-07-2010 29.48 21.81 1.965333 1.352250 1.217025A W55271001 CEFACLOR ARENA 500 mg CEFACLORUM CAPS. 500mg 10 0J01DCO V 05-07-2010 27.83 20.59 2.783000 1.352250 1.217025A W14067001 CECLOZONE MR 375 mg CEFACLORUM COMPR. ELIB. PREL. 375mg 10 0J01DCO V 05-07-2010 32.74 24.22 3.274000 1.014187 0.912768A W14068001 CECLOZONE MR 750 mg CEFACLORUM COMPR. ELIB. PREL. 750mg 10 0J01DCO V 05-07-2010 55.45 42.39 5.545000 2.028375 1.825537A W43082001 CECLODYNE (R) MR 375 mg CEFACLORUM COMPR. FILM. ELIB. MODIF. 375mg 10 0J01DCO V 05-07-2010 35.40 27.06 3.540000 1.014187 0.912768A W43083001 CECLODYNE (R) MR 500 mg CEFACLORUM COMPR. FILM. ELIB. MODIF. 500mg 10 0J01DCO V 05-07-2010 46.79 35.77 4.679000 1.352250 1.217025A W43084001 CECLODYNE (R) MR 750 mg CEFACLORUM COMPR. FILM. ELIB. MODIF. 750mg 10 0J01DCO V 05-07-2010 66.42 52.53 6.642000 2.028375 1.825537A W44130002 CECLOR (R) 125 mg/5 ml CEFACLORUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 16.69 12.35 16.690000 10.010250 9.009225A W42343001 CEFACLOR 125 mg/5ml CEFACLORUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 16.16 11.96 16.160000 10.010250 9.009225A W43080001 CECLODYNE 125 mg/5 ml CEFACLORUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 16.96 12.55 16.960000 8.008200 7.207380A W52128001 VERCEF 125 mg/5 ml CEFACLORUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 12.37 9.15 12.370000 10.010250 9.009225A W55188001 CEFACLOR 125 mg/5ml CEFACLORUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 16.16 11.96 16.160000 10.010250 9.009225A W52129001 VERCEF 250 mg/5 ml CEFACLORUM GRAN. PT. SUSP. ORALA 250 mg/5 ml 1 0J01DCO K 05-07-2010 22.25 16.46 22.250000 20.020500 18.018450A W52129002 VERCEF 250 mg/5 ml CEFACLORUM GRAN. PT. SUSP. ORALA 250 mg/5 ml 1 0J01DCO K 05-07-2010 29.66 21.94 29.660000 26.694000 24.024600A W44129002 CECLOR (R) 250 mg/5 ml CEFACLORUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DCO K 05-07-2010 33.08 24.47 33.080000 20.020500 18.018450A W42344001 CEFACLOR 250 mg/5ml CEFACLORUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DCO K 05-07-2010 29.66 21.94 29.660000 20.020500 18.018450A W43081001 CECLODYNE 250 mg/ 5 ml CEFACLORUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DCO K 05-07-2010 29.48 21.81 29.480000 16.016400 14.414760A W55189001 CEFACLOR 250 mg/5ml CEFACLORUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01DCO K 05-07-2010 29.66 21.94 29.660000 20.020500 18.018450A W12210001 CEFAKLOR 125 mg/5 ml CEFACLORUM PULB. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 9.08 6.72 9.080000 8.008200 7.207380A W52033001 CLORACEF (R) 125 CEFACLORUM PULB. PT. SUSP. ORALA 125mg/5ml 1 0J01DCO K 05-07-2010 11.86 8.77 11.860000 10.010250 9.009225A W51321001 CEFAKLOR 250 mg/5 ml CEFACLORUM PULB. PT. SUSP. ORALA 250mg/5ml 1 0J01DCO K 05-07-2010 16.49 12.20 16.490000 16.016400 14.414760A W52034001 CLORACEF (R) 250 CEFACLORUM PULB. PT. SUSP. ORALA 250mg/5ml 1 0J01DCO K 05-07-2010 21.36 15.80 21.360000 20.020500 18.018450A W13701001 EFICEF (R) 200 mg CEFIXIMUM CAPS. 200mg 10 0J01DDO V 05-07-2010 34.70 26.53 3.470000 2.946550 2.651895

A W05741001 TAGREMINSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 0J01EEO V 05-07-2010 7.70 5.70 0.385000 0.174500 0.157050

A W05738001 SUMETROLIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 0J01EEO V 05-07-2010 4.13 3.06 0.206500 0.174500 0.157050

A W12479001 CO - TRIM ELLSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 0J01EEO V 05-07-2010 3.54 2.62 0.177000 0.174500 0.157050

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W53671001 BITRIM 400mg/80mgSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 0J01EEO V 05-07-2010 3.34 2.47 0.167000 0.167000 0.150300

A W05739001 SUMETROLIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM SIROP 25mg/5mg/ml 1 0J01EEO K 05-07-2010 8.18 6.05 8.180000 3.844406 3.459965

A W44046001 EPITRIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUSP. ORALA 200mg/40mg /5m 1 0J01EEO K 05-07-2010 4.75 3.51 4.750000 4.750000 4.275000

A W02983002 ERITROMAGIS 200 mg ERYTHROMYCINUM COMPR. 200mg 20 0J01FAO V 05-07-2010 7.07 5.23 0.353500 0.353500 0.318150A W08244001 ERITROMICINA 200 mg ERYTHROMYCINUM COMPR. 200mg 20 0J01FAO V 05-07-2010 9.58 7.09 0.479000 0.418371 0.376534

A W44040001ERITROMICINA SANDOZ 200 mg COMPRIMATE ERYTHROMYCINUM COMPR. 200mg 20 0J01FAO V 05-07-2010 8.43 6.24 0.421500 0.418371 0.376534

A W07045001 ERITROMICINA EUROPHARM 200 mg ERYTHROMYCINUM COMPR. 200mg 20 0J01FAO V 05-07-2010 10.09 7.47 0.504500 0.418371 0.376534A W53821001 ERITROMICINA SANDOZ 200mg/5ml ERYTHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 0J01FAO K 05-07-2010 11.43 8.46 11.430000 11.430000 10.287000A W01326002 KLACID (R) CLARITHROMYCINUM COMPR. FILM. 250mg 14 0J01FAO V 05-07-2010 28.49 21.08 2.035000 1.045928 0.941335A W12279002 LEKOKLAR (R) 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 0J01FAO V 05-07-2010 32.16 23.79 2.297142 1.045928 0.941335A W51965001 CLAR 250 CLARITHROMYCINUM COMPR. FILM. 250mg 20 0J01FAO V 05-07-2010 22.93 16.97 1.146500 1.045928 0.941335A W14043001 KLERIMED (R) 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.045928 0.941335A W44093001 KLABAX 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 0.941142A W42303001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 0.941142A W08490001 FROMILID 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.045928 0.941335A W55181001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 0.941142A W12280001 LEKOKLAR (R) 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 0J01FAO V 05-07-2010 37.86 28.94 2.704285 2.091856 1.882670A W14044001 KLERIMED (R) 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.091856 1.882670A W44087001 KLABAX 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.091856 1.882670A W51964001 CLAR 500 CLARITHROMYCINUM COMPR. FILM. 500mg 20 0J01FAO V 05-07-2010 44.26 33.84 2.213000 2.091856 1.882670A W42304001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.091856 1.882670A W08491001 FROMILID 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.091856 1.882670A W54044001 ROCLARIN 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 20 0J01FAO V 05-07-2010 50.70 38.76 2.535000 2.091856 1.882670A W55182001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.091856 1.882670A W41606001 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 5 0J01FAO V 05-07-2010 18.34 13.57 3.668000 2.091856 1.882670A W41606002 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 0J01FAO V 05-07-2010 25.67 18.99 3.667142 2.091856 1.882670A W44088001 KLABAX MR 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 0J01FAO V 05-07-2010 35.12 26.85 5.017142 2.091856 1.882670A W13607002 KLACID SR CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 5 0J01FAO V 05-07-2010 36.34 27.78 7.268000 2.091856 1.882670A W41838002 FROMILID (R) UNO CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 7 0J01FAO V 05-07-2010 28.03 20.74 4.004285 2.091856 1.882670A W01327001 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01FAO K 05-07-2010 39.05 29.85 39.050000 28.365000 25.528500A W01327002 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01FAO K 05-07-2010 24.42 18.07 24.420000 17.019000 15.317100A W06981001 FROMILID (R) 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01FAO K 05-07-2010 23.24 17.19 23.240000 17.019000 15.317100A W42258001 LEKOKLAR 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01FAO K 05-07-2010 26.15 19.35 26.150000 17.019000 15.317100A W44092002 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01FAO K 05-07-2010 31.53 23.33 31.530000 28.365000 25.528500A W44092001 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 0J01FAO K 05-07-2010 18.91 13.99 18.910000 17.019000 15.317100A W42259002 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01FAO K 05-07-2010 61.39 46.93 61.390000 56.730000 51.057000A W42259001 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01FAO K 05-07-2010 44.75 34.21 44.750000 34.038000 30.634200A W44091002 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01FAO K 05-07-2010 50.97 38.97 50.970000 50.970000 45.873000A W44091001 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 0J01FAO K 05-07-2010 31.60 23.38 31.600000 31.600000 28.440000A W12904002 OFLOXACIN 200 mg OFLOXACINUM COMPR. FILM. 200mg 10 1J01MAO V 05-07-2010 48.34 36.96 4.834000 1.019700 0.917730A W12404001 OFLOXIN 200 OFLOXACINUM COMPR. FILM. 200mg 10 1J01MAO V 05-07-2010 19.97 14.78 1.997000 1.019700 0.917730A W07914001 ZANOCIN OFLOXACINUM COMPR. FILM. 200mg 10 1J01MAO V 05-07-2010 11.33 8.38 1.133000 1.019700 0.917730A W13598001 ZANOCIN (R) OD 400 OFLOXACINUM COMPR. FILM. ELIB. PREL. 400mg 5 1J01MAO V 05-07-2010 27.38 20.26 5.476000 2.039400 1.835460A W13598002 ZANOCIN (R) OD 400 OFLOXACINUM COMPR. FILM. ELIB. PREL. 400mg 10 1J01MAO V 05-07-2010 50.38 38.52 5.038000 2.039400 1.835460A W01291001 EUCIPRIN CIPROFLOXACINUM CAPS. 250mg 12 1J01MAO V 05-07-2010 8.01 5.93 0.667500 0.509850 0.458865A W54038001 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 10 1J01MAO V 05-07-2010 6.55 4.85 0.655000 0.509850 0.458865A W54038002 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 20 1J01MAO V 05-07-2010 12.28 9.09 0.614000 0.509850 0.458865A W54037001 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 10 1J01MAO V 05-07-2010 37.23 28.46 3.723000 0.203940 0.183546A W54037002 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 20 1J01MAO V 05-07-2010 65.47 51.78 3.273500 0.203940 0.183546A W44077004 CIPROCIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.509850 0.458865A W01273001 CIPRINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.509850 0.458865A W01288001 CIPROLEN (R) 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.509850 0.458865A W01271002 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.509850 0.458865A W01271001 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 20 1J01MAO V 05-07-2010 12.26 9.07 0.613000 0.509850 0.458865A W51913001 CIPROFLOXACINA ALKALOID 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 7.86 5.82 0.786000 0.509850 0.458865A W07862001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 6.92 5.12 0.692000 0.509850 0.458865A W53066001 EUCIPRIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 6.09 4.51 0.609000 0.509850 0.458865A W53288001 ALVEBAR 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 4.75 3.51 0.475000 0.475000 0.427500A W55179001 CIPROFLOXACINA OZONE 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1J01MAO V 05-07-2010 5.29 3.91 0.529000 0.509850 0.458865A W01274001 CIPRINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.019700 0.917730A W44076001 CIPROCIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.019700 0.917730A W01289001 CIPROLEN (R) 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.019700 0.917730A W01272001 CUMINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.019700 0.917730A W13734001 CIPROZONE FORTE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.844000 0.759600A W51912001 CIPROFLOXACINA ALKALOID 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 15.07 11.15 1.507000 1.019700 0.917730A W07863001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 8.75 6.47 0.875000 0.875000 0.787500A W12545001 CIPRO QUIN (R) CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.019700 0.917730A W52031001 CIPRODAR CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.019700 0.917730A W53067001 EUCIPRIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.921000 0.828900A W53287001 ALVEBAR 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.582300A W54039001 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.921000 0.828900A W54039002 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 20 1J01MAO V 05-07-2010 16.38 12.12 0.819000 0.819000 0.737100A W55180001 CIPROFLOXACINA OZONE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.844000 0.759600A W42772001 CIPRINOL 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 1J01MAO V 05-07-2010 38.41 29.37 3.841000 1.529550 1.376595A W54040001 CIPROFLOXACINA ARENA 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 1J01MAO V 05-07-2010 37.23 28.46 3.723000 1.529550 1.376595A W43891001 CIPROBAY XR 1000 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 1000 mg 7 1J01MAO V 05-07-2010 84.50 66.83 12.071428 2.039400 1.835460A W43890001 CIPROBAY XR 500 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 500 mg 3 1J01MAO V 05-07-2010 27.57 20.40 9.190000 1.019700 0.917730A W52445001 PEFLOXACIN LAROPHARM PEFLOXACINUM COMPR. FILM. 400mg 10 1J01MAO V 05-07-2010 27.80 20.57 2.780000 1.019700 0.917730A W04612001 H - NORFLOXACIN 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 9J01MA06O V 05-07-2010 17.57 13.00 0.878500 0.579000 0.521100A W41800001 NORFLOXACINA LPH 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 9J01MA06O V 05-07-2010 15.70 11.62 0.785000 0.579000 0.521100A W51610001 NORFLOX - 400 NORFLOXACINUM COMPR. FILM. 400mg 10 9J01MA06O V 05-07-2010 6.18 4.57 0.618000 0.579000 0.521100A W07984001 NOLICIN 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 9J01MA06O V 05-07-2010 17.57 13.00 0.878500 0.579000 0.521100A W44067001 EPINOR NORFLOXACINUM COMPR. FILM. 400mg 14 9J01MA06O V 05-07-2010 7.69 5.69 0.549285 0.549285 0.494356A W52912001 NORFLOXACINA TERAPIA 400 mg NORFLOXACINUM COMPR. FILM. 400mg 10 9J01MA06O V 05-07-2010 5.82 4.31 0.582000 0.579000 0.521100A W54101001 NOR QUIN 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 9J01MA06O V 05-07-2010 17.57 13.00 0.878500 0.579000 0.521100A W55059001 NORFLOXACIN OZONE 400 mg NORFLOXACINUM COMPR. FILM. 400mg 10 9J01MA06O V 05-07-2010 5.70 4.22 0.570000 0.570000 0.513000A W42791002 NALIXID 500 mg ACIDUM NALIDIXICUM CAPS. 500mg 30 9J01MB02O V 05-07-2010 24.35 18.02 0.811666 0.811666 0.730499

A W53689002METRONIDAZOL ARENA 250 mg (J01XD01) METRONIDAZOLUM COMPR. 250mg 30 0J01XDO V 05-07-2010 7.70 5.70 0.256666 0.256666 0.230999

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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A W53689002METRONIDAZOL ARENA 250 mg (J01XD01) METRONIDAZOLUM COMPR. 250mg 30 0J01XDO V 05-07-2010 7.70 5.70 0.256666 0.256666 0.230999

A W08257001 FLAGYL ( vezi J01XD01) METRONIDAZOLUM COMPR. FILM. 250mg 20 0J01XDO V 05-07-2010 8.38 6.20 0.419000 0.340574 0.306517A W08257001 FLAGYL ( vezi J01XD01) METRONIDAZOLUM COMPR. FILM. 250mg 20 0J01XDO V 05-07-2010 8.38 6.20 0.419000 0.340574 0.306517A W13543001 FLAGYL 4 % (J01XD01) METRONIDAZOLUM SUSP. ORALA 4% 1 0J01XDO K 05-07-2010 7.94 5.87 7.940000 7.940000 7.146000A W13543001 FLAGYL 4 % (J01XD01) METRONIDAZOLUM SUSP. ORALA 4% 1 0J01XDO K 05-07-2010 7.94 5.87 7.940000 7.940000 7.146000A W42888001 TINIZOL (R) 500 mg (J01XD02) TINIDAZOLUM COMPR. FILM. 500mg 4 0J01XDO V 05-07-2010 3.68 2.72 0.920000 0.681149 0.613034A W10714001 TIPROGYN 500 (vezi J01XD02) TINIDAZOLUM COMPR. FILM. 500mg 4 0J01XDO V 05-07-2010 3.67 2.72 0.917500 0.681149 0.613034A W42888001 TINIZOL (R) 500 mg (J01XD02) TINIDAZOLUM COMPR. FILM. 500mg 4 0J01XDO V 05-07-2010 3.68 2.72 0.920000 0.681149 0.613034A W10714001 TIPROGYN 500 (vezi J01XD02) TINIDAZOLUM COMPR. FILM. 500mg 4 0J01XDO V 05-07-2010 3.67 2.72 0.917500 0.681149 0.613034A W03875001 NIZORAL 200 mg KETOCONAZOLUM COMPR. 200mg 10 9J02AB02O V 05-07-2010 20.42 15.11 2.042000 0.714750 0.643275A W12109001 KETOCONAZOL 200 mg KETOCONAZOLUM COMPR. 200mg 10 9J02AB02O V 05-07-2010 8.01 5.93 0.801000 0.714750 0.643275A W08175002 KETOCONAZOL 200 mg KETOCONAZOLUM COMPR. 200mg 10 9J02AB02O V 05-07-2010 6.86 5.08 0.686000 0.686000 0.617400A W12122001 KETOSTIN 200 mg KETOCONAZOLUM COMPR. 200mg 10 9J02AB02O V 05-07-2010 12.59 9.31 1.259000 0.714750 0.643275A W41983001 KEFUNGIN KETOCONAZOLUM COMPR. 200mg 10 9J02AB02O V 05-07-2010 6.86 5.08 0.686000 0.686000 0.617400A W54365002 KETOCONAZOL ARENA 200 mg KETOCONAZOLUM COMPR. 200mg 10 9J02AB02O V 05-07-2010 9.15 6.77 0.915000 0.714750 0.643275A W08955001 DIFLAZON 100 mg FLUCONAZOLUM CAPS. 100mg 28 1J02ACO V 05-07-2010 235.85 193.19 8.423214 4.212160 3.790944A W08372001 FLUCOVIM 100 FLUCONAZOLUM CAPS. 100mg 4 1J02ACO V 05-07-2010 25.55 18.90 6.387500 4.212160 3.790944A W44099001 FLUCORIC 100 mg FLUCONAZOLUM CAPS. 100mg 7 1J02ACO V 05-07-2010 43.26 33.07 6.180000 4.212160 3.790944A W42371002 FUNGOLON 100 mg FLUCONAZOLUM CAPS. 100mg 16 1J02ACO V 05-07-2010 82.46 65.22 5.153750 4.212160 3.790944A W43597001 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 2 1J02ACO V 05-07-2010 9.41 6.96 4.705000 4.212160 3.790944A W43597002 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 7 1J02ACO V 05-07-2010 31.43 23.25 4.490000 4.212160 3.790944A W08956001 DIFLAZON 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 22.47 16.62 22.470000 6.318240 5.686416A W08970003 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 4 1J02ACO V 05-07-2010 78.44 62.04 19.610000 6.318240 5.686416A W08970002 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 2 1J02ACO V 05-07-2010 43.15 32.99 21.575000 6.318240 5.686416A W08373001 FLUCOVIM 150 FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 9.91 7.33 9.910000 6.318240 5.686416A W03156001 DIFLUCAN 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 25.02 18.51 25.020000 6.318240 5.686416A W44089001 FLUCORIC 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 18.83 13.93 18.830000 6.318240 5.686416A W43288001 FLUCONAZOL SANDOZ (R) 150 FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 14.55 10.77 14.550000 6.318240 5.686416A W42174001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 9.91 7.33 9.910000 6.318240 5.686416A W42741001 FLUCONAZOL TERAPIA 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 9.18 6.79 9.180000 6.318240 5.686416A W42192002 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 3 1J02ACO V 05-07-2010 31.93 23.62 10.643333 6.318240 5.686416A W42192001 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 12.50 9.25 12.500000 6.318240 5.686416A W43598001 FLUCONAZOLE TEVA 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.318240 5.686416A W42693001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 9.66 7.15 9.660000 6.318240 5.686416A W51994001 FLUCONAZOL MEDOCHEMIE 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 8.18 6.05 8.180000 6.318240 5.686416A W52224001 FLUCONAZOL BIOGALENICA 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.318240 5.686416A W52335001 FLUCONAZOL MEDICO UNO 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 9.01 6.67 9.010000 6.318240 5.686416A W53943002 FLUCONAZOL ARENA 150 MG FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 9.01 6.67 9.010000 6.318240 5.686416A W55071001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 1J02ACO V 05-07-2010 9.91 7.33 9.910000 6.318240 5.686416A W43599002 FLUCONAZOLE TEVA 200 mg FLUCONAZOLUM CAPS. 200mg 7 1J02ACO V 05-07-2010 39.28 30.03 5.611428 5.611428 5.050285A W08958001 DIFLAZON 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 61.57 47.07 8.795714 2.106080 1.895472A W08374001 FLUCOVIM 50 FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 22.51 16.65 3.215714 2.106080 1.895472A W03157001 DIFLUCAN 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 56.41 43.13 8.058571 2.106080 1.895472A W44098001 FLUCORIC 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 29.54 21.86 4.220000 2.106080 1.895472A W43287001 FLUCONAZOL SANDOZ (R) 50 FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 41.83 31.98 5.975714 2.106080 1.895472A W42172001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 22.51 16.65 3.215714 2.106080 1.895472A W42370002 FUNGOLON 50 mg FLUCONAZOLUM CAPS. 50mg 8 1J02ACO V 05-07-2010 19.00 14.06 2.375000 2.106080 1.895472A W43225001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 10 1J02ACO V 05-07-2010 25.47 18.84 2.547000 2.106080 1.895472A W43596001 FLUCONAZOLE TEVA 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 16.64 12.31 2.377142 2.106080 1.895472A W42414001 FLUCONAZOL TERAPIA 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 19.65 14.54 2.807142 2.106080 1.895472A W42321001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 19.54 14.46 2.791428 2.106080 1.895472A W51993001 FLUCONAZOL MEDOCHEMIE 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 16.12 11.93 2.302857 2.106080 1.895472A W52225001 FLUCONAZOL BIOGALENICA 50 mg FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 15.73 11.64 2.247142 2.106080 1.895472A W53942002 FLUCONAZOL ARENA 50 MG FLUCONAZOLUM CAPS. 50mg 7 1J02ACO V 05-07-2010 19.08 14.12 2.725714 2.106080 1.895472A W03159001 DIFLUCAN (R) 50 mg/5 ml FLUCONAZOLUM PULB. PT. SUSP. ORALA 50mg/5ml 1 1J02ACO V 05-07-2010 56.41 43.13 56.410000 14.742562 13.268306A W42857001 ACICLOVIR 200 mg ACICLOVIRUM CAPS. 200mg 20 1J05ABO V 05-07-2010 20.18 14.93 1.009000 0.601425 0.541282A W53675001 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 20 1J05ABO V 05-07-2010 21.37 15.81 1.068500 0.601425 0.541282A W53676001 ACICLOVIR ARENA 400 mg ACICLOVIRUM CAPS. 400mg 10 1J05ABO V 05-07-2010 19.43 14.38 1.943000 1.202850 1.082565A W00044001 ACICLOVIR TERAPIA 200 mg ACICLOVIRUM COMPR. 200mg 20 1J05ABO V 05-07-2010 17.10 12.65 0.855000 0.601425 0.541282A W13972001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 1J05ABO V 05-07-2010 17.18 12.71 0.859000 0.601425 0.541282A W41451001 CLOVIRAL 200 mg ACICLOVIRUM COMPR. 200mg 20 1J05ABO V 05-07-2010 16.39 12.13 0.819500 0.601425 0.541282A W06667003 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 1J05ABO V 05-07-2010 13.76 10.18 0.688000 0.601425 0.541282A W53225001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 1J05ABO V 05-07-2010 12.97 9.60 0.648500 0.601425 0.541282A W06668003 ACICLOVIR 400 mg ACICLOVIRUM COMPR. 400mg 10 1J05ABO V 05-07-2010 19.18 14.19 1.918000 1.202850 1.082565A W08894001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.325350A W08177003 LOVIR 200 mg ACICLOVIRUM COMPR. DISP. 200mg 10 1J05ABO V 05-07-2010 3.73 2.76 0.373000 0.373000 0.335700A W55183001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.325350A W51494001 ACIKLOVIR ACICLOVIRUM COMPR. FILM. 400mg 35 1J05ABO V 05-07-2010 57.04 43.61 1.629714 1.202850 1.082565A W00058001 VIROLEX ACICLOVIRUM PULB. PT. SOL. INJ./PERF. 250mg 5 9J05AB01P V 05-07-2010 282.31 231.25 56.462000 56.462000 50.815800A W52201001 ROGLUTEN (R) 250 mg AMINOGLUTETHIMIDUM COMPR. 250mg 40 9L02BG01O V 05-07-2010 151.03 123.71 3.775750 3.775750 3.398175A W42120001 INDOMETACIN LAROPHARM 25 mg INDOMETACINUM CAPS. 25mg 20 1M01ABO V 05-07-2010 1.62 1.20 0.081000 0.077456 0.069710A W53947002 INDOMETACIN ARENA 25 MG INDOMETACINUM CAPS. 25mg 30 1M01ABO V 05-07-2010 2.13 1.58 0.071000 0.071000 0.063900A W53948002 INDOMETACIN ARENA 50 MG INDOMETACINUM CAPS. 50mg 20 1M01ABO V 05-07-2010 3.51 2.60 0.175500 0.154912 0.139421A W03600001 INDOMETACIN 50 mg INDOMETACINUM SUPOZ. 50mg 6 1M01ABR V 05-07-2010 4.13 3.06 0.688333 0.280187 0.252168A W03609001 INDOMETACIN 50 mg INDOMETACINUM SUPOZ. 50mg 10 1M01ABR V 05-07-2010 4.93 3.65 0.493000 0.280187 0.252168A W12694002 INDOMETACIN 50 mg INDOMETACINUM SUPOZ. 50mg 10 1M01ABR V 05-07-2010 3.88 2.87 0.388000 0.280187 0.252168A W44020001 DICLOREUM 150 mg DICLOFENACUM CAPS. ELIB. PREL. 150mg 20 1M01ABO V 05-07-2010 47.60 36.39 2.380000 0.464737 0.418263

A W53220001DICLOFENAC DUO PHARMASWISS 75 mg DICLOFENACUM CAPS. ELIB. PREL. 75mg 30 1M01ABO V 05-07-2010 20.43 15.12 0.681000 0.232368 0.209131

A W02504001 TRATUL 50 DICLOFENACUM CAPS. GASTROREZ. 50mg 30 1M01ABO V 05-07-2010 6.38 4.72 0.212666 0.154912 0.139421A W13296001 DICLAC (R) 75 ID DICLOFENACUM COMPR. ELIB. MODIF. 75mg 10 1M01ABO V 05-07-2010 3.91 2.89 0.391000 0.232368 0.209131A W51407001 VOLTAREN (R) RETARD DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 10 1M01ABO V 05-07-2010 6.55 4.85 0.655000 0.309825 0.278842A W51307002 REFEN (R) RETARD DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 20 1M01ABO V 05-07-2010 8.52 6.30 0.426000 0.309825 0.278842A W02472001 DICLOTARD (R) 100 mg DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 20 1M01ABO V 05-07-2010 8.20 6.07 0.410000 0.309825 0.278842A W02500001 RHEUMAVEK DICLOFENACUM COMPR. FILM. GASTROREZ. 25mg 30 1M01ABO V 05-07-2010 5.70 4.22 0.190000 0.077456 0.069710A W51404002 VOLTAREN (R) 50 DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 1M01ABO V 05-07-2010 6.55 4.85 0.327500 0.154912 0.139421A W02459003 DICLOFENAC 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 1M01ABO V 05-07-2010 4.25 3.14 0.212500 0.154912 0.139421A W13867001 CLAFEN 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 1M01ABO V 05-07-2010 2.45 1.81 0.122500 0.122500 0.110250A W42674001 DICLOFENAC 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 1M01ABO V 05-07-2010 2.25 1.66 0.112500 0.112500 0.101250

A W52030001DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 1M01ABO V 05-07-2010 3.81 2.82 0.190500 0.154912 0.139421

A W44068001 EPIFENAC DICLOFENACUM COMPR. GASTROREZ. 25mg 30 1M01ABO V 05-07-2010 4.50 3.33 0.150000 0.077456 0.069710

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W51408001 VOLTAREN RAPID (R) DICLOFENACUM DRAJ. 50mg 10 1M01ABO V 05-07-2010 2.33 1.72 0.233000 0.154912 0.139421A W54364001 DICLOFENAC ARENA 25 mg DICLOFENACUM DRAJ. GASTROREZ. 25mg 30 1M01ABO V 05-07-2010 5.70 4.22 0.190000 0.077456 0.069710A W02488001 N - DICLOFENAC DICLOFENACUM DRAJ. GASTROREZ. 50mg 20 1M01ABO V 05-07-2010 2.54 1.88 0.127000 0.127000 0.114300A W54363002 DICLOFENAC ARENA 50 mg DICLOFENACUM DRAJ. GASTROREZ. 50mg 20 1M01ABO V 05-07-2010 2.65 1.96 0.132500 0.132500 0.119250A W51406001 VOLTAREN (R) DICLOFENACUM SOL. INJ. 25mg/ml 5 1M01ABP V 05-07-2010 9.38 6.94 1.876000 0.993150 0.893835A W02501001 RHEUMAVEK DICLOFENACUM SOL. INJ. 25mg/ml 5 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.993150 0.893835A W02505001 TRATUL (R) DICLOFENACUM SOL. INJ. 30mg/ml 5 1M01ABP V 05-07-2010 14.21 10.51 2.842000 1.191780 1.072602A W42558001 DICLAC DICLOFENACUM SOL. INJ. 75mg 5 1M01ABP V 05-07-2010 6.09 4.51 1.218000 1.218000 1.096200A W14097002 ALMIRAL DICLOFENACUM SOL. INJ. 75mg/3ml 10 1M01ABP V 05-07-2010 9.89 7.32 0.989000 0.989000 0.890100A W42122001 DICLOFENAC 75 mg DICLOFENACUM SOL. INJ. 75mg/3ml 5 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.993150 0.893835A W08159003 DICLOFENAC AL I.M. DICLOFENACUM SOL. INJ. 75mg/3ml 5 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.993150 0.893835A W08159002 DICLOFENAC AL I.M. DICLOFENACUM SOL. INJ. 75mg/3ml 10 1M01ABP V 05-07-2010 12.19 9.02 1.219000 0.993150 0.893835A W55024001 REFEN 75 mg DICLOFENACUM SOL. INJ./PERF. 75mg/ml 5 1M01ABP V 05-07-2010 4.04 2.99 0.808000 0.808000 0.727200A W14114001 CLAFEN 100 mg DICLOFENACUM SUPOZ. 100mg 6 1M01ABR V 05-07-2010 3.93 2.91 0.655000 0.560374 0.504337A W51402003 VOLTAREN (R) DICLOFENACUM SUPOZ. 100mg 5 1M01ABR V 05-07-2010 5.45 4.03 1.090000 0.560374 0.504337A W12288001 DICLOFENAC 100 mg DICLOFENACUM SUPOZ. 100mg 10 1M01ABR V 05-07-2010 5.24 3.88 0.524000 0.524000 0.471600A W02480002 DICLOFENAC SODIC 100 mg DICLOFENACUM SUPOZ. 100mg 10 1M01ABR V 05-07-2010 3.70 2.74 0.370000 0.370000 0.333000A W44069001 EPIFENAC DICLOFENACUM SUPOZ. 100mg 5 1M01ABR V 05-07-2010 3.54 2.62 0.708000 0.560374 0.504337A W52023001 DICLOGESIC 12,5 SUPOZITOARE DICLOFENACUM SUPOZ. 12,5mg 10 1M01ABR K 05-07-2010 5.02 3.71 0.502000 0.502000 0.451800A W02506001 TRATUL 120 DICLOFENACUM SUPOZ. 120mg 6 1M01ABR V 05-07-2010 4.25 3.14 0.708333 0.672449 0.605204A W51403001 VOLTAREN (R) DICLOFENACUM SUPOZ. 50mg 10 1M01ABR V 05-07-2010 9.43 6.98 0.943000 0.280187 0.252168A W02507001 TRATUL 60 DICLOFENACUM SUPOZ. 60mg 6 1M01ABR V 05-07-2010 3.68 2.72 0.613333 0.336224 0.302602A W51689001 KETOROL KETOROLACUM TROMETHAMIN COMPR. FILM. 10mg 20 1M01ABO V 05-07-2010 6.73 4.98 0.336500 0.103274 0.092947A W44108002 KETANOV 10 mg KETOROLACUM TROMETHAMIN COMPR. FILM. 10mg 20 1M01ABO V 05-07-2010 6.73 4.98 0.336500 0.103274 0.092947A W51688003 KETOROL KETOROLACUM TROMETHAMIN SOL. INJ. 30mg/ml 10 1M01ABP V 05-07-2010 19.57 14.48 1.957000 1.324200 1.191780A W44107001 KETANOV KETOROLACUM TROMETHAMIN SOL. INJ. 30mg/ml 10 1M01ABP V 05-07-2010 24.68 18.26 2.468000 1.324200 1.191780A W54825001 AFLAMIL ACECLOFENACUM COMPR. FILM. 100mg 20 1M01ABO V 05-07-2010 22.67 16.77 1.133500 0.154912 0.139421A W07704001 TENOXICAM LPH 20 mg TENOXICAMUM CAPS. 20mg 20 0M01ACO V 05-07-2010 11.42 8.45 0.571000 0.450000 0.405000A W05796002 TENOXICAM 20 mg TENOXICAMUM COMPR. 20mg 20 0M01ACO V 05-07-2010 14.08 10.42 0.704000 0.450000 0.405000A W12900001 NEO - ENDUSIX (R) TENOXICAMUM COMPR. FILM. 20mg 10 0M01ACO V 05-07-2010 6.33 4.68 0.633000 0.450000 0.405000A W51332001 TILCOTIL TENOXICAMUM COMPR. FILM. 20mg 10 0M01ACO V 05-07-2010 9.75 7.21 0.975000 0.450000 0.405000A W12899001 NEO - ENDUSIX (R) TENOXICAMUM LIOF. + SOLV. PT. SOL. INJ. 20mg 1 0M01ACP V 05-07-2010 5.42 4.01 5.420000 2.113200 1.901880A W04103001 MOVALIS (R) 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 15.39 11.39 0.769500 0.450000 0.405000A W04103002 MOVALIS (R) 15 mg MELOXICAMUM COMPR. 15mg 10 0M01ACO V 05-07-2010 7.69 5.69 0.769000 0.450000 0.405000A W42654001 MELOXICAM LPH 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 10.00 7.40 0.500000 0.450000 0.405000A W42561002 MELOXICAM SANDOZ 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 9.95 7.36 0.497500 0.450000 0.405000A W42697003 MELOX 15 mg MELOXICAMUM COMPR. 15mg 30 0M01ACO V 05-07-2010 30.32 22.43 1.010666 0.450000 0.405000A W42697001 MELOX 15 mg MELOXICAMUM COMPR. 15mg 10 0M01ACO V 05-07-2010 10.57 7.82 1.057000 0.450000 0.405000A W42833002 RECOXA 15 MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 14.08 10.42 0.704000 0.450000 0.405000A W42833001 RECOXA 15 MELOXICAMUM COMPR. 15mg 10 0M01ACO V 05-07-2010 8.72 6.45 0.872000 0.450000 0.405000A W42615001 MELARTRIN 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 32.14 23.78 1.607000 0.450000 0.405000A W43431002 MOXCIPAM 15 mg MELOXICAMUM COMPR. 15mg 10 0M01ACO V 05-07-2010 4.92 3.64 0.492000 0.450000 0.405000A W43431003 MOXCIPAM 15 mg MELOXICAMUM COMPR. 15mg 14 0M01ACO V 05-07-2010 6.87 5.08 0.490714 0.450000 0.405000A W43431001 MOXCIPAM 15 mg MELOXICAMUM COMPR. 15mg 7 0M01ACO V 05-07-2010 3.44 2.55 0.491428 0.450000 0.405000A W43431004 MOXCIPAM 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 9.83 7.27 0.491500 0.450000 0.405000A W43431006 MOXCIPAM 15 mg MELOXICAMUM COMPR. 15mg 28 0M01ACO V 05-07-2010 13.76 10.18 0.491428 0.450000 0.405000A W43431005 MOXCIPAM 15 mg MELOXICAMUM COMPR. 15mg 30 0M01ACO V 05-07-2010 14.73 10.90 0.491000 0.450000 0.405000A W43917001 MELOXICAM MCC 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 10.00 7.40 0.500000 0.450000 0.405000A W44002002 CELOMIX MELOXICAMUM COMPR. 15mg 30 0M01ACO V 05-07-2010 16.12 11.93 0.537333 0.450000 0.405000A W52965002 VALZER 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 10.00 7.40 0.500000 0.450000 0.405000A W53196007 ANTREND 15 mg MELOXICAMUM COMPR. 15mg 30 0M01ACO V 05-07-2010 14.87 11.00 0.495666 0.450000 0.405000A W53657001 MELOXICAM VIM SPECTRUM 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 10.00 7.40 0.500000 0.450000 0.405000A W53984001 ASPIFLEX 15 mg MELOXICAMUM COMPR. 15mg 10 0M01ACO V 05-07-2010 5.01 3.71 0.501000 0.450000 0.405000A W53984002 ASPIFLEX 15 mg MELOXICAMUM COMPR. 15mg 20 0M01ACO V 05-07-2010 10.00 7.40 0.500000 0.450000 0.405000A W53984003 ASPIFLEX 15 mg MELOXICAMUM COMPR. 15mg 30 0M01ACO V 05-07-2010 15.01 11.11 0.500333 0.450000 0.405000A W55069007 ANTREND 15 mg MELOXICAMUM COMPR. 15mg 30 0M01ACO V 05-07-2010 14.87 11.00 0.495666 0.450000 0.405000A W42696001 MELOX 7,5 mg MELOXICAMUM COMPR. 7,5 mg 10 0M01ACO V 05-07-2010 9.60 7.10 0.960000 0.225000 0.202500A W42696003 MELOX 7,5 mg MELOXICAMUM COMPR. 7,5 mg 30 0M01ACO V 05-07-2010 25.59 18.93 0.853000 0.225000 0.202500A W04104002 MOVALIS (R) 7,5 mg MELOXICAMUM COMPR. 7,5mg 10 0M01ACO V 05-07-2010 7.40 5.47 0.740000 0.225000 0.202500A W04104001 MOVALIS (R) 7,5 mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 14.81 10.96 0.740500 0.225000 0.202500A W42653001 MELOXICAM LPH 7,5 mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 9.63 7.12 0.481500 0.225000 0.202500A W42560002 MELOXICAM SANDOZ 7,5 mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 9.63 7.12 0.481500 0.225000 0.202500A W43430003 MOXCIPAM 7,5 mg MELOXICAMUM COMPR. 7,5mg 14 0M01ACO V 05-07-2010 6.43 4.76 0.459285 0.225000 0.202500A W43430005 MOXCIPAM 7,5 mg MELOXICAMUM COMPR. 7,5mg 30 0M01ACO V 05-07-2010 13.76 10.18 0.458666 0.225000 0.202500A W43430004 MOXCIPAM 7,5 mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 9.17 6.78 0.458500 0.225000 0.202500A W43430002 MOXCIPAM 7,5 mg MELOXICAMUM COMPR. 7,5mg 10 0M01ACO V 05-07-2010 4.59 3.40 0.459000 0.225000 0.202500A W43430006 MOXCIPAM 7,5 mg MELOXICAMUM COMPR. 7,5mg 28 0M01ACO V 05-07-2010 12.84 9.50 0.458571 0.225000 0.202500A W43430001 MOXCIPAM 7,5 mg MELOXICAMUM COMPR. 7,5mg 7 0M01ACO V 05-07-2010 3.20 2.37 0.457142 0.225000 0.202500A W43916001 MELOXICAM MCC 7,5 mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 9.63 7.12 0.481500 0.225000 0.202500A W52964002 VALZER 7,5mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 9.63 7.12 0.481500 0.225000 0.202500A W53656001 MELOXICAM VIM SPECTRUM 7,5 mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 9.63 7.12 0.481500 0.225000 0.202500A W53985001 ASPIFLEX 7,5 mg MELOXICAMUM COMPR. 7,5mg 10 0M01ACO V 05-07-2010 4.81 3.56 0.481000 0.225000 0.202500A W53985002 ASPIFLEX 7,5 mg MELOXICAMUM COMPR. 7,5mg 20 0M01ACO V 05-07-2010 9.63 7.12 0.481500 0.225000 0.202500A W53985003 ASPIFLEX 7,5 mg MELOXICAMUM COMPR. 7,5mg 30 0M01ACO V 05-07-2010 14.44 10.68 0.481333 0.225000 0.202500A W08929002 MOVALIS 15mg/1,5ml MELOXICAMUM SOL. INJ. 15mg/1,5ml 5 0M01ACP V 05-07-2010 15.07 11.15 3.014000 2.113200 1.901880A W42256002 MOVALIS (R) 15 mg MELOXICAMUM SUPOZ. 15mg 6 0M01ACR V 05-07-2010 13.36 9.88 2.226666 0.256500 0.230850A W41449001 MELOXICAM 15 mg MELOXICAMUM SUPOZ. 15mg 6 0M01ACR V 05-07-2010 8.52 6.30 1.420000 0.256500 0.230850A W41448001 MELOXICAM 7,5 mg MELOXICAMUM SUPOZ. 7,5mg 6 0M01ACR V 05-07-2010 8.14 6.02 1.356666 0.128250 0.115425A W54213001 KETOPROFEN SR TERAPIA 100 MG KETOPROFENUM CAPS. ELIB. PREL. 100mg 10 1M01A5O V 05-07-2010 11.90 8.80 1.190000 0.492599 0.443339A W42896001 KETONAL (R) DUO 150 mg KETOPROFENUM CAPS. ELIB. PREL. 150mg 20 1M01A5O V 05-07-2010 16.44 12.16 0.822000 0.738900 0.665010A W43992002 KETONAL UNO KETOPROFENUM CAPS. ELIB. PREL. 200mg 20 1M01A5O V 05-07-2010 26.26 19.43 1.313000 0.985199 0.886679A W54212001 KETOPROFEN SR TERAPIA 200 MG KETOPROFENUM CAPS. ELIB. PREL. 200mg 10 1M01A5O V 05-07-2010 15.08 11.16 1.508000 0.985199 0.886679A W54887001 KETARD 200 mg KETOPROFENUM CAPS. ELIB. PREL. 200mg 10 1M01A5O V 05-07-2010 7.55 5.59 0.755000 0.755000 0.679500A W03880001 KETONAL RETARD KETOPROFENUM COMPR. ELIB. PREL. 150mg 20 1M01A5O V 05-07-2010 14.99 11.09 0.749500 0.738900 0.665010A W13904001 RUBIFEN 100 mg KETOPROFENUM COMPR. FILM. 100 mg 20 1M01A5O V 05-07-2010 9.00 6.66 0.450000 0.450000 0.405000A W12622001 PROFENID (R) 100 mg KETOPROFENUM COMPR. FILM. 100mg 30 1M01A5O V 05-07-2010 18.21 13.47 0.607000 0.492599 0.443339A W03883001 KETONAL FORTE 100 mg KETOPROFENUM COMPR. FILM. 100mg 20 1M01A5O V 05-07-2010 11.59 8.58 0.579500 0.492599 0.443339A W43110001 KETOPROXIN 100 mg KETOPROFENUM COMPR. FILM. 100mg 20 1M01A5O V 05-07-2010 7.87 5.82 0.393500 0.393500 0.354150A W43111001 KETOPROXIN 50 mg KETOPROFENUM COMPR. FILM. 50mg 20 1M01A5O V 05-07-2010 7.13 5.28 0.356500 0.246299 0.221669A W12623001 PROFENID (R) LP 200 mg KETOPROFENUM COMPR. FILM. ELIB. PREL. 200mg 14 1M01A5O V 05-07-2010 16.24 12.02 1.160000 0.985199 0.886679A W12621001 PROFENID (R) 100 mg KETOPROFENUM LIOF. + SOLV. PT. SOL. INJ. 100mg 6 1M01A5P V 05-07-2010 8.64 6.39 1.440000 1.440000 1.296000A W03881002 KETONAL 100 mg/ 2 ml KETOPROFENUM SOL. INJ. 100mg/2ml 10 1M01A5P V 05-07-2010 11.33 8.38 1.133000 0.810675 0.729607A W54214001 KETOPROFEN TERAPIA 100MG/2ML KETOPROFENUM SOL. INJ./CONC. SOL. PERF. 100mg/2ml 5 1M01A5P V 05-07-2010 9.61 7.11 1.922000 1.621350 1.459215

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W03882002 KETONAL 100 mg KETOPROFENUM SUPOZ. 100mg 12 1M01AER V 05-07-2010 8.18 6.05 0.681666 0.666000 0.599400A W42037001 RUBIFEN (R) 100 mg KETOPROFENUM SUPOZ. 100mg 6 1M01AER V 05-07-2010 4.08 3.02 0.680000 0.666000 0.599400A W14020001 KETOMAG KETOPROFENUM SUPOZ. 100mg 10 1M01AER V 05-07-2010 6.52 4.82 0.652000 0.652000 0.586800A W54359002 MYOLASTAN 50 mg TETRAZEPAMUM COMPR. FILM. 50mg 20 1M03B5O V 05-07-2010 9.51 7.04 0.475500 0.475500 0.427950A W00242001 MILURIT 100 mg ALLOPURINOLUM COMPR. 100mg 50 0M04AAO V 05-07-2010 6.02 4.45 0.120400 0.116766 0.105089A W00243001 MILURIT 300 mg ALLOPURINOLUM COMPR. 300mg 30 0M04AAO V 05-07-2010 10.40 7.69 0.346666 0.346666 0.311999A W01429002 COLCHICINA COLCHICINUM COMPR. 1mg 40 9M04AC01O V 05-07-2010 5.76 4.26 0.144000 0.082012 0.073811A W12716003 COLCHICINA FABIOL COLCHICINUM COMPR. 1mg 40 9M04AC01O V 05-07-2010 2.94 2.18 0.073500 0.073500 0.066150A W04926001 FORTRAL 50 mg PENTAZOCINUM COMPR. 50mg 100 9N02AD01O V 05-07-2010 76.36 60.39 0.763600 0.763600 0.687240A W04926002 FORTRAL 50 mg PENTAZOCINUM COMPR. 50mg 20 9N02AD01O V 05-07-2010 18.52 13.70 0.926000 0.804200 0.723780A W04927001 FORTRAL PENTAZOCINUM SOL. INJ. 30mg/ml 10 9N02AD01P V 05-07-2010 14.67 10.85 1.467000 1.365600 1.229040A W04927002 FORTRAL PENTAZOCINUM SOL. INJ. 30mg/ml 50 9N02AD01P V 05-07-2010 66.59 52.67 1.331800 1.331800 1.198620A W05977002 TRAMAL (R) TRAMADOLUM CAPS. 50mg 20 9N02AX02O V 05-07-2010 11.79 8.72 0.589500 0.345600 0.311040A W42813002 TRALGIT 50 TRAMADOLUM CAPS. 50mg 20 9N02AX02O V 05-07-2010 7.89 5.84 0.394500 0.345600 0.311040A W12691002 TRAMADOL TRAMADOLUM CAPS. 50mg 20 9N02AX02O V 05-07-2010 5.82 4.31 0.291000 0.291000 0.261900A W07472002 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 30 9N02AX02O V 05-07-2010 11.49 8.50 0.383000 0.345600 0.311040A W07472001 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 10 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.345600 0.311040A W05960001 MABRON 50 mg TRAMADOLUM CAPS. 50mg 10 9N02AX02O V 05-07-2010 4.98 3.68 0.498000 0.345600 0.311040A W41593001 K-ALMA (R) TRAMADOLUM CAPS. 50mg 20 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.345600 0.311040A W42576001 TRAMACALM TRAMADOLUM CAPS. 50mg 10 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.345600 0.311040A W13570001 TRAMADOL LPH 50 mg TRAMADOLUM CAPS. 50mg 20 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.345600 0.311040A W08476001 URGENDOL TRAMADOLUM CAPS. 50mg 10 9N02AX02O V 05-07-2010 3.81 2.82 0.381000 0.345600 0.311040A W52049001 TRAMADOL ARENA TRAMADOLUM CAPS. 50mg 20 9N02AX02O V 05-07-2010 8.97 6.64 0.448500 0.345600 0.311040A W53128005 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 10 9N02AX02O V 05-07-2010 17.35 12.84 1.735000 0.691202 0.622081A W53128006 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 20 9N02AX02O V 05-07-2010 33.41 24.72 1.670500 0.691202 0.622081A W53128007 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 30 9N02AX02O V 05-07-2010 47.28 36.15 1.576000 0.691202 0.622081A W53128008 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 50 9N02AX02O V 05-07-2010 71.47 56.52 1.429400 0.691202 0.622081A W53129005 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 10 9N02AX02O V 05-07-2010 26.02 19.25 2.602000 1.036804 0.933123A W53129006 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 20 9N02AX02O V 05-07-2010 48.48 37.06 2.424000 1.036804 0.933123A W53129007 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 30 9N02AX02O V 05-07-2010 68.55 54.22 2.285000 1.036804 0.933123A W53129008 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 50 9N02AX02O V 05-07-2010 107.20 84.78 2.144000 1.036804 0.933123A W53130005 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 10 9N02AX02O V 05-07-2010 32.48 24.03 3.248000 1.382404 1.244163A W53130006 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 20 9N02AX02O V 05-07-2010 58.30 44.57 2.915000 1.382404 1.244163A W53130007 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 30 9N02AX02O V 05-07-2010 77.94 61.64 2.598000 1.382404 1.244163A W53130008 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 50 9N02AX02O V 05-07-2010 121.12 95.79 2.422400 1.382404 1.244163A W42440001 TRAMAG 50 TRAMADOLUM COMPR. 50mg 20 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.345600 0.311040A W42957001 TRAMADOL EEL TRAMADOLUM COMPR. 50mg 20 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.345600 0.311040A W42178001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.345600 0.311040A W55077001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.345600 0.311040A W13507001 TRAMADOLOR (R) 100 ID TRAMADOLUM COMPR. ELIB. MODIF. 100mg 10 9N02AX02O V 05-07-2010 6.29 4.65 0.629000 0.629000 0.566100A W12750001 TRAMADOL (R) RETARD TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9N02AX02O V 05-07-2010 18.88 13.97 0.629333 0.629333 0.566399A W41922003 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 50 9N02AX02O V 05-07-2010 48.37 36.98 0.967400 0.691202 0.622081A W41922001 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 10 9N02AX02O V 05-07-2010 9.85 7.29 0.985000 0.691202 0.622081A W41922002 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9N02AX02O V 05-07-2010 27.23 20.15 0.907666 0.691202 0.622081A W53489001 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 5 9N02AX02O V 05-07-2010 7.40 5.47 1.480000 0.691202 0.622081A W53489005 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9N02AX02O V 05-07-2010 39.43 30.15 1.314333 0.691202 0.622081A W41923002 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 30 9N02AX02O V 05-07-2010 33.48 24.77 1.116000 1.036804 0.933123A W41923001 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 10 9N02AX02O V 05-07-2010 21.00 15.54 2.100000 1.036804 0.933123A W41924001 TRALGIT SR 200 TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 9N02AX02O V 05-07-2010 27.44 20.30 2.744000 1.382404 1.244163A W53488002 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 9N02AX02O V 05-07-2010 20.05 14.83 2.005000 1.382404 1.244163A W53488005 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 30 9N02AX02O V 05-07-2010 51.71 39.53 1.723666 1.382404 1.244163A W53487002 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 10 9N02AX02O V 05-07-2010 27.86 20.61 2.786000 2.073608 1.866247A W53487012 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 30 9N02AX02O V 05-07-2010 76.29 60.34 2.543000 2.073608 1.866247A W07784001 TRADOLAN 50 mg TRAMADOLUM COMPR. FILM. 50mg 30 9N02AX02O V 05-07-2010 10.62 7.86 0.354000 0.345600 0.311040A W07473001 TRAMAL RETARD 100 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 100mg 10 9N02AX02O V 05-07-2010 9.68 7.16 0.968000 0.691202 0.622081A W05978001 TRAMAL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 10 9N02AX02O V 05-07-2010 21.97 16.25 2.197000 1.036804 0.933123A W43360001 TRAMADOL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 30 9N02AX02O V 05-07-2010 62.30 47.63 2.076666 1.036804 0.933123A W05979001 TRAMAL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 10 9N02AX02O V 05-07-2010 28.12 20.80 2.812000 1.382404 1.244163A W43361001 TRAMADOL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 30 9N02AX02O V 05-07-2010 74.39 58.83 2.479666 1.382404 1.244163A W43913002 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 9N02AX02O V 05-07-2010 100.21 79.25 100.210000 66.355465 59.719918A W43913001 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 9N02AX02O V 05-07-2010 12.57 9.30 12.570000 6.912026 6.220824A W07470002 TRAMADOL AL PICATURI TRAMADOLUM PIC. ORALE, SOL. FARA CONCENT1 9N02AX02O V 05-07-2010 5.02 3.71 5.020000 5.020000 4.518000A W05982001 TRAMAL (R) TRAMADOLUM PICATURI ORALE-SOL. 100mg/ml 1 9N02AX02O V 05-07-2010 7.73 5.72 7.730000 6.912026 6.220824A W05961002 MABRON TRAMADOLUM SOL. INJ. 100mg 100 9N02AX02P V 05-07-2010 136.67 111.95 1.366700 1.366700 1.230030A W43912001 TRALGIT 100 TRAMADOLUM SOL. INJ. 100mg/2ml 5 9N02AX02P V 05-07-2010 12.25 9.06 2.450000 1.662303 1.496073A W05980001 TRAMAL (R) 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 9N02AX02P V 05-07-2010 7.55 5.59 1.510000 0.831149 0.748034A W05966001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9N02AX02P V 05-07-2010 10.69 7.91 2.138000 0.831149 0.748034A W43914001 TRALGIT 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 9N02AX02P V 05-07-2010 11.46 8.48 2.292000 0.831149 0.748034A W08477001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9N02AX02P V 05-07-2010 4.88 3.61 0.976000 0.831149 0.748034A W05967001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9N02AX02P V 05-07-2010 13.07 9.67 2.614000 1.662303 1.496073A W08478001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9N02AX02P V 05-07-2010 7.66 5.67 1.532000 1.532000 1.378800A W05969001 TRAMADOL TRAMADOLUM SUPOZ. 100mg 5 9N02AX02R V 05-07-2010 5.56 4.11 1.112000 1.112000 1.000800A W52867001 SUMATRIPTAN TERAPIA 100 mg SUMATRIPTANUM COMPR. 100mg 6 0N02CCO V 05-07-2010 54.81 41.90 9.135000 9.135000 8.221500A W52867002 SUMATRIPTAN TERAPIA 100 mg SUMATRIPTANUM COMPR. 100mg 12 0N02CCO V 05-07-2010 104.14 82.36 8.678333 8.678333 7.810499A W52866001 SUMATRIPTAN TERAPIA 50 mg SUMATRIPTANUM COMPR. 50mg 3 0N02CCO V 05-07-2010 21.28 15.74 7.093333 4.757999 4.282199A W52866002 SUMATRIPTAN TERAPIA 50 mg SUMATRIPTANUM COMPR. 50mg 6 0N02CCO V 05-07-2010 40.30 30.81 6.716666 4.757999 4.282199A W12971001 IMIGRAN (R) 100 SUMATRIPTANUM COMPR. FILM. 100mg 2 0N02CCO V 05-07-2010 42.30 32.34 21.150000 9.515999 8.564399A W52092001 SUMACTA 100 mg SUMATRIPTANUM COMPR. FILM. 100mg 2 0N02CCO V 05-07-2010 27.04 20.01 13.520000 9.515999 8.564399A W52092004 SUMACTA 100 mg SUMATRIPTANUM COMPR. FILM. 100mg 6 0N02CCO V 05-07-2010 74.57 58.98 12.428333 9.515999 8.564399A W53286001 XIBIMER 100 mg SUMATRIPTANUM COMPR. FILM. 100mg 10 0N02CCO V 05-07-2010 99.55 78.73 9.955000 9.515999 8.564399A W53286005 XIBIMER 100 mg SUMATRIPTANUM COMPR. FILM. 100mg 6 0N02CCO V 05-07-2010 57.99 44.33 9.665000 9.515999 8.564399A W12556001 IMIGRAN (R) 50 SUMATRIPTANUM COMPR. FILM. 50mg 2 0N02CCO V 05-07-2010 24.05 17.79 12.025000 4.757999 4.282199A W52091004 SUMACTA 50 mg SUMATRIPTANUM COMPR. FILM. 50mg 6 0N02CCO V 05-07-2010 55.51 42.44 9.251666 4.757999 4.282199A W52091001 SUMACTA 50 mg SUMATRIPTANUM COMPR. FILM. 50mg 2 0N02CCO V 05-07-2010 19.12 14.15 9.560000 4.757999 4.282199A W53285001 XIBIMER 50 mg SUMATRIPTANUM COMPR. FILM. 50mg 10 0N02CCO V 05-07-2010 66.62 52.69 6.662000 4.757999 4.282199A W53285005 XIBIMER 50 mg SUMATRIPTANUM COMPR. FILM. 50mg 6 0N02CCO V 05-07-2010 41.35 31.61 6.891666 4.757999 4.282199A W12596003 NEUROTOP CARBAMAZEPINUM COMPR. 200mg 50 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.203040 0.182736A W51397003 TEGRETOL (R) 200 CARBAMAZEPINUM COMPR. 200mg 50 9N03AF01O V 05-07-2010 17.35 12.84 0.347000 0.203040 0.182736A W00796002 CARBAMAZEPINA LPH 200 mg CARBAMAZEPINUM COMPR. 200mg 50 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.203040 0.182736A W13249001 CARBAVIM CARBAMAZEPINUM COMPR. 200mg 50 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.203040 0.182736A W00806001 CARBEPSIL 200 CARBAMAZEPINUM COMPR. 200mg 50 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.203040 0.182736A W00818001 TAVER CARBAMAZEPINUM COMPR. 200mg 50 9N03AF01O V 05-07-2010 7.21 5.33 0.144200 0.144200 0.129780A W12403002 CARBAMAZEPIN CARBAMAZEPINUM COMPR. 200mg 20 9N03AF01O V 05-07-2010 4.42 3.27 0.221000 0.203040 0.182736

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W00797001 CARBAMAZEPIN EEL CARBAMAZEPINUM COMPR. 200mg 20 9N03AF01O V 05-07-2010 4.50 3.33 0.225000 0.203040 0.182736A W00810001 FINLEPSIN CARBAMAZEPINUM COMPR. 200mg 50 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.203040 0.182736A W00798002 CARBAMAZEPINA ARENA 200 mg CARBAMAZEPINUM COMPR. 200mg 20 9N03AF01O V 05-07-2010 4.95 3.66 0.247500 0.203040 0.182736A W00818003 TAVER CARBAMAZEPINUM COMPR. 200mg 20 9N03AF01O V 05-07-2010 4.50 3.33 0.225000 0.203040 0.182736A W55081002 CARBAMAZEPINA CARBAMAZEPINUM COMPR. 200mg 20 9N03AF01O V 05-07-2010 4.51 3.34 0.225500 0.203040 0.182736A W00807001 CARBEPSIL 400 CARBAMAZEPINUM COMPR. 400mg 50 9N03AF01O V 05-07-2010 26.19 19.38 0.523800 0.406080 0.365472A W53816001 CARBAMAZEPINA ARENA 400 mg CARBAMAZEPINUM COMPR. 400mg 20 9N03AF01O V 05-07-2010 10.48 7.75 0.524000 0.406080 0.365472A W12426001 NEUROTOP (R) RETARD 300 mg CARBAMAZEPINUM COMPR. ELIB. PREL. 300mg 50 9N03AF01O V 05-07-2010 20.63 15.26 0.412600 0.304560 0.274104A W12428001 NEUROTOP (R) RETARD 600 mg CARBAMAZEPINUM COMPR. ELIB. PREL. 600mg 50 9N03AF01O V 05-07-2010 36.50 27.91 0.730000 0.609120 0.548208A W51395001 TEGRETOL CR 200 CARBAMAZEPINUM COMPR. FILM. ELIB. PREL. 200mg 50 9N03AF01O V 05-07-2010 19.12 14.15 0.382400 0.203040 0.182736A W51394001 TEGRETOL CR 400 CARBAMAZEPINUM COMPR. FILM. ELIB. PREL. 400mg 30 9N03AF01O V 05-07-2010 25.28 18.70 0.842666 0.406080 0.365472A W00812001 FINLEPSIN 400 RETARD CARBAMAZEPINUM COMPR. FILM. ELIB. PREL. 400mg 50 9N03AF01O V 05-07-2010 27.04 20.01 0.540800 0.406080 0.365472A W00826001 TIMONIL 150 RETARD CARBAMAZEPINUM COMPR. RET. 150mg 50 9N03AF01O V 05-07-2010 15.12 11.19 0.302400 0.152280 0.137052A W00827001 TIMONIL 300 RETARD CARBAMAZEPINUM COMPR. RET. 300mg 50 9N03AF01O V 05-07-2010 20.57 15.22 0.411400 0.304560 0.274104A W00828001 TIMONIL 600 RETARD CARBAMAZEPINUM COMPR. RET. 600mg 50 9N03AF01O V 05-07-2010 36.44 27.86 0.728800 0.609120 0.548208A W00811001 FINLEPSIN 200 RETARD CARBAMAZEPINUM COMPR.FILM.ELIB.PREL 200mg 50 9N03AF01O V 05-07-2010 12.42 9.19 0.248400 0.203040 0.182736A W00825001 TIMONIL SIROP CARBAMAZEPINUM SUSP. ORALA 100mg/5ml 1 9N03AF01O K 05-07-2010 22.47 16.62 22.470000 22.470000 20.223000A W41588005 GABAGAMMA 100 mg GABAPENTINUM CAPS. 100mg 100 1N03AXO V 05-07-2010 60.46 46.22 0.604600 0.369202 0.332282A W41588004 GABAGAMMA 100 mg GABAPENTINUM CAPS. 100mg 50 0N03AXO V 05-07-2010 30.97 22.91 0.619400 0.619400 0.557460A W43539001 GABALEPT 100 mg GABAPENTINUM CAPS. 100mg 100 1N03AXO V 05-07-2010 57.04 43.61 0.570400 0.369202 0.332282A W54332002 GRIMODIN 100 mg GABAPENTINUM CAPS. 100mg 60 1N03AXO V 05-07-2010 33.27 25.44 0.554500 0.369202 0.332282A W41589004 GABAGAMMA 300 mg GABAPENTINUM CAPS. 300mg 50 1N03AXO V 05-07-2010 71.98 56.93 1.439600 1.107615 0.996853A W41589002 GABAGAMMA 300 mg GABAPENTINUM CAPS. 300mg 20 1N03AXO V 05-07-2010 33.13 25.33 1.656500 1.107615 0.996853A W41589005 GABAGAMMA 300 mg GABAPENTINUM CAPS. 300mg 100 1N03AXO V 05-07-2010 133.24 109.14 1.332400 1.107615 0.996853A W42824001 GABARAN 300 mg GABAPENTINUM CAPS. 300mg 50 1N03AXO V 05-07-2010 65.80 52.04 1.316000 1.107615 0.996853A W43540001 GABALEPT 300 mg GABAPENTINUM CAPS. 300mg 100 1N03AXO V 05-07-2010 132.78 108.76 1.327800 1.107615 0.996853A W54333001 GRIMODIN 300 mg GABAPENTINUM CAPS. 300mg 60 1N03AXO V 05-07-2010 63.47 50.20 1.057833 1.057833 0.952049A W41590004 GABAGAMMA 400 mg GABAPENTINUM CAPS. 400mg 50 1N03AXO V 05-07-2010 94.31 74.59 1.886200 1.476824 1.329142A W41590002 GABAGAMMA 400 mg GABAPENTINUM CAPS. 400mg 20 1N03AXO V 05-07-2010 42.90 32.80 2.145000 1.476824 1.329142A W41590005 GABAGAMMA 400 mg GABAPENTINUM CAPS. 400mg 100 1N03AXO V 05-07-2010 174.76 143.15 1.747600 1.476824 1.329142A W42825001 GABARAN 400 mg GABAPENTINUM CAPS. 400mg 50 1N03AXO V 05-07-2010 72.55 57.38 1.451000 1.451000 1.305900A W43541001 GABALEPT 400 mg GABAPENTINUM CAPS. 400mg 100 1N03AXO V 05-07-2010 168.76 138.24 1.687600 1.476824 1.329142A W54334001 GRIMODIN 400 mg GABAPENTINUM CAPS. 400mg 60 1N03AXO V 05-07-2010 85.76 67.83 1.429333 1.429333 1.286399A W42826001 GABARAN 600 mg GABAPENTINUM COMPR. FILM. 600mg 30 1N03AXO V 05-07-2010 65.06 49.74 2.168666 2.168666 1.951799A W54124001 GABAGAMMA 600 mg GABAPENTINUM COMPR. FILM. 600mg 20 1N03AXO V 05-07-2010 43.36 33.15 2.168000 2.168000 1.951200A W54124003 GABAGAMMA 600 mg GABAPENTINUM COMPR. FILM. 600mg 100 1N03AXO V 05-07-2010 195.28 159.96 1.952800 1.952800 1.757520A W54330002 GRIMODIN 600 mg GABAPENTINUM COMPR. FILM. 600mg 60 1N03AXO V 05-07-2010 123.39 97.59 2.056500 2.056500 1.850850A W42827001 GABARAN 800 mg GABAPENTINUM COMPR. FILM. 800mg 30 1N03AXO V 05-07-2010 104.00 82.25 3.466666 2.953649 2.658284A W54125001 GABAGAMMA 800 mg GABAPENTINUM COMPR. FILM. 800mg 20 1N03AXO V 05-07-2010 70.57 55.81 3.528500 2.953649 2.658284A W54125003 GABAGAMMA 800 mg GABAPENTINUM COMPR. FILM. 800mg 100 1N03AXO V 05-07-2010 328.74 269.28 3.287400 2.953649 2.658284A W54331002 GRIMODIN 800 mg GABAPENTINUM COMPR. FILM. 800mg 60 1N03AXO V 05-07-2010 196.91 161.30 3.281833 2.953649 2.658284A W52419001 HALOPERIDOL LAROPHARM 0,5 mg HALOPERIDOLUM COMPR. 0,5mg 20 0N05ADO V 05-07-2010 3.24 2.40 0.162000 0.095076 0.085568A W03416001 HALDOL HALOPERIDOLUM COMPR. 5mg 25 0N05ADO V 05-07-2010 17.89 13.24 0.715600 0.715600 0.644040A W03427002 HALOPERIDOL 2 mg/ml HALOPERIDOLUM PIC. ORALE-SOL. 2mg/ml 1 0N05ADO V 05-07-2010 6.64 4.91 6.640000 3.803040 3.422736A W42642002 HALOPERIDOL HALOPERIDOLUM PICATURI ORALE-SOL. 2mg/ml 1 0N05ADO V 05-07-2010 4.68 3.46 4.680000 3.803040 3.422736A W54850001 HALOPERIDOL DECANOAT HALOPERIDOLUM SOL. INJ. 50mg/ml 5 0N05ADP V 05-07-2010 44.42 33.96 8.884000 8.884000 7.995600A W54845001 HALOPERIDOL RICHTER 5 mg/ml HALOPERIDOLUM SOL. INJ. 5mg/ml 5 0N05ADP V 05-07-2010 12.45 9.21 2.490000 1.159919 1.043927A W02443001 DIAZEPAM 10 mg DIAZEPAMUM COMPR. 10mg 20 0N05BAO V 05-07-2010 1.97 1.46 0.098500 0.098500 0.088650A W12717001 DIAZEPAM DIAZEPAMUM COMPR. 10mg 30 0N05BAO V 05-07-2010 3.14 2.32 0.104666 0.104666 0.094199A W52908001 DIAZEPAM LAROPHARM 10 mg DIAZEPAMUM COMPR. 10mg 20 0N05BAO V 05-07-2010 1.05 0.78 0.052500 0.052500 0.047250A W02444003 DIAZEPAM 10 mg DIAZEPAMUM SOL. INJ. 10mg/2ml 5 0N05BAP V 05-07-2010 8.32 6.16 1.664000 0.850005 0.765004A W44100001 CALMPOSE DIAZEPAMUM SOL. INJ. 10mg/2ml 100 0N05BAP V 05-07-2010 70.46 55.73 0.704600 0.704600 0.634140

A W10514001DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg DIAZEPAMUM SOL. RECTALA 10mg/2,5ml 5 0N05BAR V 05-07-2010 32.54 24.08 6.508000 6.508000 5.857200

A W10515001DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg DIAZEPAMUM SOL. RECTALA 5mg/2,5ml 5 0N05BAR K 05-07-2010 25.93 19.18 5.186000 5.186000 4.667400

A W04085001 ANSILAN 10 mg MEDAZEPAMUM CAPS. 10mg 25 0N05BAO V 05-07-2010 3.81 2.82 0.152400 0.132787 0.119508A W41725002 MEDAZEPAM MEDAZEPAMUM COMPR. 10 mg 20 0N05BAO V 05-07-2010 2.43 1.80 0.121500 0.121500 0.109350A W41725003 MEDAZEPAM MEDAZEPAMUM COMPR. 10 mg 50 0N05BAO V 05-07-2010 5.59 4.14 0.111800 0.111800 0.100620A W12943002 MEDAZEPAM 10 mg MEDAZEPAMUM COMPR. 10mg 20 0N05BAO V 05-07-2010 2.23 1.65 0.111500 0.111500 0.100350A W04093002 RUDOTEL MEDAZEPAMUM COMPR. 10mg 50 0N05BAO V 05-07-2010 8.60 6.36 0.172000 0.132787 0.119508A W53797001 MEDAZEPAM LPH 10 mg MEDAZEPAMUM COMPR. 10mg 20 0N05BAO V 05-07-2010 2.45 1.81 0.122500 0.122500 0.110250A W41692001 ANXIAR (R) 1 mg LORAZEPAMUM COMPR. 1 mg 50 0N05BAO V 05-07-2010 6.69 4.95 0.133800 0.106229 0.095606A W43439001 CALMEPAM (R) BROMAZEPAMUM COMPR. 1,5mg 10 0N05BAO V 05-07-2010 3.08 2.28 0.308000 0.039836 0.035852A W06824001 BROMAZEPAM LPH 1,5 mg BROMAZEPAMUM COMPR. 1,5mg 20 0N05BAO V 05-07-2010 2.13 1.58 0.106500 0.039836 0.035852A W43438002 CALMEPAM (R) BROMAZEPAMUM COMPR. 3mg 10 0N05BAO V 05-07-2010 1.56 1.15 0.156000 0.079672 0.071705A W44084001 LEXOTAN BROMAZEPAMUM COMPR. 3mg 30 0N05BAO V 05-07-2010 7.15 5.29 0.238333 0.079672 0.071705A W00634001 LEXOTANIL BROMAZEPAMUM COMPR. 3mg 10 0N05BAO V 05-07-2010 1.56 1.15 0.156000 0.079672 0.071705A W06826001 BROMAZEPAM LPH 3 mg BROMAZEPAMUM COMPR. 3mg 20 0N05BAO V 05-07-2010 3.10 2.29 0.155000 0.079672 0.071705A W08798003 BROMAZEPAM SLAVIA 3 mg BROMAZEPAMUM COMPR. 3mg 10 0N05BAO V 05-07-2010 2.38 1.76 0.238000 0.079672 0.071705A W00252001 XANAX 0,25 mg ALPRAZOLAMUM COMPR. 0,25mg 30 0N05BAO V 05-07-2010 5.64 4.17 0.188000 0.066393 0.059754A W08624001 ALPRAZOLAM LPH (R) 0,25 mg ALPRAZOLAMUM COMPR. 0,25mg 20 0N05BAO V 05-07-2010 2.68 1.98 0.134000 0.066393 0.059754A W41469001 PRAZOLEX (R) 0,25 mg ALPRAZOLAMUM COMPR. 0,25mg 30 0N05BAO V 05-07-2010 4.35 3.22 0.145000 0.066393 0.059754A W07122001 FRONTIN 0,25 mg ALPRAZOLAMUM COMPR. 0,25mg 30 0N05BAO V 05-07-2010 4.92 3.64 0.164000 0.066393 0.059754A W00253001 XANAX 0,5 mg ALPRAZOLAMUM COMPR. 0,5mg 30 0N05BAO V 05-07-2010 8.91 6.59 0.297000 0.132787 0.119508A W08625001 ALPRAZOLAM LPH (R) 0,5 mg ALPRAZOLAMUM COMPR. 0,5mg 20 0N05BAO V 05-07-2010 4.24 3.14 0.212000 0.132787 0.119508A W07123001 FRONTIN 0,5 mg ALPRAZOLAMUM COMPR. 0,5mg 30 0N05BAO V 05-07-2010 7.44 5.50 0.248000 0.132787 0.119508A W42783001 PRAZOLEX (R) 0,5 mg ALPRAZOLAMUM COMPR. 0,5mg 30 0N05BAO V 05-07-2010 5.79 4.28 0.193000 0.132787 0.119508A W00254001 XANAX 1 mg ALPRAZOLAMUM COMPR. 1mg 30 0N05BAO V 05-07-2010 12.67 9.37 0.422333 0.265574 0.239017A W08626001 ALPRAZOLAM LPH (R) 1 mg ALPRAZOLAMUM COMPR. 1mg 20 0N05BAO V 05-07-2010 6.04 4.47 0.302000 0.265574 0.239017A W41470001 PRAZOLEX (R) 1 mg ALPRAZOLAMUM COMPR. 1mg 30 0N05BAO V 05-07-2010 8.23 6.09 0.274333 0.265574 0.239017A W07126001 FRONTIN 1mg ALPRAZOLAMUM COMPR. 1mg 30 0N05BAO V 05-07-2010 12.57 9.30 0.419000 0.265574 0.239017A W00255001 XANAX 2 mg ALPRAZOLAMUM COMPR. 2mg 30 0N05BAO V 05-07-2010 31.05 22.97 1.035000 0.531149 0.478034A W41918003 NEUROL (R) SR 0,5 ALPRAZOLAMUM COMPR. ELIB. PREL. 0,5mg 30 0N05BAO V 05-07-2010 7.21 5.33 0.240333 0.132787 0.119508A W41919003 NEUROL (R) SR 1 ALPRAZOLAMUM COMPR. ELIB. PREL. 1mg 30 0N05BAO V 05-07-2010 11.33 8.38 0.377666 0.265574 0.239017A W41920003 NEUROL (R) SR 2 ALPRAZOLAMUM COMPR. ELIB. PREL. 2mg 30 0N05BAO V 05-07-2010 28.60 21.16 0.953333 0.531149 0.478034A W12245001 NITRAZEPAM LPH (R) 2,5 mg NITRAZEPAMUM COMPR. 2,5mg 20 0N05CDO V 05-07-2010 1.37 1.01 0.068500 0.055743 0.050169A W12246001 NITRAZEPAM LPH (R) 5 mg NITRAZEPAMUM COMPR. 5mg 20 0N05CDO V 05-07-2010 1.57 1.16 0.078500 0.078500 0.070650A W07256001 NITRAZEPAM 5 mg NITRAZEPAMUM COMPR. 5mg 20 0N05CDO V 05-07-2010 2.39 1.77 0.119500 0.111487 0.100338A W43099001 IMOVANE 7,5 mg ZOPICLONUM COMPR. FILM. 7,5mg 20 9N05CF01O V 05-07-2010 15.45 11.43 0.772500 0.772500 0.695250A W41753001 HYPNOGEN 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 15 9N05CF02O V 05-07-2010 6.92 5.12 0.461333 0.422588 0.380329A W41753003 HYPNOGEN 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 7 9N05CF02O V 05-07-2010 2.97 2.20 0.424285 0.422588 0.380329A W13133001 SANVAL (R) 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 10 9N05CF02O V 05-07-2010 4.13 3.06 0.413000 0.413000 0.371700

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W13133002 SANVAL (R) 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 20 9N05CF02O V 05-07-2010 8.26 6.11 0.413000 0.413000 0.371700A W13658001 ZOLPIDEM 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 10 9N05CF02O V 05-07-2010 4.25 3.14 0.425000 0.422588 0.380329A W52951001 BUNAPTE ZOLPIDEMUM COMPR. FILM. 10mg 10 9N05CF02O V 05-07-2010 4.25 3.14 0.425000 0.422588 0.380329A W52951002 BUNAPTE ZOLPIDEMUM COMPR. FILM. 10mg 20 9N05CF02O V 05-07-2010 8.35 6.18 0.417500 0.417500 0.375750A W53337001 ZOLPIDEM ACTAVIS 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 7 9N05CF02O V 05-07-2010 2.97 2.20 0.424285 0.422588 0.380329A W53913001 ZOLPIDEM ATB 10 MG ZOLPIDEMUM COMPR. FILM. 10mg 10 9N05CF02O V 05-07-2010 4.25 3.14 0.425000 0.422588 0.380329A W54358001 STILNOX 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 10 9N05CF02O V 05-07-2010 6.55 4.85 0.655000 0.422588 0.380329A W54358002 STILNOX 10 mg ZOLPIDEMUM COMPR. FILM. 10mg 20 9N05CF02O V 05-07-2010 14.19 10.50 0.709500 0.422588 0.380329A W43128002 ZOLSANA 5 mg ZOLPIDEMUM COMPR. FILM. 5mg 20 9N05CF02O V 05-07-2010 13.53 10.01 0.676500 0.211294 0.190164A W01358001 ANAFRANIL (R) 10 mg CLOMIPRAMINUM DRAJ. 10mg 30 0N06AAO V 05-07-2010 7.21 5.33 0.240333 0.123297 0.110967A W01359001 ANAFRANIL (R) 25 mg CLOMIPRAMINUM DRAJ. 25mg 30 0N06AAO V 05-07-2010 14.28 10.57 0.476000 0.308242 0.277418A W00323001 AMITRIPTILIN 25 R. DESITIN AMITRIPTYLINUM CAPS. RET. 25mg 50 0N06AAO V 05-07-2010 22.51 16.65 0.450200 0.410989 0.369890A W52017001 AMITRIPTILINA ARENA 25 mg AMITRIPTYLINUM COMPR. FILM. 25mg 50 0N06AAO V 05-07-2010 14.98 11.08 0.299600 0.299600 0.269640A W02865001 DOXEPIN 25 mg DOXEPINUM DRAJ. 25mg 30 0N06AAO V 05-07-2010 18.26 13.51 0.608666 0.308242 0.277418A W13241001 FLUOXIN 20 mg FLUOXETINUM CAPS. 20mg 14 0N06ABO V 05-07-2010 11.25 8.32 0.803571 0.564977 0.508479A W13241002 FLUOXIN 20 mg FLUOXETINUM CAPS. 20mg 28 0N06ABO V 05-07-2010 22.00 16.28 0.785714 0.564977 0.508479A W13585001 FLURAN FLUOXETINUM CAPS. 20mg 30 0N06ABO V 05-07-2010 16.44 12.16 0.548000 0.548000 0.493200A W08497001 MAGRILAN 20 mg FLUOXETINUM CAPS. 20mg 30 0N06ABO V 05-07-2010 17.60 13.02 0.586666 0.564977 0.508479A W52902001 ROFLUXIN 20 mg FLUOXETINUM CAPS. 20mg 20 0N06ABO V 05-07-2010 15.07 11.15 0.753500 0.564977 0.508479A W10228001 PROZAC 20 mg FLUOXETINUM COMPR. DISP. 20mg 28 0N06ABO V 05-07-2010 36.73 28.08 1.311785 0.564977 0.508479A W43494001 CITALORAN 10 mg CITALOPRAMUM COMPR. FILM. 10mg 28 MSP 0N06ABO V 05-07-2010 7.37 5.45 0.263214 0.263214 0.236892A W43705001 LINISAN 10 mg CITALOPRAMUM COMPR. FILM. 10mg 30 MSP 0N06ABO V 05-07-2010 7.10 5.25 0.236666 0.236666 0.212999A W43993001 DALSAN 10 mg CITALOPRAMUM COMPR. FILM. 10mg 28 MSP 0N06ABO V 05-07-2010 7.37 5.45 0.263214 0.263214 0.236892A W43495001 CITALORAN 20mg CITALOPRAMUM COMPR. FILM. 20mg 28 MSP 0N06ABO V 05-07-2010 10.71 7.92 0.382500 0.382500 0.344250A W43706001 LINISAN 20 mg CITALOPRAMUM COMPR. FILM. 20mg 30 MSP 0N06ABO V 05-07-2010 39.46 30.17 1.315333 0.564977 0.508479A W43994001 DALSAN 20 mg CITALOPRAMUM COMPR. FILM. 20mg 28 MSP 0N06ABO V 05-07-2010 10.71 7.92 0.382500 0.382500 0.344250A W43496001 CITALORAN 40 mg CITALOPRAMUM COMPR. FILM. 40mg 28 MSP 0N06ABO V 05-07-2010 33.50 24.79 1.196428 1.129954 1.016959A W43707001 LINISAN 40 mg CITALOPRAMUM COMPR. FILM. 40mg 30 MSP 0N06ABO V 05-07-2010 32.30 23.90 1.076666 1.076666 0.968999A W43995001 DALSAN 40 mg CITALOPRAMUM COMPR. FILM. 40mg 28 MSP 0N06ABO V 05-07-2010 33.50 24.79 1.196428 1.129954 1.016959A W41796001 ARKETIS PAROXETINUM COMPR. 20mg 30 0N06ABO V 05-07-2010 22.99 17.01 0.766333 0.564977 0.508479A W04913003 SEROXAT 20 mg PAROXETINUM COMPR. FILM. 20mg 30 0N06ABO V 05-07-2010 34.22 26.16 1.140666 0.564977 0.508479A W42515001 PALUXETIL 20 mg PAROXETINUM COMPR. FILM. 20mg 30 0N06ABO V 05-07-2010 22.99 17.01 0.766333 0.564977 0.508479A W43958002 PAXETIN 20 mg PAROXETINUM COMPR. FILM. 20mg 30 0N06ABO V 05-07-2010 22.99 17.01 0.766333 0.564977 0.508479A W52950004 PAROXETIN TEVA 20 mg PAROXETINUM COMPR. FILM. 20mg 30 0N06ABO V 05-07-2010 22.99 17.01 0.766333 0.564977 0.508479A W54836001 REXETIN PAROXETINUM COMPR. FILM. 20mg 30 0N06ABO V 05-07-2010 46.06 35.21 1.535333 0.564977 0.508479A W42516001 PALUXETIL 40 mg PAROXETINUM COMPR. FILM. 40mg 30 0N06ABO V 05-07-2010 61.55 47.06 2.051666 1.129954 1.016959A W05515001 ZOLOFT 100 mg SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 68.35 54.06 2.441071 1.129954 1.016959A W44097001 SERLIFT 100 mg SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 35.19 26.90 1.256785 1.129954 1.016959A W12874001 ASENTRA (R) SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 40.75 31.15 1.455357 1.129954 1.016959A W41888002 STIMULOTON (R) 100 mg SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 35.19 26.90 1.256785 1.129954 1.016959A W42676001 SERTRALIN SANDOZ 100 mg SERTRALINUM COMPR. FILM. 100mg 30 0N06ABO V 05-07-2010 37.71 28.83 1.257000 1.129954 1.016959A W43276001 SERTRALINA 100 mg SERTRALINUM COMPR. FILM. 100mg 30 0N06ABO V 05-07-2010 37.55 28.71 1.251666 1.129954 1.016959A W52511006 SETALOFT 100 mg SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 34.00 25.99 1.214285 1.129954 1.016959A W53111003 ASERTIN 100 mg SERTRALINUM COMPR. FILM. 100mg 30 0N06ABO V 05-07-2010 37.55 28.71 1.251666 1.129954 1.016959A W53214001 SERTRALINA BIOGALENICA 100 mg SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 35.19 26.90 1.256785 1.129954 1.016959A W53282002 XIMPROVE 100 mg SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 35.19 26.90 1.256785 1.129954 1.016959A W55174001 SERTRALIN 100 mg SERTRALINUM COMPR. FILM. 100mg 28 0N06ABO V 05-07-2010 43.24 33.06 1.544285 1.129954 1.016959A W05516001 ZOLOFT 50 mg SERTRALINUM COMPR. FILM. 50mg 28 0N06ABO V 05-07-2010 36.89 28.20 1.317500 0.564977 0.508479A W44096001 SERLIFT 50 mg SERTRALINUM COMPR. FILM. 50mg 28 0N06ABO V 05-07-2010 19.49 14.42 0.696071 0.564977 0.508479A W12873001 ASENTRA (R) SERTRALINUM COMPR. FILM. 50mg 28 0N06ABO V 05-07-2010 22.82 16.88 0.815000 0.564977 0.508479A W13745001 STIMULOTON (R) 50 mg SERTRALINUM COMPR. FILM. 50mg 30 0N06ABO V 05-07-2010 20.89 15.46 0.696333 0.564977 0.508479A W42675001 SERTRALIN SANDOZ 50 mg SERTRALINUM COMPR. FILM. 50mg 30 0N06ABO V 05-07-2010 20.77 15.37 0.692333 0.564977 0.508479A W42836001 SERTRALINA 50 mg SERTRALINUM COMPR. FILM. 50mg 30 0N06ABO V 05-07-2010 20.88 15.45 0.696000 0.564977 0.508479A W52510006 SETALOFT 50 mg SERTRALINUM COMPR. FILM. 50mg 28 0N06ABO V 05-07-2010 18.69 13.83 0.667500 0.564977 0.508479A W53112003 ASERTIN 50 mg SERTRALINUM COMPR. FILM. 50mg 30 0N06ABO V 05-07-2010 21.12 15.63 0.704000 0.564977 0.508479A W53213001 SERTRALINA BIOGALENICA 50 mg SERTRALINUM COMPR. FILM. 50mg 28 0N06ABO V 05-07-2010 19.49 14.42 0.696071 0.564977 0.508479A W53283002 XIMPROVE 50 mg SERTRALINUM COMPR. FILM. 50mg 28 0N06ABO V 05-07-2010 19.49 14.42 0.696071 0.564977 0.508479A W55173001 SERTRALIN 50 mg SERTRALINUM COMPR. FILM. 50mg 28 0N06ABO V 05-07-2010 23.11 17.10 0.825357 0.564977 0.508479A W14101001 ZOLOFT (R) SERTRALINUM CONC. PT. SOL. ORALA 20mg/ml 1 0N06ABO V 05-07-2010 65.47 51.78 65.470000 0.225990 0.203391A W03236001 FEVARIN (R) 100 FLUVOXAMINUM COMPR. FILM. 100mg 30 0N06ABO V 05-07-2010 48.73 37.26 1.624333 0.564977 0.508479A W43292002 FLUVOXAMINE TEVA 100 mg FLUVOXAMINUM COMPR. FILM. 100mg 30 0N06ABO V 05-07-2010 32.73 24.22 1.091000 0.564977 0.508479A W03237001 FEVARIN (R) 50 FLUVOXAMINUM COMPR. FILM. 50mg 30 0N06ABO V 05-07-2010 25.15 18.61 0.838333 0.282488 0.254239A W43293004 FLUVOXAMINE TEVA 50 mg FLUVOXAMINUM COMPR. FILM. 50mg 30 0N06ABO V 05-07-2010 16.33 12.08 0.544333 0.282488 0.254239A W41583002 MIANSERIN 10 MIANSERINUM COMPR. FILM. 10mg 100 9N06AX03O V 05-07-2010 46.58 35.61 0.465800 0.308961 0.278065A W41584002 MIANSERIN 30 MIANSERINUM COMPR. FILM. 30mg 20 9N06AX03O V 05-07-2010 25.99 19.23 1.299500 0.926887 0.834199A W42624001 MIANSERIN 10 mg MIANSERINUM DRAJ. 10mg 30 9N06AX03O V 05-07-2010 8.63 6.39 0.287666 0.287666 0.258899A W42635001 MIANSERIN 30 mg MIANSERINUM DRAJ. 30mg 20 9N06AX03O V 05-07-2010 21.71 16.06 1.085500 0.926887 0.834199A W12823003 REMERON SOLTAB 30 mg MIRTAZAPINUM COMPR. DISP. 30mg 30 9N06AX11O V 05-07-2010 81.95 64.81 2.731666 1.260833 1.134749A W42062001 MIRZATEN (R) 30 mg MIRTAZAPINUM COMPR. FILM. 30mg 30 9N06AX11O V 05-07-2010 37.83 28.92 1.261000 1.260833 1.134749A W42267001 ESPRITAL (R) 30 MIRTAZAPINUM COMPR. FILM. 30mg 30 9N06AX11O V 05-07-2010 37.83 28.92 1.261000 1.260833 1.134749A W43779001 MIRTAZAPINE-TEVA 30 mg MIRTAZAPINUM COMPR. FILM. 30mg 30 9N06AX11O V 05-07-2010 37.81 28.91 1.260333 1.260333 1.134299A W44013002 PHARMATAZ 30 mg MIRTAZAPINUM COMPR. FILM. 30mg 30 9N06AX11O V 05-07-2010 35.94 27.48 1.198000 1.198000 1.078200A W52955003 MIRTAZAPIN AUROBINDO 15 mg MIRTAZAPINUM COMPR. ORODISPERSABILE 15mg 30 9N06AX11O V 05-07-2010 24.56 18.17 0.818666 0.630416 0.567374A W52486008 MIRZATEN Q-TAB 30 mg MIRTAZAPINUM COMPR. ORODISPERSABILE 30mg 30 9N06AX11O V 05-07-2010 37.83 28.92 1.261000 1.260833 1.134749A W52953003 MIRTAZAPINA BLUEFISH 30 mg MIRTAZAPINUM COMPR. ORODISPERSABILE 30mg 30 9N06AX11O V 05-07-2010 37.83 28.92 1.261000 1.260833 1.134749A W52956003 MIRTAZAPIN AUROBINDO 30 mg MIRTAZAPINUM COMPR. ORODISPERSABILE 30mg 30 9N06AX11O V 05-07-2010 38.02 29.07 1.267333 1.260833 1.134749A W53476001 ZULIN 30 mg MIRTAZAPINUM COMPR. ORODISPERSABILE 30mg 6 9N06AX11O V 05-07-2010 7.81 5.78 1.301666 1.260833 1.134749A W53476002 ZULIN 30 mg MIRTAZAPINUM COMPR. ORODISPERSABILE 30mg 30 9N06AX11O V 05-07-2010 37.81 28.91 1.260333 1.260333 1.134299A W52957003 MIRTAZAPIN AUROBINDO 45 mg MIRTAZAPINUM COMPR. ORODISPERSABILE 45mg 30 9N06AX11O V 05-07-2010 63.37 48.45 2.112333 1.891249 1.702124A W55194001 IVRYX 150mg VENLAFAXINUM CAPS. ELIB. PREL. 150 mg 28 MSP 9N06AX16O V 05-07-2010 91.33 72.23 3.261785 2.446799 2.202119A W12589003 EFECTIN ER 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 MSP 9N06AX16O V 05-07-2010 135.66 111.12 4.845000 2.446799 2.202119A W52122001 VELAXIN 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 MSP 9N06AX16O V 05-07-2010 91.33 72.23 3.261785 2.446799 2.202119A W52962005 ALVENTA 150mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 MSP 9N06AX16O V 05-07-2010 75.14 59.43 2.504666 2.446799 2.202119A W53270003 FOBILESS 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 MSP 9N06AX16O V 05-07-2010 97.80 77.35 3.260000 2.446799 2.202119A W53494001 NOPEKAR 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 MSP 9N06AX16O V 05-07-2010 91.33 72.23 3.261785 2.446799 2.202119A W53486006 ADOXA EP 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 MSP 9N06AX16O V 05-07-2010 97.54 77.14 3.251333 2.446799 2.202119A W53499003 ELIFY EP 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 MSP 9N06AX16O V 05-07-2010 97.85 77.39 3.261666 2.446799 2.202119A W53627004 VENLAGAMMA 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 MSP 9N06AX16O V 05-07-2010 96.01 75.93 3.200333 2.446799 2.202119A W53627008 VENLAGAMMA 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 100 MSP 9N06AX16O V 05-07-2010 303.48 248.59 3.034800 2.446799 2.202119A W53630003 JARVIS 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 MSP 9N06AX16O V 05-07-2010 97.85 77.39 3.261666 2.446799 2.202119A W54057002 VENLAFAXINA ACTAVIS 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 MSP 9N06AX16O V 05-07-2010 75.21 59.48 2.686071 2.446799 2.202119A W53268003 FOBILESS 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 30 MSP 9N06AX16O V 05-07-2010 35.49 27.13 1.183000 0.611699 0.550529A W53496001 NOPEKAR 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 28 MSP 9N06AX16O V 05-07-2010 46.45 35.51 1.658928 0.611699 0.550529

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W53483006 ADOXA EP 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 30 MSP 9N06AX16O V 05-07-2010 41.57 31.78 1.385666 0.611699 0.550529A W53625004 VENLAGAMMA 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 30 MSP 9N06AX16O V 05-07-2010 21.05 15.57 0.701666 0.611699 0.550529A W53625008 VENLAGAMMA 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 100 MSP 9N06AX16O V 05-07-2010 65.64 51.91 0.656400 0.611699 0.550529A W55192001 IVRYX 75mg VENLAFAXINUM CAPS. ELIB. PREL. 75 mg 28 MSP 9N06AX16O V 05-07-2010 47.42 36.25 1.693571 1.223399 1.101059A W12588002 EFECTIN ER 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 MSP 9N06AX16O V 05-07-2010 70.53 55.78 2.518928 1.223399 1.101059A W52123001 VELAXIN 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 MSP 9N06AX16O V 05-07-2010 47.42 36.25 1.693571 1.223399 1.101059A W52961005 ALVENTA 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 MSP 9N06AX16O V 05-07-2010 32.83 25.10 1.094333 1.094333 0.984899A W53269003 FOBILESS 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 MSP 9N06AX16O V 05-07-2010 50.77 38.81 1.692333 1.223399 1.101059A W53495001 NOPEKAR 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 MSP 9N06AX16O V 05-07-2010 47.42 36.25 1.693571 1.223399 1.101059A W53485006 ADOXA EP 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 MSP 9N06AX16O V 05-07-2010 50.65 38.72 1.688333 1.223399 1.101059A W53498003 ELIFY EP 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 MSP 9N06AX16O V 05-07-2010 50.82 38.85 1.694000 1.223399 1.101059A W53626004 VENLAGAMMA 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 MSP 9N06AX16O V 05-07-2010 35.26 26.96 1.175333 1.175333 1.057799A W53626008 VENLAGAMMA 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 100 MSP 9N06AX16O V 05-07-2010 111.66 88.31 1.116600 1.116600 1.004940A W53629003 JARVIS 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 MSP 9N06AX16O V 05-07-2010 50.82 38.85 1.694000 1.223399 1.101059A W54056002 VENLAFAXINA ACTAVIS 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 MSP 9N06AX16O V 05-07-2010 47.61 36.40 1.700357 1.223399 1.101059A W53376001 ADOXA 25 mg VENLAFAXINUM COMPR. 25mg 30 MSP 9N06AX16O V 05-07-2010 29.21 21.61 0.973666 0.973666 0.876299A W53376002 ADOXA 25 mg VENLAFAXINUM COMPR. 25mg 30 MSP 9N06AX16O V 05-07-2010 29.21 21.61 0.973666 0.407799 0.367019A W42662001 VENLAFAXINA LPH 37,5 mg VENLAFAXINUM COMPR. 37,5mg 60 MSP 9N06AX16O V 05-07-2010 62.11 47.48 1.035166 0.611699 0.550529A W43057002 VELAXIN 37,5 mg VENLAFAXINUM COMPR. 37,5mg 56 MSP 9N06AX16O V 05-07-2010 58.00 44.34 1.035714 0.611699 0.550529A W53375001 ADOXA 37,5 mg VENLAFAXINUM COMPR. 37,5mg 30 MSP 9N06AX16O V 05-07-2010 32.13 23.77 1.071000 0.611699 0.550529A W53375002 ADOXA 37,5 mg VENLAFAXINUM COMPR. 37,5mg 30 MSP 9N06AX16O V 05-07-2010 32.13 23.77 1.071000 0.611699 0.550529A W53377001 ADOXA 50 mg VENLAFAXINUM COMPR. 50mg 30 MSP 9N06AX16O V 05-07-2010 38.41 29.37 1.280333 0.815599 0.734039A W53377002 ADOXA 50 mg VENLAFAXINUM COMPR. 50mg 30 MSP 9N06AX16O V 05-07-2010 38.41 29.37 1.280333 0.815599 0.734039A W42661001 VENLAFAXINA LPH 75 mg VENLAFAXINUM COMPR. 75mg 60 MSP 9N06AX16O V 05-07-2010 77.33 61.16 1.288833 1.223399 1.101059A W43059002 VELAXIN 75 mg VENLAFAXINUM COMPR. 75mg 56 MSP 9N06AX16O V 05-07-2010 72.29 57.17 1.290892 1.223399 1.101059A W53378001 ADOXA 75 mg VENLAFAXINUM COMPR. 75mg 30 MSP 9N06AX16O V 05-07-2010 40.78 31.18 1.359333 1.223399 1.101059A W53378002 ADOXA 75 mg VENLAFAXINUM COMPR. 75mg 30 MSP 9N06AX16O V 05-07-2010 40.78 31.18 1.359333 1.223399 1.101059A W52959001 ARGOFAN 150 SR VENLAFAXINUM COMPR. ELIB. PREL. 150mg 30 MSP 9N06AX16O V 05-07-2010 111.51 88.19 3.717000 2.446799 2.202119A W52958001 ARGOFAN 75 SR VENLAFAXINUM COMPR. ELIB. PREL. 75mg 30 MSP 9N06AX16O V 05-07-2010 57.90 44.27 1.930000 1.223399 1.101059A W53044006 VENLAFAXINA ACTAVIS 37,5 mg VENLAFAXINUM COMPR. FILM. 37,5 mg 56 MSP 9N06AX16O V 05-07-2010 38.02 29.07 0.678928 0.611699 0.550529A W53046007 VENLAFAXINA ACTAVIS 75 mg VENLAFAXINUM COMPR. FILM. 75mg 56 MSP 9N06AX16O V 05-07-2010 63.65 50.34 1.136607 1.136607 1.022946A W52868001 NEOSTIGMINA LPH 15 mg NEOSTIGMINI BROMIDUM COMPR. 15mg 20 9N07AA01O V 05-07-2010 13.70 10.14 0.685000 0.685000 0.616500A W13994001 DUADOR 200 mg ALBENDAZOLUM COMPR. FILM. 200mg 2 9P02CA03O V 05-07-2010 6.36 4.71 3.180000 3.180000 2.862000A W12018001 ZENTEL 200 mg ALBENDAZOLUM COMPR. FILM. 200mg 2 9P02CA03O V 05-07-2010 9.80 7.25 4.900000 3.187500 2.868750A W43708001 ALBENDAZOL ALBENDAZOLUM COMPR.FILM 200mg 2 9P02CA03O V 05-07-2010 6.38 4.72 3.190000 3.187500 2.868750A W55178001 ALBENDAZOL ALBENDAZOLUM COMPR.FILM FARA CONCENT2 9P02CA03O V 05-07-2010 6.38 4.72 3.190000 3.187500 2.868750A W00228001 ZENTEL 0,4 g/10 ml ALBENDAZOLUM SUSP. ORALA 0,4g/10ml 1 9P02CA03O K 05-07-2010 5.73 4.24 5.730000 3.807000 3.426300A W53484001 VERMIGAL NOVO 400 mg ALBENDAZOLUM SUSP. ORALA 400mg/10ml 1 9P02CA03O K 05-07-2010 3.73 2.76 3.730000 3.730000 3.357000A W14081001 DECARIS 150 mg LEVAMISOLUM COMPR. 150mg 1 9P02CE01O V 05-07-2010 3.41 2.52 3.410000 3.410000 3.069000A W55331001 LEVAMISOL ARENA 150 mg LEVAMISOLUM COMPR. 150mg 1 9P02CE01O V 05-07-2010 3.41 2.52 3.410000 3.410000 3.069000A W14082001 DECARIS 50 mg LEVAMISOLUM COMPR. 50mg 2 9P02CE01O V 05-07-2010 3.02 2.23 1.510000 1.136655 1.022989A W55330001 LEVAMISOL ARENA 50 mg LEVAMISOLUM COMPR. 50mg 2 9P02CE01O V 05-07-2010 3.02 2.23 1.510000 1.136655 1.022989A W12650001 VENTOLIN (R) SALBUTAMOLUM SOL. INHAL. 5mg/ml 1 9R03AC02Inh V 05-07-2010 8.89 6.58 8.890000 1.720800 1.548720A W12650002 VENTOLIN (R) SALBUTAMOLUM SOL. INHAL. 5mg/ml 1 9R03AC02Inh V 05-07-2010 15.10 11.17 15.100000 3.441600 3.097440A W10597001 VENTOLIN 100 INHALER CFC-FREE SALBUTAMOLUM SUSP. INHAL. PRESURIZATA 100mcg/doza 1 9R03AC02Inh V 05-07-2010 10.48 7.75 10.480000 8.604000 7.743600A W51508001 ASTHALIN INHALER SALBUTAMOLUM SUSP. INHAL. PRESURIZATA 100mcg/doza 1 9R03AC02Inh V 05-07-2010 6.80 5.03 6.800000 6.800000 6.120000

A W12043001ECOBEC EASI - BREATHE 250 mcg CFC FREE BECLOMETASONUM AEROSOL SOL. INHAL. 250mcg/doza 1 9R03BA01Inh V 05-07-2010 91.77 72.58 91.770000 91.770000 82.593000

A W41683001 CLENIL (R) JET 250 mcg BECLOMETASONUM SOL. INHALAT PRESURIZATA 250mcg/doza 1 9R03BA01Inh V 05-07-2010 101.72 80.45 101.720000 96.745000 87.070500A W43499001 RINOCLENIL 100 BECLOMETASONUM SPRAY NAZ.,SUSP. 100mcg/doza 1 9R03BA01Inh V 05-07-2010 48.42 37.02 48.420000 38.698000 34.828200A W43881003 FRENOLYN 200 BUDESONIDUM PULB. INHAL. 200 mcg/doza 1 9R03BA02Inh V 05-07-2010 101.69 80.43 101.690000 84.000000 75.600000A W43881001 FRENOLYN 200 BUDESONIDUM PULB. INHAL. 200 mcg/doza 1 9R03BA02Inh V 05-07-2010 41.13 31.44 41.130000 41.130000 37.017000

A W00680001 PULMICORT TURBUHALER 200 mcg/doza BUDESONIDUM PULB. INHAL. 200mcg/doza 1 9R03BA02Inh V 05-07-2010 60.61 46.34 60.610000 42.000000 37.800000A W43882003 FRENOLYN 400 BUDESONIDUM PULB. INHAL. 400 mcg/doza 1 9R03BA02Inh V 05-07-2010 171.96 140.86 171.960000 168.000000 151.200000A W43882002 FRENOLYN 400 BUDESONIDUM PULB. INHAL. 400 mcg/doza 1 9R03BA02Inh V 05-07-2010 84.00 66.43 84.000000 84.000000 75.600000

A W52856001 IPRAXA 500mcg/2ml IPRATROPII BROMIDUMSOL. DE INHALAT PRIN NEBULIZ. 500mcg/2ml 20 9R03BB01Inh V 05-07-2010 31.76 23.50 1.588000 1.575437 1.417893

A W03767001 IPRAVENT INHALER 20mcg/doza IPRATROPII BROMIDUM SUSP. INHAL. PRESURIZATA 20mcg/doza 1 9R03BB01Inh V 05-07-2010 12.57 9.30 12.570000 12.570000 11.313000A W44064001 SALBUTAMOL EIPICO 2mg/5ml SALBUTAMOLUM SIROP 2mg/5ml 1 0R03CCO K 05-07-2010 3.05 2.26 3.050000 3.050000 2.745000A W10493001 VENTOLIN 2mg/5ml SALBUTAMOLUM SIROP 2mg/5ml 1 0R03CCO K 05-07-2010 5.61 4.15 5.610000 3.918750 3.526875A W42239001 VENTOLIN (R) SALBUTAMOLUM SOL. INJ. 0,5mg/ml 5 0R03CCP V 05-07-2010 3.54 2.62 0.708000 0.708000 0.637200A W08503001 SALBUTAMOL T SALBUTAMOLUM SOL. ORALA 0,04% 1 0R03CCO K 05-07-2010 2.67 1.98 2.670000 2.612500 2.351250A W42627001 SALBUTAMOL SALBUTAMOLUM SOL. ORALA 2mg/5ml 1 0R03CCO K 05-07-2010 3.99 2.95 3.990000 2.612500 2.351250A W43437001 THEO SR 100 THEOPHYLLINUM CAPS. ELIB. PREL. 100mg 20 0R03DAO V 05-07-2010 5.70 4.22 0.285000 0.105300 0.094770A W13716001 TEOFILINA SR 100 mg THEOPHYLLINUM CAPS. ELIB. PREL. 100mg 10 0R03DAO V 05-07-2010 2.85 2.11 0.285000 0.105300 0.094770A W07705001 TEOTARD (R) 200 THEOPHYLLINUM CAPS. ELIB. PREL. 200mg 40 0R03DAO V 05-07-2010 9.37 6.93 0.234250 0.210600 0.189540A W43436001 THEO SR 200 THEOPHYLLINUM CAPS. ELIB. PREL. 200mg 10 0R03DAO V 05-07-2010 4.27 3.16 0.427000 0.210600 0.189540A W13717001 TEOFILINA SR 200 mg THEOPHYLLINUM CAPS. ELIB. PREL. 200mg 10 0R03DAO V 05-07-2010 2.34 1.73 0.234000 0.210600 0.189540A W43435001 THEO SR 300 THEOPHYLLINUM CAPS. ELIB. PREL. 300mg 10 0R03DAO V 05-07-2010 5.95 4.40 0.595000 0.315900 0.284310A W13718001 TEOFILINA SR 300 mg THEOPHYLLINUM CAPS. ELIB. PREL. 300mg 10 0R03DAO V 05-07-2010 5.95 4.40 0.595000 0.315900 0.284310A W05848001 TEOTARD (R) 350 THEOPHYLLINUM CAPS. ELIB. PREL. 350mg 40 0R03DAO V 05-07-2010 13.94 10.31 0.348500 0.348500 0.313650A W13715001 TEOFILINA SR 50 mg THEOPHYLLINUM CAPS. ELIB. PREL. 50mg 10 0R03DAO V 05-07-2010 3.61 2.67 0.361000 0.052650 0.047385A W01411002 FOSFAT DE CODEINA 15 mg CODEINUM COMPR. 15mg 30 9R05DA04O V 05-07-2010 4.90 3.63 0.163333 0.150250 0.135225A W01409002 CODEINA FOSFORICA CODEINUM COMPR. 15mg 25 9R05DA04O V 05-07-2010 5.12 3.79 0.204800 0.150250 0.135225A W10630001 FARMACOD CODEINUM COMPR. 15mg 20 9R05DA04O V 05-07-2010 3.02 2.23 0.151000 0.150250 0.135225A W11887002 CODEINA FOSFAT 15 mg CODEINUM COMPR. 15mg 20 9R05DA04O V 05-07-2010 2.96 2.19 0.148000 0.148000 0.133200A W42290001 CODEINA FOSFAT CODEINUM COMPR. 15mg 20 9R05DA04O V 05-07-2010 3.02 2.23 0.151000 0.150250 0.135225A W01407004 CODEINA FOSFAT LPH 15 mg CODEINUM COMPR. 15mg 20 9R05DA04O V 05-07-2010 3.19 2.36 0.159500 0.150250 0.135225A W54406001 CODEINA FOSFAT MCC 15 mg CODEINUM COMPR. 15mg 20 9R05DA04O V 05-07-2010 3.64 2.69 0.182000 0.150250 0.135225A W55070002 CODEINA FOSFAT 15 mg CODEINUM COMPR. 15mg 20 9R05DA04O V 05-07-2010 2.96 2.19 0.148000 0.148000 0.133200A W01189001 CLORFENIRAMIN CHLORPHENAMINUM COMPR. 4mg 20 9R06AB04O V 05-07-2010 2.30 1.70 0.115000 0.115000 0.103500A W42728001 CELERG CETIRIZINUM COMPR. FILM. 10 mg 20 1R06AEO V 05-07-2010 21.11 15.62 1.055500 0.977962 0.880166A W12818002 LETIZEN (R) 10 mg CETIRIZINUM COMPR. FILM. 10mg 20 1R06AEO V 05-07-2010 13.50 9.99 0.675000 0.675000 0.607500A W01150002 ZYRTEC 10 mg/ml CETIRIZINUM PICATURI ORALE-SOL. 10mg/ml 1 1R06AEO K 05-07-2010 22.93 16.97 22.930000 22.930000 20.637000A W03904003 KETOF 1 mg KETOTIFENUM CAPS. 1mg 50 0R06AXO V 05-07-2010 13.76 10.18 0.275200 0.205481 0.184933A W03904001 KETOF 1 mg KETOTIFENUM CAPS. 1mg 20 0R06AXO V 05-07-2010 5.24 3.88 0.262000 0.205481 0.184933A W12605001 KETOTIFEN LPH (R) 1 mg KETOTIFENUM COMPR. 1mg 20 0R06AXO V 05-07-2010 3.30 2.44 0.165000 0.165000 0.148500A W11534001 H - KETOTIFEN KETOTIFENUM COMPR. 1mg 20 0R06AXO V 05-07-2010 3.64 2.69 0.182000 0.182000 0.163800A W11987002 KETOTIFEN KETOTIFENUM COMPR. 1mg 20 0R06AXO V 05-07-2010 3.44 2.55 0.172000 0.172000 0.154800A W52907001 KETOTIFEN LAROPHARM 1 mg KETOTIFENUM COMPR. 1mg 20 0R06AXO V 05-07-2010 3.44 2.55 0.172000 0.172000 0.154800A W03905001 KETOF 1 mg/5 ml KETOTIFENUM SIROP 1mg/5ml 1 0R06AXO K 05-07-2010 11.40 8.43 11.400000 0.144791 0.130312A W51506001 CIPLOX (vezi S01AX13) CIPROFLOXACINUM UNG. OFT. 0,3% 1 9S01AX13F V 05-07-2010 4.27 3.16 4.270000 4.270000 3.843000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

A W51939001 DICLOFENAC RPH DICLOFENACUM PIC. OFT.-SOL. 1mg/ml 1 1S01BCF V 05-07-2010 5.02 3.71 5.020000 5.020000 4.518000A W41921001 UNICLOPHEN (R) 0,1% DICLOFENACUM PICATURI OFT.-SOL. 0,1% 1 1S01BCF V 05-07-2010 11.20 8.29 11.200000 10.910000 9.819000

A W51962001DICLOGESIC 0,1% PICATURI OFTALMICE, SOLUTIE DICLOFENACUM PICATURI OFT.-SOL. 0,1% 1 1S01BCF V 05-07-2010 10.68 7.90 10.680000 5.455000 4.909500

A W52025001 OPHTAMESONE - N COMBINATII SOL. OFT. FARA CONCENT1 9S01CA05F V 05-07-2010 4.50 3.33 4.500000 4.500000 4.050000

A W02229001 BETABIOPTAL

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) PICATURI OFT.SUSP. 0,2g+0,5g/100ml 1 9S01CA05F V 05-07-2010 13.42 9.93 13.420000 7.051500 6.346350

A W42433001 BETABIOPTAL

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) UNG. OFT. 0,2g+0,5g/100g 1 9S01CA05F V 05-07-2010 15.41 11.40 15.410000 7.051500 6.346350

B W53765001 SELTRAZ 20 mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 22.00 16.28 0.785714 0.339449 0.169724B W54294004 CONTROLOC 20 mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 34.76 26.57 1.158666 0.339449 0.169724B W54294003 CONTROLOC 20 mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 32.77 25.05 1.170357 0.339449 0.169724B W53727001 SELTRAZ 40 mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 31.54 23.34 1.126428 0.678899 0.339449B W54296003 CONTROLOC 40mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 35.67 27.27 2.547857 0.678899 0.339449B W54296004 CONTROLOC 40mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 51.85 39.64 1.851785 0.678899 0.339449B W54296005 CONTROLOC 40mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 40mg 15 0A02BCO V 05-07-2010 38.22 29.22 2.548000 0.678899 0.339449B W54296006 CONTROLOC 40mg PANTOPRAZOLUM COMPR. FILM. GASTROREZ. 40mg 30 0A02BCO V 05-07-2010 55.54 42.46 1.851333 0.678899 0.339449B W54403001 PANTEXEL 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 22.00 16.28 0.785714 0.339449 0.169724B W54401001 ZIPANTOLA 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 22.00 16.28 0.785714 0.339449 0.169724B W54405001 PACID 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 10 0A02BCO V 05-07-2010 3.56 2.63 0.356000 0.339449 0.169724B W54405003 PACID 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 10.68 7.90 0.356000 0.339449 0.169724B W54511003 PANTOPRAZOL NYCOMED 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 10.82 8.01 0.772857 0.339449 0.169724B W54511006 PANTOPRAZOL NYCOMED 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 21.68 16.04 0.774285 0.339449 0.169724B W54514003 DYSPEX 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 10.74 7.95 0.767142 0.339449 0.169724B W54514006 DYSPEX 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 21.51 15.91 0.768214 0.339449 0.169724B W54515003 PANTOSAL 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 10.92 8.08 0.780000 0.339449 0.169724B W54515006 PANTOSAL 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 21.85 16.17 0.780357 0.339449 0.169724B W54684002 NOLPAZA 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 30 0A02BCO V 05-07-2010 21.82 16.14 0.727333 0.339449 0.169724B W54871003 AZATOL 20 mg PANTOPRAZOLUM COMPR. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 22.53 16.67 0.804642 0.339449 0.169724B W54404002 PANTEXEL 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 31.54 23.34 1.126428 0.678899 0.339449B W54402001 ZIPANTOLA 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 31.54 23.34 1.126428 0.678899 0.339449B W54994001 PACID 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 10 0A02BCO V 05-07-2010 6.50 4.81 0.650000 0.650000 0.325000B W54994003 PACID 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 30 0A02BCO V 05-07-2010 19.52 14.44 0.650666 0.650666 0.325333B W54512003 PANTOPRAZOL NYCOMED 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 15.52 11.48 1.108571 0.678899 0.339449B W54512006 PANTOPRAZOL NYCOMED 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 31.06 22.98 1.109285 0.678899 0.339449B W54516003 PANTOSAL 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 15.64 11.57 1.117142 0.678899 0.339449B W54516006 PANTOSAL 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 31.31 23.17 1.118214 0.678899 0.339449B W54517003 DYSPEX 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 15.41 11.40 1.100714 0.678899 0.339449B W54517006 DYSPEX 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 30.82 22.80 1.100714 0.678899 0.339449B W54685002 NOLPAZA 40mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 30 0A02BCO V 05-07-2010 32.70 25.00 1.090000 0.678899 0.339449B W54872003 AZATOL 40 mg PANTOPRAZOLUM COMPR. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 33.71 25.77 1.203928 0.678899 0.339449

B W54295001CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA PANTOPRAZOLUM LIOF. PT. SOL. INJ. 40mg 1 0A02BCP V 05-07-2010 33.53 24.81 33.530000 17.363700 8.681850

B W54513001 PANTOPRAZOL NYCOMED I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 1 0A02BCP V 05-07-2010 21.79 16.12 21.790000 17.363700 8.681850B W54513004 PANTOPRAZOL NYCOMED I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 5 0A02BCP V 05-07-2010 100.15 79.21 20.030000 17.363700 8.681850B W54513006 PANTOPRAZOL NYCOMED I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 20 0A02BCP V 05-07-2010 377.32 311.16 18.866000 18.866000 9.433000B W54518001 DYSPEX I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 1 0A02BCP V 05-07-2010 21.45 15.87 21.450000 19.293000 9.646500B W54518002 DYSPEX I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 5 0A02BCP V 05-07-2010 98.60 77.98 19.720000 19.293000 9.646500B W54518006 DYSPEX I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 20 0A02BCP V 05-07-2010 372.10 306.38 18.605000 18.605000 9.302500B W54519001 PANTOSAL I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 1 0A02BCP V 05-07-2010 21.62 16.00 21.620000 19.293000 9.646500B W54519002 PANTOSAL I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 5 0A02BCP V 05-07-2010 99.37 78.59 19.874000 19.293000 9.646500B W54519006 PANTOSAL I.V. 40 mg PANTOPRAZOLUM PULB. PT. SOL. INJ. 40mg 20 0A02BCP V 05-07-2010 374.71 308.77 18.735500 18.735500 9.367750B W55421002 EMANERA 20 mg ESOMEPRAZOLUM CAPS. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 30.09 22.26 2.149285 0.452599 0.226299B W55421004 EMANERA 20 mg ESOMEPRAZOLUM CAPS. GASTROREZ. 20mg 28 0A02BCO V 05-07-2010 58.24 44.53 2.080000 0.452599 0.226299B W55422002 EMANERA 40 mg ESOMEPRAZOLUM CAPS. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 44.02 33.65 3.144285 0.905199 0.452599B W55422004 EMANERA 40 mg ESOMEPRAZOLUM CAPS. GASTROREZ. 40mg 28 0A02BCO V 05-07-2010 83.61 66.13 2.986071 0.905199 0.452599B W06755003 NEXIUM 20 mg ESOMEPRAZOLUM COMPR. GASTROREZ. 20mg 7 0A02BCO V 05-07-2010 20.31 15.03 2.901428 0.452599 0.226299B W06755002 NEXIUM 20 mg ESOMEPRAZOLUM COMPR. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 39.32 30.06 2.808571 0.452599 0.226299B W54221002 ESOMEPRAZOL SANDOZ 20 mg ESOMEPRAZOLUM COMPR. GASTROREZ. 20mg 14 0A02BCO V 05-07-2010 30.09 22.26 2.149285 0.452599 0.226299B W06756002 NEXIUM 40 mg ESOMEPRAZOLUM COMPR. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 59.42 45.43 4.244285 0.905199 0.452599B W54222002 ESOMEPRAZOL SANDOZ 40 mg ESOMEPRAZOLUM COMPR. GASTROREZ. 40mg 14 0A02BCO V 05-07-2010 44.02 33.65 3.144285 0.905199 0.452599

B W53101001 NEXIUM 10 mg ESOMEPRAZOLUMGRAN. GASTROREZ. PT. SUSP.ORALA 10mg 28 0A02BCO K 05-07-2010 173.85 142.41 6.208928 6.208928 3.104464

B W54870002 NEXIUM 40 mg ESOMEPRAZOLUM PULB. PT. SOL. INJ./PERF. 40mg 10 0A02BCP V 05-07-2010 296.78 243.10 29.678000 25.723993 12.861996B W44052002 GASTROFAIT SUCRALFATUM COMPR. 1g 20 0A02BXO V 05-07-2010 6.18 4.57 0.309000 0.309000 0.154500B W05702001 VENTER SUCRALFATUM COMPR. 1g 50 0A02BXO V 05-07-2010 15.92 11.78 0.318400 0.313700 0.156850B W43173002 DE - NOL BISMUTHI SUBCITRAS COMPR. FILM. 120mg 40 0A02BXO V 05-07-2010 39.86 30.47 0.996500 0.313700 0.156850B W04674001 SPASMOMEN (R) OTILONIUM BROMIDUM COMPR. FILM. 40mg 30 9A03AB06O V 05-07-2010 33.48 24.77 1.116000 1.116000 0.558000B W05444001 NORMIX 200 mg RIFAXIMINUM COMPR. FILM. 200mg 12 9A07AA11O V 05-07-2010 36.53 27.93 3.044166 3.044166 1.522083B W05445001 NORMIX 100mg/5ml RIFAXIMINUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 9A07AA11O V 05-07-2010 19.06 14.10 19.060000 6.343312 3.171656B W08631001 BUDENOFALK BUDESONIDUM CAPS. GASTROREZ. 3mg 100 MSP 9A07EA06O V 05-07-2010 443.67 372.04 4.436700 4.436700 2.218350B W54445001 BUDENOFALK 2 mg/doza BUDESONIDUM SPUMA RECTALA 2mg/doza 1 MSP 9A07EA06R V 05-07-2010 418.29 348.75 418.290000 383.032500 191.516250B W54445002 BUDENOFALK 2 mg/doza BUDESONIDUM SPUMA RECTALA 2mg/doza 2 MSP 9A07EA06R V 05-07-2010 742.56 646.25 371.280000 371.280000 185.640000B W41577002 HIDRASEC 100 mg RACECADOTRILUM CAPS. 100mg 20 9A07XA04O V 05-07-2010 43.48 33.24 2.174000 1.592550 0.796275B W41575002 HIDRASEC 10 mg RACECADOTRILUM PULB. PT. SOL. ORALA 10mg 16 9A07XA04O V 05-07-2010 40.95 31.31 2.559375 1.592550 0.796275B W41576003 HIDRASEC 30 mg RACECADOTRILUM PULB. PT. SOL. ORALA 30mg 30 9A07XA04O V 05-07-2010 40.95 31.31 1.365000 1.365000 0.682500B W12604001 XENICAL 120mg ORLISTATUM CAPS. 120mg 21 CNAS 9A08AB01O V 05-07-2010 91.82 72.62 4.372380 3.781130 1.890565B W12604003 XENICAL 120mg ORLISTATUM CAPS. 120mg 84 CNAS 9A08AB01O V 05-07-2010 301.06 246.61 3.584047 3.584047 1.792023B W00231001 ALPHA D3 0,25 mcg ALFACALCIDOLUM CAPS. MOI 0,25mcg 50 1A11CCO V 05-07-2010 33.55 25.65 0.671000 0.453000 0.226500B W44042001 ALPHA D3 0,50 mcg ALFACALCIDOLUM CAPS. MOI 0,50mcg 30 1A11CCO V 05-07-2010 31.32 23.17 1.044000 0.906000 0.453000

B W00107003 THIOGAMMA (R) 600 oral (vezi A16AX01) ACIDUM TIOCTICUM (ALFA-LIPOICUM) COMPR. FILM. 600mg 100 MSP 9A16AX01O V 05-07-2010 212.56 174.12 2.125600 2.125600 1.062800

B W00107001 THIOGAMMA (R) 600 oral (vezi A16AX01) ACIDUM TIOCTICUM (ALFA-LIPOICUM) COMPR. FILM. 600mg 30 MSP 9A16AX01O V 05-07-2010 68.44 54.13 2.281333 2.154524 1.077262

B W00107002 THIOGAMMA (R) 600 oral (vezi A16AX01) ACIDUM TIOCTICUM (ALFA-LIPOICUM) COMPR. FILM. 600mg 60 MSP 9A16AX01O V 05-07-2010 129.85 106.36 2.164166 2.154524 1.077262

B W52168001 THIOCTACID (R) 600 HR (vezi N07XN03) ACIDUM TIOCTICUM (ALFA-LIPOICUM) COMPR. FILM. 600mg 30 MSP 9A16AX01O V 05-07-2010 103.46 81.83 3.448666 2.154524 1.077262

B W00108001THIOGAMMA (R) 600 INJEKT (vezi N07XN03) ACIDUM TIOCTICUM (ALFA-LIPOICUM) CONC. PT. SOL. PERF. 30mg/ml 5 MSP 9A16AX01P V 05-07-2010 134.04 109.80 26.808000 25.443250 12.721625

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W00108003THIOGAMMA (R) 600 INJEKT (vezi N07XN03) ACIDUM TIOCTICUM (ALFA-LIPOICUM) CONC. PT. SOL. PERF. 30mg/ml 20 MSP 9A16AX01P V 05-07-2010 490.10 414.63 24.505000 24.505000 12.252500

B W53289002 THIOCTACID 600T (vezi N07XN03) ACIDUM TIOCTICUM (ALFA-LIPOICUM) SOL. INJ. 25mg/ml 5 MSP 9A16AX01P V 05-07-2010 136.87 112.11 27.374000 25.443250 12.721625

B W13510002THIOGAMMA (R) TURBO-SET (vezi N07XN03) ACIDUM TIOCTICUM (ALFA-LIPOICUM) SOL. PERF. 12mg/ml 10 MSP 9A16AX01P V 05-07-2010 257.56 210.98 25.756000 25.443250 12.721625

B W43774001 FRAGMIN 10000 UI/0,4 ml DALTEPARINUM SOL. INJ. 10000UI/0,4ml 5 MSP 1B01ABP V 05-07-2010 125.68 102.95 25.136000 25.136000 12.568000B W52806002 FRAGMIN 10000 UI/ml DALTEPARINUM SOL. INJ. 10000ui/ml 10 MSP 1B01ABP V 05-07-2010 266.21 218.06 26.621000 26.621000 13.310500B W43775001 FRAGMIN 12500 UI/0,5 ml DALTEPARINUM SOL. INJ. 12500 UI/0,5ml 5 MSP 1B01ABP V 05-07-2010 170.47 139.64 34.094000 33.753333 16.876666B W52805003 FRAGMIN15000 UI/0,6 ml DALTEPARINUM SOL. INJ. 15000ui/0,6ml 5 MSP 1B01ABP V 05-07-2010 206.39 169.06 41.278000 40.504000 20.252000B W43776001 FRAGMIN 18000 UI/0,72 ml DALTEPARINUM SOL. INJ. 18000 UI/0,72ml 5 MSP 1B01ABP V 05-07-2010 234.71 192.26 46.942000 46.942000 23.471000B W52809004 FRAGMIN 2500 UI/0,2 ml DALTEPARINUM SOL. INJ. 2500ui/0,2ml 10 MSP 1B01ABP V 05-07-2010 77.41 61.22 7.741000 6.750666 3.375333B W52808004 FRAGMIN 5000 UI/0,2 ml DALTEPARINUM SOL. INJ. 5000ui/0,2ml 10 MSP 1B01ABP V 05-07-2010 141.82 116.17 14.182000 13.501333 6.750666B W52807002 FRAGMIN 7500 UI/0,3 ml DALTEPARINUM SOL. INJ. 7500ui/0,3ml 10 MSP 1B01ABP V 05-07-2010 202.52 165.89 20.252000 20.252000 10.126000B W13613002 CLEXANE 2000ui anti-Xa/0,2ml ENOXAPARINUM SOL. INJ. 2000ui anti-Xa/0,210 MSP 1B01ABP V 05-07-2010 72.76 57.55 7.276000 6.750666 3.375333B W13612002 CLEXANE 4000ui anti-Xa/0,4ml ENOXAPARINUM SOL. INJ. 4000ui anti-Xa/0,410 MSP 1B01ABP V 05-07-2010 144.23 118.14 14.423000 13.501333 6.750666B W13611002 CLEXANE 6000ui anti-Xa/0,6ml ENOXAPARINUM SOL. INJ. 6000ui anti-Xa/0,610 MSP 1B01ABP V 05-07-2010 187.44 153.54 18.744000 18.744000 9.372000B W13610001 CLEXANE 8000ui anti-Xa/0,8ml ENOXAPARINUM SOL. INJ. 8000ui anti-Xa/0,82 MSP 1B01ABP V 05-07-2010 52.07 39.81 26.035000 26.035000 13.017500

B W41789001FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml NADROPARINUM SOL. INJ. 2850 ui AFXa/0,3 10 MSP 1B01ABP V 05-07-2010 75.24 59.51 7.524000 6.750666 3.375333

B W41790001FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml NADROPARINUM SOL. INJ. 3800 ui AFXa/0,4 10 MSP 1B01ABP V 05-07-2010 103.22 81.64 10.322000 9.000886 4.500443

B W41788001FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml NADROPARINUM SOL. INJ. 5700 ui AFXa/0,6 10 MSP 1B01ABP V 05-07-2010 132.15 108.25 13.215000 13.215000 6.607500

B W41791001FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml NADROPARINUM SOL. INJ. 7600 ui AXa/0,8m10 MSP 1B01ABP V 05-07-2010 189.31 155.07 18.931000 18.001773 9.000886

B W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 MSP 1B01ABP V 05-07-2010 84.26 66.64 8.426000 6.760104 3.380052B W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 MSP 1B01ABP V 05-07-2010 101.17 80.01 20.234000 16.220488 8.110244B W12409001 INNOHEP TINZAPARINUM SOL. INJ. 10000u ANTIF. X 2 MSP 1B01ABP V 05-07-2010 35.03 26.78 17.515000 8.679426 4.339713B W08678002 INNOHEP TINZAPARINUM SOL. INJ. 10000u ANTIF. X 10 MSP 1B01ABP V 05-07-2010 534.94 455.77 53.494000 38.575233 19.287616B W12409002 INNOHEP TINZAPARINUM SOL. INJ. 10000u ANTIF. X 2 MSP 1B01ABP V 05-07-2010 26.07 19.29 13.035000 6.750666 3.375333B W42118001 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 2 MSP 1B01ABP V 05-07-2010 73.48 58.11 36.740000 19.287613 9.643806B W42118002 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 2 MSP 1B01ABP V 05-07-2010 102.92 81.40 51.460000 27.002666 13.501333B W08679002 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 10 MSP 1B01ABP V 05-07-2010 1,110.78 984.06 111.078000 77.150473 38.575236B W42118003 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 2 MSP 1B01ABP V 05-07-2010 126.78 103.85 63.390000 34.717713 17.358856B W05757002 VESSEL DUE F SULODEXIDUM CAPS. MOI 250ULS 50 MSP 9B01AB11O V 05-07-2010 109.68 86.74 2.193600 2.193600 1.096800B W05758001 VESSEL DUE F SULODEXIDUM SOL. INJ. 600ULS/2ml 10 MSP 9B01AB11P V 05-07-2010 78.24 61.88 7.824000 7.824000 3.912000B W53035002 PLAVIX 300mg CLOPIDOGRELUM COMPR. FILM. 300mg 30 MSP 0B01ACO V 05-07-2010 779.14 679.81 25.971333 9.626484 4.813242B W54060002 CLOPIDOGREL TEVA 75 mg CLOPIDOGRELUM COMPR. FILM. 75 mg 28 MSP 0B01ACO V 05-07-2010 89.27 70.60 3.188214 2.406621 1.203310B W54626003 ZYLLT CLOPIDOGRELUM COMPR. FILM. 75 mg 28 MSP 0B01ACO V 05-07-2010 90.28 71.40 3.224285 2.406621 1.203310B W01373004 PLAVIX 75mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 122.06 96.54 4.359285 2.406621 1.203310B W54317002 TROMBEX 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 MSP 0B01ACO V 05-07-2010 83.62 66.13 2.787333 2.406621 1.203310B W54490001 EGITROMB 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 89.27 70.60 3.188214 2.406621 1.203310B W54756003 CLOPIDOGREL MYLAN 75mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 84.40 66.75 3.014285 2.406621 1.203310B W54973001 TROGRAN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 90.42 71.51 3.229285 2.406621 1.203310B W54744002 CLOPIDOGREL DR. REDDY'S 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 79.30 62.72 2.832142 2.406621 1.203310B W54744003 CLOPIDOGREL DR. REDDY'S 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 MSP 0B01ACO V 05-07-2010 84.97 67.20 2.832333 2.406621 1.203310B W54853001 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 68.37 54.07 2.441785 2.406621 1.203310B W54853003 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 68.37 54.07 2.441785 2.406621 1.203310B W54853005 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 84 MSP 0B01ACO V 05-07-2010 215.10 176.20 2.560714 2.406621 1.203310B W54853006 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 84 MSP 0B01ACO V 05-07-2010 215.10 176.20 2.560714 2.406621 1.203310B W54937002 PLAVOCORIN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 89.27 70.60 3.188214 2.406621 1.203310B W55014003 TESSYRON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 MSP 0B01ACO V 05-07-2010 85.00 67.23 2.833333 2.406621 1.203310B W54935001 TUXEDON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 96.30 76.16 3.439285 2.406621 1.203310B W54935002 TUXEDON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 84 MSP 0B01ACO V 05-07-2010 273.95 224.40 3.261309 2.406621 1.203310B W55371005 CLOPIDOGREL ACTAVIS 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 79.30 62.72 2.832142 2.406621 1.203310B W55447002 DEFROZYP 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 79.30 62.72 2.832142 2.406621 1.203310B W55445003 TESSYRON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 MSP 0B01ACO V 05-07-2010 85.00 67.23 2.833333 2.406621 1.203310B W54933002 CLORODEN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 68.32 54.03 2.440000 2.406621 1.203310B W54933009 CLORODEN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 MSP 0B01ACO V 05-07-2010 68.32 54.03 2.440000 2.406621 1.203310B W53412001 AFLEN (R) TRIFLUSALUM CAPS. 300mg 50 0B01ACO V 05-07-2010 84.73 67.01 1.694600 1.203310 0.601655

B W43737002 AGGRENOX

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM) CAPS. ELIB. MODIF. 25mg/200mg 60 MSP 9B01AC30O V 05-07-2010 63.46 48.52 1.057666 1.057666 0.528833

B W43261003 ARIXTRA 10mg/0,8ml FONDAPARINUX SODIUMSOL. INJ. IN SERINGA PREUMPLUTA 10mg/0,8ml 10 MSP 9B01AX05P V 05-07-2010 651.90 563.07 65.190000 65.190000 32.595000

B W43258003 ARIXTRA 2,5mg/0,5ml FONDAPARINUX SODIUMSOL. INJ. IN SERINGA PREUMPLUTA 2,5mg/0,5ml 10 MSP 9B01AX05P V 05-07-2010 233.24 191.05 23.324000 18.334687 9.167343

B W43259003 ARIXTRA 5mg/0,4ml FONDAPARINUX SODIUMSOL. INJ. IN SERINGA PREUMPLUTA 5mg/0,4ml 10 MSP 9B01AX05P V 05-07-2010 458.30 385.46 45.830000 36.669375 18.334687

B W43260003 ARIXTRA 7,5mg/0,6ml FONDAPARINUX SODIUMSOL. INJ. IN SERINGA PREUMPLUTA 7,5mg/0,6ml 10 MSP 9B01AX05P V 05-07-2010 651.90 563.07 65.190000 55.004062 27.502031

B W51230001 VENOFER (R)COMPLEX DE HIDROXID DE FER (III) SUCROZA SOL. INJ./PERF. 20mg/ml 5 3B03A5P V 05-07-2010 149.42 122.39 29.884000 29.884000 14.942000

B W04293001 MEXITIL (R) 200 mg MEXILETINUM CAPS. 200mg 100 9C01BB02O V 05-07-2010 58.62 44.82 0.586200 0.586200 0.293100B W42777002 CORLENTOR 5mg IVABRADINUM COMPR. FILM. 5mg 28 MSP 0C01EBO V 05-07-2010 159.86 130.95 5.709285 0.285513 0.142756B W42777003 CORLENTOR 5mg IVABRADINUM COMPR. FILM. 5mg 56 MSP 0C01EBO V 05-07-2010 239.70 196.35 4.280357 0.285513 0.142756B W42779003 CORLENTOR 7,5mg IVABRADINUM COMPR. FILM. 7,5mg 56 MSP 0C01EBO V 05-07-2010 259.74 212.76 4.638214 0.428270 0.214135B W42779002 CORLENTOR 7,5mg IVABRADINUM COMPR. FILM. 7,5mg 28 MSP 0C01EBO V 05-07-2010 159.86 130.95 5.709285 0.428270 0.214135B W04402002 PHYSIOTENS 0,2 MOXONIDINUM COMPR. FILM. 0,2mg 28 0C02ACO V 05-07-2010 32.42 23.99 1.157857 0.516199 0.258099B W04402001 PHYSIOTENS 0,2 MOXONIDINUM COMPR. FILM. 0,2mg 28 0C02ACO V 05-07-2010 32.42 23.99 1.157857 0.516199 0.258099B W42538001 MOXOGAMMA 0,2 mg MOXONIDINUM COMPR. FILM. 0,2mg 30 0C02ACO V 05-07-2010 21.74 16.08 0.724666 0.516199 0.258099B W42539001 MOXOGAMMA 0,3 mg MOXONIDINUM COMPR. FILM. 0,3mg 30 0C02ACO V 05-07-2010 25.81 19.10 0.860333 0.774299 0.387149B W04404001 PHYSIOTENS 0,4 MOXONIDINUM COMPR. FILM. 0,4mg 28 0C02ACO V 05-07-2010 46.72 35.72 1.668571 1.032399 0.516199B W04404002 PHYSIOTENS 0,4 MOXONIDINUM COMPR. FILM. 0,4mg 28 0C02ACO V 05-07-2010 46.72 35.72 1.668571 1.032399 0.516199B W42540001 MOXOGAMMA 0,4 mg MOXONIDINUM COMPR. FILM. 0,4mg 30 0C02ACO V 05-07-2010 33.07 24.47 1.102333 1.032399 0.516199B W05447001 TENAXUM RILMENIDINUM COMPR. 1mg 30 0C02ACO V 05-07-2010 41.51 31.74 1.383666 0.774299 0.387149B W05229001 MINIPRESS (R) 1 mg PRAZOSINUM COMPR. 1mg 30 9C02CA01O V 05-07-2010 5.72 4.23 0.190666 0.147666 0.073833B W05230001 MINIPRESS (R) 2 mg PRAZOSINUM COMPR. 2mg 30 9C02CA01O V 05-07-2010 8.00 5.92 0.266666 0.266666 0.133333B W42324004 INSPRA 25 mg EPLERENONUM COMPR. FILM. 25mg 30 9C03DA04O V 05-07-2010 185.16 151.67 6.172000 3.255875 1.627937B W42324001 INSPRA 25 mg EPLERENONUM COMPR. FILM. 25mg 10 9C03DA04O V 05-07-2010 66.25 52.40 6.625000 3.255875 1.627937B W42325004 INSPRA 50 mg EPLERENONUM COMPR. FILM. 50mg 30 9C03DA04O V 05-07-2010 185.16 151.67 6.172000 6.172000 3.086000B W42325001 INSPRA 50 mg EPLERENONUM COMPR. FILM. 50mg 10 9C03DA04O V 05-07-2010 66.25 52.40 6.625000 6.511750 3.255875

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Grupa terapeutica RO Valabil de la

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B W13535001 NICERIUM (R) 15 NICERGOLINUM CAPS. ELIB. MODIF. 15mg 30 0C04AEO V 05-07-2010 27.83 20.59 0.927666 0.402599 0.201299B W13536001 NICERIUM (R) 30 UNO NICERGOLINUM CAPS. ELIB. MODIF. 30mg 30 0C04AEO V 05-07-2010 51.26 39.19 1.708666 0.402599 0.201299B W42840001 NICERGOLINA LPH 10 mg NICERGOLINUM COMPR. FILM. 10mg 30 0C04AEO V 05-07-2010 13.42 9.93 0.447333 0.402599 0.201299B W54408001 GRALIN 10 mg NICERGOLINUM COMPR. FILM. 10mg 30 0C04AEO V 05-07-2010 13.42 9.93 0.447333 0.402599 0.201299B W04516004 SERMION NICERGOLINUM COMPR. FILM. 30mg 30 0C04AEO V 05-07-2010 48.19 36.84 1.606333 0.402599 0.201299B W42841001 NICERGOLINA LPH 30 mg NICERGOLINUM COMPR. FILM. 30mg 30 0C04AEO V 05-07-2010 32.37 23.95 1.079000 0.402599 0.201299B W54409001 GRALIN 30 mg NICERGOLINUM COMPR. FILM. 30mg 30 0C04AEO V 05-07-2010 32.37 23.95 1.079000 0.402599 0.201299B W42839001 NICERGOLINA LPH 5 mg NICERGOLINUM COMPR. FILM. 5mg 30 0C04AEO V 05-07-2010 6.75 4.99 0.225000 0.225000 0.112500B W54407001 GRALIN 5 mg NICERGOLINUM COMPR. FILM. 5mg 30 0C04AEO V 05-07-2010 6.75 4.99 0.225000 0.225000 0.112500B W04514001 NICERIUM (R) 10 NICERGOLINUM DRAJ. 10mg 25 0C04AEO V 05-07-2010 14.08 10.42 0.563200 0.402599 0.201299B W08193002 SINERGOLIN 10 NICERGOLINUM DRAJ. 10mg 20 0C04AEO V 05-07-2010 9.06 6.70 0.453000 0.402599 0.201299B W52057002 SINERGOLIN 30 NICERGOLINUM DRAJ. 30mg 30 0C04AEO V 05-07-2010 32.31 23.90 1.077000 0.402599 0.201299B W52057001 SINERGOLIN 30 NICERGOLINUM DRAJ. 30mg 20 0C04AEO V 05-07-2010 21.54 15.94 1.077000 0.402599 0.201299B W06109001 OXYBRAL SR 30 mg VINCAMINUM CAPS. ELIB. PREL. 30mg 10 9C04AX07O V 05-07-2010 9.24 6.84 0.924000 0.289850 0.144925B W43946001 VINCAMIL VINCAMINUM COMPR. 20mg 50 9C04AX07O V 05-07-2010 13.76 10.18 0.275200 0.275200 0.137600B W06107003 VINCAMINA VINCAMINUM DRAJ. 10mg 20 9C04AX07O V 05-07-2010 6.09 4.51 0.304500 0.289850 0.144925B W54246002 BILOBIL INTENS 120 mg (vezi N06DX02) GINKGO BILOBA CAPS. 120mg 60 MSP 9C04AXN1O V 05-07-2010 65.02 51.42 1.083666 1.083666 0.541833B W03323001 BILOBIL 40 mg (C04AXN1) GINKGO BILOBA CAPS. 40mg 20 MSP 9C04AXN1O V 05-07-2010 9.57 7.08 0.478500 0.398972 0.199486B W03323002 BILOBIL 40 mg (C04AXN1) GINKGO BILOBA CAPS. 40mg 60 MSP 9C04AXN1O V 05-07-2010 27.44 20.30 0.457333 0.398972 0.199486B W43052002 BILOBIL FORTE (vezi C04AXN1) GINKGO BILOBA CAPS. 80mg 60 MSP 9C04AXN1O V 05-07-2010 45.18 34.54 0.753000 0.753000 0.376500B W43264001 GINGIUM 120mg (vezi N06DX02) GINKGO BILOBA COMPR. FILM. 120mg 30 MSP 9C04AXN1O V 05-07-2010 33.65 25.73 1.121666 1.121666 0.560833B W13569001 FLAVOTAN 40 mg (C04AXN1) GINKGO BILOBA COMPR. FILM. 40mg 30 MSP 9C04AXN1O V 05-07-2010 13.70 10.14 0.456666 0.398972 0.199486B W03327001 TANAKAN (EGB 761) (N06DX02) GINKGO BILOBA COMPR. FILM. 40mg 30 MSP 9C04AXN1O V 05-07-2010 25.15 18.61 0.838333 0.398972 0.199486B W43262001 GINGIUM 40mg (vezi N06DX02 ) GINKGO BILOBA COMPR. FILM. 40mg 30 MSP 9C04AXN1O V 05-07-2010 12.45 9.21 0.415000 0.398972 0.199486B W43409002 TEBOKAN (vezi C04AXN1) GINKGO BILOBA COMPR. FILM. 40mg 50 MSP 9C04AXN1O V 05-07-2010 23.31 17.25 0.466200 0.398972 0.199486B W43409001 TEBOKAN (vezi C04AXN1) GINKGO BILOBA COMPR. FILM. 40mg 20 MSP 9C04AXN1O V 05-07-2010 9.31 6.89 0.465500 0.398972 0.199486B W53113001 GINKOFAR 40 mg (vezi N06DX02) GINKGO BILOBA COMPR. FILM. 40mg 20 MSP 9C04AXN1O V 05-07-2010 9.17 6.78 0.458500 0.398972 0.199486B W53113002 GINKOFAR 40 mg (vezi N06DX02) GINKGO BILOBA COMPR. FILM. 40mg 60 MSP 9C04AXN1O V 05-07-2010 26.55 19.64 0.442500 0.398972 0.199486B W53113003 GINKOFAR 40 mg (vezi N06DX02) GINKGO BILOBA COMPR. FILM. 40mg 90 MSP 9C04AXN1O V 05-07-2010 36.64 28.01 0.407111 0.398972 0.199486

B W54451001GINKO BILOBA BIOFARM 40 mg (vezi N06DX02) GINKGO BILOBA COMPR. FILM. 40mg 30 MSP 9C04AXN1O V 05-07-2010 12.28 9.09 0.409333 0.398972 0.199486

B W43263001 GINGIUM 80mg (vezi N06DX02) GINKGO BILOBA COMPR. FILM. 80mg 30 MSP 9C04AXN1O V 05-07-2010 23.45 17.35 0.781666 0.781666 0.390833B W03328002 TANAKAN (EGB 761) (C04AXN1) GINKGO BILOBA PICATURI ORALE-SOL. 40mg/ml 1 MSP 9C04AXN1O K 05-07-2010 24.82 18.36 24.820000 24.820000 12.410000B W11615001 DETRALEX ( R ) DIOSMINUM (COMBINATII) COMPR. FILM. 500mg 30 MSP 9C05CA53O V 05-07-2010 26.33 19.48 0.877666 0.877666 0.438833B W55080005 EZOCEM 5 mg NEBIVOLOLUM COMPR 5mg 28 0C07ABO V 05-07-2010 25.49 18.86 0.910357 0.426374 0.213187B W53962006 NEBLOTENSOL 5 mg NEBIVOLOLUM COMPR. 5 mg 30 0C07ABO V 05-07-2010 27.01 19.98 0.900333 0.426374 0.213187B W04501002 NEBILET (R) NEBIVOLOLUM COMPR. 5mg 28 0C07ABO V 05-07-2010 54.26 41.48 1.937857 0.426374 0.213187B W52443005 NEBIVOLOL ACTAVIS 5 mg NEBIVOLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 27.30 20.20 0.910000 0.426374 0.213187B W53475001 NEBACOP 5 mg NEBIVOLOLUM COMPR. 5mg 28 0C07ABO V 05-07-2010 25.47 18.84 0.909642 0.426374 0.213187B W53475002 NEBACOP 5 mg NEBIVOLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 27.30 20.20 0.910000 0.426374 0.213187B W53828006 X-PRESSOL 5 mg NEBIVOLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 27.01 19.98 0.900333 0.426374 0.213187B W53839001 NOLET 5 mg NEBIVOLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 30.29 22.41 1.009666 0.426374 0.213187B W54369007 NEBIVOLOL TEVA 5 mg NEBIVOLOLUM COMPR. 5mg 28 0C07ABO V 05-07-2010 22.76 16.84 0.812857 0.426374 0.213187B W54369008 NEBIVOLOL TEVA 5 mg NEBIVOLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 24.38 18.04 0.812666 0.426374 0.213187B W54524005 VOXNEBIN 5 mg NEBIVOLOLUM COMPR. 5mg 28 0C07ABO V 05-07-2010 13.79 10.20 0.492500 0.426374 0.213187B W55035003 NEBINORM 5 mg NEBIVOLOLUM COMPR. 5mg 30 0C07ABO V 05-07-2010 27.18 20.11 0.906000 0.426374 0.213187

B W41854001 LODOZ 10 mg

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. FARA CONCENT30 9C07BB07O V 05-07-2010 29.40 21.75 0.980000 0.927000 0.463500

B W41852001 LODOZ 2,5 mg

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. FARA CONCENT30 9C07BB07O V 05-07-2010 26.22 19.40 0.874000 0.874000 0.437000

B W41853001 LODOZ 5 mg

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. FARA CONCENT30 9C07BB07O V 05-07-2010 29.40 21.75 0.980000 0.927000 0.463500

B W01849001 LOGIMAX (R)COMBINATII (METOPROLOLUL+FELODIPINUM) COMPR. ELIB. PREL. 50mg+5mg 30 9C07EBN1O V 05-07-2010 44.44 33.98 1.481333 1.481333 0.740666

B W03916001 LACIPIL 4 mg LACIDIPINUM COMPR. FILM. 4mg 14 1C08CAO V 05-07-2010 12.77 9.45 0.912142 0.288450 0.144225B W12827003 LERIDIP LERCANIDIPINUM COMPR. FILM. 10mg 28 1C08CAO V 05-07-2010 63.82 48.79 2.279285 0.288450 0.144225B W54509003 LERCANIDIPIN ACTAVIS 10 mg LERCANIDIPINUM COMPR. FILM. 10mg 28 1C08CAO V 05-07-2010 41.48 31.71 1.481428 0.288450 0.144225B W55253005 LERPIN 10 mg LERCANIDIPINUM COMPR. FILM. 10mg 28 1C08CAO V 05-07-2010 41.15 31.46 1.469642 0.288450 0.144225B W55253006 LERPIN 10 mg LERCANIDIPINUM COMPR. FILM. 10mg 50 1C08CAO V 05-07-2010 70.76 55.96 1.415200 0.288450 0.144225B W55253007 LERPIN 10 mg LERCANIDIPINUM COMPR. FILM. 10mg 98 1C08CAO V 05-07-2010 130.99 107.30 1.336632 0.288450 0.144225B W55253008 LERPIN 10 mg LERCANIDIPINUM COMPR. FILM. 10mg 100 1C08CAO V 05-07-2010 133.08 109.01 1.330800 0.288450 0.144225B W43062010 LERIDIP 20 LERCANIDIPINUM COMPR. FILM. 20mg 28 1C08CAO V 05-07-2010 71.80 56.79 2.564285 0.576900 0.288450B W54510003 LERCANIDIPIN ACTAVIS 20 mg LERCANIDIPINUM COMPR. FILM. 20mg 28 1C08CAO V 05-07-2010 49.12 37.55 1.754285 0.576900 0.288450B W55254005 LERPIN 20 mg LERCANIDIPINUM COMPR. FILM. 20mg 28 1C08CAO V 05-07-2010 48.45 37.04 1.730357 0.576900 0.288450B W55254006 LERPIN 20 mg LERCANIDIPINUM COMPR. FILM. 20mg 50 1C08CAO V 05-07-2010 81.85 64.73 1.637000 0.576900 0.288450B W55254007 LERPIN 20 mg LERCANIDIPINUM COMPR. FILM. 20mg 98 1C08CAO V 05-07-2010 151.57 124.16 1.546632 0.576900 0.288450B W55254008 LERPIN 20 mg LERCANIDIPINUM COMPR. FILM. 20mg 100 1C08CAO V 05-07-2010 154.10 126.23 1.541000 0.576900 0.288450B W54193003 PRENESSA 2 mg PERINDOPRILUM COMPR. 2mg 30 0C09AAO V 05-07-2010 13.41 9.92 0.447000 0.100170 0.050085B W41464001 COVEREX (R) 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 28.95 21.42 0.965000 0.200340 0.100170B W52436001 PERINDOPRIL TEVA 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 32.88 24.33 1.096000 0.200340 0.100170B W52889001 VIDOTIN 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 33.37 24.69 1.112333 0.200340 0.100170B W53478004 PRINDEX 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 32.74 24.22 1.091333 0.200340 0.100170B W54042001 TREZEN 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 25.81 19.10 0.860333 0.200340 0.100170B W54042002 TREZEN 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 25.81 19.10 0.860333 0.200340 0.100170B W54194003 PRENESSA 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 26.81 19.84 0.893666 0.200340 0.100170B W55290004 PRINDEX 4 mg PERINDOPRILUM COMPR. 4mg 30 0C09AAO V 05-07-2010 32.74 24.22 1.091333 0.200340 0.100170B W52437001 PERINDOPRIL TEVA 8 mg PERINDOPRILUM COMPR. 8mg 30 0C09AAO V 05-07-2010 53.31 40.76 1.777000 0.400680 0.200340B W52890001 VIDOTIN 8 mg PERINDOPRILUM COMPR. 8mg 30 0C09AAO V 05-07-2010 53.32 40.76 1.777333 0.400680 0.200340B W53262004 PRENESSA 8 mg PERINDOPRILUM COMPR. 8mg 30 0C09AAO V 05-07-2010 49.33 37.71 1.644333 0.400680 0.200340B W53479004 PRINDEX 8 mg PERINDOPRILUM COMPR. 8mg 30 0C09AAO V 05-07-2010 53.87 41.18 1.795666 0.400680 0.200340B W54043001 TREZEN 8 mg PERINDOPRILUM COMPR. 8mg 30 0C09AAO V 05-07-2010 49.00 37.46 1.633333 0.400680 0.200340B W54043002 TREZEN 8 mg PERINDOPRILUM COMPR. 8mg 30 0C09AAO V 05-07-2010 49.00 37.46 1.633333 0.400680 0.200340B W55291004 PRINDEX 8 mg PERINDOPRILUM COMPR. 8mg 30 0C09AAO V 05-07-2010 53.87 41.18 1.795666 0.400680 0.200340B W42663001 PRESTARIUM 10 mg PERINDOPRILUM COMPR. FILM. 10 mg 30 0C09AAO V 05-07-2010 63.45 50.18 2.115000 0.500850 0.250425B W42664001 PRESTARIUM 5 mg PERINDOPRILUM COMPR. FILM. 5mg 30 0C09AAO V 05-07-2010 41.02 31.36 1.367333 0.250425 0.125212B W12968001 CIBACEN (R) 10 mg BENAZEPRILUM COMPR. FILM. 10mg 28 0C09AAO V 05-07-2010 43.56 33.30 1.555714 0.267119 0.133559B W12969001 CIBACEN (R) 20 mg BENAZEPRILUM COMPR. FILM. 20mg 28 0C09AAO V 05-07-2010 57.17 43.71 2.041785 0.534239 0.267119B W12579001 CIBACEN (R) 5 mg BENAZEPRILUM COMPR. FILM. 5mg 28 0C09AAO V 05-07-2010 21.74 16.08 0.776428 0.133559 0.066779B W05984001 GOPTEN (R) 0,5 mg TRANDOLAPRILUM CAPS. 0,5mg 20 0C09AAO V 05-07-2010 9.69 7.17 0.484500 0.050085 0.025042B W55036001 FEZZOR 0,5 mg TRANDOLAPRILUM CAPS. 0,5mg 28 0C09AAO V 05-07-2010 7.92 5.86 0.282857 0.050085 0.025042

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W55037001 FEZZOR 1 mg TRANDOLAPRILUM CAPS. 1mg 28 0C09AAO V 05-07-2010 11.37 8.41 0.406071 0.100170 0.050085B W05985001 GOPTEN (R) 2 mg TRANDOLAPRILUM CAPS. 2mg 28 0C09AAO V 05-07-2010 28.03 20.74 1.001071 0.200340 0.100170B W54442001 TRANDOLAPRIL GALEX 2 mg TRANDOLAPRILUM CAPS. 2mg 28 0C09AAO V 05-07-2010 18.21 13.47 0.650357 0.200340 0.100170B W55038001 FEZZOR 2 mg TRANDOLAPRILUM CAPS. 2mg 28 0C09AAO V 05-07-2010 18.21 13.47 0.650357 0.200340 0.100170B W41586001 GOPTEN (R) 4 mg TRANDOLAPRILUM CAPS. 4mg 28 0C09AAO V 05-07-2010 46.67 35.68 1.666785 0.400680 0.200340B W54443001 TRANDOLAPRIL GALEX 4 mg TRANDOLAPRILUM CAPS. 4mg 28 0C09AAO V 05-07-2010 31.34 23.19 1.119285 0.400680 0.200340B W55039001 FEZZOR 4 mg TRANDOLAPRILUM CAPS. 4mg 28 0C09AAO V 05-07-2010 31.34 23.19 1.119285 0.400680 0.200340B W13178003 ZOMEN (R) 30 mg ZOFENOPRILUM COMPR. FILM. 30mg 28 0C09AAO V 05-07-2010 44.36 33.91 1.584285 0.200340 0.100170B W13177003 ZOMEN (R) 7,5 mg ZOFENOPRILUM COMPR. FILM. 7,5mg 28 0C09AAO V 05-07-2010 19.65 14.54 0.701785 0.050085 0.025042

B W52394004 CO-PRENESSA 2mg/0,625 mgCOMBINATII (PERINDOPRILUM+INDAPAMIDUM) COMPR. 2mg/0,625mg 30 YC09BAO V 05-07-2010 16.15 11.95 0.538333 0.397574 0.198787

B W52393004 CO-PRENESSA 4mg/1,25 mgCOMBINATII (PERINDOPRILUM+INDAPAMIDUM) COMPR. 4mg/1,25mg 30 YC09BAO V 05-07-2010 29.35 21.71 0.978333 0.397574 0.198787

B W54255004 NOLITERAX 10 mg/2,5mgCOMBINATII (PERINDOPRILUM+INDAPAMIDUM) COMPR. FILM. 10mg/2,5mg 30 YC09BAO V 05-07-2010 75.58 59.78 2.519333 0.397574 0.198787

B W52783004 NOLIPREL ARG 2,5mg/0,625mgCOMBINATII (PERINDOPRILUM+INDAPAMIDUM) COMPR. FILM. 2,5mg/0,625mg 30 YC09BAO V 05-07-2010 57.04 43.61 1.901333 0.397574 0.198787

B W52784004 NOLIPREL ARG FORTE 5mg/1,25mgCOMBINATII (PERINDOPRILUM+INDAPAMIDUM) COMPR. FILM. 5mg/1,25mg 30 YC09BAO V 05-07-2010 61.48 47.00 2.049333 0.397574 0.198787

B W52785004 PRESTARIUM ARG PLUS 5mg/1,25mgCOMBINATII (PERINDOPRILUM+INDAPAMIDUM) COMPR. FILM. 5mg/1,25mg 30 YC09BAO V 05-07-2010 61.48 47.00 2.049333 0.397574 0.198787

B W43136001 ACCUZIDE

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. 10mg/12,5mg 30 YC09BAO V 05-07-2010 21.62 16.00 0.720666 0.397574 0.198787

B W43137001 ACCUZIDE FORTE

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. 20mg/12,5mg 30 YC09BAO V 05-07-2010 31.49 23.30 1.049666 0.397574 0.198787

B W52873001 EDOLFIX H 20mg/12,5mg

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. 20mg/12,5mg 30 YC09BAO V 05-07-2010 31.43 23.25 1.047666 0.397574 0.198787

B W53990002 ENEASCOMBINATII (NITRENDIPINUM+ENALAPRILUM) COMPR. 20mg+10mg 30 9C09BB02O V 05-07-2010 96.30 76.16 3.210000 3.210000 1.605000

B W43331001 TARKACOMBINATII (VERAPAMILUM+TRANDOLAPRILUM) COMPR.FILM.ELIB.MODIF. 180mg/2mg 28 9C09BB10O V 05-07-2010 52.71 40.30 1.882500 1.882500 0.941250

B W43619001 DIOVAN 160 mg VALSARTANUM COMPR. FILM. 160mg 28 0C09CAO V 05-07-2010 116.32 92.00 4.154285 1.066756 0.533378B W43618001 DIOVAN 40 mg VALSARTANUM COMPR. FILM. 40mg 28 0C09CAO V 05-07-2010 71.74 56.74 2.562142 0.266689 0.133344B W43617001 DIOVAN 80 mg VALSARTANUM COMPR. FILM. 80mg 28 0C09CAO V 05-07-2010 91.67 72.50 3.273928 0.533378 0.266689B W42416002 APROVEL 150mg IRBESARTANUM COMPR. FILM. 150mg 28 0C09CAO V 05-07-2010 79.54 62.91 2.840714 0.533378 0.266689B W42417002 APROVEL 300mg IRBESARTANUM COMPR. FILM. 300mg 28 0C09CAO V 05-07-2010 107.50 85.02 3.839285 1.066756 0.533378B W00766003 ATACAND CANDESARTANUM CILEXETIL COMPR. 16mg 28 0C09CAO V 05-07-2010 66.58 52.66 2.377857 1.066756 0.533378B W54059001 ATACAND 32 mg CANDESARTANUM CILEXETIL COMPR. 32mg 28 0C09CAO V 05-07-2010 117.13 92.64 4.183214 2.133512 1.066756B W00768003 ATACAND CANDESARTANUM CILEXETIL COMPR. 8mg 28 0C09CAO V 05-07-2010 55.96 42.78 1.998571 0.533378 0.266689B W13090002 MICARDIS 40 mg TELMISARTANUM COMPR. 40mg 28 0C09CAO V 05-07-2010 60.55 46.29 2.162500 0.533378 0.266689B W54274008 PRITOR 40 mg TELMISARTANUM COMPR. 40mg 28 0C09CAO V 05-07-2010 63.96 50.59 2.284285 0.533378 0.266689B W55585002 TOLURA 40 mg TELMISARTANUM COMPR. 40mg 28 0C09CAO V 05-07-2010 39.37 30.10 1.406071 0.533378 0.266689B W05785002 MICARDIS 80 mg TELMISARTANUM COMPR. 80mg 28 0C09CAO V 05-07-2010 77.24 61.09 2.758571 1.066756 0.533378B W54273008 PRITOR 80 mg TELMISARTANUM COMPR. 80mg 28 0C09CAO V 05-07-2010 77.24 61.09 2.758571 1.066756 0.533378B W55586002 TOLURA 80 mg TELMISARTANUM COMPR. 80mg 28 0C09CAO V 05-07-2010 52.86 40.41 1.887857 1.066756 0.533378

B W51359001 HYZAAR (R) 50 mg/12,5 mg

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. 50mg+12,5mg 28 YC09DAO V 05-07-2010 79.27 62.69 2.831071 2.547963 1.273981

B W43460003 LORISTA H

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) COMPR.FILM 50mg+ 12,50mg 28 YC09DAO V 05-07-2010 21.02 15.55 0.750714 0.750714 0.375357

B W07646001 COAPROVEL 150mg/12,5mg

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. 150mg/12,5mg 28 YC09DAO V 05-07-2010 82.99 65.64 2.963928 2.547963 1.273981

B W07647001 COAPROVEL 300mg/12,5mg

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. 300mg/12,5mg 28 YC09DAO V 05-07-2010 112.04 88.61 4.001428 2.547963 1.273981

B W52542002 COAPROVEL 300mg/25mg

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. FILM. 300mg/25mg 28 YC09DAO V 05-07-2010 112.10 88.66 4.003571 2.547963 1.273981

B W12033002 MICARDISPLUS 80/12,5mg

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. 80/12,5mg 28 YC09DAO V 05-07-2010 77.24 61.09 2.758571 2.547963 1.273981

B W53178002 MICARDISPLUS 80/25mg

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. 80/25mg 28 YC09DAO V 05-07-2010 104.61 82.73 3.736071 2.547963 1.273981

B W54271007 PRITOR PLUS 80mg/12,5mg

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. 80mg/12,5mg 28 YC09DAO V 05-07-2010 79.39 62.79 2.835357 2.547963 1.273981

B W54276007 PRITOR PLUS 80mg/25mg

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) COMPR. 80mg/25mg 28 YC09DAO V 05-07-2010 104.61 82.73 3.736071 2.547963 1.273981

B W51851005 EXFORGE 10mg/160mgCOMBINATII ( VALSARTANUM+AMLODIPINUM) COMPR. FILM. 10mg/160mg 56 YC09DBO V 05-07-2010 252.15 206.54 4.502678 4.152187 2.076093

B W51851003 EXFORGE 10mg/160mgCOMBINATII ( VALSARTANUM+AMLODIPINUM) COMPR. FILM. 10mg/160mg 28 YC09DBO V 05-07-2010 128.36 105.14 4.584285 4.152187 2.076093

B W51852005 EXFORGE 5mg/160mgCOMBINATII ( VALSARTANUM+AMLODIPINUM) COMPR. FILM. 5mg/160mg 56 YC09DBO V 05-07-2010 252.15 206.54 4.502678 4.152187 2.076093

B W51852003 EXFORGE 5mg/160mgCOMBINATII ( VALSARTANUM+AMLODIPINUM) COMPR. FILM. 5mg/160mg 28 YC09DBO V 05-07-2010 128.36 105.14 4.584285 4.152187 2.076093

B W51853005 EXFORGE 5mg/80mgCOMBINATII ( VALSARTANUM+AMLODIPINUM) COMPR. FILM. 5mg/80mg 56 YC09DBO V 05-07-2010 214.30 175.54 3.826785 3.826785 1.913392

B W51853003 EXFORGE 5mg/80mgCOMBINATII ( VALSARTANUM+AMLODIPINUM) COMPR. FILM. 5mg/80mg 28 YC09DBO V 05-07-2010 112.99 89.36 4.035357 4.035357 2.017678

B W51413001 LESCOL 20 mg FLUVASTATINUM CAPS. 20mg 28 0C10AAO V 05-07-2010 15.95 11.80 0.569642 0.240749 0.120374B W54257005 LUVINSTA 20 mg FLUVASTATINUM CAPS. 20mg 30 0C10AAO V 05-07-2010 11.09 8.21 0.369666 0.240749 0.120374B W51414001 LESCOL 40 mg FLUVASTATINUM CAPS. 40mg 28 0C10AAO V 05-07-2010 29.03 21.48 1.036785 0.481499 0.240749B W54258005 LUVINSTA 40 mg FLUVASTATINUM CAPS. 40mg 30 0C10AAO V 05-07-2010 20.20 14.95 0.673333 0.481499 0.240749B W51412001 LESCOL XL 80 mg FLUVASTATINUM COMPR. ELIB. PREL. 80mg 28 0C10AAO V 05-07-2010 46.14 35.28 1.647857 0.963000 0.481500B W12893001 SORTIS 10 mg ATORVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 79.02 62.50 2.634000 0.361125 0.180562

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W12894001 SORTIS 20 mg ATORVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 122.15 100.06 4.071666 0.722250 0.361125B W12895001 SORTIS 40 mg ATORVASTATINUM COMPR. FILM. 40mg 14 0C10AAO V 05-07-2010 54.71 41.83 3.907857 1.444500 0.722250B W12897001 SORTIS 80 mg ATORVASTATINUM COMPR. FILM. 80mg 14 0C10AAO V 05-07-2010 85.72 67.79 6.122857 2.889000 1.444500B W13864001 CRESTOR 10 mg ROSUVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 104.78 82.87 3.742142 0.722250 0.361125B W55327002 ROSUCARD 10 mg ROSUVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 72.97 57.71 2.432333 0.722250 0.361125B W55567006 ROSUVASTATINA SANDOZ 10 mg ROSUVASTATINUM COMPR. FILM. 10mg 28 0C10AAO V 05-07-2010 69.33 54.83 2.476071 0.722250 0.361125B W55409005 ROSUVASTATINA TEVA 10 mg ROSUVASTATINUM COMPR. FILM. 10mg 30 0C10AAO V 05-07-2010 72.97 57.71 2.432333 0.722250 0.361125B W13865001 CRESTOR 20 mg ROSUVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 149.02 122.07 5.322142 1.444500 0.722250B W55328002 ROSUCARD 20 mg ROSUVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 109.45 86.56 3.648333 1.444500 0.722250B W55568006 ROSUVASTATINA SANDOZ 20 mg ROSUVASTATINUM COMPR. FILM. 20mg 28 0C10AAO V 05-07-2010 102.15 80.79 3.648214 1.444500 0.722250B W55410005 ROSUVASTATINA TEVA 20 mg ROSUVASTATINUM COMPR. FILM. 20mg 30 0C10AAO V 05-07-2010 109.45 86.56 3.648333 1.444500 0.722250B W55329002 ROSUCARD 40 mg ROSUVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 109.45 86.56 3.648333 2.889000 1.444500B W55411005 ROSUVASTATINA TEVA 40 mg ROSUVASTATINUM COMPR. FILM. 40mg 30 0C10AAO V 05-07-2010 109.45 86.56 3.648333 2.889000 1.444500B W43678001 CRESTOR 5 mg ROSUVASTATINUM COMPR. FILM. 5mg 28 0C10AAO V 05-07-2010 91.16 72.10 3.255714 0.361125 0.180562B W55566006 ROSUVASTATINA SANDOZ 5 mg ROSUVASTATINUM COMPR. FILM. 5mg 28 0C10AAO V 05-07-2010 62.39 47.70 2.228214 0.361125 0.180562B W55408005 ROSUVASTATINA TEVA 5 mg ROSUVASTATINUM COMPR. FILM. 5mg 30 0C10AAO V 05-07-2010 64.62 51.11 2.154000 0.361125 0.180562B W00607001 REGADRIN (R) B BEZAFIBRATUM DRAJ. 200mg 50 0C10ABO V 05-07-2010 28.47 21.06 0.569400 0.290096 0.145048B W10633001 LIPANOR (R) 100 mg CIPROFIBRATUM CAPS. 100mg 30 0C10ABO V 05-07-2010 25.61 18.95 0.853666 0.853666 0.426833B W13986001 OMACOR (R) ACID OMEGA-3-ESTERI ETILICI 90 CAPS. MOI 1000mg 28 MSP 9C10AX06O V 05-07-2010 99.79 78.92 3.563928 3.563928 1.781964B W51918005 EZETROL (R) EZETIMIBUM COMPR. 10mg 14 1C10AXO V 05-07-2010 95.22 75.31 6.801428 6.537320 3.268660B W51918006 EZETROL (R) EZETIMIBUM COMPR. 10mg 28 1C10AXO V 05-07-2010 180.58 147.92 6.449285 6.449285 3.224642

B W43316001 CADUET 10mg/10mgCOMBINATII (ATORVASTATINUM + AMLODIPINUM) COMPR. FILM. 10mg/10mg 30 9C10BX03O V 05-07-2010 81.26 64.27 2.708666 2.456416 1.228208

B W43315001 CADUET 5mg/10mgCOMBINATII (ATORVASTATINUM + AMLODIPINUM) COMPR. FILM. 5mg/10mg 30 9C10BX03O V 05-07-2010 71.17 56.29 2.372333 2.372333 1.186166

B W04456001 PIMAFUCIN NATAMYCINUM CREMA 20mg/g 1 9D01AA02TD V 05-07-2010 12.45 9.21 12.450000 12.450000 6.225000B W52525002 EXIFINE 125 mg TERBINAFINUM COMPR. 125mg 28 9D01BA02O V 05-07-2010 51.47 39.35 1.838214 0.546669 0.273334B W52525001 EXIFINE 125 mg TERBINAFINUM COMPR. 125mg 14 9D01BA02O V 05-07-2010 26.96 19.95 1.925714 0.546669 0.273334B W05806001 LAMISIL (R) TERBINAFINUM COMPR. 250mg 14 9D01BA02O V 05-07-2010 87.69 69.35 6.263571 1.093338 0.546669B W43387001 TERBINARAN TERBINAFINUM COMPR. 250mg 30 9D01BA02O V 05-07-2010 234.40 192.00 7.813333 1.093338 0.546669B W43387002 TERBINARAN TERBINAFINUM COMPR. 250mg 28 9D01BA02O V 05-07-2010 107.19 84.78 3.828214 1.093338 0.546669B W52527002 EXIFINE 250 mg TERBINAFINUM COMPR. 250mg 28 9D01BA02O V 05-07-2010 33.24 24.59 1.187142 1.093338 0.546669B W52527001 EXIFINE 250 mg TERBINAFINUM COMPR. 250mg 14 9D01BA02O V 05-07-2010 16.61 12.29 1.186428 1.093338 0.546669B W43931014 TERBINAFINE 250 mg TERBINAFINUM COMPR. 250mg 28 9D01BA02O V 05-07-2010 29.66 21.94 1.059285 1.059285 0.529642B W53418001 TERBINAFINA SLAVIA 250mg TERBINAFINUM COMPR. 250mg 14 9D01BA02O V 05-07-2010 18.17 13.44 1.297857 1.093338 0.546669B W54205002 TERBISIL (R) 250 mg TERBINAFINUM COMPR. 250mg 28 9D01BA02O V 05-07-2010 108.52 85.83 3.875714 1.093338 0.546669B W07618001 DAIVONEX CALCIPOTRIOLUM CREMA 50mcg/g 1 9D05AX02TD V 05-07-2010 43.15 32.99 43.150000 39.855000 19.927500

B W07617001DAIVONEX SOLUTIE CUTANATA PENTRU SCALP CALCIPOTRIOLUM SOL. CUT. 50mcg/ml 1 9D05AX02TD V 05-07-2010 47.54 36.35 47.540000 39.855000 19.927500

B W07619001 DAIVONEX UNGUENT CALCIPOTRIOLUM UNGUENT 50mcg/g 1 9D05AX02TD V 05-07-2010 36.56 27.95 36.560000 36.560000 18.280000

B W54663001 XAMIOL 50 micrograme/ 0,5 mg/g

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM) GEL 0,5 mg/g 1 9D05AX52TD V 05-07-2010 81.53 64.48 81.530000 66.965000 33.482500

B W13187002 DAIVOBET (R) UNGUENT

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM) UNGUENT FARA CONCENT1 9D05AX52TD V 05-07-2010 62.11 47.48 62.110000 62.110000 31.055000

B W53799002 NEOTIGASON 10 mg ACITRETINUM CAPS. 10mg 30 MSP 9D05BB02O V 05-07-2010 74.57 58.98 2.485666 2.485666 1.242833B W10102001 FUCIDIN 20 mg/g ACIDUM FUSIDICUM CREMA 20mg/g 1 9D06AX01TD V 05-07-2010 15.15 11.21 15.150000 15.150000 7.575000B W08442001 FUCIDIN 20 mg/g ACIDUM FUSIDICUM UNGUENT 20mg/g 1 9D06AX01TD V 05-07-2010 15.15 11.21 15.150000 15.150000 7.575000B W54309001 FLAMMAZINE SULFADIAZINUM CREMA 1% 1 9D06BA01TD V 05-07-2010 169.44 138.79 169.440000 169.440000 84.720000B W10104001 WARTEC 1,5 mg/g PODOPHYLLOTOXINUM CREMA 1,5 mg/g 1 9D06BB04TD V 05-07-2010 85.35 67.50 85.350000 85.350000 42.675000B W43172001 CONDYLINE PODOPHYLLOTOXINUM SOL. CUT. 5mg/ml 1 9D06BB04TD V 05-07-2010 75.78 59.93 75.780000 63.753750 31.876875B W07761001 ALDARA 5% IMIQUIMODUM CREMA 5% 12 9D06BB10TD V 05-07-2010 264.82 216.92 22.068333 22.068333 11.034166B W03525001 LOCOID (R) crema 0,1% HYDROCORTISONUM BUTYRATUM CREMA 0,1% 1 9D07AB02TD V 05-07-2010 12.90 9.54 12.900000 12.377500 6.188750B W43174001 LOCOID (R) LIPOCREAM 0,1% HYDROCORTISONUM BUTYRATUM CREMA 0,1% 1 9D07AB02TD V 05-07-2010 13.36 9.88 13.360000 12.377500 6.188750B W13109001 LOCOID CRELO (R) 0,1% HYDROCORTISONUM BUTYRATUM EMULSIE CUT. 0.1% 1 9D07AB02TD V 05-07-2010 12.77 9.45 12.770000 12.377500 6.188750B W43098001 LOCOID (R) HYDROCORTISONUM BUTYRATUM SOL. CUT. 0,1% 1 9D07AB02TD V 05-07-2010 11.20 8.29 11.200000 11.200000 5.600000B W04368001 ELOCOM MOMETASONUM CREMA 1mg/g 1 9D07AC13TD V 05-07-2010 15.65 11.58 15.650000 14.852500 7.426250B W04369001 ELOCOM MOMETASONUM SOL. CUT. 1mg/g 1 9D07AC13TD V 05-07-2010 18.74 13.87 18.740000 18.740000 9.370000B W04370001 ELOCOM MOMETASONUM UNGUENT 1mg/g 1 9D07AC13TD V 05-07-2010 15.65 11.58 15.650000 14.852500 7.426250

B W42458001 ADVANTAN METHYLPREDNISOLONUM ACEPONAT CREMA 1mg/g 1 9D07AC14TD V 05-07-2010 13.24 9.80 13.240000 13.240000 6.620000

B W42477001 ADVANTAN (R) MILK METHYLPREDNISOLONUM ACEPONAT EMULSIE CUT. 0,1% 1 9D07AC14TD V 05-07-2010 19.57 14.48 19.570000 17.653333 8.826666

B W42459001 ADVANTAN METHYLPREDNISOLONUM ACEPONAT UNGUENT 1mg/g 1 9D07AC14TD V 05-07-2010 13.24 9.80 13.240000 13.240000 6.620000B W13497001 CUTIVATE FLUTICASONUM PROPIONAT CREMA 0,05% 1 9D07AC17TD V 05-07-2010 10.28 7.61 10.280000 10.280000 5.140000B W13088001 CUTIVATE FLUTICASONUM PROPIONAT UNGUENT 0,005% 1 9D07AC17TD V 05-07-2010 10.28 7.61 10.280000 10.280000 5.140000B W12703001 DERMOVATE CLOBETASOLUM CREMA 0,05% 1 9D07AD01TD V 05-07-2010 12.05 8.92 12.050000 6.858000 3.429000B W55012001 DERMOVATE 0,5 mg/g CLOBETASOLUM CREMA 0,5mg/g 1 9D07AD01TD V 05-07-2010 12.05 8.92 12.050000 6.858000 3.429000B W12704002 DERMOVATE (R) CLOBETASOLUM SOL. CUT. 0,05% 1 9D07AD01TD V 05-07-2010 5.19 3.84 5.190000 5.190000 2.595000B W12705002 DERMOVATE CLOBETASOLUM UNGUENT 0,05% 1 9D07AD01TD V 05-07-2010 8.88 6.57 8.880000 6.858000 3.429000B W41878001 DERMIONE CLOBETASOLUM UNGUENT 0,05% 1 9D07AD01TD V 05-07-2010 5.76 4.26 5.760000 5.486400 2.743200B W52924001 CLOBETASOL MK CLOBETASOLUM UNGUENT 0,05% 1 9D07AD01TD V 05-07-2010 8.18 6.05 8.180000 5.486400 2.743200

B W12411001 FUCIDIN HCOMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) CREMA FARA CONCENT1 9D07CA01TD V 05-07-2010 21.68 16.04 21.680000 21.680000 10.840000

B W10463001 FUCICORT 20 mg/1mg pe gramCOMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) CREMA 20mg/1mg pe gra1 9D07CC01TD V 05-07-2010 23.77 17.59 23.770000 10.940000 5.470000

B W12075002 ELOSALICCOMBINATII (MOMETASONUM + AC. SALICILICUM) UNGUENT 1mg+5mg/gram 1 9D07XC03TD V 05-07-2010 20.57 15.22 20.570000 19.815000 9.907500

B W12075003 ELOSALICCOMBINATII (MOMETASONUM + AC. SALICILICUM) UNGUENT 1mg+5mg/gram 1 9D07XC03TD V 05-07-2010 58.69 44.87 58.690000 58.690000 29.345000

B W07819001 ISOTREXIN GELCOMBINATII (ISOTRETINOINUM + ERITROMICINUM) GEL 0,05%/0,2% 1 9D10AD54TD V 05-07-2010 36.13 27.62 36.130000 36.130000 18.065000

B W42460001 SKINOREN ACIDUM AZELAICUM CREMA 200mg/g 1 9D10AX03TD V 05-07-2010 34.01 26.00 34.010000 34.010000 17.005000B W42476001 SKINOREN (R) 15% ACIDUM AZELAICUM GEL 15% 1 9D10AX03TD V 05-07-2010 44.36 33.91 44.360000 36.597500 18.298750B W03829001 ROACCUTANE 10 mg ISOTRETINOINUM CAPS. MOI 10mg 30 MSP 9D10BA01O V 05-07-2010 53.17 40.65 1.772333 1.084499 0.542249B W41979001 SOTRET 10 mg ISOTRETINOINUM CAPS. MOI 10mg 30 MSP 9D10BA01O V 05-07-2010 33.01 25.24 1.100333 1.084499 0.542249B W41980001 SOTRET 20 mg ISOTRETINOINUM CAPS. MOI 20mg 30 MSP 9D10BA01O V 05-07-2010 64.12 49.02 2.137333 2.137333 1.068666B W12641001 PIMAFUCIN (R) NATAMYCINUM OVULE 100mg 3 9G01AA02V V 05-07-2010 11.06 8.18 3.686666 3.686666 1.843333B W51716002 MACMIROR COMPLEX COMBINATII CAPS. MOI VAG. 500mg/200000UI 12 9G01AA51V V 05-07-2010 38.02 29.07 3.168333 1.837950 0.918975B W01949001 POLYGYNAX COMBINATII CAPS. MOI VAG. FARA CONCENT6 9G01AA51V V 05-07-2010 17.43 12.90 2.905000 1.837950 0.918975B W51914001 MACMIROR COMPLEX COMBINATII CREMA VAG. 10g/400000UI 1 9G01AA51V V 05-07-2010 35.38 27.05 35.380000 35.380000 17.690000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W03125002 LOMEXIN 600 mg FENTICONAZOLUM CAPS. MOI VAG. 600mg 1 1G01AFV V 05-07-2010 20.05 14.83 20.050000 4.272836 2.136418B W54844001 GYNOFORT 2% BUTOCONAZOLUM CREMA VAG. FARA CONCENT1 1G01AFV V 05-07-2010 40.19 30.73 40.190000 0.712139 0.356069

B W52516001 MECLODIN

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) COMPR. VAG. 500mg/200mg 10 9G01AF20V V 05-07-2010 14.98 11.08 1.498000 0.848250 0.424125

B W54285001 MECLON®

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) CREMA FARA CONCENT1 9G01AF20TD V 05-07-2010 9.61 7.11 9.610000 9.610000 4.805000

B W54288001 MECLON

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) CREMA VAG. FARA CONCENT1 9G01AF20V V 05-07-2010 12.84 9.50 12.840000 12.840000 6.420000

B W54286002 MECLON

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) OVULE FARA CONCENT10 9G01AF20V V 05-07-2010 11.14 8.24 1.114000 0.848250 0.424125

B W54287001 MECLON

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) SOL. VAGINALA FARA CONCENT5 9G01AF20V V 05-07-2010 21.93 16.23 4.386000 0.848250 0.424125

B W51715001 MACMIROR NIFURATELUM DRAJ. 200mg 20 9G01AX05O V 05-07-2010 19.52 14.44 0.976000 0.976000 0.488000B W00716002 DOSTINEX CABERGOLINUM COMPR. 0,5mg 2 0G02CBO V 05-07-2010 43.48 33.24 21.740000 8.242750 4.121375B W00716001 DOSTINEX CABERGOLINUM COMPR. 0,5mg 8 0G02CBO V 05-07-2010 123.44 97.63 15.430000 8.242750 4.121375B W53379001 MIRENA 20 mcg/24 h LEVONORGESTRELUM DISPOZITIV INTRAUTERIN 52mg 1 CJAS 0G03ACV V 05-07-2010 512.49 435.17 512.490000 512.490000 256.245000B W13173001 OVESTIN ESTRIOLUM CREMA VAG. 0.1% 1 0G03CAV V 05-07-2010 14.73 10.90 14.730000 14.730000 7.365000B W13174001 OVESTIN ESTRIOLUM OVULE 0,5mg 15 0G03CAV V 05-07-2010 20.57 15.22 1.371333 1.036124 0.518062B W12178001 COLPOTROPHINE (R) PROMESTRIENUM CAPS. MOI VAG. 10mg 10 0G03CAV V 05-07-2010 12.05 8.92 1.205000 0.414449 0.207224B W12177001 COLPOTROPHINE (R) PROMESTRIENUM CREMA VAG. 1% 1 0G03CAV V 05-07-2010 13.82 10.22 13.820000 6.216748 3.108374B W12902001 LIVIAL (R) 2,5 mg TIBOLONUM COMPR. 2,5mg 28 MSP 9G03CX01O V 05-07-2010 72.65 57.46 2.594642 2.341725 1.170862B W43639001 LADYBON TIBOLONUM COMPR. 2,5mg 28 MSP 9G03CX01O V 05-07-2010 71.02 56.17 2.536428 2.341725 1.170862B W43639002 LADYBON TIBOLONUM COMPR. 2,5mg 84 MSP 9G03CX01O V 05-07-2010 180.35 147.73 2.147023 2.147023 1.073511B W12320001 UTROGESTAN (R) 100 mg PROGESTERONUM CAPS. MOI 100mg 30 9G03DA04O V 05-07-2010 29.92 22.14 0.997333 0.643124 0.321562B W52826001 AREFAM 100 mg PROGESTERONUM CAPS. MOI 100mg 30 9G03DA04O V 05-07-2010 19.45 14.39 0.648333 0.643124 0.321562B W42276001 UTROGESTAN (R) 200 mg PROGESTERONUM CAPS. MOI 200mg 14 9G03DA04O V 05-07-2010 29.92 22.14 2.137142 1.286249 0.643124B W52827001 AREFAM 200 mg PROGESTERONUM CAPS. MOI 200mg 30 9G03DA04O V 05-07-2010 37.65 28.78 1.255000 1.255000 0.627500B W05262001 PROGESTOGEL PROGESTERONUM GEL 1% 1 3G03D5TD V 05-07-2010 17.95 13.28 17.950000 7.967250 3.983625B W41913001 MASTOPROFEN 1% PROGESTERONUM GEL 1% 1 3G03D5TD V 05-07-2010 5.82 4.31 5.820000 5.820000 2.910000B W07655001 DUPHASTON (R) DYDROGESTERONUM COMPR. FILM. 10mg 20 9G03DB01O V 05-07-2010 14.35 10.62 0.717500 0.717500 0.358750B W04045001 ORGAMETRIL LYNESTRENOLUM COMPR. 5mg 30 0G03ACO V 05-07-2010 9.11 6.74 0.303666 0.303666 0.151833B W13111001 FEMOSTON (R) conti 1/5 COMBINATII COMPR. FILM. FARA CONCENT28 MSP YG03FAO V 05-07-2010 31.57 23.36 1.127500 1.127500 0.563750

B W53408001 KLIMODIEN ESTRADIOLUMVALERAT+DIENOGEST DRAJ. FARA CONCENT28 MSP YG03FAO V 05-07-2010 34.12 26.09 1.218571 1.173035 0.586517B W53392001 ANGELIQ COMBINATII COMPR. FILM. FARA CONCENT28 MSP YG03FAO V 05-07-2010 68.22 53.95 2.436428 1.173035 0.586517B W53405001 CYCLO PROGINOVA (R) COMBINATII DRAJ. FARA CONCENT21 MSP YG03FBO V 05-07-2010 8.06 5.96 0.383809 0.383809 0.191904B W07080002 FEMOSTON 2/10 COMBINATII COMPR. FILM. FARA CONCENT28 MSP YG03FBO V 05-07-2010 31.57 23.36 1.127500 0.512758 0.256379B W08167001 GONAL - f 150 UI FOLLITROPINUM ALFA PULB. + SOLV. PT. SOL. INJ. 150UI 1 CNAS 1G03GAP V 05-07-2010 184.95 151.50 184.950000 184.950000 92.475000B W08169003 GONAL - f 75 UI FOLLITROPINUM ALFA PULB. + SOLV. PT. SOL. INJ. 75UI 5 CNAS 1G03GAP V 05-07-2010 446.18 374.34 89.236000 89.236000 44.618000B W08169001 GONAL - f 75 UI FOLLITROPINUM ALFA PULB. + SOLV. PT. SOL. INJ. 75UI 1 CNAS 1G03GAP V 05-07-2010 97.51 77.12 97.510000 96.688623 48.344311

B W52561001 GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml) FOLLITROPINUM ALFASOL. INJ. IN STILOU INJECTOR PREUMPLUT 300UI/0,5ml 1 CNAS 1G03GAP V 05-07-2010 526.69 448.20 526.690000 386.754494 193.377247

B W42201001 GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml) FOLLITROPINUM ALFASOL. INJ. IN STILOU INJECTOR PREUMPLUT 450UI/0,75ml 1 CNAS 1G03GAP V 05-07-2010 754.65 657.34 754.650000 580.131741 290.065870

B W52564001 GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml) FOLLITROPINUM ALFASOL. INJ. IN STILOU INJECTOR PREUMPLUT 900UI/0,75ml 1 CNAS 1G03GAP V 05-07-2010 1,438.51 1,284.73 1,438.510000 1,160.263484 580.131741

B W08409001 PUREGON 100UI/0,5ml FOLLITROPINUM BETA SOL. INJ. 100UI/0,5ml 1 CNAS 1G03GAP V 05-07-2010 200.41 164.16 200.410000 128.918132 64.459066B W43249001 PUREGON 300UI/0,36 ml FOLLITROPINUM BETA SOL. INJ. 300UI/0,36ml 1 CNAS 1G03GAP V 05-07-2010 516.27 438.64 516.270000 386.599792 193.299896B W08414001 PUREGON 50UI/0,5ml FOLLITROPINUM BETA SOL. INJ. 50UI/0,5ml 1 CNAS 1G03GAP V 05-07-2010 106.10 83.91 106.100000 64.459017 32.229508B W43250001 PUREGON 600UI/0,72 ml FOLLITROPINUM BETA SOL. INJ. 600UI/0,72ml 1 CNAS 1G03GAP V 05-07-2010 961.69 847.28 961.690000 773.199585 386.599792B W43251001 PUREGON 900UI/1,08 ml FOLLITROPINUM BETA SOL. INJ. 900UI/1,08ml 1 CNAS 1G03GAP V 05-07-2010 1,407.68 1,256.45 1,407.680000 1,159.799378 579.899689B W13092009 LUVERIS 75UI LUTROPINUM ALFA PULB+SOLV.PT.SOL.INJ 75UI 10 CNAS 9G03GA07P V 05-07-2010 2,086.02 1,878.78 208.602000 159.746400 79.873200B W13092007 LUVERIS 75UI LUTROPINUM ALFA PULB+SOLV.PT.SOL.INJ 75UI 1 CNAS 9G03GA07P V 05-07-2010 146.39 119.91 146.390000 146.390000 73.195000B W13092008 LUVERIS 75UI LUTROPINUM ALFA PULB+SOLV.PT.SOL.INJ 75UI 3 CNAS 9G03GA07P V 05-07-2010 742.57 646.26 247.523333 159.746400 79.873200B W01354001 CLOSTILBEGYT CLOMIFENUM COMPR. 50mg 10 9G03GB02O V 05-07-2010 14.28 10.57 1.428000 1.350000 0.675000B W01356001 OVA - MIT CLOMIFENUM COMPR. 50mg 10 9G03GB02O V 05-07-2010 13.24 9.80 1.324000 1.324000 0.662000B W53455002 EVISTA 60mg RALOXIFENUM COMPR. FILM. 60mg 28 9G03XC01O V 05-07-2010 124.68 98.61 4.452857 4.452857 2.226428B W11709001 DRIPTANE ( R ) 5 mg OXYBUTYNINUM COMPR. 5mg 60 0G04BDO V 05-07-2010 26.56 19.65 0.442666 0.442666 0.221333B W52804001 DETRUSITOL SR 4 mg TOLTERODINUM CAPS. ELIB. PREL. 4mg 28 MSP 0G04BDO V 05-07-2010 174.18 142.68 6.220714 2.810520 1.405260B W52804003 DETRUSITOL SR 4 mg TOLTERODINUM CAPS. ELIB. PREL. 4mg 7 MSP 0G04BDO V 05-07-2010 48.36 36.97 6.908571 2.810520 1.405260B W52891001 UROFLOW 1 TOLTERODINUM COMPR. FILM. 1mg 28 MSP 0G04BDO V 05-07-2010 27.24 20.15 0.972857 0.702630 0.351315B W54775001 TOLTERODINA ACCORD 1 mg TOLTERODINUM COMPR. FILM. 1mg 14 MSP 0G04BDO V 05-07-2010 12.50 9.25 0.892857 0.702630 0.351315B W54775002 TOLTERODINA ACCORD 1 mg TOLTERODINUM COMPR. FILM. 1mg 28 MSP 0G04BDO V 05-07-2010 24.98 18.48 0.892142 0.702630 0.351315B W52892001 UROFLOW 2 TOLTERODINUM COMPR. FILM. 2mg 28 MSP 0G04BDO V 05-07-2010 52.73 40.31 1.883214 1.405260 0.702630B W54779001 TOLTERODINA ACCORD 2 mg TOLTERODINUM COMPR. FILM. 2mg 14 MSP 0G04BDO V 05-07-2010 24.98 18.48 1.784285 1.405260 0.702630B W54779002 TOLTERODINA ACCORD 2 mg TOLTERODINUM COMPR. FILM. 2mg 28 MSP 0G04BDO V 05-07-2010 48.36 36.97 1.727142 1.405260 0.702630B W43104001 VESICARE 10 mg SOLIFENACINUM SUCCINATE COMPR. FILM. 10mg 30 MSP 0G04BDO V 05-07-2010 226.58 185.60 7.552666 5.621040 2.810520B W43105001 VESICARE 5 mg SOLIFENACINUM SUCCINATE COMPR. FILM. 5mg 30 MSP 0G04BDO V 05-07-2010 182.91 149.83 6.097000 2.810520 1.405260B W43786004 INKONTAN 15 mg TROSPIUM COMPR. FILM. 15mg 20 0G04BDO V 05-07-2010 28.89 21.37 1.444500 1.053945 0.526972B W43786002 INKONTAN 15 mg TROSPIUM COMPR. FILM. 15mg 50 0G04BDO V 05-07-2010 58.56 44.77 1.171200 1.053945 0.526972B W43786001 INKONTAN 15 mg TROSPIUM COMPR. FILM. 15mg 30 0G04BDO V 05-07-2010 38.02 29.07 1.267333 1.053945 0.526972B W43789002 INKONTAN 30 mg TROSPIUM COMPR. FILM. 30mg 50 0G04BDO V 05-07-2010 92.69 73.31 1.853800 1.853800 0.926900B W43789001 INKONTAN 30 mg TROSPIUM COMPR. FILM. 30mg 30 0G04BDO V 05-07-2010 63.37 48.45 2.112333 2.107890 1.053945B W43789004 INKONTAN 30 mg TROSPIUM COMPR. FILM. 30mg 20 0G04BDO V 05-07-2010 46.84 35.81 2.342000 2.107890 1.053945B W52232001 SPASMOLYT 20 mg TROSPIUM DRAJ. 20mg 30 0G04BDO V 05-07-2010 29.68 21.96 0.989333 0.989333 0.494666B W43038001 ALFURAN MR 10 mg ALFUZOSINUM COMPR. ELIB. PREL. 10mg 30 0G04CAO V 05-07-2010 35.97 27.50 1.199000 1.199000 0.599500B W54199002 XATRAL SR 10 mg ALFUZOSINUM COMPR. ELIB. PREL. 10mg 30 0G04CAO V 05-07-2010 58.74 44.91 1.958000 1.329698 0.664849B W54198002 XATRAL LP 5 mg ALFUZOSINUM COMPR. FILM. ELIB. PREL. 5mg 28 0G04CAO V 05-07-2010 33.67 25.74 1.202500 0.664848 0.332424B W42715001 TAMSOL 0,4 mg TAMSULOSINUM CAPS. ELIB. MODIF. 0,4mg 30 0G04CAO V 05-07-2010 36.25 27.71 1.208333 0.997274 0.498637B W42720001 FOKUSIN TAMSULOSINUM CAPS. ELIB. MODIF. 0,4mg 30 0G04CAO V 05-07-2010 34.79 26.60 1.159666 0.997274 0.498637B W42850001 CONTIFLO MR TAMSULOSINUM CAPS. ELIB. PREL. 0,4mg 30 0G04CAO V 05-07-2010 26.86 19.87 0.895333 0.895333 0.447666B W42987001 TANYZ TAMSULOSINUM CAPS. ELIB. PREL. 0,4mg 30 0G04CAO V 05-07-2010 30.45 22.53 1.015000 0.997274 0.498637B W43106001 OMNIC TOCAS (R) 0,4 TAMSULOSINUM COMPR. FILM. ELIB. PREL. 0,4mg 30 0G04CAO V 05-07-2010 63.84 50.49 2.128000 0.997274 0.498637B W51273001 PROSCAR 5 mg FINASTERIDUM COMPR. FILM. 5mg 14 0G04CBO V 05-07-2010 33.19 24.56 2.370714 1.171791 0.585895B W51273002 PROSCAR 5 mg FINASTERIDUM COMPR. FILM. 5mg 28 0G04CBO V 05-07-2010 64.21 49.09 2.293214 1.171791 0.585895B W52401001 TAREDOX 5 mg FINASTERIDUM COMPR. FILM. 5mg 28 0G04CBO V 05-07-2010 32.83 25.10 1.172500 1.171791 0.585895B W53198002 FINASTERIDA BIOGALENICA 5 mg FINASTERIDUM COMPR. FILM. 5mg 28 0G04CBO V 05-07-2010 32.83 25.10 1.172500 1.171791 0.585895B W53366005 FINASTERIDE TEVA 5mg FINASTERIDUM COMPR. FILM. 5mg 30 0G04CBO V 05-07-2010 35.09 26.83 1.169666 1.169666 0.584833

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W54107002 FINANORM 5 mg FINASTERIDUM COMPR. FILM. 5mg 30 0G04CBO V 05-07-2010 35.18 26.90 1.172666 1.171791 0.585895B W54107004 FINANORM 5 mg FINASTERIDUM COMPR. FILM. 5mg 100 0G04CBO V 05-07-2010 111.35 88.07 1.113500 1.113500 0.556750B W13534002 AVODART 0,5 mg DUTASTERIDUM CAPS. MOI 0,5mg 30 0G04CBO V 05-07-2010 95.39 75.44 3.179666 1.171791 0.585895B W05830001 SYNACHTEN DEPOT TETRACOSACTIDUM SUSP. INJ. 1mg/ml 1 9H01AA02P V 05-07-2010 5.75 4.25 5.750000 5.750000 2.875000B W07530001 ZOMACTON SOMATROPINUM LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) 1 CJAS 9H01AC01P K 05-07-2010 465.54 392.10 465.540000 465.540000 232.770000B W05539002 GENOTROPIN (R) 16 ui (5,3 mg) SOMATROPINUM PULB. + SOLV. PT. SOL. INJ. 5,3mg/ml (16ui) 1 CJAS 9H01AC01P K 05-07-2010 554.49 473.71 554.490000 439.851278 219.925639B W41642001 NUTROPINAq 10 mg/2 ml SOMATROPINUM SOL. INJ. 10mg/2ml 1 CJAS 9H01AC01P K 05-07-2010 989.06 872.39 989.060000 829.908073 414.954036B W52345001 OMNITROPE 3,3mg/ml SOMATROPINUM SOL. INJ. 3,3mg/ml 1 CJAS 9H01AC01P K 05-07-2010 483.15 408.26 483.150000 410.804496 205.402248B W52346001 OMNITROPE 6,7mg/ml SOMATROPINUM SOL. INJ. 6,7mg/ml 1 CJAS 9H01AC01P K 05-07-2010 764.10 666.01 764.100000 764.100000 382.050000B W54046001 NORDITROPIN SIMPLEXx 10 mg/1,5ml SOMATROPINUM SOL. INJ. IN CARTUS 10mg/1,5ml 1 CJAS 9H01AC01P K 05-07-2010 1,317.79 1,173.98 1,317.790000 830.323027 415.161513

B W55238001 NORDITROPIN FLEXPRO 10 mg/1,5 ml SOMATROPINUMSOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 10mg/1,5 ml 1 CJAS 9H01AC01P K 05-07-2010 1,722.75 1,545.50 1,722.750000 830.323027 415.161513

B W55237001 NORDITROPIN FLEXPRO 5 mg/1,5 ml SOMATROPINUMSOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 5mg/1,5 ml 1 CJAS 9H01AC01P K 05-07-2010 896.80 787.75 896.800000 414.539082 207.269541

B W08401001 ORGALUTRAN 0.25mg/0,5ml GANIRELIXUM SOL. INJ. 0,25mg/0,5ml 1 CJAS 0H01CCP V 05-07-2010 176.47 144.55 176.470000 85.838946 42.919473B W06895002 CETROTIDE 0,25 mg CETRORELIXUM PULB+SOLV. PT. SOL. INJ. 0,25mg 7 CJAS 0H01CCP V 05-07-2010 843.33 738.70 120.475714 85.838946 42.919473B W06897001 CETROTIDE 3 mg CETRORELIXUM PULB+SOLV.PT.SOL.INJ. 3mg 1 CJAS 0H01CCP V 05-07-2010 843.33 738.70 843.330000 843.330000 421.665000B W03165001 ASTONIN H FLUDROCORTISONUM COMPR. 0,1mg 50 9H02AA02O V 05-07-2010 47.66 36.44 0.953200 0.953200 0.476600B W12267001 DIPROPHOS (R) BETAMETHASONUM SUSP. INJ. I.M. 7mg/ml 5 9H02AB01P V 05-07-2010 34.46 26.35 6.892000 6.892000 3.446000B W05233001 SOLU - DECORTIN H 250 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 250mg 3 9H02AB06P V 05-07-2010 95.39 75.44 31.796666 30.523334 15.261667B W05234001 SOLU - DECORTIN H 50 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 50mg 3 9H02AB06P V 05-07-2010 35.62 27.23 11.873333 6.104666 3.052333B W00834003 CARBIMAZOLE 5 CARBIMAZOLUM COMPR. FILM. 5mg 100 0H03BBO V 05-07-2010 16.83 12.45 0.168300 0.113422 0.056711B W13148002 THYROZOL (R) 10 mg THIAMAZOLUM COMPR. FILM. 10mg 50 0H03BBO V 05-07-2010 20.96 15.51 0.419200 0.340267 0.170133B W13149002 THYROZOL (R) 20 mg THIAMAZOLUM COMPR. FILM. 20mg 50 0H03BBO V 05-07-2010 25.47 18.84 0.509400 0.509400 0.254700B W13147003 THYROZOL (R) 5 mg THIAMAZOLUM COMPR. FILM. 5mg 100 0H03BBO V 05-07-2010 30.79 22.78 0.307900 0.170133 0.085066B W00761001 TONOCALCIN 100 UI CALCITONINUM (SOMON) SOL. INJ. 100UI 5 9H05BA01P V 05-07-2010 67.76 53.59 13.552000 9.003600 4.501800B W08119001 NYLEX (R) CALCITONINUM (SOMON) SOL. INJ. 100UI/ml 5 9H05BA01P V 05-07-2010 32.28 23.88 6.456000 6.456000 3.228000B W00756001 MIACALCIC (R) CALCITONINUM (SOMON) SOL. INJ. 50ui/ml 5 9H05BA01P V 05-07-2010 34.39 26.29 6.878000 4.501800 2.250900B W08186001 NYLEX 100 UI/doza CALCITONINUM (SOMON) SPRAY NAZ.,SOL. 100UI/doza 1 9H05BA01N V 05-07-2010 48.24 36.88 48.240000 38.730000 19.365000B W41439001 NYLEX (R) CALCITONINUM (SOMON) SPRAY NAZAL - SOL. 200UI/doza 1 9H05BA01N V 05-07-2010 71.12 56.25 71.120000 71.120000 35.560000B W14112001 AMPIPLUS (R) 1,5 g AMPICILLINUM + SULBACTAM PULB. PT. SOL. INJ. 1g+500mg 1 9J01CR01P V 05-07-2010 25.19 18.64 25.190000 15.487785 7.743892B W14112002 AMPIPLUS (R) 1,5 g AMPICILLINUM + SULBACTAM PULB. PT. SOL. INJ. 1g+500mg 50 9J01CR01P V 05-07-2010 727.41 632.35 14.548200 14.548200 7.274100B W05764001 UNASYN SULTAMICILLINUM COMPR. FILM. 375mg 12 9J01CR04O V 05-07-2010 33.10 25.31 2.758333 2.758333 1.379166B W05765001 UNASYN SULTAMICILLINUM PULB. PT. SUSP. ORALA 250mg/5ml 1 9J01CR04O V 05-07-2010 24.35 18.02 24.350000 22.637498 11.318749B W01102001 CEDAX CEFTIBUTENUM CAPS. 400mg 5 0J01DDO V 05-07-2010 70.33 55.62 14.066000 5.893100 2.946550B W01103001 CEDAX CEFTIBUTENUM PULB. PT. SUSP. ORALA 36mg/ml 1 0J01DDO K 05-07-2010 43.60 33.33 43.600000 43.600000 21.800000B W05561001 ROVAMYCINE (R) 1,5 Mil. UI SPIRAMYCINUM COMPR. FILM. 1,5 M ui 16 0J01FAO V 05-07-2010 9.83 7.27 0.614375 0.348641 0.174320B W13604002 ROVAMYCINE (R) 3 Mil. UI SPIRAMYCINUM COMPR. FILM. 3M ui 10 0J01FAO V 05-07-2010 27.81 20.58 2.781000 0.697284 0.348642B W42271001 AZATRIL 250 mg AZITHROMYCINUM CAPS. 250mg 6 0J01FAO V 05-07-2010 25.45 18.83 4.241666 1.743213 0.871606B W00517001 SUMAMED 250 mg AZITHROMYCINUM CAPS. 250mg 6 0J01FAO V 05-07-2010 37.90 28.98 6.316666 1.743213 0.871606B W00518001 SUMAMED 125 mg AZITHROMYCINUM COMPR. FILM. 125mg 6 0J01FAO V 05-07-2010 25.30 18.72 4.216666 0.871605 0.435802

B W42879004AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE AZITHROMYCINUM COMPR. FILM. 250mg 6 0J01FAO V 05-07-2010 48.70 37.23 8.116666 1.743213 0.871606

B W52838001 AZITROMICINA TERAPIA 250 mg AZITHROMYCINUM COMPR. FILM. 250mg 6 0J01FAO V 05-07-2010 44.36 33.91 7.393333 1.743213 0.871606B W52838002 AZITROMICINA TERAPIA 250 mg AZITHROMYCINUM COMPR. FILM. 250mg 6 0J01FAO V 05-07-2010 44.36 33.91 7.393333 1.743213 0.871606B W00519001 SUMAMED 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 38.08 29.11 12.693333 3.486426 1.743213B W42252001 AZITROX (R) 500 AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 25.58 18.93 8.526666 3.486426 1.743213

B W42878001AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 48.70 37.23 16.233333 3.486426 1.743213

B W43486001 AZIBIOT 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 25.59 18.93 8.530000 3.486426 1.743213B W43952001 ZITROCIN 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 25.59 18.93 8.530000 3.486426 1.743213B W52840001 AZITROMICINA TERAPIA 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 37.07 28.34 12.356666 3.486426 1.743213B W52840002 AZITROMICINA TERAPIA 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 37.07 28.34 12.356666 3.486426 1.743213B W55169001 ZITROCIN 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 0J01FAO V 05-07-2010 25.59 18.93 8.530000 3.486426 1.743213B W52841001 AZITROMICINA TERAPIA 600 mg AZITHROMYCINUM COMPR. FILM. 600mg 3 0J01FAO V 05-07-2010 44.51 34.03 14.836666 4.183713 2.091856B W52841002 AZITROMICINA TERAPIA 600 mg AZITHROMYCINUM COMPR. FILM. 600mg 3 0J01FAO V 05-07-2010 44.51 34.03 14.836666 4.183713 2.091856

B W43050001 ZMAX 2 g AZITHROMYCINUMGRAN. ELIB. PREL. PT. SUSP. ORALA 2g 1 0J01FAO V 05-07-2010 63.37 48.45 63.370000 13.945708 6.972854

B W53281001 AZITROX 200 mg/5 ml AZITHROMYCINUM PULB. + SOLV. SUSP. ORALA 200mg/5ml 1 0J01FAO K 05-07-2010 16.33 12.08 16.330000 11.346000 5.673000B W42901001 AZITROMICINA SANDOZ 100 mg/5 ml AZITHROMYCINUM PULB. PT. SUSP. ORALA 100mg/5ml 1 0J01FAO K 05-07-2010 22.40 16.57 22.400000 7.563998 3.781999B W42877002 AZITROMICINA SANDOZ 200 mg/5 ml AZITHROMYCINUM PULB. PT. SUSP. ORALA 200 mg/5 ml 1 0J01FAO K 05-07-2010 34.28 26.21 34.280000 15.127996 7.563998B W00520002 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 0J01FAO K 05-07-2010 25.12 18.59 25.120000 11.346000 5.673000B W00520001 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 0J01FAO K 05-07-2010 48.48 37.06 48.480000 22.692000 11.346000B W00520003 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 0J01FAO K 05-07-2010 60.21 46.03 60.210000 28.365000 14.182500B W08637001 DALACIN C 150 mg CLINDAMYCINUM CAPS. 150mg 16 9J01FF01O V 05-07-2010 12.11 8.96 0.756875 0.734609 0.367304B W08638001 DALACIN C 300 mg CLINDAMYCINUM CAPS. 300mg 16 9J01FF01O V 05-07-2010 23.27 17.22 1.454375 1.454375 0.727187B W53633002 CLINDAMYCIN - MIP 300 mg CLINDAMYCINUM COMPR. FILM. 300mg 16 9J01FF01O V 05-07-2010 23.25 17.20 1.453125 1.453125 0.726562B W53633003 CLINDAMYCIN - MIP 300 mg CLINDAMYCINUM COMPR. FILM. 300mg 30 9J01FF01O V 05-07-2010 53.87 41.18 1.795666 1.469218 0.734609B W53634002 CLINDAMYCIN - MIP 600 mg CLINDAMYCINUM COMPR. FILM. 600mg 16 9J01FF01O V 05-07-2010 52.04 39.79 3.252500 2.938437 1.469218B W53634003 CLINDAMYCIN - MIP 600 mg CLINDAMYCINUM COMPR. FILM. 600mg 30 9J01FF01O V 05-07-2010 95.63 75.63 3.187666 2.938437 1.469218B W52786004 LEVOFLOXACINA ACTAVIS 250 mg LEVOFLOXACINUM COMPR. FILM. 250mg 7 1J01MAO V 05-07-2010 31.43 23.25 4.490000 1.019700 0.509850B W52787004 LEVOFLOXACINA ACTAVIS 500 mg LEVOFLOXACINUM COMPR. FILM. 500mg 7 1J01MAO V 05-07-2010 33.77 25.82 4.824285 2.039400 1.019700B W54301002 TAVANIC 500 mg LEVOFLOXACINUM COMPR. FILM. 500mg 7 1J01MAO V 05-07-2010 51.97 39.73 7.424285 2.039400 1.019700B W42166002 AVELOX (R) 400 mg MOXIFLOXACINUM COMPR. FILM. 400mg 5 1J01MAO V 05-07-2010 83.21 65.81 16.642000 2.039400 1.019700B W03837002 ORUNGAL ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 76.74 60.69 5.116000 4.212160 2.106080B W43051001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 1.748000B W51942001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 124.00 98.07 8.266666 4.212160 2.106080B W51946001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 1.748000B W52343006 OMICRAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 1.748000B W52249002 SPORILIN 100 mg ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 1.748000B W53957001 ITRACONAZOL LPH 100 mg ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 1.748000B W53958001 MICOGAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1J02ACO V 05-07-2010 52.43 40.08 3.495333 3.495333 1.747666B W06049001 VALTREX 500 mg VALACYCLOVIRUM COMPR. FILM. 500mg 10 1J05ABO V 05-07-2010 100.40 79.41 10.040000 2.004741 1.002370B W12651002 BRIVAL 125mg BRIVUDINUM COMPR. 125mg 7 9J05AB15O V 05-07-2010 331.80 271.79 47.400000 47.400000 23.700000B W12490001 ENDOXAN (R) 50 mg CYCLOPHOSPHAMIDUM DRAJ. 50mg 50 9L01AA01O V 05-07-2010 26.07 19.29 0.521400 0.521400 0.260700

B W07196002 LUCRIN DEPOT 11,25mg LEUPRORELINUMLIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg 1 CJAS 1L02AEP V 05-07-2010 992.77 875.80 992.770000 992.770000 496.385000

B W07197002 LUCRIN DEPOT 3,75mg LEUPRORELINUMLIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg 1 CJAS 1L02AEP V 05-07-2010 428.87 358.46 428.870000 388.424250 194.212125

B W10173001 ZOLADEX (R) GOSERELINUM IMPLANT 3,6mg 1 CJAS 9L02AE03P V 05-07-2010 435.66 364.69 435.660000 401.409993 200.704996

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W12505001 DIPHERELINE 0,1 mg TRIPTORELINUM LIOF. + SOLV. PT. SOL. INJ. 0,1mg 7 CJAS 1L02AEP V 05-07-2010 134.30 110.01 19.185714 10.357971 5.178985

B W12169001 DIPHERELINE (R) 11,25 mg TRIPTORELINUMLIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11,25mg 1 CJAS 1L02AEP V 05-07-2010 1,182.19 1,049.58 1,182.190000 1,165.272764 582.636381

B W12506001 DIPHERELINE (R) 3,75 mg TRIPTORELINUMLIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3,75mg 1 CJAS 1L02AEP V 05-07-2010 439.72 368.41 439.720000 388.424250 194.212125

B W54084001 GONAPEPTYL ZILNIC 0,1 mg/ml TRIPTORELINUM SOL. INJ. 0,1mg/ml 7 CJAS 1L02AEP V 05-07-2010 232.43 190.39 33.204285 10.357971 5.178985B W54084002 GONAPEPTYL ZILNIC 0,1 mg/ml TRIPTORELINUM SOL. INJ. 0,1mg/ml 28 CJAS 1L02AEP V 05-07-2010 825.44 722.28 29.480000 10.357971 5.178985B W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.403600B W05099002 PIROXSAL 20 mg PIROXICAMUM COMPR. 20mg 20 0M01ACO V 05-07-2010 2.63 1.95 0.131500 0.131500 0.065750B W12442003 FLAMEXIN PIROXICAMUM COMPR. 20mg 30 0M01ACO V 05-07-2010 28.95 21.42 0.965000 0.450000 0.225000B W12442002 FLAMEXIN PIROXICAMUM COMPR. 20mg 10 0M01ACO V 05-07-2010 17.55 12.98 1.755000 0.450000 0.225000B W05089001 PIROXICAM LPH 20 mg PIROXICAMUM COMPR. 20mg 20 0M01ACO V 05-07-2010 3.13 2.32 0.156500 0.156500 0.078250B W05088001 PIROXICAM 20 mg PIROXICAMUM COMPR. 20mg 20 0M01ACO V 05-07-2010 4.44 3.28 0.222000 0.222000 0.111000B W10488001 N - PIROXICAM MEDUMAN 20 mg PIROXICAMUM COMPR. 20mg 20 0M01ACO V 05-07-2010 2.37 1.75 0.118500 0.118500 0.059250B W53944002 PIROXICAM ARENA 20 MG PIROXICAMUM COMPR. 20mg 20 0M01ACO V 05-07-2010 2.47 1.83 0.123500 0.123500 0.061750B W43407001 FLAMEXIN PIROXICAMUM COMPR. EFF. 20mg 10 0M01ACO V 05-07-2010 20.75 15.35 2.075000 0.450000 0.225000B W43407002 FLAMEXIN PIROXICAMUM COMPR. EFF. 20mg 20 0M01ACO V 05-07-2010 39.28 30.03 1.964000 0.450000 0.225000B W43407003 FLAMEXIN PIROXICAMUM COMPR. EFF. 20mg 30 0M01ACO V 05-07-2010 48.30 36.93 1.610000 0.450000 0.225000B W12441001 FLAMEXIN (R) PIROXICAMUM PULB. PT. SOL. ORALA 20mg/plic 20 0M01ACO V 05-07-2010 27.30 20.20 1.365000 0.450000 0.225000B W05076001 FELDENE (R) 20 mg/ml PIROXICAMUM SOL. INJ. 20mg/ml 6 0M01ACP V 05-07-2010 9.52 7.04 1.586666 1.586666 0.793333B W05080001 HOTEMIN PIROXICAMUM SOL. INJ. 20mg/ml 5 0M01ACP V 05-07-2010 11.74 8.69 2.348000 2.113200 1.056600B W09001001 PIROXICAM 20 mg PIROXICAMUM SUPOZ. 20mg 10 0M01ACR V 05-07-2010 2.85 2.11 0.285000 0.256500 0.128250B W05096001 PIROXICAM 40 mg PIROXICAMUM SUPOZ. 40mg 6 0M01ACR V 05-07-2010 2.45 1.81 0.408333 0.408333 0.204166B W12870003 XEFO (R) 4 mg LORNOXICAMUM COMPR. FILM. 4mg 30 0M01ACO V 05-07-2010 18.40 13.61 0.613333 0.149999 0.074999B W12870002 XEFO (R) 4 mg LORNOXICAMUM COMPR. FILM. 4mg 20 0M01ACO V 05-07-2010 12.42 9.19 0.621000 0.149999 0.074999B W12870001 XEFO (R) 4 mg LORNOXICAMUM COMPR. FILM. 4mg 10 0M01ACO V 05-07-2010 6.19 4.58 0.619000 0.149999 0.074999B W12629001 XEFO (R) 8 mg LORNOXICAMUM COMPR. FILM. 8mg 10 0M01ACO V 05-07-2010 11.66 8.63 1.166000 0.299999 0.149999B W12629002 XEFO (R) 8 mg LORNOXICAMUM COMPR. FILM. 8mg 20 0M01ACO V 05-07-2010 23.59 17.45 1.179500 0.299999 0.149999B W12629003 XEFO (R) 8 mg LORNOXICAMUM COMPR. FILM. 8mg 30 0M01ACO V 05-07-2010 28.29 20.93 0.943000 0.299999 0.149999B W54560002 XEFO RAPID 8 mg LORNOXICAMUM COMPR. FILM. 8mg 10 0M01ACO V 05-07-2010 16.56 12.25 1.656000 0.299999 0.149999B W54560003 XEFO RAPID 8 mg LORNOXICAMUM COMPR. FILM. 8mg 20 0M01ACO V 05-07-2010 33.14 24.52 1.657000 0.299999 0.149999B W54560004 XEFO RAPID 8 mg LORNOXICAMUM COMPR. FILM. 8mg 30 0M01ACO V 05-07-2010 48.10 36.77 1.603333 0.299999 0.149999B W08618001 XEFO 8 mg/ 2 ml LORNOXICAMUM PULB. + SOLV. PT. SOL. INJ. 8mg/2ml 10 0M01ACP V 05-07-2010 136.99 112.21 13.699000 0.704399 0.352199B W06864001 TADOR 25 mg DEXKETOPROFENUM COMPR. FILM. 25mg 10 1M01A5O V 05-07-2010 14.02 10.37 1.402000 0.246299 0.123149

B W43063001 TADOR INJECT DEXKETOPROFENUMSOL. INJ./CONC. PT. SOL. PERF. 50mg/2ml 5 1M01A5P V 05-07-2010 30.45 22.53 6.090000 1.621350 0.810675

B W08360009 CELEBREX 100 mg CELECOXIBUM CAPS. 100mg 30 0M01AHO V 05-07-2010 63.41 50.15 2.113666 1.162982 0.581491B W08361007 CELEBREX 200 mg CELECOXIBUM CAPS. 200mg 10 0M01AHO V 05-07-2010 32.95 25.19 3.295000 2.325964 1.162982B W08361009 CELEBREX 200 mg CELECOXIBUM CAPS. 200mg 30 0M01AHO V 05-07-2010 93.88 74.25 3.129333 2.325964 1.162982B W51225001 ARCOXIA 120 mg ETORICOXIBUM COMPR. FILM. 120mg 7 0M01AHO V 05-07-2010 35.00 26.76 5.000000 4.651928 2.325964B W51225004 ARCOXIA 120 mg ETORICOXIBUM COMPR. FILM. 120mg 28 0M01AHO V 05-07-2010 128.39 105.17 4.585357 4.585357 2.292678B W51225002 ARCOXIA 120 mg ETORICOXIBUM COMPR. FILM. 120mg 14 0M01AHO V 05-07-2010 67.67 53.52 4.833571 4.651928 2.325964B W51225003 ARCOXIA 120 mg ETORICOXIBUM COMPR. FILM. 120mg 14 0M01AHO V 05-07-2010 67.67 53.52 4.833571 4.651928 2.325964B W51227001 ARCOXIA 60 mg ETORICOXIBUM COMPR. FILM. 60mg 7 0M01AHO V 05-07-2010 28.71 21.24 4.101428 2.325964 1.162982B W51227002 ARCOXIA 60 mg ETORICOXIBUM COMPR. FILM. 60mg 14 0M01AHO V 05-07-2010 55.54 42.46 3.967142 2.325964 1.162982B W51227004 ARCOXIA 60 mg ETORICOXIBUM COMPR. FILM. 60mg 28 0M01AHO V 05-07-2010 105.50 83.44 3.767857 2.325964 1.162982B W51227003 ARCOXIA 60 mg ETORICOXIBUM COMPR. FILM. 60mg 14 0M01AHO V 05-07-2010 55.54 42.46 3.967142 2.325964 1.162982B W51226003 ARCOXIA 90 mg ETORICOXIBUM COMPR. FILM. 90mg 14 0M01AHO V 05-07-2010 59.00 45.11 4.214285 3.488946 1.744473B W51226001 ARCOXIA 90 mg ETORICOXIBUM COMPR. FILM. 90mg 7 0M01AHO V 05-07-2010 30.48 22.55 4.354285 3.488946 1.744473B W51226002 ARCOXIA 90 mg ETORICOXIBUM COMPR. FILM. 90mg 14 0M01AHO V 05-07-2010 59.00 45.11 4.214285 3.488946 1.744473B W51226004 ARCOXIA 90 mg ETORICOXIBUM COMPR. FILM. 90mg 28 0M01AHO V 05-07-2010 112.09 88.65 4.003214 3.488946 1.744473B W43416002 FLEXODON FORTE GLUCOSAMINUM PULB. PT. SOL. ORALA 1,5g/plic 30 9M01AX05O V 05-07-2010 38.02 29.07 1.267333 1.267333 0.633666B W06825001 DONA (R) GLUCOSAMINUM PULB. PT. SOL. ORALA 1500mg 20 9M01AX05O V 05-07-2010 43.09 32.94 2.154500 1.340212 0.670106B W08513001 LEMESIL NIMESULIDUM COMPR. 100mg 20 1M01A5O V 05-07-2010 9.71 7.18 0.485500 0.369450 0.184725B W04553001 AULIN (R) 100 mg NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 7.47 5.53 0.747000 0.369450 0.184725B W08886001 NIMESULID 100 mg NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 4.85 3.59 0.485000 0.369450 0.184725B W42589001 NIMESULID SLAVIA NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 7.21 5.33 0.721000 0.369450 0.184725B W42864002 COXTRAL NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 4.79 3.54 0.479000 0.369450 0.184725B W42864003 COXTRAL NIMESULIDUM COMPR. 100mg 30 1M01A5O V 05-07-2010 12.79 9.46 0.426333 0.369450 0.184725B W41708001 NIMESULID LPH 100 mg NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 4.85 3.59 0.485000 0.369450 0.184725B W43252002 APONIL NIMESULIDUM COMPR. 100mg 20 1M01A5O V 05-07-2010 8.18 6.05 0.409000 0.369450 0.184725B W43252001 APONIL NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 4.51 3.34 0.451000 0.369450 0.184725B W51945001 NIMESULID ARENA 100 mg NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 4.76 3.52 0.476000 0.369450 0.184725B W52125001 NISE 100 mg NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 3.57 2.64 0.357000 0.357000 0.178500B W53837001 NIMESULID FARMEX 100 mg NIMESULIDUM COMPR. 100mg 10 1M01A5O V 05-07-2010 7.18 5.31 0.718000 0.369450 0.184725B W04552009 AULIN (R) NIMESULIDUM GRAN. PT. SUSP. ORALA 100mg/plic 15 1M01A5O V 05-07-2010 11.22 8.30 0.748000 0.369450 0.184725B W08659001 NIMESIL NIMESULIDUM GRAN. PT. SUSP. ORALA 100mg/plic 9 1M01A5O V 05-07-2010 7.64 5.65 0.848888 0.369450 0.184725B W14021001 SULIDAMOR NIMESULIDUM PULB. PT. SUSP. ORALA 100mg 30 1M01A5O V 05-07-2010 10.39 7.69 0.346333 0.346333 0.173166B W10193001 LIORESAL (R) BACLOFENUM COMPR. 10mg 50 1M03B5O V 05-07-2010 20.31 15.03 0.406200 0.123600 0.061800B W10194001 LIORESAL (R) BACLOFENUM COMPR. 25mg 50 1M03B5O V 05-07-2010 33.41 24.72 0.668200 0.309000 0.154500B W53635001 ACID ALENDRONIC ACCORD 10 mg ACIDUM ALENDRONICUM COMPR. 10mg 28 0M05BAO V 05-07-2010 48.15 36.81 1.719642 1.540446 0.770223B W54297001 TEVANAT 70 mg ACIDUM ALENDRONICUM COMPR. 70 mg 4 0M05BAO V 05-07-2010 48.15 36.81 12.037500 10.783123 5.391561B W08599002 FOSAMAX 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 2 0M05BAO V 05-07-2010 37.04 28.32 18.520000 10.783123 5.391561B W53636001 ACID ALENDRONIC ACCORD 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 0M05BAO V 05-07-2010 48.15 36.81 12.037500 10.783123 5.391561B W53741001 RANOS 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 0M05BAO V 05-07-2010 47.54 36.35 11.885000 10.783123 5.391561B W54083001 ACID ALENDRONIC BLUEFISH 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 2 0M05BAO V 05-07-2010 24.87 18.40 12.435000 10.783123 5.391561B W54083002 ACID ALENDRONIC BLUEFISH 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 0M05BAO V 05-07-2010 24.65 18.24 6.162500 6.162500 3.081250B W55248001 INSTREL 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 0M05BAO V 05-07-2010 47.54 36.35 11.885000 10.783123 5.391561B W52948001 ALENDRONAT SANDOZ 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 2 0M05BAO V 05-07-2010 12.79 9.46 6.395000 6.395000 3.197500B W54078001 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 12 0M05BAO V 05-07-2010 131.62 107.81 10.968333 10.783123 5.391561B W54078002 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 2 0M05BAO V 05-07-2010 24.71 18.28 12.355000 10.783123 5.391561B W54078003 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 4 0M05BAO V 05-07-2010 47.85 36.58 11.962500 10.783123 5.391561B W42716001 BONVIVA 150mg ACIDUM IBANDRONICUM COMPR. FILM. 150mg 1 0M05BAO V 05-07-2010 129.02 105.68 129.020000 46.213387 23.106693

B W43328001 BONVIVA 3mg/3ml ACIDUM IBANDRONICUMSOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml 1 0M05BAP V 05-07-2010 423.74 353.75 423.740000 279.300000 139.650000

B W52144002 RISENDROS 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 0M05BAO V 05-07-2010 81.75 64.66 20.437500 10.783123 5.391561B W53578003 RISEDRONAT TEVA 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 0M05BAO V 05-07-2010 84.06 66.48 21.015000 10.783123 5.391561B W53774001 JUVERITAL 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 0M05BAO V 05-07-2010 84.06 66.48 21.015000 10.783123 5.391561B W53733003 ACTONEL (R) SAPTAMANAL ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 0M05BAO V 05-07-2010 111.35 88.07 27.837500 10.783123 5.391561B W54377002 LORINE 35mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 0M05BAO V 05-07-2010 36.41 27.84 9.102500 9.102500 4.551250B W55054001 JUVERITAL 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 0M05BAO V 05-07-2010 84.06 66.48 21.015000 10.783123 5.391561B W55168002 OSTEORON 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 0M05BAO V 05-07-2010 72.38 57.24 18.095000 10.783123 5.391561B W55053001 JUVERITAL 5 mg ACIDUM RISEDRONICUM COMPR. FILM. 5mg 28 0M05BAO V 05-07-2010 72.38 57.24 2.585000 1.540446 0.770223

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W54976001 ACTONEL 75 mg ACIDUM RISEDRONICUM COMPR. FILM. 75mg 2 0M05BAO V 05-07-2010 127.84 104.72 63.920000 23.106693 11.553346

B W42702002 FOSAVANCE 70mg/2800UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/2800UI 4 0M05BBO V 05-07-2010 89.64 70.90 22.410000 22.410000 11.205000

B W42702001 FOSAVANCE 70mg/2800UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/2800UI 2 0M05BBO V 05-07-2010 47.19 36.08 23.595000 22.410000 11.205000

B W52559001 FOSAVANCE 70mg/5600UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/5600UI 2 0M05BBO V 05-07-2010 47.19 36.08 23.595000 22.410000 11.205000

B W52559002 FOSAVANCE 70mg/5600UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/5600UI 4 0M05BBO V 05-07-2010 89.64 70.90 22.410000 22.410000 11.205000

B W42094002 OSSEOR 2 g STRONTIUM RANELATUM GRAN. PT. SUSP. ORALA 2g 14 0M05BXO V 05-07-2010 104.48 82.63 7.462857 6.531249 3.265624B W42094003 OSSEOR 2 g STRONTIUM RANELATUM GRAN. PT. SUSP. ORALA 2g 28 0M05BXO V 05-07-2010 174.18 142.68 6.220714 6.220714 3.110357B W44115003 OXYCONTIN (R) 10 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 10 mg 56 1N02AAO V 05-07-2010 116.55 92.18 2.081250 0.048894 0.024447B W44116003 OXYCONTIN (R) 20 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 20 mg 56 1N02AAO V 05-07-2010 214.14 175.41 3.823928 0.977919 0.488959B W44117003 OXYCONTIN (R) 40 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 40 mg 56 1N02AAO V 05-07-2010 394.66 327.07 7.047500 1.955843 0.977921B W44118003 OXYCONTIN (R) 80 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 80mg 56 1N02AAO V 05-07-2010 651.43 562.64 11.632678 3.911686 1.955843B W44121001 DHC CONTINUS 120 mg DIHYDROCODEINUM COMPR. ELIB. PREL. 120mg 56 9N02AA08O V 05-07-2010 128.24 105.05 2.290000 1.501071 0.750535B W44119001 DHC CONTINUS 60 mg DIHYDROCODEINUM COMPR. ELIB. PREL. 60mg 56 9N02AA08O V 05-07-2010 29.28 21.66 0.522857 0.522857 0.261428B W44120001 DHC CONTINUS 90 mg DIHYDROCODEINUM COMPR. ELIB. PREL. 90mg 56 9N02AA08O V 05-07-2010 101.45 80.24 1.811607 1.125803 0.562901

B W42004007 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 30 9N02AX52O V 05-07-2010 34.68 26.51 1.156000 1.155250 0.577625

B W42004001 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 10 9N02AX52O V 05-07-2010 12.11 8.96 1.211000 1.155250 0.577625

B W42004002 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 20 9N02AX52O V 05-07-2010 23.91 17.69 1.195500 1.155250 0.577625

B W42004003 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 30 9N02AX52O V 05-07-2010 34.68 26.51 1.156000 1.155250 0.577625

B W42004005 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 10 9N02AX52O V 05-07-2010 12.11 8.96 1.211000 1.155250 0.577625

B W42004004 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 50 9N02AX52O V 05-07-2010 57.65 44.07 1.153000 1.153000 0.576500

B W42004008 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 50 9N02AX52O V 05-07-2010 57.65 44.07 1.153000 1.153000 0.576500

B W42004006 ZALDIAR (R)COMBINATII (TRAMADOLUM+PARACETAMOLUM COMPR. FILM. 37,5mg+325mg 20 9N02AX52O V 05-07-2010 23.91 17.69 1.195500 1.155250 0.577625

B W51336001 RIVOTRIL CLONAZEPAMUM COMPR. 0,5mg 50 9N03AE01O V 05-07-2010 6.87 5.08 0.137400 0.067758 0.033879B W44086001 RIVOTRIL (R) CLONAZEPAMUM COMPR. 2mg 30 9N03AE01O V 05-07-2010 6.55 4.85 0.218333 0.218333 0.109166B W41745001 LYRICA 150 mg PREGABALINUM CAPS. 150mg 14 MSP 1N03AXO V 05-07-2010 75.99 60.10 5.427857 3.322859 1.661429B W41745002 LYRICA 150 mg PREGABALINUM CAPS. 150mg 56 MSP 1N03AXO V 05-07-2010 288.22 236.09 5.146785 3.322859 1.661429B W41747002 LYRICA 300 mg PREGABALINUM CAPS. 300mg 56 MSP 1N03AXO V 05-07-2010 421.84 352.01 7.532857 6.645718 3.322859B W41747001 LYRICA 300 mg PREGABALINUM CAPS. 300mg 14 MSP 1N03AXO V 05-07-2010 114.01 90.17 8.143571 6.645718 3.322859B W41743001 LYRICA 75 mg PREGABALINUM CAPS. 75mg 14 MSP 1N03AXO V 05-07-2010 53.59 40.97 3.827857 1.661429 0.830714B W41743002 LYRICA 75 mg PREGABALINUM CAPS. 75mg 56 MSP 1N03AXO V 05-07-2010 193.07 158.15 3.447678 1.661429 0.830714B W51243005 AKINETON BIPERIDENUM COMPR. 2mg 50 0N04AAO V 05-07-2010 10.54 7.80 0.210800 0.210800 0.105400B W53524002 OPRYMEA 0,088mg PRAMIPEXOLUM COMPR. 0,088mg 30 0N04BCO V 05-07-2010 19.71 14.58 0.657000 0.207640 0.103820B W41648001 MIRAPEXIN 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 0N04BCO V 05-07-2010 49.65 37.96 1.655000 0.424719 0.212359B W53525002 OPRYMEA 0,18mg PRAMIPEXOLUM COMPR. 0,18mg 30 0N04BCO V 05-07-2010 33.34 24.67 1.111333 0.424719 0.212359B W54233001 GLEPARK 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 0N04BCO V 05-07-2010 33.34 24.67 1.111333 0.424719 0.212359B W53881001 PRAMIPEXOL TEVA 0,18mg PRAMIPEXOLUM COMPR. 0,18mg 30 0N04BCO V 05-07-2010 33.33 24.66 1.111000 0.424719 0.212359B W54682003 PRAMIPEXOL SANDOZ 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 0N04BCO V 05-07-2010 33.34 24.67 1.111333 0.424719 0.212359B W54712001 MEDOPEXOL 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 0N04BCO V 05-07-2010 33.34 24.67 1.111333 0.424719 0.212359B W55286001 GLEPARK 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 0N04BCO V 05-07-2010 33.34 24.67 1.111333 0.424719 0.212359B W41649001 MIRAPEXIN 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 0N04BCO V 05-07-2010 167.46 137.17 5.582000 1.651685 0.825842B W53527002 OPRYMEA 0,7mg PRAMIPEXOLUM COMPR. 0,7mg 30 0N04BCO V 05-07-2010 114.78 90.78 3.826000 1.651685 0.825842B W54235001 GLEPARK 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 0N04BCO V 05-07-2010 114.78 90.78 3.826000 1.651685 0.825842B W53883001 PRAMIPEXOL TEVA 0,7mg PRAMIPEXOLUM COMPR. 0,7mg 30 0N04BCO V 05-07-2010 114.78 90.78 3.826000 1.651685 0.825842B W54995003 PRAMIPEXOL SANDOZ 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 0N04BCO V 05-07-2010 114.78 90.78 3.826000 1.651685 0.825842B W54713001 MEDOPEXOL 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 0N04BCO V 05-07-2010 114.78 90.78 3.826000 1.651685 0.825842B W55288001 GLEPARK 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 0N04BCO V 05-07-2010 114.78 90.78 3.826000 1.651685 0.825842B W54798001 MIRAPEXIN 0,26 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 0,26mg 10 0N04BCO V 05-07-2010 57.99 44.33 5.799000 0.613483 0.306741B W54799002 MIRAPEXIN 0,52 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 0,52mg 30 0N04BCO V 05-07-2010 313.33 256.66 10.444333 1.226966 0.613483B W54800002 MIRAPEXIN 1,05 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 1,05mg 30 0N04BCO V 05-07-2010 648.99 560.40 21.633000 2.477527 1.238763B W54801002 MIRAPEXIN 2,1 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 2,1mg 30 0N04BCO V 05-07-2010 1,227.12 1,090.80 40.904000 4.955055 2.477527B W54802002 MIRAPEXIN 3,15 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 3,15mg 30 0N04BCO V 05-07-2010 1,805.26 1,621.20 60.175333 7.432583 3.716291B W10479001 PRONORAN 50 mg PIRIBEDILUM DRAJ. ELIB. PREL. 50mg 30 MSP 0N04BCO V 05-07-2010 28.61 21.17 0.953666 0.953666 0.476833B W05889001 TIAPRIDAL (R) 100 mg TIAPRIDUM COMPR. 100mg 20 0N05ALO V 05-07-2010 9.21 6.81 0.460500 0.460500 0.230250B W05890001 TIAPRIDAL 100 mg/2 ml TIAPRIDUM SOL. INJ. 100mg/2ml 12 0N05ALP V 05-07-2010 9.49 7.02 0.790833 0.790833 0.395416B W08133001 SPITOMIN 10 mg BUSPIRONUM COMPR. 10mg 60 9N05BE01O V 05-07-2010 17.70 13.10 0.295000 0.295000 0.147500B W08134001 SPITOMIN 5 mg BUSPIRONUM COMPR. 5mg 60 9N05BE01O V 05-07-2010 10.80 7.99 0.180000 0.155624 0.077812B W51401001 LUDIOMIL (R) 10 mg MAPROTILINUM COMPR. FILM. 10mg 50 0N06AAO V 05-07-2010 15.15 11.21 0.303000 0.123297 0.061648B W51400001 LUDIOMIL (R) 25 mg MAPROTILINUM COMPR. FILM. 25mg 30 0N06AAO V 05-07-2010 10.42 7.71 0.347333 0.308242 0.154121B W13298001 CIPRALEX 10 mg ESCITALOPRAMUM COMPR. FILM. 10mg 14 MSP 0N06ABO V 05-07-2010 61.81 47.26 4.415000 0.564977 0.282488B W13298008 CIPRALEX 10 mg ESCITALOPRAMUM COMPR. FILM. 10mg 28 MSP 0N06ABO V 05-07-2010 90.16 71.31 3.220000 0.564977 0.282488B W13297008 CIPRALEX 5 mg ESCITALOPRAMUM COMPR. FILM. 5mg 28 MSP 0N06ABO V 05-07-2010 49.56 37.89 1.770000 0.282488 0.141244B W13019001 TRITTICO AC 150 mg TRAZODONUM COMPR. ELIB. PREL. 150mg 20 MSP 9N06AX05O V 05-07-2010 24.88 18.41 1.244000 1.244000 0.622000B W08616002 TRITTICO AC 75 mg TRAZODONUM COMPR. ELIB. PREL. 75mg 30 MSP 9N06AX05O V 05-07-2010 18.66 13.81 0.622000 0.622000 0.311000B W08616001 TRITTICO AC 75 mg TRAZODONUM COMPR. ELIB. PREL. 75mg 30 MSP 9N06AX05O V 05-07-2010 18.66 13.81 0.622000 0.622000 0.311000B W08424001 WELLBUTRIN SR 150 mg BUPROPIONUM COMPR. FILM. ELIB. PREL. 150mg 60 MSP 9N06AX12O V 05-07-2010 128.57 105.32 2.142833 2.142833 1.071416B W41558001 COAXIL (R) TIANEPTINUM DRAJ. 12,5mg 30 MSP 9N06AX14O V 05-07-2010 33.65 25.73 1.121666 1.121666 0.560833B W04338001 IXEL MILNACIPRANUM CAPS. 25mg 56 MSP 9N06AX17O V 05-07-2010 71.36 56.44 1.274285 1.274285 0.637142B W04339001 IXEL MILNACIPRANUM CAPS. 50mg 56 MSP 9N06AX17O V 05-07-2010 116.99 92.53 2.089107 1.330191 0.665095B W43297002 CYMBALTA 30mg DULOXETINUM CAPS. GASTROREZ. 30mg 28 MSP 1N06AXO V 05-07-2010 105.15 83.16 3.755357 3.329062 1.664531B W43298001 CYMBALTA 60mg DULOXETINUM CAPS. GASTROREZ. 60mg 28 MSP 1N06AXO V 05-07-2010 178.47 146.19 6.373928 6.373928 3.186964B W08060001 PRAMISTAR PRAMIRACETAMUM COMPR. FILM. 600mg 20 MSP 9N06BX16O V 05-07-2010 71.77 56.76 3.588500 3.588500 1.794250B W13167001 VIMPOCETIN 5 mg VINPOCETINUM CAPS. 5mg 50 9N06BX18O V 05-07-2010 10.26 7.59 0.205200 0.205200 0.102600B W54827001 CAVINTON(R) FORTE VINPOCETINUM COMPR. 10mg 30 9N06BX18O V 05-07-2010 14.42 10.67 0.480666 0.205200 0.102600B W53115002 VICEBROL VINPOCETINUM COMPR. 5mg 50 9N06BX18O V 05-07-2010 10.26 7.59 0.205200 0.205200 0.102600B W53115003 VICEBROL VINPOCETINUM COMPR. 5mg 100 9N06BX18O V 05-07-2010 20.52 15.18 0.205200 0.205200 0.102600B W54822001 CAVINTON(R) VINPOCETINUM COMPR. 5mg 50 9N06BX18O V 05-07-2010 15.79 11.68 0.315800 0.205200 0.102600B W53114001 GINKOFAR 40 mg (vezi C04AXN1) GINKGO BILOBA COMPR. FILM. 40mg 20 MSP 9N06DX02O V 05-07-2010 9.17 6.78 0.458500 0.408777 0.204388

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W53114002 GINKOFAR 40 mg (vezi C04AXN1) GINKGO BILOBA COMPR. FILM. 40mg 60 MSP 9N06DX02O V 05-07-2010 26.55 19.64 0.442500 0.408777 0.204388B W53114003 GINKOFAR 40 mg (vezi C04AXN1) GINKGO BILOBA COMPR. FILM. 40mg 90 MSP 9N06DX02O V 05-07-2010 36.64 28.01 0.407111 0.407111 0.203555

B W54451002GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) GINKGO BILOBA COMPR. FILM. 40mg 30 MSP 9N06DX02O V 05-07-2010 12.28 9.09 0.409333 0.408777 0.204388

B W13877001 BETASERC (R) 24 mg BETAHISTINUM COMPR. 24mg 20 9N07CA01O V 05-07-2010 28.17 20.84 1.408500 0.892350 0.446175B W00587002 BETASERC (R) 8 mg BETAHISTINUM COMPR. 8mg 100 9N07CA01O V 05-07-2010 33.05 24.45 0.330500 0.297450 0.148725B W00587001 BETASERC (R) 8 mg BETAHISTINUM COMPR. 8mg 30 9N07CA01O V 05-07-2010 14.73 10.90 0.491000 0.297450 0.148725B W00589001 MICROSER BETAHISTINUM COMPR. 8mg 50 9N07CA01O V 05-07-2010 26.59 19.67 0.531800 0.297450 0.148725B W51496001 URUTAL 8 mg BETAHISTINUM COMPR. 8mg 100 9N07CA01O V 05-07-2010 40.25 30.77 0.402500 0.297450 0.148725B W52101002 VESTIBO 8 mg BETAHISTINUM COMPR. 8mg 30 9N07CA01O V 05-07-2010 8.21 6.07 0.273666 0.273666 0.136833B W52101004 VESTIBO 8 mg BETAHISTINUM COMPR. 8mg 100 9N07CA01O V 05-07-2010 27.41 20.28 0.274100 0.274100 0.137050B W53856001 ACUVER 8 mg/doza BETAHISTINUM SOL. ORALA 8mg/doza 1 9N07CA01O V 05-07-2010 38.02 29.07 38.020000 0.297450 0.148725B W53856002 ACUVER 8 mg/doza BETAHISTINUM SOL. ORALA 8mg/doza 1 9N07CA01O V 05-07-2010 69.84 55.24 69.840000 0.297450 0.148725

B W02144001 ARLEVERTCOMBINATII (CINARIZINUM +DIMENHIDRINATUM) COMPR. FARA CONCENT50 9N07CA52O V 05-07-2010 32.16 23.79 0.643200 0.568143 0.284071

B W02144006 ARLEVERTCOMBINATII (CINARIZINUM +DIMENHIDRINATUM) COMPR. FARA CONCENT48 9N07CA52O V 05-07-2010 26.07 19.29 0.543125 0.543125 0.271562

B W52169001 THIOCTACID (R) 600 HR (vezi A16AX01) ACIDUM TIOCTICUM (ALFA-LIPOICUM) COMPR. FILM. 600mg 30 MSP 9N07XN03O V 05-07-2010 103.46 81.83 3.448666 3.448666 1.724333

B W00108002THIOGAMMA (R) 600 INJEKT (vezi N07XN03) ACIDUM TIOCTICUM (ALFA-LIPOICUM) CONC. PT. SOL. PERF. 30mg/ml 10 MSP 9N07XN03P V 05-07-2010 263.27 215.65 26.327000 26.327000 13.163500

B W54195003 CEREBROLYSIN (R)HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA SOL. INJ./PERF. 215,2mg/ml 5 MSP 9N07XXN3P V 05-07-2010 126.57 103.68 25.314000 25.314000 12.657000

B W54195001 CEREBROLYSIN (R)HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA SOL. INJ./PERF. 215,2mg/ml 10 MSP 9N07XXN3P V 05-07-2010 39.17 29.95 3.917000 2.712150 1.356075

B W54195002 CEREBROLYSIN (R)HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA SOL. INJ./PERF. 215,2mg/ml 5 MSP 9N07XXN3P V 05-07-2010 87.39 69.12 17.478000 13.560750 6.780375

B W54357001 PLAQUENIL® HYDROXYCHLOROQUINUM COMPR. FILM. 200mg 60 9P01BA02O V 05-07-2010 33.36 24.68 0.556000 0.556000 0.278000B W08669001 TAFEN NASAL BUDESONIDUM SPRAY NAZ.,SUSP. 50mcg/doza 1 9R01AD05N V 05-07-2010 16.96 12.55 16.960000 16.960000 8.480000B W10703001 RHINOCORT (R) AQUA BUDESONIDUM SPRAY NAZAL SUSP. 32mcg/doza 1 9R01AD05N V 05-07-2010 25.36 18.76 25.360000 12.574800 6.287400B W10242001 FLIXONASE (R) FLUTICASONUM PROPIONAT SPRAY NAZAL SUSP. 50mcg/doza 1 9R01AD08N V 05-07-2010 40.01 30.59 40.010000 40.010000 20.005000B W13214001 NASONEX MOMETASONUM SPRAY NAZAL SUSP. 50mcg/doza 1 9R01AD09N V 05-07-2010 58.97 45.08 58.970000 58.970000 29.485000

B W13043001 BEROTEC N - 100 mcg FENOTEROLUMSOL. DE INHALAT PRESURIZATA 100mcg/doza 1 9R03AC04Inh V 05-07-2010 16.61 12.29 16.610000 16.610000 8.305000

B W13044001 BERODUAL (R) NCOMBINATII (FENOTEROLUM + IPRATROPIUM) AEROSOL SOL. INHAL. 0,020mg+0,050m1 9R03AK03Inh V 05-07-2010 40.19 30.73 40.190000 40.190000 20.095000

B W08233001 SERETIDE DISKUS 50/100 SALMETEROLUM+FLUTICASONUM PULB. INHAL. 50mg/100mg 1 9R03AK06Inh V 05-07-2010 117.16 92.66 117.160000 45.594000 22.797000B W08232001 SERETIDE DISKUS 50/250 SALMETEROLUM+FLUTICASONUM PULB. INHAL. 50mg/250mg 1 9R03AK06Inh V 05-07-2010 156.98 128.59 156.980000 113.985000 56.992500B W08231001 SERETIDE DISKUS 50/500 SALMETEROLUM+FLUTICASONUM PULB. INHAL. 50mg/500mg 1 9R03AK06Inh V 05-07-2010 223.35 182.95 223.350000 223.350000 111.675000

B W12104001SERETIDE 25 mcg/125 mcg INHALER CFC FREE SALMETEROLUM+FLUTICASONUM SUSP. INHAL. PRESURIZATA 25mcg/125mcg 1 9R03AK06Inh V 05-07-2010 163.91 134.26 163.910000 113.985000 56.992500

B W12080001SERETIDE 25 mcg/250 mcg INHALER CFC FREE SALMETEROLUM+FLUTICASONUM SUSP. INHAL. PRESURIZATA 25mcg/250mcg 1 9R03AK06Inh V 05-07-2010 233.08 190.92 233.080000 227.970000 113.985000

B W12105001SERETIDE 25 mcg/50 mcg INHALER CFC FREE SALMETEROLUM+FLUTICASONUM SUSP. INHAL. PRESURIZATA 25mcg/50mcg 1 9R03AK06Inh V 05-07-2010 122.30 96.73 122.300000 45.594000 22.797000

B W41610002SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg

COMBINATII (BUDESONIDUM + FORMOTEROLUM) PULB. INHAL. 160/4,5mcg 1 9R03AK07Inh V 05-07-2010 227.27 186.16 227.270000 227.270000 113.635000

B W41610001SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg

COMBINATII (BUDESONIDUM + FORMOTEROLUM) PULB. INHAL. 160/4,5mcg 1 9R03AK07Inh V 05-07-2010 119.83 94.77 119.830000 113.635000 56.817500

B W41675001SYMBICORT (R) TURBUHALER (R) 320/9 mcg

COMBINATII (BUDESONIDUM + FORMOTEROLUM) PULB. INHAL. 320/9mcg 1 9R03AK07Inh V 05-07-2010 227.27 186.16 227.270000 227.270000 113.635000

B W41609001SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg

COMBINATII (BUDESONIDUM + FORMOTEROLUM) PULB. INHAL. 80/4,5mcg 1 9R03AK07Inh V 05-07-2010 94.88 75.04 94.880000 56.817500 28.408750

B W41609002SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg

COMBINATII (BUDESONIDUM + FORMOTEROLUM) PULB. INHAL. 80/4,5mcg 1 9R03AK07Inh V 05-07-2010 179.95 147.40 179.950000 113.635000 56.817500

B W41902002 FLIXOTIDE DISKUS 100 mcg FLUTICASONUM PROPIONAT PULB. INHAL. 100mcg/doza 1 9R03BA05Inh V 05-07-2010 40.56 31.01 40.560000 31.186800 15.593400B W41903002 FLIXOTIDE DISKUS 250 mcg FLUTICASONUM PROPIONAT PULB. INHAL. 250mcg/doza 1 9R03BA05Inh V 05-07-2010 84.26 66.64 84.260000 77.967000 38.983500B W41904002 FLIXOTIDE DISKUS 500 mcg FLUTICASONUM PROPIONAT PULB. INHAL. 500mcg/doza 1 9R03BA05Inh V 05-07-2010 136.92 112.16 136.920000 136.920000 68.460000B W03222001 FLIXOTIDE 125 INHALER CFC - Free FLUTICASONUM PROPIONAT SUSP. INHAL. PRESURIZATA 125mcg/doza 1 9R03BA05Inh V 05-07-2010 44.50 34.02 44.500000 38.983500 19.491750B W41591001 FLIXOTIDE (R) 50 INHALER CFC - Free FLUTICASONUM PROPIONAT SUSP. INHAL. PRESURIZATA 50mcg/doza 1 9R03BA05Inh V 05-07-2010 36.31 27.76 36.310000 31.186800 15.593400

B W12420001 FLIXOTIDE NEBULES 0,5 mg/2 ml FLUTICASONUM PROPIONATSUSP. INHAL. PRIN NEBULIZATOR 0,5mg/2ml 10 9R03BA05Inh V 05-07-2010 31.31 23.17 3.131000 1.039558 0.519779

B W12419001 FLIXOTIDE NEBULES 2 mg/2 ml FLUTICASONUM PROPIONATSUSP. INHAL. PRIN NEBULIZATOR 2mg/2ml 10 9R03BA05Inh V 05-07-2010 90.45 71.54 9.045000 4.158238 2.079119

B W12160002 ASMANEX TWISTHALER 200 mcg MOMETASONUM PULB. INHAL. 200mcg/doza 1 9R03BA07Inh V 05-07-2010 139.67 114.41 139.670000 132.047500 66.023750B W12160001 ASMANEX TWISTHALER 200 mcg MOMETASONUM PULB. INHAL. 200mcg/doza 1 9R03BA07Inh V 05-07-2010 85.83 67.88 85.830000 66.023750 33.011875B W12159003 ASMANEX TWISTHALER 400 mcg MOMETASONUM PULB. INHAL. 400mcg/doza 1 9R03BA07Inh V 05-07-2010 248.85 203.84 248.850000 248.850000 124.425000

B W54291001 ALVESCO 160 INHALER CICLESONIDUMSOL. DE INHALAT PRESURIZATA 160µg/doza 1 9R03BA08Inh V 05-07-2010 124.51 101.99 124.510000 124.510000 62.255000

B W54291002 ALVESCO 160 INHALER CICLESONIDUMSOL. DE INHALAT PRESURIZATA 160µg/doza 1 9R03BA08Inh V 05-07-2010 249.52 204.39 249.520000 249.395000 124.697500

B W54290001 ALVESCO 80 INHALER CICLESONIDUMSOL. DE INHALAT PRESURIZATA 80µg/doza 1 9R03BA08Inh V 05-07-2010 112.07 88.63 112.070000 62.348750 31.174375

B W54290002 ALVESCO 80 INHALER CICLESONIDUMSOL. DE INHALAT PRESURIZATA 80µg/doza 1 9R03BA08Inh V 05-07-2010 226.01 185.13 226.010000 124.697500 62.348750

B W13253003 SPIRIVA 18 mcg TIOTROPIUM CAPS. CU PULB.INHAL. 18mcg 1 9R03BB04Inh V 05-07-2010 163.95 134.30 163.950000 163.950000 81.975000B W42796002 MIOFILIN 100 mg AMINOPHYLLINUM CAPS. 100mg 20 0R03DAO V 05-07-2010 3.61 2.67 0.180500 0.070199 0.035099B W42330001 AMINOFILINA EEL AMINOPHYLLINUM COMPR. 100mg 50 0R03DAO V 05-07-2010 2.65 1.96 0.053000 0.053000 0.026500B W53945002 AMINOFILINA ARENA 100 MG AMINOPHYLLINUM COMPR. 100mg 40 0R03DAO V 05-07-2010 1.54 1.14 0.038500 0.038500 0.019250B W53946002 AMINOFILINA ARENA 200 MG AMINOPHYLLINUM COMPR. 200mg 20 0R03DAO V 05-07-2010 4.38 3.24 0.219000 0.140399 0.070199B W42891001 MIOFILIN AMINOPHYLLINUM SOL. INJ. 24mg/ml 5 0R03DAP V 05-07-2010 11.79 8.72 2.358000 2.358000 1.179000B W51362003 SINGULAIR (R) MONTELUKASTUM COMPR. FILM. 10mg 14 9R03DC03O V 05-07-2010 76.61 60.59 5.472142 5.472142 2.736071B W51362004 SINGULAIR (R) MONTELUKASTUM COMPR. FILM. 10mg 28 9R03DC03O V 05-07-2010 145.37 119.08 5.191785 5.191785 2.595892B W08614003 SINGULAIR MONTELUKASTUM COMPR. MAST. 4mg 28 9R03DC03O V 05-07-2010 157.13 128.71 5.611785 2.849014 1.424507B W08614002 SINGULAIR MONTELUKASTUM COMPR. MAST. 4mg 14 9R03DC03O V 05-07-2010 82.84 65.52 5.917142 2.849014 1.424507B W51361003 SINGULAIR (R) MONTELUKASTUM COMPR. MAST. 5mg 14 9R03DC03O V 05-07-2010 76.44 60.46 5.460000 3.561267 1.780633B W51361004 SINGULAIR (R) MONTELUKASTUM COMPR. MAST. 5mg 28 9R03DC03O V 05-07-2010 144.98 118.76 5.177857 3.561267 1.780633B W51363002 SINGULAIR (R) MONTELUKASTUM GRANULE 4mg/plic 28 9R03DC03O V 05-07-2010 158.55 129.87 5.662500 2.849014 1.424507B W03116001 EURESPAL 80 mg FENSPIRIDUM COMPR. FILM. 80mg 30 9R03DX03O V 05-07-2010 28.03 20.74 0.934333 0.934333 0.467166B W03117002 EURESPAL 2 mg/ml FENSPIRIDUM SIROP 2mg/ml 1 9R03DX03O K 05-07-2010 19.97 14.78 19.970000 19.970000 9.985000B W08919001 ERDOMED 300 mg ERDOSTEINUM CAPS. 300mg 10 9R05CB15O V 05-07-2010 15.78 11.68 1.578000 1.578000 0.789000B W12773001 ERDOMED (R) 225 ERDOSTEINUM GRAN. PT. SUSP. ORALA 225mg/plic 20 9R05CB15O V 05-07-2010 33.07 24.47 1.653500 1.301000 0.650500B W12772001 ERDOMED (R) 175 ERDOSTEINUM PULB. PT. SUSP. ORALA 175mg/5ml 1 9R05CB15O K 05-07-2010 24.88 18.41 24.880000 24.880000 12.440000

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

B W02436002 TUSSIN DEXTROMETHORPHANUM COMPR. 10mg 20 9R05DA09O V 05-07-2010 3.71 2.74 0.185500 0.177500 0.088750B W02437002 TUSSIN FORTE DEXTROMETHORPHANUM COMPR. 20mg 20 9R05DA09O V 05-07-2010 6.76 5.00 0.338000 0.338000 0.169000B W54303001 TUSALIN 15 mg DEXTROMETHORPHANUM COMPR. FILM. 15mg 10 9R05DA09O V 05-07-2010 2.70 2.00 0.270000 0.266249 0.133124B W02434001 HUMEX DEXTROMETHORPHANUM SIROP 0,1% 1 9R05DA09O K 05-07-2010 8.44 6.24 8.440000 8.440000 4.220000B W10575001 HUMEX 0,133 g/100 ml DEXTROMETHORPHANUM SIROP 0,13% 1 9R05DA09O V 05-07-2010 10.80 7.99 10.800000 4.615008 2.307504B W06856002 ROFEDEX DEXTROMETHORPHANUM SIROP 15mg/5ml 1 9R05DA09O V 05-07-2010 5.25 3.88 5.250000 5.250000 2.625000B W54808002 TUSSIN 6,5mg/5ml DEXTROMETHORPHANUM SIROP 6,5mg/5ml 1 9R05DA09O V 05-07-2010 7.86 5.82 7.860000 2.653630 1.326815B W10257002 ROBITUSSIN JUNIOR DEXTROMETHORPHANUM SOL. ORALA 3,75mg/5ml 1 9R05DA09O K 05-07-2010 8.58 6.35 8.580000 5.348700 2.674350B W10255002 ROBITUSSIN ANTITUSSICUM DEXTROMETHORPHANUM SOL. ORALA 7,5mg/5ml 1 9R05DA09O V 05-07-2010 8.58 6.35 8.580000 2.662504 1.331252B W12852003 XYZAL (R) LEVOCETIRIZINUM COMPR. FILM. 5mg 10 1R06AEO V 05-07-2010 16.87 12.48 1.687000 0.977962 0.488981B W12852011 XYZAL (R) LEVOCETIRIZINUM COMPR. FILM. 5mg 30 1R06AEO V 05-07-2010 42.08 32.17 1.402666 0.977962 0.488981B W54237002 LEVOCETIRIZINA SANDOZ 5 mg LEVOCETIRIZINUM COMPR. FILM. 5mg 10 1R06AEO V 05-07-2010 10.97 8.12 1.097000 0.977962 0.488981B W54419006 LEVOCETIRIZINA ACTAVIS 5 mg LEVOCETIRIZINUM COMPR. FILM. 5mg 10 1R06AEO V 05-07-2010 10.97 8.12 1.097000 0.977962 0.488981B W55326002 ZENARO 5 mg LEVOCETIRIZINUM COMPR. FILM. 5mg 20 1R06AEO V 05-07-2010 21.94 16.23 1.097000 0.977962 0.488981B W43474003 XYZAL LEVOCETIRIZINUM PIC. ORALE, SOL. 5mg/ml 1 1R06AEO V 05-07-2010 36.14 27.63 36.140000 19.559250 9.779625B W52153003 EWOFEX 120 mg FEXOFENADINUM COMPR. FILM. 120mg 10 0R06AXO V 05-07-2010 11.93 8.83 1.193000 0.410962 0.205481B W54299001 TELFAST® 120 mg FEXOFENADINUM COMPR. FILM. 120mg 10 0R06AXO V 05-07-2010 13.28 9.83 1.328000 0.410962 0.205481B W52154003 EWOFEX 180 mg FEXOFENADINUM COMPR. FILM. 180mg 10 0R06AXO V 05-07-2010 17.87 13.22 1.787000 0.616444 0.308222B W54300001 TELFAST® 180 mg FEXOFENADINUM COMPR. FILM. 180mg 10 0R06AXO V 05-07-2010 19.34 14.31 1.934000 0.616444 0.308222B W54298005 TELFAST® 30 mg FEXOFENADINUM COMPR. FILM. 30mg 15 0R06AXO V 05-07-2010 5.73 4.24 0.382000 0.102740 0.051370B W08347011 AERIUS 5mg DESLORATADINUM COMPR. FILM. 5mg 30 0R06AXO V 05-07-2010 54.41 41.60 1.813666 0.410962 0.205481B W08347006 AERIUS 5mg DESLORATADINUM COMPR. FILM. 5mg 10 0R06AXO V 05-07-2010 21.71 16.06 2.171000 0.410962 0.205481B W08347005 AERIUS 5mg DESLORATADINUM COMPR. FILM. 5mg 7 0R06AXO V 05-07-2010 17.43 12.90 2.490000 0.410962 0.205481B W08897003 AERIUS 0,5mg/ml DESLORATADINUM SIROP 0,5mg/ml 1 0R06AXO K 05-07-2010 10.06 7.44 10.060000 8.687500 4.343750B W52756006 AERIUS 0,5mg/ml DESLORATADINUM SOL. ORALA 0,5mg/ml 1 0R06AXO K 05-07-2010 20.43 15.12 20.430000 17.375000 8.687500B W44051001 GENTAMICIN SULPHATE GENTAMICINUM PIC. OFT., SOL 0,3% 1 1S01AAF V 05-07-2010 4.70 3.48 4.700000 4.700000 2.350000B W53829001 TOBROM 3 mg/ml TOBRAMYCINUM PIC. OFT., SOL 3mg/ml 1 1S01AAF V 05-07-2010 4.07 3.01 4.070000 4.070000 2.035000B W52229001 TOBISOL TOBRAMYCINUM PIC. OFT., SOL. 0,3% 1 1S01AAF V 05-07-2010 4.08 3.02 4.080000 4.072500 2.036250B W10602001 TOBREX TOBRAMYCINUM PIC. OFT.,SOL. 3mg/ml 1 1S01AAF V 05-07-2010 11.28 8.35 11.280000 4.072500 2.036250B W42218001 TOBREX 2 X TOBRAMYCINUM PICATURI OFT.-SOL. 0,3% 1 1S01AAF V 05-07-2010 20.75 15.35 20.750000 4.072500 2.036250B W05932001 TOBREX (R) TOBRAMYCINUM UNG. OFT. 0,3% 1 1S01AAF V 05-07-2010 8.61 6.37 8.610000 3.054375 1.527187B W12757001 NETTACIN (R) NETILMICINUM PIC. OFT., SOL 0,3% 1 9S01AA23F V 05-07-2010 14.14 10.46 14.140000 14.140000 7.070000B W41510001 NETTACIN (R) NETILMICINUM PICATURI OFT.-SOL. 0,3% 15 9S01AA23F V 05-07-2010 28.88 21.37 1.925333 1.248179 0.624089B W43512001 NETTAVISC 3mg/g NETILMICINUM UNG. OFT. 3mg/g 1 9S01AA23F V 05-07-2010 32.42 23.99 32.420000 20.802997 10.401498B W41891001 FLOXAL (R) OFLOXACINUM PICATURI OFT.-SOL. 0,3% 1 1S01AXF V 05-07-2010 14.42 10.67 14.420000 11.270000 5.635000B W41890001 FLOXAL (R) OFLOXACINUM UNG. OFT. 0,3% 1 1S01AXF V 05-07-2010 15.33 11.34 15.330000 15.330000 7.665000B W52997001 DEXAMETAZONA RPH 1mg/ml DEXAMETHASONUM PIC. OFT. SUSP. 1mg/ml 1 1S01BAF V 05-07-2010 7.52 5.56 7.520000 6.865000 3.432500B W52997002 DEXAMETAZONA RPH 1mg/ml DEXAMETHASONUM PIC. OFT. SUSP. 1mg/ml 1 1S01BAF V 05-07-2010 13.73 10.16 13.730000 13.730000 6.865000B W02427001 MAXIDEX (R) DEXAMETHASONUM PICATURI OFT.-SUSP. 0,1% 1 1S01BAF V 05-07-2010 8.52 6.30 8.520000 6.865000 3.432500B W52024001 OPHTAMESONE BETAMETHASONUM SOL. OFT. 0,1% 1 9S01BA06F V 05-07-2010 4.50 3.33 4.500000 4.500000 2.250000

B W43769001 NETILDEXCOMBINATII ( NETILMICINUM + DEXAMETHASONUM) PIC. OFT.,SOL. FARA CONCENT1 9S01CA01F V 05-07-2010 31.31 23.17 31.310000 11.891250 5.945625

B W43768002 NETILDEXCOMBINATII ( NETILMICINUM + DEXAMETHASONUM) PIC. OFT.SOL. UNIDOZA FARA CONCENT20 9S01CA01F V 05-07-2010 51.19 39.14 2.559500 0.713475 0.356737

B W13203001 SPERSADEX COMP

COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM) PICATURI OFT.-SOL. 5mg/ml+1mg/ml 1 9S01CA01F V 05-07-2010 12.50 9.25 12.500000 11.891250 5.945625

B W55127001 DEXATOBROM 3 mg+1 mg/mlCOMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) PIC. OFT. SUSP. 3mg+1mg/ml 1 9S01CA01F V 05-07-2010 9.97 7.38 9.970000 9.970000 4.985000

B W11950002 TOBRADEX ( R )COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) PICATURI OFT.-SUSP. 1mg+3mg 1 9S01CA01F V 05-07-2010 15.35 11.36 15.350000 11.891250 5.945625

B W02225001 TOBRADEX (R)COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) UNG. OFT. 1mg+3mg 1 9S01CA01F V 05-07-2010 13.04 9.65 13.040000 8.323875 4.161937

B W12189001 OPATANOL 1mg/ml OLOPATADINUM PIC. OFT., SOL. 1mg/ml 1 0S01GXF V 05-07-2010 30.43 22.51 30.430000 30.430000 15.215000B W13204001 OCULOTECT RETINOLUM GEL OFT. 10mg/g 1 9S01XA02F V 05-07-2010 16.38 12.12 16.380000 16.380000 8.190000

C1 W00009002 TROMBOSTOP 2 mg ACENOCUMAROLUM COMPR. 2mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0B01AAO V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333

C1 W10586001 SINTROM (R) ACENOCUMAROLUM COMPR. 4mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0B01AAO V 05-07-2010 6.75 4.99 0.337500 0.337500 0.337500

C1 W42797002 DIGOXIN 0,25 mg DIGOXINUM COMPR. 0,25mg 25 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C01AA05O V 05-07-2010 2.79 2.06 0.111600 0.111600 0.111600

C1 W42882001 DIGOXIN 0,5 mg/2 ml DIGOXINUM SOL. INJ. 0,5mg/ml 5 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C01AA05P V 05-07-2010 6.63 4.91 1.326000 1.326000 1.326000

C1 W02550001 LANOXIN SOLUTIE ORALA DIGOXINUM SOL. ORALA 0,05mg/ml 1 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C01AA05O K 05-07-2010 11.06 8.18 11.060000 11.060000 11.060000

C1 W43198002 NEFRIX 25 mg HYDROCHLOROTHIAZIDUM COMPR. 25mg 25 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C03AAO V 05-07-2010 3.47 2.57 0.138800 0.138800 0.138800

C1 W03265002 FUROSEMID MCC 40 mg FUROSEMIDUM COMPR. 40mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03CA01O V 05-07-2010 1.62 1.20 0.081000 0.080000 0.080000

C1 W42036002 FUROSEMID SLAVIA FUROSEMIDUM COMPR. 40mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03CA01O V 05-07-2010 2.27 1.68 0.113500 0.080000 0.080000

C1 W07878001 FUROSEMID EEL FUROSEMIDUM COMPR. 40mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03CA01O V 05-07-2010 1.62 1.20 0.081000 0.080000 0.080000

C1 W43155001 FUROSEMID ZENTIVA FUROSEMIDUM COMPR. 40mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03CA01O V 05-07-2010 6.01 4.45 0.300500 0.080000 0.080000

C1 W03264001 FUROSEMID LPH 40 mg FUROSEMIDUM COMPR. 40mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03CA01O V 05-07-2010 3.04 2.25 0.152000 0.080000 0.080000

C1 W52043001 FUROSEMID ARENA 40 mg FUROSEMIDUM COMPR. 40mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03CA01O V 05-07-2010 1.60 1.18 0.080000 0.080000 0.080000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W42799002 FUROSEMID 20 mg/2 ml FUROSEMIDUM SOL. INJ. 10mg/ml 5 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03CA01P V 05-07-2010 6.06 4.48 1.212000 1.212000 1.212000

C1 W54824001 VEROSPIRON SPIRONOLACTONUM CAPS. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 28.43 21.03 0.947666 0.947666 0.947666

C1 W55360002 SPIRONOLACTONA ARENA 25 mg SPIRONOLACTONUM CAPS. 25mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 16.04 11.87 0.320800 0.320800 0.320800

C1 W54823001 VEROSPIRON SPIRONOLACTONUM CAPS. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 16.67 12.33 0.555666 0.540333 0.540333

C1 W55359001 SPIRONOLACTONA ARENA 50 mg SPIRONOLACTONUM CAPS. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 16.21 11.99 0.540333 0.540333 0.540333

C1 W53792001 SPIRONOLACTONA EEL 25 mg SPIRONOLACTONUM COMPR. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 4.30 3.18 0.215000 0.215000 0.215000

C1 W53791001 SPIRONOLACTONA OZONE 25 mg SPIRONOLACTONUM COMPR. 25mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 10.77 7.97 0.215400 0.215000 0.215000

C1 W55072001 SPIRONOLACTONA OZONE 25 mg SPIRONOLACTONUM COMPR. 25mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 10.77 7.97 0.215400 0.215000 0.215000

C1 W08893001 SPIRONOLACTONA 25 mg SPIRONOLACTONUM COMPR. FILM. 25mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 16.18 11.97 0.323600 0.215000 0.215000

C1 W52138001 ALSPIRON 25 mg SPIRONOLACTONUM COMPR. FILM. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 4.30 3.18 0.215000 0.215000 0.215000

C1 W41550001 ALSPIRON 50 mg SPIRONOLACTONUM COMPR. FILM. 50mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 9C03DA01O V 05-07-2010 13.71 10.14 0.685500 0.685500 0.685500

C1 W04265001 BLOXAN METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 14.02 10.37 0.467333 0.197100 0.197100

C1 W04263002 BETAPROL 100 mg METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 10.92 8.08 0.364000 0.197100 0.197100

C1 W04266001 EGILOK 100 mg METOPROLOLUM COMPR. 100mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 6.55 4.85 0.327500 0.197100 0.197100

C1 W07222003 METOPROLOL LPH 100 mg METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 7.10 5.25 0.236666 0.197100 0.197100

C1 W07225001 METOPROLOL AL 100 METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 9.11 6.74 0.303666 0.197100 0.197100

C1 W07225003 METOPROLOL AL 100 METOPROLOLUM COMPR. 100mg 100 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 19.71 14.58 0.197100 0.197100 0.197100

C1 W07225002 METOPROLOL AL 100 METOPROLOLUM COMPR. 100mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 12.97 9.60 0.259400 0.197100 0.197100

C1 W42176001 METOPROLOL 100 mg METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 9.48 7.01 0.316000 0.197100 0.197100

C1 W52230001 METOPROLOL TERAPIA 100 mg METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 15.07 11.15 0.502333 0.197100 0.197100

C1 W52474002 METOPROLOL MEDICO UNO 100 mg METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 7.00 5.18 0.233333 0.197100 0.197100

C1 W53669001 METOPROLOL VIM SPECTRUM 100 mg METOPROLOLUM COMPR. 100mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 7.35 5.44 0.367500 0.197100 0.197100

C1 W53941002 METOPROLOL ARENA 100 MG METOPROLOLUM COMPR. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 7.00 5.18 0.233333 0.197100 0.197100

C1 W55076001 METOPROLOL 100 mg METOPROLOLUM COMPR. 100mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 8.07 5.97 0.403500 0.197100 0.197100

C1 W04267001 EGILOK 25 mg METOPROLOLUM COMPR. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 1.90 1.41 0.095000 0.095000 0.095000

C1 W42973001 METOPROLOL LPH 25 mg METOPROLOLUM COMPR. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 1.90 1.41 0.095000 0.095000 0.095000

C1 W42025001 METOPROLOL 25 mg METOPROLOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 2.85 2.11 0.095000 0.095000 0.095000

C1 W52472002 METOPROLOL MEDICO UNO 25 mg METOPROLOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 2.85 2.11 0.095000 0.095000 0.095000

C1 W53922001 METOPROLOL ARENA 25 MG METOPROLOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 2.85 2.11 0.095000 0.095000 0.095000

C1 W04264002 BETAPROL 50 mg METOPROLOLUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.083800 0.083800

C1 W04268001 EGILOK 50 mg METOPROLOLUM COMPR. 50mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 3.50 2.59 0.175000 0.083800 0.083800

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W07223003 METOPROLOL LPH 50 mg METOPROLOLUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 4.73 3.50 0.157666 0.083800 0.083800

C1 W07227001 METOPROLOL AL 50 METOPROLOLUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.083800 0.083800

C1 W07227003 METOPROLOL AL 50 METOPROLOLUM COMPR. 50mg 100 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 8.38 6.20 0.083800 0.083800 0.083800

C1 W07227002 METOPROLOL AL 50 METOPROLOLUM COMPR. 50mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 7.07 5.23 0.141400 0.083800 0.083800

C1 W42197001 METOPROLOL 50 mg METOPROLOLUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.083800 0.083800

C1 W52231001 METOPROLOL TERAPIA 50 mg METOPROLOLUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 7.04 5.21 0.234666 0.083800 0.083800

C1 W52473002 METOPROLOL MEDICO UNO 50 mg METOPROLOLUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.083800 0.083800

C1 W53670001 METOPROLOL VIM SPECTRUM 50 mg METOPROLOLUM COMPR. 50mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 3.44 2.55 0.172000 0.083800 0.083800

C1 W53940001 METOPROLOL ARENA 50 MG METOPROLOLUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 5.25 3.88 0.175000 0.083800 0.083800

C1 W55075001 METOPROLOL 50 mg METOPROLOLUM COMPR. 50mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 3.50 2.59 0.175000 0.083800 0.083800

C1 W51986001 METOPROLOL RETARD 100 mg METOPROLOLUM COMPR. ELIB. PREL. 100mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 11.11 8.22 0.555500 0.555333 0.555333

C1 W04260001 BETALOC (R) ZOK 100 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 25.64 18.97 0.854666 0.555333 0.555333

C1 W43342001 EMZOK 100 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 100mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 16.66 12.33 0.555333 0.555333 0.555333

C1 W53644004METOPROLOL SUCCINAT POLPHARMA 190 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 190mg 28 G1

INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 21.16 15.66 0.755714 0.755666 0.755666

C1 W53641004METOPROLOL SUCCINAT POLPHARMA 23,75 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 23,75mg 28 G1

INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 2.76 2.04 0.098571 0.098571 0.098571

C1 W53642004METOPROLOL SUCCINAT POLPHARMA 47,5 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 47,5mg 28 G1

INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 9.49 7.02 0.338928 0.270666 0.270666

C1 W04262001 BETALOC (R) ZOK 50 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 15.65 11.58 0.521666 0.339333 0.339333

C1 W43341001 EMZOK 50 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 10.18 7.53 0.339333 0.339333 0.339333

C1 W53643004METOPROLOL SUCCINAT POLPHARMA 95 mg METOPROLOLUM COMPR. FILM. ELIB. PREL. 95mg 28 G1

INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 15.55 11.50 0.555357 0.452000 0.452000

C1 W43228004 METOSUCCINAT SANDOZ 190 mg METOPROLOLUM COMPR.FILM.ELIB.MOD. 190mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 22.67 16.77 0.755666 0.755666 0.755666

C1 W43226004 METOSUCCINAT SANDOZ 47,5 mg METOPROLOLUM COMPR.FILM.ELIB.MOD. 47,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 8.12 6.01 0.270666 0.270666 0.270666

C1 W43227004 METOSUCCINAT SANDOZ 95 mg METOPROLOLUM COMPR.FILM.ELIB.MOD. 95mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 13.56 10.03 0.452000 0.452000 0.452000

C1 W04259001 BETALOC METOPROLOLUM SOL. INJ. 5mg/5ml 5 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABP V 05-07-2010 22.10 16.35 4.420000 4.420000 4.420000

C1 W08906002 CONCOR COR 10 mg BISOPROLOLUM COMPR. FILM. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 33.73 24.96 1.124333 0.493100 0.493100

C1 W08907002 CONCOR COR 2,5 mg BISOPROLOLUM COMPR. FILM. 2,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 14.73 10.90 0.491000 0.491000 0.491000

C1 W08908002 CONCOR COR 5 mg BISOPROLOLUM COMPR. FILM. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07ABO V 05-07-2010 22.26 16.47 0.742000 0.249500 0.249500

C1 W55080005 EZOCEM 5 mg NEBIVOLOLUM COMPR 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 25.49 18.86 0.910357 0.492500 0.492500

C1 W53962006 NEBLOTENSOL 5 mg NEBIVOLOLUM COMPR. 5 mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 27.01 19.98 0.900333 0.492500 0.492500

C1 W04501002 NEBILET (R) NEBIVOLOLUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 54.26 41.48 1.937857 0.492500 0.492500

C1 W52443005 NEBIVOLOL ACTAVIS 5 mg NEBIVOLOLUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 27.30 20.20 0.910000 0.492500 0.492500

C1 W53475001 NEBACOP 5 mg NEBIVOLOLUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 25.47 18.84 0.909642 0.492500 0.492500

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W53475002 NEBACOP 5 mg NEBIVOLOLUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 27.30 20.20 0.910000 0.492500 0.492500

C1 W53828006 X-PRESSOL 5 mg NEBIVOLOLUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 27.01 19.98 0.900333 0.492500 0.492500

C1 W53839001 NOLET 5 mg NEBIVOLOLUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 30.29 22.41 1.009666 0.492500 0.492500

C1 W54369007 NEBIVOLOL TEVA 5 mg NEBIVOLOLUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 22.76 16.84 0.812857 0.492500 0.492500

C1 W54369008 NEBIVOLOL TEVA 5 mg NEBIVOLOLUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 24.38 18.04 0.812666 0.492500 0.492500

C1 W54524005 VOXNEBIN 5 mg NEBIVOLOLUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 13.79 10.20 0.492500 0.492500 0.492500

C1 W55035003 NEBINORM 5 mg NEBIVOLOLUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C07ABO V 05-07-2010 27.18 20.11 0.906000 0.492500 0.492500

C1 W43389001 CARVEDILOL SANDOZ CARVEDILOLUM COMPR. 12,5 mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 8.71 6.44 0.290333 0.288000 0.288000

C1 W44082002 DILATREND (R) 12,5 mg CARVEDILOLUM COMPR. 12,5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 29.86 22.09 1.066428 0.288000 0.288000

C1 W12649001 CORYOL 12,5 mg CARVEDILOLUM COMPR. 12,5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 12.45 9.21 0.444642 0.288000 0.288000

C1 W42058001 TALLITON (R) 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 13.27 9.82 0.442333 0.288000 0.288000

C1 W42731002 ATRAM 12,5 CARVEDILOLUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 12.84 9.50 0.428000 0.288000 0.288000

C1 W42742001 CARVEDILOL HELCOR 12,5 mg CARVEDILOLUM COMPR. 12,5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 8.69 6.43 0.434500 0.288000 0.288000

C1 W42659001 CARVEDILOL LPH 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 13.33 9.86 0.444333 0.288000 0.288000

C1 W44030001 CARVEDILOL TEVA 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 8.64 6.39 0.288000 0.288000 0.288000

C1 W53658001 CARVEDILOL VIM SPECTRUM 12,5mg CARVEDILOLUM COMPR. 12,5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.70 4.96 0.335000 0.288000 0.288000

C1 W53751001 GLADYCOR 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 13.07 9.67 0.435666 0.288000 0.288000

C1 W54103001 MIOCARVIL 12,5 mg CARVEDILOLUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 13.33 9.86 0.444333 0.288000 0.288000

C1 W44083002 DILATREND (R) 25 mg CARVEDILOLUM COMPR. 25mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 33.37 25.51 1.191785 0.301333 0.301333

C1 W12648002 CORYOL 25 mg CARVEDILOLUM COMPR. 25mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 21.99 16.27 0.785357 0.301333 0.301333

C1 W42059001 TALLITON (R) 25 mg CARVEDILOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 23.56 17.43 0.785333 0.301333 0.301333

C1 W42732001 ATRAM 25 CARVEDILOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 19.52 14.44 0.650666 0.301333 0.301333

C1 W42743001 CARVEDILOL HELCOR 25 mg CARVEDILOLUM COMPR. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 15.69 11.61 0.784500 0.301333 0.301333

C1 W43390001 CARVEDILOL SANDOZ CARVEDILOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 9.17 6.78 0.305666 0.301333 0.301333

C1 W42658001 CARVEDILOL LPH 25 mg CARVEDILOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 23.56 17.43 0.785333 0.301333 0.301333

C1 W44031001 CARVEDILOL TEVA 25 mg CARVEDILOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 9.04 6.69 0.301333 0.301333 0.301333

C1 W53752001 GLADYCOR 25 mg CARVEDILOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 22.94 16.97 0.764666 0.301333 0.301333

C1 W54104001 MIOCARVIL 25 mg CARVEDILOLUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 23.56 17.43 0.785333 0.301333 0.301333

C1 W44081003 DILATREND (R) 6,25 mg CARVEDILOLUM COMPR. 6,25mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 16.41 12.14 0.586071 0.200666 0.200666

C1 W41867002 CORYOL (R) CARVEDILOLUM COMPR. 6,25mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.43 4.76 0.229642 0.200666 0.200666

C1 W41912001 TALLITON 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.200666 0.200666

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W42730002 ATRAM 6,25 CARVEDILOLUM COMPR. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.43 4.76 0.214333 0.200666 0.200666

C1 W43388001 CARVEDILOL SANDOZ CARVEDILOLUM COMPR. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.200666 0.200666

C1 W42660001 CARVEDILOL LPH 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.200666 0.200666

C1 W44029001 CARVEDILOL TEVA 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.02 4.45 0.200666 0.200666 0.200666

C1 W53663001 CARVEDILOL VIM SPECTRUM 6,25 mg CARVEDILOLUM COMPR. 6,25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 4.56 3.37 0.228000 0.200666 0.200666

C1 W53750001 GLADYCOR 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.69 4.95 0.223000 0.200666 0.200666

C1 W54102001 MIOCARVIL 6,25 mg CARVEDILOLUM COMPR. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 6.87 5.08 0.229000 0.200666 0.200666

C1 W42392001 CARVEDIGAMMA 12,5 mg CARVEDILOLUM COMPR. FILM. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 13.88 10.27 0.462666 0.462666 0.462666

C1 W42393001 CARVEDIGAMMA 25 mg CARVEDILOLUM COMPR. FILM. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 24.24 17.93 0.808000 0.808000 0.808000

C1 W42391001 CARVEDIGAMMA 6,25 mg CARVEDILOLUM COMPR. FILM. 6,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C07AGO V 05-07-2010 9.04 6.69 0.301333 0.301333 0.301333

C1 W06859002 CAPTOPRIL 12,5 mg CAPTOPRILUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 2.94 2.18 0.098000 0.098000 0.098000

C1 W41841001 CAPTOPRIL MCC 12,5 mg CAPTOPRILUM COMPR. 12,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 2.94 2.18 0.098000 0.098000 0.098000

C1 W06861002 CAPTOPRIL 25 mg CAPTOPRILUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.41 2.52 0.113666 0.112333 0.112333

C1 W00775001 CAPTOPRIL 25 mg CAPTOPRILUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.10 3.03 0.136666 0.112333 0.112333

C1 W06860001 CAPTOPRIL 25 EEL CAPTOPRILUM COMPR. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.02 2.23 0.151000 0.112333 0.112333

C1 W43029001 CAPTOPRIL - AC 25 mg CAPTOPRILUM COMPR. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 2.27 1.68 0.113500 0.112333 0.112333

C1 W06857001 CAPTOPRIL MCC 25 mg CAPTOPRILUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.41 2.52 0.113666 0.112333 0.112333

C1 W08550001 CAPTOPRIL LPH 25 mg CAPTOPRILUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.41 2.52 0.113666 0.112333 0.112333

C1 W41981002 CAPTOPRIL SINTOFARM 25 mg CAPTOPRILUM COMPR. 25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.37 2.49 0.112333 0.112333 0.112333

C1 W53677002 CAPTOPRIL ARENA 25 mg CAPTOPRILUM COMPR. 25mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 2.27 1.68 0.113500 0.112333 0.112333

C1 W53678001 CAPTOPRIL ARENA 50 mg CAPTOPRILUM COMPR. 50 mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 2.67 1.98 0.133500 0.130333 0.130333

C1 W06863002 CAPTOPRIL 50 mg CAPTOPRILUM COMPR. 50mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.44 3.28 0.222000 0.130333 0.130333

C1 W00777001 CAPTOPRIL 50 mg CAPTOPRILUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 6.66 4.93 0.222000 0.130333 0.130333

C1 W06862001 CAPTOPRIL 50 EEL CAPTOPRILUM COMPR. 50mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.85 2.85 0.192500 0.130333 0.130333

C1 W43028001 CAPTOPRIL - AC 50 mg CAPTOPRILUM COMPR. 50mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 2.67 1.98 0.133500 0.130333 0.130333

C1 W42060001 CAPTOPRIL MCC 50 mg CAPTOPRILUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.50 3.33 0.150000 0.130333 0.130333

C1 W00776003 CAPTOPRIL LPH 50 mg CAPTOPRILUM COMPR. 50mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.91 2.89 0.130333 0.130333 0.130333

C1 W08813001 ENALAPRIL 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.197000 0.197000

C1 W12405001 ENALAPRIL 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.197000 0.197000

C1 W42909001 ENALAPRIL SANDOZ 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.94 2.92 0.197000 0.197000 0.197000

C1 W44078001 ENALAP ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.197000 0.197000

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W02920001 ENALAPRIL LPH 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.197000 0.197000

C1 W02922001 ENAP 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.197000 0.197000

C1 W14084003 ENALAPRIL FABIOL 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.197000 0.197000

C1 W41447001 ENALAPRIL SLAVIA 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.39 3.25 0.219500 0.197000 0.197000

C1 W41640001 ENALAPRIL AL 10 ENALAPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 6.58 4.87 0.219333 0.197000 0.197000

C1 W51276001 RENITEC 10 mg ENALAPRILUM COMPR. 10mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.49 7.76 0.374642 0.197000 0.197000

C1 W52009001 ENALAPRIL TERAPIA 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.27 5.38 0.363500 0.197000 0.197000

C1 W53672002 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 6.86 5.08 0.228666 0.197000 0.197000

C1 W53672003 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 11.22 8.30 0.224400 0.197000 0.197000

C1 W53672004 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 100 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 21.96 16.25 0.219600 0.197000 0.197000

C1 W53672006 ENALAPRIL ARENA 10mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 11.25 8.32 0.562500 0.197000 0.197000

C1 W53666002 ENALAPRIL VIM SPECTRUM 10 mg ENALAPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 4.10 3.03 0.205000 0.197000 0.197000

C1 W54952001 EDNYT 10 mg ENALAPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.17 7.52 0.339000 0.197000 0.197000

C1 W54951001 EDNYT 2,5 mg ENALAPRILUM COMPR. 2,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 8.23 6.09 0.274333 0.274333 0.274333

C1 W12199001 ENALAPRIL 20 mg ENALAPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.92 5.86 0.396000 0.327600 0.327600

C1 W42911001 ENALAPRIL SANDOZ 20 mg ENALAPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.15 7.51 0.507500 0.327600 0.327600

C1 W12731001 EDNYT (R) 20 mg ENALAPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 17.57 13.00 0.585666 0.327600 0.327600

C1 W02921001 ENALAPRIL LPH 20 mg ENALAPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 8.72 6.45 0.436000 0.327600 0.327600

C1 W02923001 ENAP 20 mg ENALAPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.92 5.86 0.396000 0.327600 0.327600

C1 W41487003 ENALAPRIL FABIOL 20 mg ENALAPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.10 5.25 0.355000 0.327600 0.327600

C1 W41639001 ENALAPRIL AL 20 ENALAPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 11.59 8.58 0.386333 0.327600 0.327600

C1 W51277001 RENITEC 20 mg ENALAPRILUM COMPR. 20mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 17.07 12.63 0.609642 0.327600 0.327600

C1 W52008001 ENALAPRIL TERAPIA 20 mg ENALAPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 11.09 8.21 0.554500 0.327600 0.327600

C1 W53674001 ENALAPRIL ARENA 20 mg ENALAPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 11.11 8.22 0.370333 0.327600 0.327600

C1 W53674004 ENALAPRIL ARENA 20 mg ENALAPRILUM COMPR. 20mg 50 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 16.38 12.12 0.327600 0.327600 0.327600

C1 W08814001 ENALAPRIL 5 mg ENALAPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.174666 0.174666

C1 W12198001 ENALAPRIL 5 mg ENALAPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.174666 0.174666

C1 W42908001 ENALAPRIL SANDOZ 5 mg ENALAPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.174666 0.174666

C1 W12726001 EDNYT (R) 5 mg ENALAPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 8.23 6.09 0.274333 0.174666 0.174666

C1 W41641001 ENALAPRIL AL 5 ENALAPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 5.24 3.88 0.174666 0.174666 0.174666

C1 W02925001 ENAP 5 mg ENALAPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.65 2.70 0.182500 0.174666 0.174666

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W51275001 RENITEC 5 mg ENALAPRILUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.86 5.82 0.280714 0.174666 0.174666

C1 W12811001 ENALAPRIL LPH (R) 5 mg ENALAPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.82 2.83 0.191000 0.174666 0.174666

C1 W52937001 ENALAPRIL TERAPIA 5 mg ENALAPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.91 2.89 0.195500 0.174666 0.174666

C1 W52938003 INVORIL 5 mg ENALAPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 5.50 4.07 0.183333 0.174666 0.174666

C1 W53673001 ENALAPRIL ARENA 5 mg ENALAPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 5.56 4.11 0.185333 0.174666 0.174666

C1 W53667001 ENALAPRIL VIM SPECTRUM 5 mg ENALAPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 3.64 2.69 0.182000 0.174666 0.174666

C1 W02924001 ENAP (R) ENALAPRILUM SOL. INJ. 1,25mg/ml 5 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAP V 05-07-2010 15.41 11.40 3.082000 3.082000 3.082000

C1 W12794001 RANOLIP LISINOPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 14.95 11.06 0.498333 0.342666 0.342666

C1 W42156001 LISIREN 10 mg LISINOPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.72 7.93 0.536000 0.342666 0.342666

C1 W42593001 LISINOPRIL SANDOZ 10 mg LISINOPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.28 7.61 0.342666 0.342666 0.342666

C1 W42829001 LISIGAMMA 10 mg LISINOPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 16.12 11.93 0.537333 0.342666 0.342666

C1 W43054001 LISINOPRIL 10 MEDO LISINOPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 14.41 10.66 0.480333 0.342666 0.342666

C1 W53748003 LISINOPRIL ACTAVIS 10 mg LISINOPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 12.84 9.50 0.428000 0.342666 0.342666

C1 W53916001 LISINOPRIL ATB 10 MG LISINOPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.14 7.50 0.507000 0.342666 0.342666

C1 W53916002 LISINOPRIL ATB 10 MG LISINOPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 15.73 11.64 0.524333 0.342666 0.342666

C1 W54841001 TONOLYSIN 10 mg LISINOPRILUM COMPR. 10mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 15.42 11.41 0.550714 0.342666 0.342666

C1 W54843001 TONOLYSIN 2,5 mg LISINOPRILUM COMPR. 2,5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 8.72 6.45 0.311428 0.311428 0.311428

C1 W12793001 RANOLIP LISINOPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 23.05 17.05 0.768333 0.500666 0.500666

C1 W42088001 LISIREN 20 mg LISINOPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 15.62 11.56 0.781000 0.500666 0.500666

C1 W42594001 LISINOPRIL SANDOZ 20 mg LISINOPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 15.02 11.11 0.500666 0.500666 0.500666

C1 W42830001 LISIGAMMA 20 mg LISINOPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 28.47 21.06 0.949000 0.500666 0.500666

C1 W43055001 LISINOPRIL 20 MEDO LISINOPRILUM COMPR. 20mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 14.41 10.66 0.720500 0.500666 0.500666

C1 W53747003 LISINOPRIL ACTAVIS 20 mg LISINOPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 23.31 17.25 0.777000 0.500666 0.500666

C1 W53917001 LISINOPRIL ATB 20 MG LISINOPRILUM COMPR. 20mg 10 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.41 5.48 0.741000 0.500666 0.500666

C1 W53917002 LISINOPRIL ATB 20 MG LISINOPRILUM COMPR. 20mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 23.42 17.33 0.780666 0.500666 0.500666

C1 W54840001 TONOLYSIN 20 mg LISINOPRILUM COMPR. 20mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 22.85 16.91 0.816071 0.500666 0.500666

C1 W53918001 LISINOPRIL ATB 40 MG LISINOPRILUM COMPR. 40mg 10 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 13.76 10.18 1.376000 1.307333 1.307333

C1 W53918002 LISINOPRIL ATB 40 MG LISINOPRILUM COMPR. 40mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 39.22 29.98 1.307333 1.307333 1.307333

C1 W12795001 RANOLIP LISINOPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.63 5.65 0.254333 0.237666 0.237666

C1 W42592001 LISINOPRIL SANDOZ 5 mg LISINOPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.13 5.28 0.237666 0.237666 0.237666

C1 W42828001 LISIGAMMA 5 mg LISINOPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.09 7.47 0.336333 0.237666 0.237666

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W43053001 LISINOPRIL 5 MEDO LISINOPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 8.64 6.39 0.288000 0.237666 0.237666

C1 W53746003 LISINOPRIL ACTAVIS 5 mg LISINOPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.33 5.42 0.244333 0.237666 0.237666

C1 W54842001 TONOLYSIN 5 mg LISINOPRILUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 9.26 6.85 0.330714 0.237666 0.237666

C1 W55106005 VIVOKAR 10 mg RAMIPRILUM CAPS. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 24.88 18.41 0.829333 0.829333 0.829333

C1 W55105005 VIVOKAR 2,5 mg RAMIPRILUM CAPS. 2,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.00 7.40 0.333333 0.333333 0.333333

C1 W55107005 VIVOKAR 5 mg RAMIPRILUM CAPS. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 15.01 11.11 0.500333 0.500333 0.500333

C1 W51933002 VIVACE 10 mg RAMIPRILUM COMPR. 10 mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.380200 0.380200

C1 W43077006 PIRAMIL 10 mg RAMIPRILUM COMPR. 10mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.380200 0.380200

C1 W42940001 RAMIPRIL-AC 10 mg RAMIPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 24.88 18.41 0.829333 0.380200 0.380200

C1 W42972001 AMPRIL 10 mg RAMIPRILUM COMPR. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 24.87 18.40 0.829000 0.380200 0.380200

C1 W42991001 HARTIL 10 mg RAMIPRILUM COMPR. 10mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.380200 0.380200

C1 W43524001 ZENRA 10 RAMIPRILUM COMPR. 10mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 23.22 17.18 0.829285 0.380200 0.380200

C1 W43925003 RAMIGAMMA 10 mg RAMIPRILUM COMPR. 10mg 100 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 38.02 29.07 0.380200 0.380200 0.380200

C1 W43925001 RAMIGAMMA 10 mg RAMIPRILUM COMPR. 10mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.48 7.75 0.524000 0.380200 0.380200

C1 W54354001 TRITACE 10 RAMIPRILUM COMPR. 10mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 34.56 26.42 1.234285 0.380200 0.380200

C1 W51934002 VIVACE 2,5 mg RAMIPRILUM COMPR. 2,5 mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.44 5.50 0.265714 0.265714 0.265714

C1 W43075006 PIRAMIL 2,5 mg RAMIPRILUM COMPR. 2,5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 9.35 6.92 0.333928 0.265714 0.265714

C1 W42939001 RAMIPRIL-AC 2,5 mg RAMIPRILUM COMPR. 2,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.02 7.41 0.334000 0.265714 0.265714

C1 W42970001 AMPRIL 2,5 mg RAMIPRILUM COMPR. 2,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 9.98 7.38 0.332666 0.265714 0.265714

C1 W42989001 HARTIL 2,5 mg RAMIPRILUM COMPR. 2,5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 9.35 6.92 0.333928 0.265714 0.265714

C1 W43522001 ZENRA 2,5 RAMIPRILUM COMPR. 2,5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 9.35 6.92 0.333928 0.265714 0.265714

C1 W54352003 TRITACE(R) 2,5 RAMIPRILUM COMPR. 2,5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 14.38 10.64 0.513571 0.265714 0.265714

C1 W51932002 VIVACE 5 mg RAMIPRILUM COMPR. 5 mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.12 7.49 0.361428 0.258100 0.258100

C1 W43076006 PIRAMIL 5 mg RAMIPRILUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.14 7.50 0.362142 0.258100 0.258100

C1 W42237001 RAMIPRIL-AC 5 mg RAMIPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.82 8.01 0.360666 0.258100 0.258100

C1 W42971001 AMPRIL 5 mg RAMIPRILUM COMPR. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.83 8.01 0.361000 0.258100 0.258100

C1 W42990001 HARTIL 5 mg RAMIPRILUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.14 7.50 0.362142 0.258100 0.258100

C1 W43523001 ZENRA 5 RAMIPRILUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 10.14 7.50 0.362142 0.258100 0.258100

C1 W43924003 RAMIGAMMA 5 mg RAMIPRILUM COMPR. 5mg 100 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 25.81 19.10 0.258100 0.258100 0.258100

C1 W43924001 RAMIGAMMA 5 mg RAMIPRILUM COMPR. 5mg 20 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 7.07 5.23 0.353500 0.258100 0.258100

C1 W54353001 TRITACE® 5 RAMIPRILUM COMPR. 5mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 15.59 11.53 0.556785 0.258100 0.258100

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W42225001 RAMIRAN 1,25 mg RAMIPRILUM COMPR. FILM. 1,25mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 6.87 5.08 0.229000 0.229000 0.229000

C1 W42074001 RAMIRAN 10 mg RAMIPRILUM COMPR. FILM. 10mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 32.92 25.17 1.097333 1.097333 1.097333

C1 W42226001 RAMIRAN 2,5 mg RAMIPRILUM COMPR. FILM. 2,5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 11.20 8.29 0.373333 0.373333 0.373333

C1 W42073001 RAMIRAN 5 mg RAMIPRILUM COMPR. FILM. 5mg 30 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) 0C09AAO V 05-07-2010 20.45 15.13 0.681666 0.681666 0.681666

C1 W43619001 DIOVAN 160 mg VALSARTANUM COMPR. FILM. 160mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C09CAO V 05-07-2010 116.32 92.00 4.154285 4.154285 4.154285

C1 W43618001 DIOVAN 40 mg VALSARTANUM COMPR. FILM. 40mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C09CAO V 05-07-2010 71.74 56.74 2.562142 2.562142 2.562142

C1 W43617001 DIOVAN 80 mg VALSARTANUM COMPR. FILM. 80mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C09CAO V 05-07-2010 91.67 72.50 3.273928 3.273928 3.273928

C1 W00766003 ATACAND CANDESARTANUM CILEXETIL COMPR. 16mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C09CAO V 05-07-2010 66.58 52.66 2.377857 2.377857 2.377857

C1 W54059001 ATACAND 32 mg CANDESARTANUM CILEXETIL COMPR. 32mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C09CAO V 05-07-2010 117.13 92.64 4.183214 4.183214 4.183214

C1 W00768003 ATACAND CANDESARTANUM CILEXETIL COMPR. 8mg 28 G1INSUFICIENTA CARDIACA CRONICA(CLS.III SAU IV NYHA) MSP 0C09CAO V 05-07-2010 55.96 42.78 1.998571 1.998571 1.998571

C1 W51687001 OSETRON 4 mg ONDANSETRONUM COMPR. FILM. 4mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 19.00 14.06 1.900000 1.900000 1.900000

C1 W13065003 ZOFRAN 4 mg ONDANSETRONUM COMPR. FILM. 4mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 66.19 52.35 6.619000 1.900000 1.900000

C1 W51686001 OSETRON 8 mg ONDANSETRONUM COMPR. FILM. 8mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 33.24 24.59 3.324000 3.324000 3.324000

C1 W43039002 ONDARAN MD 4mg ONDANSETRONUM COMPR. ORODISPERSABILE 4mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 19.12 14.15 1.912000 1.912000 1.912000

C1 W43039003 ONDARAN MD 4mg ONDANSETRONUM COMPR. ORODISPERSABILE 4mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 19.12 14.15 1.912000 1.912000 1.912000

C1 W44038001 ONDARAN MD 8 mg ONDANSETRONUM COMPR. ORODISPERSABILE 8mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 33.48 24.77 3.348000 3.348000 3.348000

C1 W51665001 OSETRON 4 mg ONDANSETRONUM SOL. INJ. 2mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 23.73 17.56 4.746000 4.746000 4.746000

C1 W51663001 OSETRON 8 mg ONDANSETRONUM SOL. INJ. 2mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 43.66 33.38 8.732000 8.730000 8.730000

C1 W10005001 ZOFRAN 4mg/2ml ONDANSETRONUM SOL. INJ. 4mg/2ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 136.39 111.72 27.278000 4.746000 4.746000

C1 W07916001 ZOFRAN 8mg/4ml ONDANSETRONUM SOL. INJ. 8mg/4ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 175.65 143.88 35.130000 8.730000 8.730000

C1 W51504002 EMESET 4 mg/2 ml ONDANSETRONUM SOL. INJ./PERF. 2mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 23.74 17.56 4.748000 4.746000 4.746000

C1 W51505002 EMESET 8 mg/4 ml ONDANSETRONUM SOL. INJ./PERF. 2mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 43.65 33.37 8.730000 8.730000 8.730000

C1 W44085001 KYTRIL (R) 1 mg GRANISETRONUM COMPR. FILM. 1mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 286.92 235.03 28.692000 14.828000 14.828000

C1 W54347002 GRANISETRON ACTAVIS 1 mg GRANISETRONUM COMPR. FILM. 1mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 186.49 152.76 18.649000 14.828000 14.828000

C1 W54806002 GRANEGIS 1 mg GRANISETRONUM COMPR. FILM. 1mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAO V 05-07-2010 148.28 121.46 14.828000 14.828000 14.828000

C1 W53853003 GRANISETRON KABI 1 mg/ml GRANISETRONUM CONC. PT. SOL. INJ./PERF. 1mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 198.83 162.87 39.766000 39.320000 39.320000

C1 W53853004 GRANISETRON KABI 1 mg/ml GRANISETRONUM CONC. PT. SOL. INJ./PERF. 1mg/ml 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 393.20 325.73 39.320000 39.320000 39.320000

C1 W53853001 GRANISETRON KABI 1 mg/ml GRANISETRONUM CONC. PT. SOL. INJ./PERF. 1mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 71.13 56.26 14.226000 13.497000 13.497000

C1 W53853002 GRANISETRON KABI 1 mg/ml GRANISETRONUM CONC. PT. SOL. INJ./PERF. 1mg/ml 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 134.97 110.56 13.497000 13.497000 13.497000

C1 W53091002 GRANISETRON TEVA 1mg/1ml GRANISETRONUM CONC. PT. SOL. PERF./INJ. 1mg/1ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 71.36 56.44 14.272000 13.497000 13.497000

C1 W53092002 GRANISETRON TEVA 3mg/3ml GRANISETRONUM CONC. PT. SOL. PERF./INJ. 3mg/3ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 199.39 163.33 39.878000 39.320000 39.320000

C1 W03395004 KYTRIL GRANISETRONUM SOL. INJ. 3mg/3ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 65.86 52.09 65.860000 65.860000 65.860000

C1 W43177001 ALOXI PALONOSETRONUM SOL. INJ. 250 mcg/5ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 0A04AAP V 05-07-2010 380.38 313.97 380.380000 380.380000 380.380000

C1 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000

C1 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 757.39 659.85 126.231666 100.413333 100.413333

C1 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000

C1 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C1 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C1 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 287.441666 287.441666

C1 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C1 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 238.11 195.04 39.685000 36.318333 36.318333

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C1 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 457.85 385.05 76.308333 70.833333 70.833333

C1 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

C1 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

C1 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 651.86 563.04 108.643333 100.413333 100.413333

C1 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C1 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C1 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 840.17 735.80 140.028333 129.985000 129.985000

C1 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

C1 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 159.546666 159.546666

C1 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C1 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C1 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C1 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C1 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C1 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C1 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C1 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C1 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C1 W41530002 ARANESP 100mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 3,165.73 2,869.34 791.432500 791.432500 791.432500

C1 W41522002 ARANESP 10mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 390.73 323.47 97.682500 97.682500 97.682500

C1 W41531002 ARANESP 150mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 4,697.46 4,274.59 1,174.365000 1,174.365000 1,174.365000

C1 W41523002 ARANESP 15mcg/0,375ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 546.33 466.22 136.582500 136.582500 136.582500

C1 W41524002 ARANESP 20mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 701.15 608.26 175.287500 175.287500 175.287500

C1 W41532001 ARANESP 300mcg/0,6ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml 1 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 2,203.60 1,986.65 2,203.600000 2,203.600000 2,203.600000

C1 W41525002 ARANESP 30mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,007.27 889.10 251.817500 251.817500 251.817500

C1 W41526002 ARANESP 40mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,316.02 1,172.36 329.005000 329.005000 329.005000

C1 W41533001 ARANESP 500mcg/ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml 1 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 3,625.44 3,291.09 3,625.440000 3,625.440000 3,625.440000

C1 W41527002 ARANESP 50mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,623.11 1,454.09 405.777500 405.777500 405.777500

C1 W41528002 ARANESP 60mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 1,932.79 1,738.20 483.197500 483.197500 483.197500

C1 W41529002 ARANESP 80mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml 4 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 0B03XAP V 05-07-2010 2,550.12 2,304.56 637.530000 637.530000 637.530000

C1 W53396002 ANDROCUR CYPROTERONUM COMPR. 50mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9G03HA01O V 05-07-2010 161.95 132.66 3.239000 3.239000 3.239000

C1 W44063002 DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONUM SOL. INJ. 8mg 100 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9H02AB02P V 05-07-2010 123.37 101.06 1.233700 0.919600 0.919600

C1 W44063001 DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONUM SOL. INJ. 8mg 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9H02AB02P V 05-07-2010 6.96 5.15 1.392000 0.919600 0.919600

C1 W08299002 DEXAMED DEXAMETHASONUM SOL. INJ. 8mg/2ml 100 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9H02AB02P V 05-07-2010 91.96 72.73 0.919600 0.919600 0.919600

C1 W08299001 DEXAMED DEXAMETHASONUM SOL. INJ. 8mg/2ml 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9H02AB02P V 05-07-2010 10.35 7.66 1.035000 0.919600 0.919600

C1 W03837002 ORUNGAL ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 76.74 60.69 5.116000 3.495333 3.495333

C1 W43051001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.495333 3.495333

C1 W51942001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 124.00 98.07 8.266666 3.495333 3.495333

C1 W51946001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.495333 3.495333

C1 W52343006 OMICRAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.495333 3.495333

C1 W52249002 SPORILIN 100 mg ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.495333 3.495333

C1 W53957001 ITRACONAZOL LPH 100 mg ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.495333 3.495333

C1 W53958001 MICOGAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1J02ACO V 05-07-2010 52.43 40.08 3.495333 3.495333 3.495333

C1 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428

C1 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000

C1 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000

C1 W51607001 NOXAFIL SP 40mg/ml POSACONAZOLUM SUSP. ORALA 40mg/ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 2J02ACO V 05-07-2010 2,974.83 2,694.20 2,974.830000 2,974.830000 2,974.830000

C1 W06665001 CANCIDAS 50 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 50mg 1 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9J02AX04P V 05-07-2010 1,345.76 1,199.64 1,345.760000 1,345.760000 1,345.760000

C1 W06670001 CANCIDAS 70 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 70mg 1 G10

LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9J02AX04P V 05-07-2010 1,734.79 1,556.55 1,734.790000 1,734.790000 1,734.790000

C1 W51527001 THROMBOREDUCTIN ANAGRELIDUM CAPS. 0,5mg 42 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 9L01XX35O V 05-07-2010 874.04 766.87 20.810476 16.517600 16.517600

C1 W51527002 THROMBOREDUCTIN ANAGRELIDUM CAPS. 0,5mg 100 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 9L01XX35O V 05-07-2010 1,651.76 1,480.37 16.517600 16.517600 16.517600

C1 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400

C1 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 1.878000 1.878000

C1 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000

C1 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 1.878000 1.878000

C1 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 3.789000 3.789000

C1 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000

C1 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 3.789000 3.789000

C1 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000

C1 W04389001 SEVREDOL 10 mg MORPHYNUM COMPR. FILM. 10mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 46.85 35.82 0.836607 0.836607 0.836607

C1 W04390001 SEVREDOL 20 mg MORPHYNUM COMPR. FILM. 20mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 67.18 53.13 1.199642 1.199642 1.199642

C1 W44125001 MST CONTINUS 100 mg MORPHYNUM COMPR. FILM. ELIB. MODIF. 100mg 60 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 247.55 202.78 4.125833 2.828000 2.828000

C1 W44122001 MST CONTINUS 10 mg MORPHYNUM COMPR. FILM. ELIB. MODIF. 10mg 60 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 46.02 35.18 0.767000 0.767000 0.767000

C1 W44126001 MST CONTINUS 200 mg MORPHYNUM COMPR. FILM. ELIB. MODIF. 200mg 60 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 421.72 351.90 7.028666 7.028666 7.028666

C1 W44123001 MST CONTINUS 30 mg MORPHYNUM COMPR. FILM. ELIB. MODIF. 30mg 60 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 76.29 60.34 1.271500 0.899333 0.899333

C1 W44124001 MST CONTINUS 60 mg MORPHYNUM COMPR. FILM. ELIB. MODIF. 60mg 60 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 154.28 126.38 2.571333 1.856000 1.856000

C1 W12686002 VENDAL (R) RETARD 100 mg MORPHYNUM COMPR. FILM. ELIB. PREL. 100mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 84.84 67.10 2.828000 2.828000 2.828000

C1 W12682002 VENDAL (R) RETARD 30 mg MORPHYNUM COMPR. FILM. ELIB. PREL. 30mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 26.98 19.96 0.899333 0.899333 0.899333

C1 W12684002 VENDAL (R) RETARD 60 mg MORPHYNUM COMPR. FILM. ELIB. PREL. 60mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 55.68 42.57 1.856000 1.856000 1.856000

C1 W43679001 MSI 10 mg MUNDIPHARMA MORPHYNUM SOL. INJ. 10 mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAP V 05-07-2010 25.73 19.04 2.573000 2.573000 2.573000

C1 W43680001 MSI 20 mg MUNDIPHARMA MORPHYNUM SOL. INJ. 20mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAP V 05-07-2010 48.80 37.31 4.880000 1.654000 1.654000

C1 W42887001 MORFINA 20 mg/ml MORPHYNUM SOL. INJ. 20mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAP V 05-07-2010 8.27 6.12 1.654000 1.654000 1.654000

C1 W44115003 OXYCONTIN (R) 10 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 10 mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 116.55 92.18 2.081250 2.081250 2.081250

C1 W44116003 OXYCONTIN (R) 20 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 20 mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 214.14 175.41 3.823928 3.823928 3.823928

C1 W44117003 OXYCONTIN (R) 40 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 40 mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 394.66 327.07 7.047500 7.047500 7.047500

C1 W44118003 OXYCONTIN (R) 80 mg OXYCODONUM COMPR. FILM. ELIB. MODIF. 80mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 1N02AAO V 05-07-2010 651.43 562.64 11.632678 11.632678 11.632678

C1 W44121001 DHC CONTINUS 120 mg DIHYDROCODEINUM COMPR. ELIB. PREL. 120mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AA08O V 05-07-2010 128.24 105.05 2.290000 2.290000 2.290000

C1 W44119001 DHC CONTINUS 60 mg DIHYDROCODEINUM COMPR. ELIB. PREL. 60mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AA08O V 05-07-2010 29.28 21.66 0.522857 0.522857 0.522857

C1 W44120001 DHC CONTINUS 90 mg DIHYDROCODEINUM COMPR. ELIB. PREL. 90mg 56 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AA08O V 05-07-2010 101.45 80.24 1.811607 1.811607 1.811607

C1 W42905002 MIALGIN (R) 100 mg/2 ml PETHIDINUM SOL. INJ. 50mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AB02P V 05-07-2010 7.78 5.76 1.556000 1.556000 1.556000

C1 W44035001 FENTANYL SANDOZ MATRIX 75mcg/h FENTANYLUM PLASTURE TRANSDERM. 17,34mg/31,50cm5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 154.22 126.33 30.844000 30.844000 30.844000

C1 W44036001 FENTANYL SANDOZ MATRIX 100mcg/h FENTANYLUM PLASTURE TRANSDERM. 23,12mg/42.00cm5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 190.80 156.29 38.160000 38.160000 38.160000

C1 W54989001 DOLFORIN 100 µg/ORA FENTANYLUM PLASTURE TRANSDERMIC 100µg/ora 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 190.80 156.29 38.160000 38.160000 38.160000

C1 W43686001 FENTANYL SANDOZ 100 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 100mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 190.80 156.29 38.160000 38.094000 38.094000

C1 W53503005 FENTANYL TTS SANDOZ 100 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 100mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 190.80 156.29 38.160000 38.094000 38.094000

C1 W53251003 FENTANYL ACTAVIS 100micrograme/h FENTANYLUM PLASTURE TRANSDERMIC 100micrograme/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 190.47 156.02 38.094000 38.094000 38.094000

C1 W44034001 FENTANYL SANDOZ MATRIX 50mcg/h FENTANYLUM PLASTURE TRANSDERMIC 11,56mg/21,00cm5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 120.50 95.30 24.100000 24.100000 24.100000

C1 W54985001 DOLFORIN 25 µg/ORA FENTANYLUM PLASTURE TRANSDERMIC 25µg/ora 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 69.53 54.99 13.906000 13.906000 13.906000

C1 W43683001 FENTANYL SANDOZ 25 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 25mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 71.63 56.65 14.326000 13.782000 13.782000

C1 W53500005 FENTANYL TTS SANDOZ 25 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 25mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 71.63 56.65 14.326000 13.782000 13.782000

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W53248003 FENTANYL ACTAVIS 25micrograme/h FENTANYLUM PLASTURE TRANSDERMIC 25micrograme/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 68.91 54.50 13.782000 13.782000 13.782000

C1 W44033001 FENTANYL SANDOZ MATRIX 25mcg/h FENTANYLUM PLASTURE TRANSDERMIC 5,78mg/10,5cmp 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 71.63 56.65 14.326000 14.326000 14.326000

C1 W54986001 DOLFORIN 50 µg/ORA FENTANYLUM PLASTURE TRANSDERMIC 50µg/ora 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 120.50 95.30 24.100000 24.100000 24.100000

C1 W43684001 FENTANYL SANDOZ 50 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 50mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 120.50 95.30 24.100000 24.088000 24.088000

C1 W53501005 FENTANYL TTS SANDOZ 50 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 50mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 120.50 95.30 24.100000 24.088000 24.088000

C1 W53249003 FENTANYL ACTAVIS 50micrograme/h FENTANYLUM PLASTURE TRANSDERMIC 50micrograme/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 120.44 95.25 24.088000 24.088000 24.088000

C1 W54987001 DOLFORIN 75 µg/ORA FENTANYLUM PLASTURE TRANSDERMIC 75µg/ora 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 154.22 126.33 30.844000 30.844000 30.844000

C1 W43685001 FENTANYL SANDOZ 75 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 75mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 154.22 126.33 30.844000 30.844000 30.844000

C1 W53502005 FENTANYL TTS SANDOZ 75 mcg/h FENTANYLUM PLASTURE TRANSDERMIC 75mcg/h 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9N02AB03TD V 05-07-2010 154.22 126.33 30.844000 30.844000 30.844000

C1 W05977002 TRAMAL (R) TRAMADOLUM CAPS. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 11.79 8.72 0.589500 0.291000 0.291000

C1 W42813002 TRALGIT 50 TRAMADOLUM CAPS. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 7.89 5.84 0.394500 0.291000 0.291000

C1 W12691002 TRAMADOL TRAMADOLUM CAPS. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 5.82 4.31 0.291000 0.291000 0.291000

C1 W07472002 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 11.49 8.50 0.383000 0.291000 0.291000

C1 W07472001 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.291000 0.291000

C1 W05960001 MABRON 50 mg TRAMADOLUM CAPS. 50mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 4.98 3.68 0.498000 0.291000 0.291000

C1 W41593001 K-ALMA (R) TRAMADOLUM CAPS. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.291000 0.291000

C1 W42576001 TRAMACALM TRAMADOLUM CAPS. 50mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.291000 0.291000

C1 W13570001 TRAMADOL LPH 50 mg TRAMADOLUM CAPS. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.291000 0.291000

C1 W08476001 URGENDOL TRAMADOLUM CAPS. 50mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 3.81 2.82 0.381000 0.291000 0.291000

C1 W52049001 TRAMADOL ARENA TRAMADOLUM CAPS. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 8.97 6.64 0.448500 0.291000 0.291000

C1 W53128005 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 17.35 12.84 1.735000 1.429400 1.429400

C1 W53128006 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 33.41 24.72 1.670500 1.429400 1.429400

C1 W53128007 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 47.28 36.15 1.576000 1.429400 1.429400

C1 W53128008 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 71.47 56.52 1.429400 1.429400 1.429400

C1 W53129005 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 26.02 19.25 2.602000 2.144000 2.144000

C1 W53129006 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 48.48 37.06 2.424000 2.144000 2.144000

C1 W53129007 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 68.55 54.22 2.285000 2.144000 2.144000

C1 W53129008 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 107.20 84.78 2.144000 2.144000 2.144000

C1 W53130005 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 32.48 24.03 3.248000 2.422400 2.422400

C1 W53130006 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 58.30 44.57 2.915000 2.422400 2.422400

C1 W53130007 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 77.94 61.64 2.598000 2.422400 2.422400

C1 W53130008 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 121.12 95.79 2.422400 2.422400 2.422400

C1 W42440001 TRAMAG 50 TRAMADOLUM COMPR. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000

C1 W42957001 TRAMADOL EEL TRAMADOLUM COMPR. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000

C1 W42178001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.383000 0.383000

C1 W55077001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.383000 0.383000

C1 W13507001 TRAMADOLOR (R) 100 ID TRAMADOLUM COMPR. ELIB. MODIF. 100mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 6.29 4.65 0.629000 0.629000 0.629000

C1 W12750001 TRAMADOL (R) RETARD TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 18.88 13.97 0.629333 0.629000 0.629000

C1 W41922003 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 48.37 36.98 0.967400 0.629000 0.629000

C1 W41922001 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 9.85 7.29 0.985000 0.629000 0.629000

C1 W41922002 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 27.23 20.15 0.907666 0.629000 0.629000

C1 W53489001 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 7.40 5.47 1.480000 0.629000 0.629000

C1 W53489005 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 39.43 30.15 1.314333 0.629000 0.629000

C1 W41923002 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 33.48 24.77 1.116000 1.116000 1.116000

C1 W41923001 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 21.00 15.54 2.100000 1.116000 1.116000

C1 W41924001 TRALGIT SR 200 TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 27.44 20.30 2.744000 1.723666 1.723666

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W53488002 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 20.05 14.83 2.005000 1.723666 1.723666

C1 W53488005 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 51.71 39.53 1.723666 1.723666 1.723666

C1 W53487002 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 27.86 20.61 2.786000 2.543000 2.543000

C1 W53487012 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 76.29 60.34 2.543000 2.543000 2.543000

C1 W07784001 TRADOLAN 50 mg TRAMADOLUM COMPR. FILM. 50mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 10.62 7.86 0.354000 0.354000 0.354000

C1 W07473001 TRAMAL RETARD 100 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 100mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 9.68 7.16 0.968000 0.629000 0.629000

C1 W05978001 TRAMAL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 21.97 16.25 2.197000 1.116000 1.116000

C1 W43360001 TRAMADOL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 62.30 47.63 2.076666 1.116000 1.116000

C1 W05979001 TRAMAL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 28.12 20.80 2.812000 1.723666 1.723666

C1 W43361001 TRAMADOL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 74.39 58.83 2.479666 1.723666 1.723666

C1 W43913002 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 100.21 79.25 100.210000 5.020000 5.020000

C1 W43913001 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 12.57 9.30 12.570000 5.020000 5.020000

C1 W07470002 TRAMADOL AL PICATURI TRAMADOLUM PIC. ORALE, SOL. FARA CONCENT1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 5.02 3.71 5.020000 5.020000 5.020000

C1 W05982001 TRAMAL (R) TRAMADOLUM PICATURI ORALE-SOL. 100mg/ml 1 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02O V 05-07-2010 7.73 5.72 7.730000 5.020000 5.020000

C1 W05961002 MABRON TRAMADOLUM SOL. INJ. 100mg 100 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 136.67 111.95 1.366700 1.366700 1.366700

C1 W43912001 TRALGIT 100 TRAMADOLUM SOL. INJ. 100mg/2ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 12.25 9.06 2.450000 1.366700 1.366700

C1 W05980001 TRAMAL (R) 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 7.55 5.59 1.510000 0.976000 0.976000

C1 W05966001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 10.69 7.91 2.138000 0.976000 0.976000

C1 W43914001 TRALGIT 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 11.46 8.48 2.292000 0.976000 0.976000

C1 W08477001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 4.88 3.61 0.976000 0.976000 0.976000

C1 W05967001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 13.07 9.67 2.614000 1.366700 1.366700

C1 W08478001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02P V 05-07-2010 7.66 5.67 1.532000 1.366700 1.366700

C1 W05969001 TRAMADOL TRAMADOLUM SUPOZ. 100mg 5 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N02AX02R V 05-07-2010 5.56 4.11 1.112000 1.112000 1.112000

C1 W51921003 SINTALGON 2,5 mg METHADONUM COMPR. 2,5mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N07BC02O V 05-07-2010 24.35 18.02 0.487000 0.487000 0.487000

C1 W52853001 SUBSTIDON 20 mg METHADONUM COMPR. 20mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N07BC02O V 05-07-2010 25.10 18.57 1.255000 1.214600 1.214600

C1 W52853002 SUBSTIDON 20 mg METHADONUM COMPR. 20mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N07BC02O V 05-07-2010 60.73 46.43 1.214600 1.214600 1.214600

C1 W52854001 SUBSTIDON 5 mg METHADONUM COMPR. 5mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N07BC02O V 05-07-2010 6.27 4.64 0.313500 0.313500 0.313500

C1 W52854002 SUBSTIDON 5 mg METHADONUM COMPR. 5mg 50 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9N07BC02O V 05-07-2010 15.69 11.61 0.313800 0.313500 0.313500

C1 W01411002 FOSFAT DE CODEINA 15 mg CODEINUM COMPR. 15mg 30 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 4.90 3.63 0.163333 0.148000 0.148000

C1 W01409002 CODEINA FOSFORICA CODEINUM COMPR. 15mg 25 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 5.12 3.79 0.204800 0.148000 0.148000

C1 W10630001 FARMACOD CODEINUM COMPR. 15mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 3.02 2.23 0.151000 0.148000 0.148000

C1 W11887002 CODEINA FOSFAT 15 mg CODEINUM COMPR. 15mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 2.96 2.19 0.148000 0.148000 0.148000

C1 W42290001 CODEINA FOSFAT CODEINUM COMPR. 15mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 3.02 2.23 0.151000 0.148000 0.148000

C1 W01407004 CODEINA FOSFAT LPH 15 mg CODEINUM COMPR. 15mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 3.19 2.36 0.159500 0.148000 0.148000

C1 W54406001 CODEINA FOSFAT MCC 15 mg CODEINUM COMPR. 15mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 3.64 2.69 0.182000 0.148000 0.148000

C1 W55070002 CODEINA FOSFAT 15 mg CODEINUM COMPR. 15mg 20 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI 9R05DA04O V 05-07-2010 2.96 2.19 0.148000 0.148000 0.148000

C1 W02408001 DESFERAL DEFEROXAMINUM LIOF. PT. SOL. INJ./PERF. 500mg 10 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI MSP 9V03AC01P V 05-07-2010 134.74 110.37 13.474000 13.474000 13.474000

C1 W51484001 EXJADE 125mg DEFERASIROXUM COMPR. DISP. 125mg 28 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 9V03AC03O V 05-07-2010 785.88 685.99 28.067142 28.067142 28.067142

C1 W51485001 EXJADE 250mg DEFERASIROXUM COMPR. DISP. 250mg 28 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 9V03AC03O V 05-07-2010 1,627.37 1,458.00 58.120357 58.120357 58.120357

C1 W51486001 EXJADE 500mg DEFERASIROXUM COMPR. DISP. 500mg 28 G10LEUCEMII, LIMFOAME SI APLAZIE MEDULARA, TUMORI CJAS 9V03AC03O V 05-07-2010 2,930.96 2,653.95 104.677142 104.677142 104.677142

C1 W42801002 FENOBARBITAL 100 mg PHENOBARBITALUM COMPR. 100 mg 25 G11 EPILEPSIE 9N03AA02O V 05-07-2010 4.39 3.25 0.175600 0.114000 0.114000C1 W43461001 FENOBARBITAL 100 mg PHENOBARBITALUM COMPR. 100mg 10 G11 EPILEPSIE 9N03AA02O V 05-07-2010 1.14 0.84 0.114000 0.114000 0.114000C1 W42870001 FENOBARBITAL 200 mg/ 2 ml PHENOBARBITALUM SOL. INJ. 10% 5 G11 EPILEPSIE 9N03AA02P V 05-07-2010 10.94 8.09 2.188000 2.188000 2.188000C1 W12143001 FENITOIN 100 mg PHENYTOINUM COMPR. 100mg 20 G11 EPILEPSIE 9N03AB02O V 05-07-2010 2.77 2.05 0.138500 0.138500 0.138500C1 W12761001 PHENHYDAN (R)SOLUTIE INJECTABILA PHENYTOINUM SOL. INJ. 50mg/ml 5 G11 EPILEPSIE 9N03AB02P V 05-07-2010 67.57 53.44 13.514000 13.514000 13.514000C1 W51336001 RIVOTRIL CLONAZEPAMUM COMPR. 0,5mg 50 G11 EPILEPSIE 9N03AE01O V 05-07-2010 6.87 5.08 0.137400 0.137400 0.137400C1 W44086001 RIVOTRIL (R) CLONAZEPAMUM COMPR. 2mg 30 G11 EPILEPSIE 9N03AE01O V 05-07-2010 6.55 4.85 0.218333 0.218333 0.218333C1 W12596003 NEUROTOP CARBAMAZEPINUM COMPR. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.144200 0.144200C1 W51397003 TEGRETOL (R) 200 CARBAMAZEPINUM COMPR. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 17.35 12.84 0.347000 0.144200 0.144200C1 W00796002 CARBAMAZEPINA LPH 200 mg CARBAMAZEPINUM COMPR. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.144200 0.144200C1 W13249001 CARBAVIM CARBAMAZEPINUM COMPR. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.144200 0.144200C1 W00806001 CARBEPSIL 200 CARBAMAZEPINUM COMPR. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.144200 0.144200C1 W00818001 TAVER CARBAMAZEPINUM COMPR. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 7.21 5.33 0.144200 0.144200 0.144200

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W12403002 CARBAMAZEPIN CARBAMAZEPINUM COMPR. 200mg 20 G11 EPILEPSIE 9N03AF01O V 05-07-2010 4.42 3.27 0.221000 0.144200 0.144200C1 W00797001 CARBAMAZEPIN EEL CARBAMAZEPINUM COMPR. 200mg 20 G11 EPILEPSIE 9N03AF01O V 05-07-2010 4.50 3.33 0.225000 0.144200 0.144200C1 W00810001 FINLEPSIN CARBAMAZEPINUM COMPR. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 11.28 8.35 0.225600 0.144200 0.144200C1 W00798002 CARBAMAZEPINA ARENA 200 mg CARBAMAZEPINUM COMPR. 200mg 20 G11 EPILEPSIE 9N03AF01O V 05-07-2010 4.95 3.66 0.247500 0.144200 0.144200C1 W00818003 TAVER CARBAMAZEPINUM COMPR. 200mg 20 G11 EPILEPSIE 9N03AF01O V 05-07-2010 4.50 3.33 0.225000 0.144200 0.144200C1 W55081002 CARBAMAZEPINA CARBAMAZEPINUM COMPR. 200mg 20 G11 EPILEPSIE 9N03AF01O V 05-07-2010 4.51 3.34 0.225500 0.144200 0.144200C1 W00807001 CARBEPSIL 400 CARBAMAZEPINUM COMPR. 400mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 26.19 19.38 0.523800 0.523800 0.523800C1 W53816001 CARBAMAZEPINA ARENA 400 mg CARBAMAZEPINUM COMPR. 400mg 20 G11 EPILEPSIE 9N03AF01O V 05-07-2010 10.48 7.75 0.524000 0.523800 0.523800C1 W12426001 NEUROTOP (R) RETARD 300 mg CARBAMAZEPINUM COMPR. ELIB. PREL. 300mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 20.63 15.26 0.412600 0.411400 0.411400C1 W12428001 NEUROTOP (R) RETARD 600 mg CARBAMAZEPINUM COMPR. ELIB. PREL. 600mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 36.50 27.91 0.730000 0.728800 0.728800C1 W51395001 TEGRETOL CR 200 CARBAMAZEPINUM COMPR. FILM. ELIB. PREL. 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 19.12 14.15 0.382400 0.248400 0.248400C1 W51394001 TEGRETOL CR 400 CARBAMAZEPINUM COMPR. FILM. ELIB. PREL. 400mg 30 G11 EPILEPSIE 9N03AF01O V 05-07-2010 25.28 18.70 0.842666 0.540800 0.540800C1 W00812001 FINLEPSIN 400 RETARD CARBAMAZEPINUM COMPR. FILM. ELIB. PREL. 400mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 27.04 20.01 0.540800 0.540800 0.540800C1 W00826001 TIMONIL 150 RETARD CARBAMAZEPINUM COMPR. RET. 150mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 15.12 11.19 0.302400 0.302400 0.302400C1 W00827001 TIMONIL 300 RETARD CARBAMAZEPINUM COMPR. RET. 300mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 20.57 15.22 0.411400 0.411400 0.411400C1 W00828001 TIMONIL 600 RETARD CARBAMAZEPINUM COMPR. RET. 600mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 36.44 27.86 0.728800 0.728800 0.728800C1 W00811001 FINLEPSIN 200 RETARD CARBAMAZEPINUM COMPR.FILM.ELIB.PREL 200mg 50 G11 EPILEPSIE 9N03AF01O V 05-07-2010 12.42 9.19 0.248400 0.248400 0.248400C1 W00825001 TIMONIL SIROP CARBAMAZEPINUM SUSP. ORALA 100mg/5ml 1 G11 EPILEPSIE 9N03AF01O K 05-07-2010 22.47 16.62 22.470000 22.470000 22.470000C1 W51417002 TRILEPTAL (R) 300 mg OXCARBAZEPINUM COMPR. FILM. 300mg 50 G11 EPILEPSIE 9N03AF02O V 05-07-2010 64.58 49.37 1.291600 1.291600 1.291600C1 W51416002 TRILEPTAL (R) 600 mg OXCARBAZEPINUM COMPR. FILM. 600mg 50 G11 EPILEPSIE 9N03AF02O V 05-07-2010 118.02 93.34 2.360400 2.360400 2.360400C1 W08721001 ORFIRIL LONG 150 mg ACIDUM VALPROICUM + SARURI CAPS. ELIB. PREL. 150mg 50 G11 EPILEPSIE 9N03AG01O V 05-07-2010 21.90 16.20 0.438000 0.438000 0.438000C1 W08722001 ORFIRIL LONG 300 mg ACIDUM VALPROICUM + SARURI CAPS. ELIB. PREL. 300mg 50 G11 EPILEPSIE 9N03AG01O V 05-07-2010 36.67 28.04 0.733400 0.733400 0.733400C1 W12559001 CONVULEX (R) 150 mg ACIDUM VALPROICUM + SARURI CAPS. MOI GASTROREZ. 150mg 100 G11 EPILEPSIE 9N03AG01O V 05-07-2010 20.22 14.96 0.202200 0.202200 0.202200C1 W12561001 CONVULEX (R) 300 mg ACIDUM VALPROICUM + SARURI CAPS. MOI GASTROREZ. 300mg 100 G11 EPILEPSIE 9N03AG01O V 05-07-2010 33.20 24.56 0.332000 0.332000 0.332000C1 W12563001 CONVULEX (R) 500 mg ACIDUM VALPROICUM + SARURI CAPS. MOI GASTROREZ. 500mg 100 G11 EPILEPSIE 9N03AG01O V 05-07-2010 51.00 38.99 0.510000 0.510000 0.510000

C1 W06973001 DEPAKINE CHRONO 300 mg ACIDUM VALPROICUM + SARURICOMPR. FILM. ELIB. PREL. DIVIZ. 300mg 100 G11 EPILEPSIE 9N03AG01O V 05-07-2010 34.68 26.51 0.346800 0.346800 0.346800

C1 W10512001 DEPAKINE (R) CHRONO 500 mg ACIDUM VALPROICUM + SARURICOMPR. FILM. ELIB. PREL. DIVIZ. 500mg 30 G11 EPILEPSIE 9N03AG01O V 05-07-2010 16.02 11.85 0.534000 0.534000 0.534000

C1 W00201002 ORFIRIL 150 ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 150mg 100 G11 EPILEPSIE 9N03AG01O V 05-07-2010 29.08 21.52 0.290800 0.290800 0.290800C1 W07649002 DEPAKINE 200 mg ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 200mg 40 G11 EPILEPSIE 9N03AG01O V 05-07-2010 10.71 7.92 0.267750 0.267750 0.267750C1 W00202002 ORFIRIL 300 ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 300mg 100 G11 EPILEPSIE 9N03AG01O V 05-07-2010 37.49 28.66 0.374900 0.374900 0.374900C1 W00204001 ORFIRIL 600 ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 600mg 50 G11 EPILEPSIE 9N03AG01O V 05-07-2010 39.90 30.50 0.798000 0.798000 0.798000

C1 W06971001

DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. ACIDUM VALPROICUM + SARURI LIOF. + SOLV. PT. SOL. 400mg/4ml 4 G11 EPILEPSIE 9N03AG01P V 05-07-2010 126.76 103.83 31.690000 31.690000 31.690000

C1 W08325001 ORFIRIL LONG 1000 mg ACIDUM VALPROICUM + SARURI MINICOMPR. ELIB. PREL. 1000mg 50 G11 EPILEPSIE 9N03AG01O V 05-07-2010 94.70 74.90 1.894000 1.894000 1.894000C1 W10222001 ORFIRIL LONG 500 mg ACIDUM VALPROICUM + SARURI MINICOMPR. ELIB. PREL. 500mg 50 G11 EPILEPSIE 9N03AG01O V 05-07-2010 59.33 45.36 1.186600 1.186600 1.186600C1 W00200001 ORFIRIL SIROP ACIDUM VALPROICUM + SARURI SIROP 300mg/5ml 1 G11 EPILEPSIE 9N03AG01O K 05-07-2010 36.17 27.65 36.170000 36.170000 36.170000C1 W00192002 CONVULEX 50mg/ml ACIDUM VALPROICUM + SARURI SIROP 50mg/ml 1 G11 EPILEPSIE 9N03AG01O K 05-07-2010 8.67 6.41 8.670000 8.670000 8.670000C1 W06972001 DEPAKINE ACIDUM VALPROICUM + SARURI SIROP 57,64mg/ml 1 G11 EPILEPSIE 9N03AG01O K 05-07-2010 23.07 17.07 23.070000 23.070000 23.070000C1 W42977002 LAMOTIRAN 100 mg LAMOTRIGINUM COMPR. 100mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 26.59 19.67 0.949642 0.928571 0.928571C1 W42977001 LAMOTIRAN 100 mg LAMOTRIGINUM COMPR. 100mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 28.49 21.08 0.949666 0.928571 0.928571C1 W42997002 LAMOTRIX 100 mg LAMOTRIGINUM COMPR. 100mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 28.80 21.31 0.960000 0.928571 0.928571C1 W43429001 EPIMIL 100 mg LAMOTRIGINUM COMPR. 100mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 28.80 21.31 0.960000 0.928571 0.928571C1 W52100001 PLEXXO (R) 100 mg LAMOTRIGINUM COMPR. 100mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 28.80 21.31 0.960000 0.928571 0.928571C1 W52780001 XEBARIN 100 mg LAMOTRIGINUM COMPR. 100mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 26.86 19.87 0.959285 0.928571 0.928571C1 W52968001 LAMOTRIGINE FARMAL 100 mg LAMOTRIGINUM COMPR. 100mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 28.78 21.29 0.959333 0.928571 0.928571C1 W03925002 LAMICTAL 100 mg LAMOTRIGINUM COMPR. 100mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 42.87 32.78 1.429000 0.928571 0.928571C1 W03925008 LAMICTAL 100 mg LAMOTRIGINUM COMPR. 100mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 40.02 30.60 1.429285 0.928571 0.928571C1 W54035001 LAMOTRIGINA SUN 100 mg LAMOTRIGINUM COMPR. 100mg 56 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 52.00 39.76 0.928571 0.928571 0.928571C1 W42978001 LAMOTIRAN 200 mg LAMOTRIGINUM COMPR. 200mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 54.66 41.79 1.822000 1.772857 1.772857C1 W42978002 LAMOTIRAN 200 mg LAMOTRIGINUM COMPR. 200mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 51.01 39.00 1.821785 1.772857 1.772857C1 W42996002 LAMOTRIX 200 mg LAMOTRIGINUM COMPR. 200mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 99.28 78.52 3.309333 1.772857 1.772857C1 W52781001 XEBARIN 200 mg LAMOTRIGINUM COMPR. 200mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 51.01 39.00 1.821785 1.772857 1.772857C1 W54036001 LAMOTRIGINA SUN 200 mg LAMOTRIGINUM COMPR. 200mg 56 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 99.28 78.52 1.772857 1.772857 1.772857C1 W12304001 LAMICTAL 25 mg LAMOTRIGINUM COMPR. 25mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 11.11 8.22 0.370333 0.025357 0.025357C1 W42975002 LAMOTIRAN 25 mg LAMOTRIGINUM COMPR. 25mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 6.64 4.91 0.237142 0.025357 0.025357C1 W42975001 LAMOTIRAN 25 mg LAMOTRIGINUM COMPR. 25mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 7.12 5.27 0.237333 0.025357 0.025357C1 W42994002 LAMOTRIX 25 mg LAMOTRIGINUM COMPR. 25mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 7.23 5.35 0.241000 0.025357 0.025357C1 W43427001 EPIMIL 25mg LAMOTRIGINUM COMPR. 25mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 7.23 5.35 0.241000 0.025357 0.025357C1 W52778001 XEBARIN 25 mg LAMOTRIGINUM COMPR. 25mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 0.71 0.53 0.025357 0.025357 0.025357C1 W52966001 LAMOTRIGINE FARMAL 25 mg LAMOTRIGINUM COMPR. 25mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 7.23 5.35 0.241000 0.025357 0.025357C1 W54033001 LAMOTRIGINA SUN 25 mg LAMOTRIGINUM COMPR. 25mg 56 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 13.62 10.08 0.243214 0.025357 0.025357C1 W12304010 LAMICTAL 25 mg LAMOTRIGINUM COMPR. 25mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 10.37 7.67 0.370357 0.025357 0.025357C1 W41956001 PLEXXO (R) 50 mg LAMOTRIGINUM COMPR. 50mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 14.38 10.64 0.479333 0.474666 0.474666C1 W42976002 LAMOTIRAN 50 mg LAMOTRIGINUM COMPR. 50mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 13.30 9.84 0.475000 0.474666 0.474666C1 W42976001 LAMOTIRAN 50 mg LAMOTRIGINUM COMPR. 50mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 14.24 10.54 0.474666 0.474666 0.474666C1 W42995002 LAMOTRIX 50 mg LAMOTRIGINUM COMPR. 50mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 14.38 10.64 0.479333 0.474666 0.474666C1 W43428001 EPIMIL 50 mg LAMOTRIGINUM COMPR. 50mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 14.38 10.64 0.479333 0.474666 0.474666C1 W52779001 XEBARIN 50 mg LAMOTRIGINUM COMPR. 50mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 13.41 9.92 0.478928 0.474666 0.474666C1 W52967001 LAMOTRIGINE FARMAL 50 mg LAMOTRIGINUM COMPR. 50mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 14.39 10.65 0.479666 0.474666 0.474666C1 W03926004 LAMICTAL 50 mg LAMOTRIGINUM COMPR. 50mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 22.11 16.36 0.737000 0.474666 0.474666C1 W03926009 LAMICTAL 50 mg LAMOTRIGINUM COMPR. 50mg 28 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 20.65 15.28 0.737500 0.474666 0.474666C1 W54034001 LAMOTRIGINA SUN 50 mg LAMOTRIGINUM COMPR. 50mg 56 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 26.83 19.85 0.479107 0.474666 0.474666C1 W44019005 LAMOTRIN 100 mg LAMOTRIGINUM COMPR. DISP. 100mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 38.34 29.31 1.278000 1.278000 1.278000C1 W44012005 LAMOTRIN 25 mg LAMOTRIGINUM COMPR. DISP. 25mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 3.81 2.82 0.127000 0.127000 0.127000C1 W44018005 LAMOTRIN 50 mg LAMOTRIGINUM COMPR. DISP. 50mg 30 G11 EPILEPSIE MSP 9N03AX09O V 05-07-2010 26.39 19.52 0.879666 0.879666 0.879666C1 W44137001 TOPAMAX 100 mg TOPIRAMATUM COMPR. FILM. 100mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 124.82 102.24 4.457857 2.758500 2.758500C1 W52141001 TOPRAN 100 mg TOPIRAMATUM COMPR. FILM. 100mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 165.51 135.57 2.758500 2.758500 2.758500C1 W53074004 TOPIRAMAT TEVA 100 mg TOPIRAMATUM COMPR. FILM. 100mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 90.04 71.21 3.001333 2.758500 2.758500C1 W53160001 TOPIRAMAT ACTAVIS 100 mg TOPIRAMATUM COMPR. FILM. 100mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 168.37 137.92 2.806166 2.758500 2.758500C1 W53461002 ZIDOXER 100 mg TOPIRAMATUM COMPR. FILM. 100mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 84.03 66.46 3.001071 2.758500 2.758500C1 W54219015 TORLEPTA 100 mg TOPIRAMATUM COMPR. FILM. 100mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 90.04 71.21 3.001333 2.758500 2.758500C1 W54730004 TOPILEX 100 mg TOPIRAMATUM COMPR. FILM. 100mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 87.28 69.03 2.909333 2.758500 2.758500C1 W54794003 LUSITRAX 100mg TOPIRAMATUM COMPR. FILM. 100mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 87.25 69.00 2.908333 2.758500 2.758500C1 W55269002 ZIDOXER 100 mg TOPIRAMATUM COMPR. FILM. 100mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 84.03 66.46 3.001071 2.758500 2.758500C1 W55269003 ZIDOXER 100 mg TOPIRAMATUM COMPR. FILM. 100mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 170.75 139.87 2.845833 2.758500 2.758500C1 W55389015 TORLEPTA 100 mg TOPIRAMATUM COMPR. FILM. 100mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 90.04 71.21 3.001333 2.758500 2.758500C1 W52142001 TOPRAN 200 mg TOPIRAMATUM COMPR. FILM. 200mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 310.07 253.99 5.167833 5.167833 5.167833C1 W53075004 TOPIRAMAT TEVA 200 mg TOPIRAMATUM COMPR. FILM. 200mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 158.70 130.00 5.290000 5.167833 5.167833C1 W53462002 ZIDOXER 200 mg TOPIRAMATUM COMPR. FILM. 200mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 148.12 121.33 5.290000 5.167833 5.167833C1 W54795003 LUSITRAX 200mg TOPIRAMATUM COMPR. FILM. 200mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 155.04 127.00 5.168000 5.167833 5.167833

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W55270002 ZIDOXER 200 mg TOPIRAMATUM COMPR. FILM. 200mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 148.12 121.33 5.290000 5.167833 5.167833C1 W55270003 ZIDOXER 200 mg TOPIRAMATUM COMPR. FILM. 200mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 317.39 259.98 5.289833 5.167833 5.167833C1 W44139001 TOPAMAX 25 mg TOPIRAMATUM COMPR. FILM. 25mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 40.53 30.99 1.447500 0.897333 0.897333C1 W52139001 TOPRAN 25 mg TOPIRAMATUM COMPR. FILM. 25mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 53.84 41.16 0.897333 0.897333 0.897333C1 W53073004 TOPIRAMAT TEVA 25 mg TOPIRAMATUM COMPR. FILM. 25mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 29.15 21.57 0.971666 0.897333 0.897333C1 W53158001 TOPIRAMAT ACTAVIS 25 mg TOPIRAMATUM COMPR. FILM. 25mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 55.45 42.39 0.924166 0.897333 0.897333C1 W53459002 ZIDOXER 25 mg TOPIRAMATUM COMPR. FILM. 25mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 27.23 20.15 0.972500 0.897333 0.897333C1 W54217015 TORLEPTA 25 mg TOPIRAMATUM COMPR. FILM. 25mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 29.15 21.57 0.971666 0.897333 0.897333C1 W54732004 TOPILEX 25 mg TOPIRAMATUM COMPR. FILM. 25mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 27.75 20.53 0.925000 0.897333 0.897333C1 W54792003 LUSITRAX 25 mg TOPIRAMATUM COMPR. FILM. 25mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 27.81 20.58 0.927000 0.897333 0.897333C1 W55267002 ZIDOXER 25 mg TOPIRAMATUM COMPR. FILM. 25mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 27.23 20.15 0.972500 0.897333 0.897333C1 W55267003 ZIDOXER 25 mg TOPIRAMATUM COMPR. FILM. 25mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 56.45 43.16 0.940833 0.897333 0.897333C1 W55387015 TORLEPTA 25 mg TOPIRAMATUM COMPR. FILM. 25mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 29.15 21.57 0.971666 0.897333 0.897333C1 W44138001 TOPAMAX 50 mg TOPIRAMATUM COMPR. FILM. 50mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 73.03 57.76 2.608214 1.617166 1.617166C1 W52140001 TOPRAN 50 mg TOPIRAMATUM COMPR. FILM. 50mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 97.03 76.74 1.617166 1.617166 1.617166C1 W53072004 TOPIRAMAT TEVA 50 mg TOPIRAMATUM COMPR. FILM. 50mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 53.55 40.94 1.785000 1.617166 1.617166C1 W53159001 TOPIRAMAT ACTAVIS 50 mg TOPIRAMATUM COMPR. FILM. 50mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 97.80 77.35 1.630000 1.617166 1.617166C1 W53460002 ZIDOXER 50 mg TOPIRAMATUM COMPR. FILM. 50mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 49.98 38.21 1.785000 1.617166 1.617166C1 W54218015 TORLEPTA 50 mg TOPIRAMATUM COMPR. FILM. 50mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 53.55 40.94 1.785000 1.617166 1.617166C1 W54731004 TOPILEX 50 mg TOPIRAMATUM COMPR. FILM. 50mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 51.09 39.06 1.703000 1.617166 1.617166C1 W54793003 LUSITRAX 50 mg TOPIRAMATUM COMPR. FILM. 50mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 51.09 39.06 1.703000 1.617166 1.617166C1 W55268002 ZIDOXER 50 mg TOPIRAMATUM COMPR. FILM. 50mg 28 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 49.98 38.21 1.785000 1.617166 1.617166C1 W55268003 ZIDOXER 50 mg TOPIRAMATUM COMPR. FILM. 50mg 60 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 101.73 80.46 1.695500 1.617166 1.617166C1 W55388015 TORLEPTA 50 mg TOPIRAMATUM COMPR. FILM. 50mg 30 G11 EPILEPSIE MSP 9N03AX11O V 05-07-2010 53.55 40.94 1.785000 1.617166 1.617166C1 W41588005 GABAGAMMA 100 mg GABAPENTINUM CAPS. 100mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 60.46 46.22 0.604600 0.554500 0.554500C1 W41588004 GABAGAMMA 100 mg GABAPENTINUM CAPS. 100mg 50 G11 EPILEPSIE CJAS 0N03AXO V 05-07-2010 30.97 22.91 0.619400 0.554500 0.554500C1 W43539001 GABALEPT 100 mg GABAPENTINUM CAPS. 100mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 57.04 43.61 0.570400 0.554500 0.554500C1 W54332002 GRIMODIN 100 mg GABAPENTINUM CAPS. 100mg 60 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 33.27 25.44 0.554500 0.554500 0.554500C1 W41589004 GABAGAMMA 300 mg GABAPENTINUM CAPS. 300mg 50 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 71.98 56.93 1.439600 1.057833 1.057833C1 W41589002 GABAGAMMA 300 mg GABAPENTINUM CAPS. 300mg 20 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 33.13 25.33 1.656500 1.057833 1.057833C1 W41589005 GABAGAMMA 300 mg GABAPENTINUM CAPS. 300mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 133.24 109.14 1.332400 1.057833 1.057833C1 W42824001 GABARAN 300 mg GABAPENTINUM CAPS. 300mg 50 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 65.80 52.04 1.316000 1.057833 1.057833C1 W43540001 GABALEPT 300 mg GABAPENTINUM CAPS. 300mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 132.78 108.76 1.327800 1.057833 1.057833C1 W54333001 GRIMODIN 300 mg GABAPENTINUM CAPS. 300mg 60 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 63.47 50.20 1.057833 1.057833 1.057833C1 W41590004 GABAGAMMA 400 mg GABAPENTINUM CAPS. 400mg 50 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 94.31 74.59 1.886200 1.429333 1.429333C1 W41590002 GABAGAMMA 400 mg GABAPENTINUM CAPS. 400mg 20 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 42.90 32.80 2.145000 1.429333 1.429333C1 W41590005 GABAGAMMA 400 mg GABAPENTINUM CAPS. 400mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 174.76 143.15 1.747600 1.429333 1.429333C1 W42825001 GABARAN 400 mg GABAPENTINUM CAPS. 400mg 50 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 72.55 57.38 1.451000 1.429333 1.429333C1 W43541001 GABALEPT 400 mg GABAPENTINUM CAPS. 400mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 168.76 138.24 1.687600 1.429333 1.429333C1 W54334001 GRIMODIN 400 mg GABAPENTINUM CAPS. 400mg 60 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 85.76 67.83 1.429333 1.429333 1.429333C1 W42826001 GABARAN 600 mg GABAPENTINUM COMPR. FILM. 600mg 30 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 65.06 49.74 2.168666 1.952800 1.952800C1 W54124001 GABAGAMMA 600 mg GABAPENTINUM COMPR. FILM. 600mg 20 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 43.36 33.15 2.168000 1.952800 1.952800C1 W54124003 GABAGAMMA 600 mg GABAPENTINUM COMPR. FILM. 600mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 195.28 159.96 1.952800 1.952800 1.952800C1 W54330002 GRIMODIN 600 mg GABAPENTINUM COMPR. FILM. 600mg 60 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 123.39 97.59 2.056500 1.952800 1.952800C1 W42827001 GABARAN 800 mg GABAPENTINUM COMPR. FILM. 800mg 30 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 104.00 82.25 3.466666 3.281833 3.281833C1 W54125001 GABAGAMMA 800 mg GABAPENTINUM COMPR. FILM. 800mg 20 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 70.57 55.81 3.528500 3.281833 3.281833C1 W54125003 GABAGAMMA 800 mg GABAPENTINUM COMPR. FILM. 800mg 100 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 328.74 269.28 3.287400 3.281833 3.281833C1 W54331002 GRIMODIN 800 mg GABAPENTINUM COMPR. FILM. 800mg 60 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 196.91 161.30 3.281833 3.281833 3.281833C1 W12147003 KEPPRA 1000 mg LEVETIRACETAMUM COMPR. FILM. 1000mg 30 G11 EPILEPSIE MSP 9N03AX14O V 05-07-2010 344.38 282.09 11.479333 11.479333 11.479333C1 W12144002 KEPPRA 250 mg LEVETIRACETAMUM COMPR. FILM. 250mg 30 G11 EPILEPSIE MSP 9N03AX14O V 05-07-2010 90.90 71.89 3.030000 3.030000 3.030000C1 W12146003 KEPPRA 500 mg LEVETIRACETAMUM COMPR. FILM. 500mg 30 G11 EPILEPSIE MSP 9N03AX14O V 05-07-2010 171.12 140.17 5.704000 5.704000 5.704000C1 W42835001 KEPPRA 100 mg/ml LEVETIRACETAMUM SOL. ORALA 100mg/ml 1 G11 EPILEPSIE MSP 9N03AX14O V 05-07-2010 338.47 277.25 338.470000 338.470000 338.470000C1 W41745001 LYRICA 150 mg PREGABALINUM CAPS. 150mg 14 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 75.99 60.10 5.427857 5.146785 5.146785C1 W41745002 LYRICA 150 mg PREGABALINUM CAPS. 150mg 56 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 288.22 236.09 5.146785 5.146785 5.146785C1 W41747002 LYRICA 300 mg PREGABALINUM CAPS. 300mg 56 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 421.84 352.01 7.532857 7.532857 7.532857C1 W41747001 LYRICA 300 mg PREGABALINUM CAPS. 300mg 14 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 114.01 90.17 8.143571 7.532857 7.532857C1 W41743001 LYRICA 75 mg PREGABALINUM CAPS. 75mg 14 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 53.59 40.97 3.827857 3.447678 3.447678C1 W41743002 LYRICA 75 mg PREGABALINUM CAPS. 75mg 56 G11 EPILEPSIE CJAS 1N03AXO V 05-07-2010 193.07 158.15 3.447678 3.447678 3.447678C1 W11164002 BROCRIPTIN (N04BC01) BROMOCRIPTINUM DRAJ. 2,5mg 40 G12 BOALA PARKINSON 0G02CBO V 05-07-2010 21.11 15.62 0.527750 0.527750 0.527750C1 W06002001 ROMPARKIN (R) 2 mg TRIHEXYPHENIDYLUM COMPR. 2mg 50 G12 BOALA PARKINSON 0N04AAO V 05-07-2010 17.66 13.07 0.353200 0.353200 0.353200C1 W51243005 AKINETON BIPERIDENUM COMPR. 2mg 50 G12 BOALA PARKINSON 0N04AAO V 05-07-2010 10.54 7.80 0.210800 0.210800 0.210800

C1 W51325002 MADOPAR HBSCOMBINATII (LEVODOPUM+BENSERAZIDUM) CAPS. ELIB. MODIF. 100mg+25mg 100 G12 BOALA PARKINSON MSP 9N04BA02O V 05-07-2010 58.74 44.91 0.587400 0.587400 0.587400

C1 W54606005LEVODOPA/BENSERASIDE TEVA 100mg/25mg

COMBINATII (LEVODOPUM+BENSERAZIDUM) COMPR. 100mg/25mg 100 G12 BOALA PARKINSON MSP 9N04BA02O V 05-07-2010 38.19 29.20 0.381900 0.381900 0.381900

C1 W54607002LEVODOPA/BENSERASIDE TEVA 200mg/50mg

COMBINATII (LEVODOPUM+BENSERAZIDUM) COMPR. 200mg/50mg 30 G12 BOALA PARKINSON MSP 9N04BA02O V 05-07-2010 15.70 11.62 0.523333 0.523333 0.523333

C1 W03958001 MADOPAR (R) 250COMBINATII (LEVODOPUM+BENSERAZIDUM) COMPR. 200mg+50mg 30 G12 BOALA PARKINSON MSP 9N04BA02O V 05-07-2010 48.24 36.88 1.608000 0.805333 0.805333

C1 W03957002 MADOPAR 250COMBINATII (LEVODOPUM+BENSERAZIDUM) COMPR. 200mg+50mg 30 G12 BOALA PARKINSON MSP 9N04BA02O V 05-07-2010 24.16 17.88 0.805333 0.805333 0.805333

C1 W03950004 ISICOM 250 mg/25 mgCOMBINATII (LEVODOPUM+CARBIDOPUM) COMPR. 250mg/25mg 100 G12 BOALA PARKINSON 9N04BA02O V 05-07-2010 74.39 58.83 0.743900 0.425700 0.425700

C1 W03955001 ZIMOXCOMBINATII (LEVODOPUM+CARBIDOPUM) COMPR. 250mg+25mg 30 G12 BOALA PARKINSON 9N04BA02O V 05-07-2010 19.17 14.18 0.639000 0.425700 0.425700

C1 W03949003 CREDANIL 25/250COMBINATII (LEVODOPUM+CARBIDOPUM) COMPR. 250mg+25mg 20 G12 BOALA PARKINSON 9N04BA02O V 05-07-2010 19.26 14.25 0.963000 0.425700 0.425700

C1 W43291003 CARBIDOPA / LEVODOPA TEVA 25/250COMBINATII (LEVODOPUM+CARBIDOPUM) COMPR. 250mg+25mg 100 G12 BOALA PARKINSON 9N04BA02O V 05-07-2010 42.57 32.55 0.425700 0.425700 0.425700

C1 W12453001 NAKOMCOMBINATII (LEVODOPUM+CARBIDOPUM) COMPR. 250mg+25mg 100 G12 BOALA PARKINSON 9N04BA02O V 05-07-2010 61.90 47.32 0.619000 0.425700 0.425700

C1 W43479001 DUODOPACOMBINATII (LEVODOPUM+CARBIDOPUM) GEL INT. FARA CONCENT7 G12 BOALA PARKINSON 9N04BA02V V 05-07-2010 3,416.89 3,099.76 488.127142 488.127142 488.127142

C1 W41627003 STALEVO 100 mg/25 mg/200 mg

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM) COMPR. FILM. 100mg/25mg/200 100 G12 BOALA PARKINSON CJAS 9N04BA03O V 05-07-2010 413.66 344.50 4.136600 4.136600 4.136600

C1 W54594003 STALEVO 125 mg/31,25 mg/200 mg

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM) COMPR. FILM. 125mg/31,25mg/2100 G12 BOALA PARKINSON CJAS 9N04BA03O V 05-07-2010 413.66 344.50 4.136600 4.136600 4.136600

C1 W41628003 STALEVO 150 mg/37,5 mg/200 mg

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM) COMPR. FILM. 150mg/37,5mg/20100 G12 BOALA PARKINSON CJAS 9N04BA03O V 05-07-2010 413.66 344.50 4.136600 4.136600 4.136600

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W53032003 STALEVO 200 mg/50 mg/200 mg

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM) COMPR. FILM. 200mg/50mg/200 100 G12 BOALA PARKINSON CJAS 9N04BA03O V 05-07-2010 543.78 463.88 5.437800 5.437800 5.437800

C1 W41626003 STALEVO 50 mg/12,5 mg/200 mg

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM) COMPR. FILM. 50mg/12,5mg/200100 G12 BOALA PARKINSON CJAS 9N04BA03O V 05-07-2010 413.66 344.50 4.136600 4.136600 4.136600

C1 W54593003 STALEVO 75 mg/18,75 mg/200 mg

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM) COMPR. FILM. 75mg/18,5mg/200100 G12 BOALA PARKINSON CJAS 9N04BA03O V 05-07-2010 413.66 344.50 4.136600 4.136600 4.136600

C1 W00264001 VIREGYT (R)- K AMANTADINUM CAPS. 100mg 50 G12 BOALA PARKINSON MSP 9N04BB01O V 05-07-2010 17.03 12.60 0.340600 0.340600 0.340600C1 W05461001 REQUIP 0,25 mg ROPINIROLUM COMPR. FILM. 0,25mg 210 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 108.90 86.13 0.518571 0.300000 0.300000C1 W53597013 ROPINIROL ACTAVIS 0,25 mg ROPINIROLUM COMPR. FILM. 0,25mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 6.30 4.66 0.300000 0.300000 0.300000C1 W53692001 ALETA 0,25mg ROPINIROLUM COMPR. FILM. 0,25mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 9.04 6.69 0.301333 0.300000 0.300000C1 W53692002 ALETA 0,25mg ROPINIROLUM COMPR. FILM. 0,25mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 9.04 6.69 0.301333 0.300000 0.300000C1 W53963003 ROPINIROL TEVA 0,25 mg ROPINIROLUM COMPR. FILM. 0,25mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 6.32 4.68 0.300952 0.300000 0.300000C1 W53693001 ALETA 0,5mg ROPINIROLUM COMPR. FILM. 0,5mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 17.23 12.75 0.574333 0.573809 0.573809C1 W53693002 ALETA 0,5mg ROPINIROLUM COMPR. FILM. 0,5mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 17.23 12.75 0.574333 0.573809 0.573809C1 W53964002 ROPINIROL TEVA 0,5 mg ROPINIROLUM COMPR. FILM. 0,5mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 12.05 8.92 0.573809 0.573809 0.573809C1 W53964003 ROPINIROL TEVA 0,5 mg ROPINIROLUM COMPR. FILM. 0,5mg 28 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 16.07 11.89 0.573928 0.573809 0.573809C1 W05462001 REQUIP 1 mg ROPINIROLUM COMPR. FILM. 1mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 35.25 26.95 1.678571 1.092380 1.092380C1 W53599010 ROPINIROL ACTAVIS 1 mg ROPINIROLUM COMPR. FILM. 1mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 22.94 16.97 1.092380 1.092380 1.092380C1 W53694001 ALETA 1mg ROPINIROLUM COMPR. FILM. 1mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 32.79 24.26 1.093000 1.092380 1.092380C1 W53694002 ALETA 1mg ROPINIROLUM COMPR. FILM. 1mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 32.79 24.26 1.093000 1.092380 1.092380C1 W53965002 ROPINIROL TEVA 1 mg ROPINIROLUM COMPR. FILM. 1mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 22.96 16.99 1.093333 1.092380 1.092380C1 W05463001 REQUIP 2 mg ROPINIROLUM COMPR. FILM. 2mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 56.22 42.98 2.677142 1.699047 1.699047C1 W53600010 ROPINIROL ACTAVIS 2 mg ROPINIROLUM COMPR. FILM. 2mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 35.68 27.28 1.699047 1.699047 1.699047C1 W53695001 ALETA 2mg ROPINIROLUM COMPR. FILM. 2mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 51.00 38.99 1.700000 1.699047 1.699047C1 W53695002 ALETA 2mg ROPINIROLUM COMPR. FILM. 2mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 51.00 38.99 1.700000 1.699047 1.699047C1 W53966002 ROPINIROL TEVA 2 mg ROPINIROLUM COMPR. FILM. 2mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 35.70 27.29 1.700000 1.699047 1.699047C1 W53966003 ROPINIROL TEVA 2 mg ROPINIROLUM COMPR. FILM. 2mg 28 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 47.60 36.39 1.700000 1.699047 1.699047C1 W05464001 REQUIP 5 mg ROPINIROLUM COMPR. FILM. 5mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 121.63 96.20 5.791904 3.648095 3.648095C1 W53603009 ROPINIROL ACTAVIS 5 mg ROPINIROLUM COMPR. FILM. 5mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 76.61 60.59 3.648095 3.648095 3.648095C1 W53696001 ALETA 5mg ROPINIROLUM COMPR. FILM. 5mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 109.48 86.59 3.649333 3.648095 3.648095C1 W53696002 ALETA 5mg ROPINIROLUM COMPR. FILM. 5mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 109.48 86.59 3.649333 3.648095 3.648095C1 W53967002 ROPINIROL TEVA 5 mg ROPINIROLUM COMPR. FILM. 5mg 21 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 76.63 60.61 3.649047 3.648095 3.648095C1 W53187002 REQUIP-MODUTAB 2 mg ROPINIROLUM COMPR. FILM. ELIB. PREL. 2mg 28 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 61.23 46.81 2.186785 2.186785 2.186785C1 W53189001 REQUIP-MODUTAB 4 mg ROPINIROLUM COMPR. FILM. ELIB. PREL. 4mg 28 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 116.19 91.89 4.149642 4.149642 4.149642C1 W53190001 REQUIP-MODUTAB 8 mg ROPINIROLUM COMPR. FILM. ELIB. PREL. 8mg 28 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 220.45 180.58 7.873214 7.873214 7.873214C1 W53524002 OPRYMEA 0,088mg PRAMIPEXOLUM COMPR. 0,088mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 19.71 14.58 0.657000 0.657000 0.657000C1 W41648001 MIRAPEXIN 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 49.65 37.96 1.655000 1.111000 1.111000C1 W53525002 OPRYMEA 0,18mg PRAMIPEXOLUM COMPR. 0,18mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 33.34 24.67 1.111333 1.111000 1.111000C1 W54233001 GLEPARK 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 33.34 24.67 1.111333 1.111000 1.111000C1 W53881001 PRAMIPEXOL TEVA 0,18mg PRAMIPEXOLUM COMPR. 0,18mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 33.33 24.66 1.111000 1.111000 1.111000C1 W54682003 PRAMIPEXOL SANDOZ 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 33.34 24.67 1.111333 1.111000 1.111000C1 W54712001 MEDOPEXOL 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 33.34 24.67 1.111333 1.111000 1.111000C1 W55286001 GLEPARK 0,18 mg PRAMIPEXOLUM COMPR. 0,18mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 33.34 24.67 1.111333 1.111000 1.111000C1 W41649001 MIRAPEXIN 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 167.46 137.17 5.582000 3.826000 3.826000C1 W53527002 OPRYMEA 0,7mg PRAMIPEXOLUM COMPR. 0,7mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 114.78 90.78 3.826000 3.826000 3.826000C1 W54235001 GLEPARK 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 114.78 90.78 3.826000 3.826000 3.826000C1 W53883001 PRAMIPEXOL TEVA 0,7mg PRAMIPEXOLUM COMPR. 0,7mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 114.78 90.78 3.826000 3.826000 3.826000C1 W54995003 PRAMIPEXOL SANDOZ 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 114.78 90.78 3.826000 3.826000 3.826000C1 W54713001 MEDOPEXOL 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 114.78 90.78 3.826000 3.826000 3.826000C1 W55288001 GLEPARK 0,7 mg PRAMIPEXOLUM COMPR. 0,7mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 114.78 90.78 3.826000 3.826000 3.826000C1 W54798001 MIRAPEXIN 0,26 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 0,26mg 10 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 57.99 44.33 5.799000 5.799000 5.799000C1 W54799002 MIRAPEXIN 0,52 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 0,52mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 313.33 256.66 10.444333 10.444333 10.444333C1 W54800002 MIRAPEXIN 1,05 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 1,05mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 648.99 560.40 21.633000 21.633000 21.633000C1 W54801002 MIRAPEXIN 2,1 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 2,1mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 1,227.12 1,090.80 40.904000 40.904000 40.904000C1 W54802002 MIRAPEXIN 3,15 mg PRAMIPEXOLUM COMPR. ELIB. PREL. 3,15mg 30 G12 BOALA PARKINSON MSP 0N04BCO V 05-07-2010 1,805.26 1,621.20 60.175333 60.175333 60.175333C1 W51600003 NEUPRO 2mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 2mg/24h 28 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 366.72 301.44 13.097142 13.097142 13.097142C1 W51600001 NEUPRO 2mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 2mg/24h 7 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 97.93 77.45 13.990000 13.097142 13.097142C1 W51601001 NEUPRO 4mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 4mg/24h 7 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 101.41 80.20 14.487142 13.625357 13.625357C1 W51601003 NEUPRO 4mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 4mg/24h 28 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 381.51 315.01 13.625357 13.625357 13.625357C1 W51602003 NEUPRO 6mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 6mg/24h 28 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 476.61 402.26 17.021785 17.021785 17.021785C1 W51602001 NEUPRO 6mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 6mg/24h 7 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 127.27 104.25 18.181428 17.021785 17.021785C1 W51603003 NEUPRO 8mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 8mg/24h 28 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 570.23 488.15 20.365357 20.365357 20.365357C1 W51603001 NEUPRO 8mg/24h ROTIGOTINUM PLASTURE TRANSDERMIC 8mg/24h 7 G12 BOALA PARKINSON CJAS 0N04BCTD V 05-07-2010 153.81 125.99 21.972857 20.365357 20.365357C1 W08952005 SELEGOS SELEGILINUM COMPR. 5mg 50 G12 BOALA PARKINSON 0N04BDO V 05-07-2010 36.22 27.69 0.724400 0.702100 0.702100C1 W08952003 SELEGOS SELEGILINUM COMPR. 5mg 100 G12 BOALA PARKINSON 0N04BDO V 05-07-2010 70.21 55.53 0.702100 0.702100 0.702100C1 W12444001 JUMEX 5 mg SELEGILINUM COMPR. 5mg 50 G12 BOALA PARKINSON 0N04BDO V 05-07-2010 41.63 31.83 0.832600 0.702100 0.702100C1 W42418004 AZILECT 1mg RASAGILINUM COMPR. 1mg 30 G12 BOALA PARKINSON CJAS 0N04BDO V 05-07-2010 522.52 444.38 17.417333 17.417333 17.417333C1 W06943003 COMTAN 200mg ENTACAPONUM COMPR. FILM. 200mg 100 G12 BOALA PARKINSON CJAS 9N04BX02O V 05-07-2010 390.82 323.55 3.908200 3.908200 3.908200C1 W06943001 COMTAN 200mg ENTACAPONUM COMPR. FILM. 200mg 30 G12 BOALA PARKINSON CJAS 9N04BX02O V 05-07-2010 124.96 98.83 4.165333 3.908200 3.908200C1 W01400001 LEPONEX (R) 100 mg CLOZAPINUM COMPR. 100mg 50 G12 BOALA PARKINSON MSP 9N05AH02O V 05-07-2010 106.54 84.26 2.130800 2.130800 2.130800C1 W01401001 LEPONEX (R) 25 mg CLOZAPINUM COMPR. 25mg 50 G12 BOALA PARKINSON MSP 9N05AH02O V 05-07-2010 33.56 24.83 0.671200 0.671200 0.671200C1 W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 G13 MIASTENIA GRAVIS 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.082333 0.082333C1 W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 G13 MIASTENIA GRAVIS 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.082333 0.082333C1 W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 G13 MIASTENIA GRAVIS 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.082333C1 W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 G13 MIASTENIA GRAVIS 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.082333 0.082333C1 W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 G13 MIASTENIA GRAVIS 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.082333 0.082333C1 W54019001 METOTREXATE BELLON 2,5 mg METHOTREXATUM COMPR. 2,5mg 20 G13 MIASTENIA GRAVIS MS 9L01BA01O V 05-07-2010 22.79 16.86 1.139500 1.139500 1.139500C1 W04185002 METHOTREXAT "EBEWE" 500 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 5 G13 MIASTENIA GRAVIS 9L01BA01P V 05-07-2010 240.51 197.01 48.102000 48.102000 48.102000C1 W12733003 METHOTREXAT "EBEWE" 1000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G13 MIASTENIA GRAVIS 9L01BA01P V 05-07-2010 89.44 70.74 89.440000 89.440000 89.440000C1 W12735001 METHOTREXAT "EBEWE" 5000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G13 MIASTENIA GRAVIS 9L01BA01P V 05-07-2010 400.04 332.01 400.040000 400.040000 400.040000C1 W04186001 METHOTREXAT "EBEWE" 5 mg METHOTREXATUM SOL. INJ. 5mg/ml 10 G13 MIASTENIA GRAVIS 9L01BA01P V 05-07-2010 23.77 17.59 2.377000 2.377000 2.377000

C1 W53758016 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G13 MIASTENIA GRAVIS 9L01BA01P V 05-07-2010 109.28 86.43 109.280000 109.280000 109.280000

C1 W53758021 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G13 MIASTENIA GRAVIS 9L01BA01P V 05-07-2010 123.90 101.49 123.900000 109.280000 109.280000

C1 W12308002 METHOTREXAT "EBEWE" 50 mg METHOTREXATUM SOL. INJ./PERF. 10mg/ml 1 G13 MIASTENIA GRAVIS 9L01BA01P V 05-07-2010 13.30 9.84 13.300000 13.300000 13.300000C1 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 G13 MIASTENIA GRAVIS 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200C1 W52868001 NEOSTIGMINA LPH 15 mg NEOSTIGMINI BROMIDUM COMPR. 15mg 20 G13 MIASTENIA GRAVIS 9N07AA01O V 05-07-2010 13.70 10.14 0.685000 0.685000 0.685000C1 W51425001 MESTINON 60 mg PYRIDOSTIGMINI BROMIDUM DRAJ. 60mg 20 G13 MIASTENIA GRAVIS 9N07AA02O V 05-07-2010 16.52 12.22 0.826000 0.826000 0.826000C1 W04224001 MEDROL A 16 METHYLPREDNISOLONUM COMPR. 16mg 50 G14 SCLEROZA MULTIPLA 9H02AB04O V 05-07-2010 32.54 24.08 0.650800 0.650800 0.650800

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W04222001 MEDROL 32 METHYLPREDNISOLONUM COMPR. 32mg 20 G14 SCLEROZA MULTIPLA 9H02AB04O V 05-07-2010 29.57 21.88 1.478500 1.478500 1.478500C1 W04223002 MEDROL 4 mg METHYLPREDNISOLONUM COMPR. 4mg 30 G14 SCLEROZA MULTIPLA 9H02AB04O V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333C1 W08307001 LEMOD SOLU 125 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 125mg 1 G14 SCLEROZA MULTIPLA 9H02AB04P V 05-07-2010 8.78 6.50 8.780000 8.780000 8.780000C1 W08310001 LEMOD SOLU 500 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 500mg 1 G14 SCLEROZA MULTIPLA 9H02AB04P V 05-07-2010 30.94 22.89 30.940000 30.940000 30.940000C1 W04237001 SOLU - MEDROL ACT-O-VIAL METHYLPREDNISOLONUM LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml 1 G14 SCLEROZA MULTIPLA 9H02AB04P V 05-07-2010 20.42 15.11 20.420000 20.420000 20.420000C1 W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 G14 SCLEROZA MULTIPLA 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.082333 0.082333C1 W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 G14 SCLEROZA MULTIPLA 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.082333 0.082333C1 W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 G14 SCLEROZA MULTIPLA 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.082333C1 W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 G14 SCLEROZA MULTIPLA 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.082333 0.082333C1 W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 G14 SCLEROZA MULTIPLA 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.082333 0.082333C1 W54019001 METOTREXATE BELLON 2,5 mg METHOTREXATUM COMPR. 2,5mg 20 G14 SCLEROZA MULTIPLA MS 9L01BA01O V 05-07-2010 22.79 16.86 1.139500 1.139500 1.139500C1 W04185002 METHOTREXAT "EBEWE" 500 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 5 G14 SCLEROZA MULTIPLA 9L01BA01P V 05-07-2010 240.51 197.01 48.102000 48.102000 48.102000C1 W12733003 METHOTREXAT "EBEWE" 1000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G14 SCLEROZA MULTIPLA 9L01BA01P V 05-07-2010 89.44 70.74 89.440000 89.440000 89.440000C1 W12735001 METHOTREXAT "EBEWE" 5000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G14 SCLEROZA MULTIPLA 9L01BA01P V 05-07-2010 400.04 332.01 400.040000 400.040000 400.040000C1 W04186001 METHOTREXAT "EBEWE" 5 mg METHOTREXATUM SOL. INJ. 5mg/ml 10 G14 SCLEROZA MULTIPLA 9L01BA01P V 05-07-2010 23.77 17.59 2.377000 2.377000 2.377000

C1 W53758016 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G14 SCLEROZA MULTIPLA 9L01BA01P V 05-07-2010 109.28 86.43 109.280000 109.280000 109.280000

C1 W53758021 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G14 SCLEROZA MULTIPLA 9L01BA01P V 05-07-2010 123.90 101.49 123.900000 109.280000 109.280000

C1 W12308002 METHOTREXAT "EBEWE" 50 mg METHOTREXATUM SOL. INJ./PERF. 10mg/ml 1 G14 SCLEROZA MULTIPLA 9L01BA01P V 05-07-2010 13.30 9.84 13.300000 13.300000 13.300000C1 W42735002 ONKOTRONE MITOXANTRONUM CONC. PT. SOL. INJ. 2mg/ml 1 G14 SCLEROZA MULTIPLA CJAS 9L01DB07P V 05-07-2010 642.27 554.24 642.270000 642.270000 642.270000C1 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 G14 SCLEROZA MULTIPLA 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200C1 W08721001 ORFIRIL LONG 150 mg ACIDUM VALPROICUM + SARURI CAPS. ELIB. PREL. 150mg 50 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 21.90 16.20 0.438000 0.438000 0.438000C1 W08722001 ORFIRIL LONG 300 mg ACIDUM VALPROICUM + SARURI CAPS. ELIB. PREL. 300mg 50 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 36.67 28.04 0.733400 0.733400 0.733400C1 W12559001 CONVULEX (R) 150 mg ACIDUM VALPROICUM + SARURI CAPS. MOI GASTROREZ. 150mg 100 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 20.22 14.96 0.202200 0.202200 0.202200C1 W12561001 CONVULEX (R) 300 mg ACIDUM VALPROICUM + SARURI CAPS. MOI GASTROREZ. 300mg 100 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 33.20 24.56 0.332000 0.332000 0.332000C1 W12563001 CONVULEX (R) 500 mg ACIDUM VALPROICUM + SARURI CAPS. MOI GASTROREZ. 500mg 100 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 51.00 38.99 0.510000 0.510000 0.510000

C1 W06973001 DEPAKINE CHRONO 300 mg ACIDUM VALPROICUM + SARURICOMPR. FILM. ELIB. PREL. DIVIZ. 300mg 100 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 34.68 26.51 0.346800 0.346800 0.346800

C1 W10512001 DEPAKINE (R) CHRONO 500 mg ACIDUM VALPROICUM + SARURICOMPR. FILM. ELIB. PREL. DIVIZ. 500mg 30 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 16.02 11.85 0.534000 0.534000 0.534000

C1 W00201002 ORFIRIL 150 ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 150mg 100 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 29.08 21.52 0.290800 0.290800 0.290800C1 W07649002 DEPAKINE 200 mg ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 200mg 40 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 10.71 7.92 0.267750 0.267750 0.267750C1 W00202002 ORFIRIL 300 ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 300mg 100 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 37.49 28.66 0.374900 0.374900 0.374900C1 W00204001 ORFIRIL 600 ACIDUM VALPROICUM + SARURI COMPR. FILM. GASTROREZ. 600mg 50 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 39.90 30.50 0.798000 0.798000 0.798000

C1 W06971001

DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. ACIDUM VALPROICUM + SARURI LIOF. + SOLV. PT. SOL. 400mg/4ml 4 G15 BOLI PSIHICE 9N03AG01P V 05-07-2010 126.76 103.83 31.690000 31.690000 31.690000

C1 W08325001 ORFIRIL LONG 1000 mg ACIDUM VALPROICUM + SARURI MINICOMPR. ELIB. PREL. 1000mg 50 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 94.70 74.90 1.894000 1.894000 1.894000C1 W10222001 ORFIRIL LONG 500 mg ACIDUM VALPROICUM + SARURI MINICOMPR. ELIB. PREL. 500mg 50 G15 BOLI PSIHICE 9N03AG01O V 05-07-2010 59.33 45.36 1.186600 1.186600 1.186600C1 W00200001 ORFIRIL SIROP ACIDUM VALPROICUM + SARURI SIROP 300mg/5ml 1 G15 BOLI PSIHICE 9N03AG01O K 05-07-2010 36.17 27.65 36.170000 36.170000 36.170000C1 W00192002 CONVULEX 50mg/ml ACIDUM VALPROICUM + SARURI SIROP 50mg/ml 1 G15 BOLI PSIHICE 9N03AG01O K 05-07-2010 8.67 6.41 8.670000 8.670000 8.670000C1 W06972001 DEPAKINE ACIDUM VALPROICUM + SARURI SIROP 57,64mg/ml 1 G15 BOLI PSIHICE 9N03AG01O K 05-07-2010 23.07 17.07 23.070000 23.070000 23.070000C1 W42977002 LAMOTIRAN 100 mg LAMOTRIGINUM COMPR. 100mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 26.59 19.67 0.949642 0.928571 0.928571C1 W42977001 LAMOTIRAN 100 mg LAMOTRIGINUM COMPR. 100mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 28.49 21.08 0.949666 0.928571 0.928571C1 W42997002 LAMOTRIX 100 mg LAMOTRIGINUM COMPR. 100mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 28.80 21.31 0.960000 0.928571 0.928571C1 W43429001 EPIMIL 100 mg LAMOTRIGINUM COMPR. 100mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 28.80 21.31 0.960000 0.928571 0.928571C1 W52100001 PLEXXO (R) 100 mg LAMOTRIGINUM COMPR. 100mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 28.80 21.31 0.960000 0.928571 0.928571C1 W52780001 XEBARIN 100 mg LAMOTRIGINUM COMPR. 100mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 26.86 19.87 0.959285 0.928571 0.928571C1 W52968001 LAMOTRIGINE FARMAL 100 mg LAMOTRIGINUM COMPR. 100mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 28.78 21.29 0.959333 0.928571 0.928571C1 W03925002 LAMICTAL 100 mg LAMOTRIGINUM COMPR. 100mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 42.87 32.78 1.429000 0.928571 0.928571C1 W03925008 LAMICTAL 100 mg LAMOTRIGINUM COMPR. 100mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 40.02 30.60 1.429285 0.928571 0.928571C1 W54035001 LAMOTRIGINA SUN 100 mg LAMOTRIGINUM COMPR. 100mg 56 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 52.00 39.76 0.928571 0.928571 0.928571C1 W42978001 LAMOTIRAN 200 mg LAMOTRIGINUM COMPR. 200mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 54.66 41.79 1.822000 1.772857 1.772857C1 W42978002 LAMOTIRAN 200 mg LAMOTRIGINUM COMPR. 200mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 51.01 39.00 1.821785 1.772857 1.772857C1 W42996002 LAMOTRIX 200 mg LAMOTRIGINUM COMPR. 200mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 99.28 78.52 3.309333 1.772857 1.772857C1 W52781001 XEBARIN 200 mg LAMOTRIGINUM COMPR. 200mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 51.01 39.00 1.821785 1.772857 1.772857C1 W54036001 LAMOTRIGINA SUN 200 mg LAMOTRIGINUM COMPR. 200mg 56 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 99.28 78.52 1.772857 1.772857 1.772857C1 W12304001 LAMICTAL 25 mg LAMOTRIGINUM COMPR. 25mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 11.11 8.22 0.370333 0.025357 0.025357C1 W42975002 LAMOTIRAN 25 mg LAMOTRIGINUM COMPR. 25mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 6.64 4.91 0.237142 0.025357 0.025357C1 W42975001 LAMOTIRAN 25 mg LAMOTRIGINUM COMPR. 25mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 7.12 5.27 0.237333 0.025357 0.025357C1 W42994002 LAMOTRIX 25 mg LAMOTRIGINUM COMPR. 25mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 7.23 5.35 0.241000 0.025357 0.025357C1 W43427001 EPIMIL 25mg LAMOTRIGINUM COMPR. 25mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 7.23 5.35 0.241000 0.025357 0.025357C1 W52778001 XEBARIN 25 mg LAMOTRIGINUM COMPR. 25mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 0.71 0.53 0.025357 0.025357 0.025357C1 W52966001 LAMOTRIGINE FARMAL 25 mg LAMOTRIGINUM COMPR. 25mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 7.23 5.35 0.241000 0.025357 0.025357C1 W54033001 LAMOTRIGINA SUN 25 mg LAMOTRIGINUM COMPR. 25mg 56 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 13.62 10.08 0.243214 0.025357 0.025357C1 W12304010 LAMICTAL 25 mg LAMOTRIGINUM COMPR. 25mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 10.37 7.67 0.370357 0.025357 0.025357C1 W41956001 PLEXXO (R) 50 mg LAMOTRIGINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 14.38 10.64 0.479333 0.474666 0.474666C1 W42976002 LAMOTIRAN 50 mg LAMOTRIGINUM COMPR. 50mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 13.30 9.84 0.475000 0.474666 0.474666C1 W42976001 LAMOTIRAN 50 mg LAMOTRIGINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 14.24 10.54 0.474666 0.474666 0.474666C1 W42995002 LAMOTRIX 50 mg LAMOTRIGINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 14.38 10.64 0.479333 0.474666 0.474666C1 W43428001 EPIMIL 50 mg LAMOTRIGINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 14.38 10.64 0.479333 0.474666 0.474666C1 W52779001 XEBARIN 50 mg LAMOTRIGINUM COMPR. 50mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 13.41 9.92 0.478928 0.474666 0.474666C1 W52967001 LAMOTRIGINE FARMAL 50 mg LAMOTRIGINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 14.39 10.65 0.479666 0.474666 0.474666C1 W03926004 LAMICTAL 50 mg LAMOTRIGINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 22.11 16.36 0.737000 0.474666 0.474666C1 W03926009 LAMICTAL 50 mg LAMOTRIGINUM COMPR. 50mg 28 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 20.65 15.28 0.737500 0.474666 0.474666C1 W54034001 LAMOTRIGINA SUN 50 mg LAMOTRIGINUM COMPR. 50mg 56 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 26.83 19.85 0.479107 0.474666 0.474666C1 W44019005 LAMOTRIN 100 mg LAMOTRIGINUM COMPR. DISP. 100mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 38.34 29.31 1.278000 1.278000 1.278000C1 W44012005 LAMOTRIN 25 mg LAMOTRIGINUM COMPR. DISP. 25mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 3.81 2.82 0.127000 0.127000 0.127000C1 W44018005 LAMOTRIN 50 mg LAMOTRIGINUM COMPR. DISP. 50mg 30 G15 BOLI PSIHICE MSP 9N03AX09O V 05-07-2010 26.39 19.52 0.879666 0.879666 0.879666C1 W06002001 ROMPARKIN (R) 2 mg TRIHEXYPHENIDYLUM COMPR. 2mg 50 G15 BOLI PSIHICE 0N04AAO V 05-07-2010 17.66 13.07 0.353200 0.353200 0.353200C1 W52419001 HALOPERIDOL LAROPHARM 0,5 mg HALOPERIDOLUM COMPR. 0,5mg 20 G15 BOLI PSIHICE 0N05ADO V 05-07-2010 3.24 2.40 0.162000 0.162000 0.162000C1 W03416001 HALDOL HALOPERIDOLUM COMPR. 5mg 25 G15 BOLI PSIHICE 0N05ADO V 05-07-2010 17.89 13.24 0.715600 0.715600 0.715600C1 W03427002 HALOPERIDOL 2 mg/ml HALOPERIDOLUM PIC. ORALE-SOL. 2mg/ml 1 G15 BOLI PSIHICE 0N05ADO V 05-07-2010 6.64 4.91 6.640000 4.680000 4.680000C1 W42642002 HALOPERIDOL HALOPERIDOLUM PICATURI ORALE-SOL. 2mg/ml 1 G15 BOLI PSIHICE 0N05ADO V 05-07-2010 4.68 3.46 4.680000 4.680000 4.680000C1 W54850001 HALOPERIDOL DECANOAT HALOPERIDOLUM SOL. INJ. 50mg/ml 5 G15 BOLI PSIHICE 0N05ADP V 05-07-2010 44.42 33.96 8.884000 8.884000 8.884000C1 W54845001 HALOPERIDOL RICHTER 5 mg/ml HALOPERIDOLUM SOL. INJ. 5mg/ml 5 G15 BOLI PSIHICE 0N05ADP V 05-07-2010 12.45 9.21 2.490000 2.490000 2.490000C1 W44016001 SERDOLECT 12 mg SERTINDOL COMPR. FILM. 12mg 28 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 372.25 306.51 13.294642 13.294642 13.294642C1 W44015001 SERDOLECT 16 mg SERTINDOL COMPR. FILM. 16mg 28 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 483.80 408.85 17.278571 17.278571 17.278571C1 W44014001 SERDOLECT 20 mg SERTINDOL COMPR. FILM. 20mg 28 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 534.07 454.97 19.073928 19.073928 19.073928C1 W44017001 SERDOLECT 4 mg SERTINDOL COMPR. FILM. 4mg 30 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 127.56 104.49 4.252000 4.252000 4.252000C1 W12139005 ZELDOX (R) 40 mg ZIPRASIDONUM CAPS. 40mg 56 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 416.09 346.73 7.430178 7.430178 7.430178C1 W12140005 ZELDOX (R) 60 mg ZIPRASIDONUM CAPS. 60mg 56 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 541.07 461.39 9.661964 9.661964 9.661964

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W12141005 ZELDOX (R) 80 mg ZIPRASIDONUM CAPS. 80mg 56 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 581.89 498.84 10.390892 10.390892 10.390892C1 W12137001 ZELDOX (R) 20 mg/ml ZIPRASIDONUM LIOF. PT. SOL. INJ. + SOLV. 20mg/ml 1 G15 BOLI PSIHICE MSP 0N05AEP V 05-07-2010 64.04 50.65 64.040000 64.040000 64.040000C1 W42356001 ZELDOX (R) 10 mg/ml ZIPRASIDONUM SUSP. ORALA 10mg/ml 1 G15 BOLI PSIHICE MSP 0N05AEO V 05-07-2010 178.93 146.57 178.930000 178.930000 178.930000C1 W03207001 FLUANXOL DEPOT FLUPENTIXOLUM SOL. INJ. 20mg/ml 10 G15 BOLI PSIHICE MSP 0N05AFP V 05-07-2010 71.64 56.66 7.164000 7.164000 7.164000C1 W12437002 CLOPIXOL (R) 10 mg ZUCLOPENTHIXOLUM COMPR. FILM. 10mg 50 G15 BOLI PSIHICE MSP 0N05AFO V 05-07-2010 23.07 17.07 0.461400 0.461400 0.461400C1 W12439002 CLOPIXOL (R) 25 mg ZUCLOPENTHIXOLUM COMPR. FILM. 25mg 50 G15 BOLI PSIHICE MSP 0N05AFO V 05-07-2010 33.49 25.60 0.669800 0.669800 0.669800C1 W10638002 CLOPIXOL 20 mg/ml ZUCLOPENTHIXOLUM PIC. ORALE-SOL. 20mg/ml 1 G15 BOLI PSIHICE MSP 0N05AFO V 05-07-2010 32.62 24.13 32.620000 32.620000 32.620000C1 W12431001 CLOPIXOL (R) DEPOT ZUCLOPENTHIXOLUM SOL. INJ. 200mg/ml 10 G15 BOLI PSIHICE MSP 0N05AFP V 05-07-2010 157.44 128.96 15.744000 15.744000 15.744000C1 W13182005 CLOPIXOL ACUPHASE (R) ZUCLOPENTHIXOLUM SOL. INJ. 50mg/ml 5 G15 BOLI PSIHICE MSP 0N05AFP V 05-07-2010 46.37 35.45 9.274000 9.274000 9.274000C1 W01400001 LEPONEX (R) 100 mg CLOZAPINUM COMPR. 100mg 50 G15 BOLI PSIHICE MSP 9N05AH02O V 05-07-2010 106.54 84.26 2.130800 2.130800 2.130800C1 W01401001 LEPONEX (R) 25 mg CLOZAPINUM COMPR. 25mg 50 G15 BOLI PSIHICE MSP 9N05AH02O V 05-07-2010 33.56 24.83 0.671200 0.671200 0.671200C1 W08727002 ZYPREXA 10 mg OLANZAPINUM COMPR. FILM. 10mg 28 G15 BOLI PSIHICE MSP 9N05AH03O V 05-07-2010 465.42 391.99 16.622142 16.622142 16.622142C1 W08557001 ZYPREXA 5 mg OLANZAPINUM COMPR. FILM. 5mg 28 G15 BOLI PSIHICE MSP 9N05AH03O V 05-07-2010 243.02 199.07 8.679285 8.679285 8.679285C1 W14024001 ZYPREXA VELOTAB 10 mg OLANZAPINUM COMPR. ORODISPERSABILE 10mg 28 G15 BOLI PSIHICE MSP 9N05AH03O V 05-07-2010 465.31 391.89 16.618214 16.618214 16.618214C1 W14025001 ZYPREXA VELOTAB 15 mg OLANZAPINUM COMPR. ORODISPERSABILE 15mg 28 G15 BOLI PSIHICE MSP 9N05AH03O V 05-07-2010 776.23 677.14 27.722500 27.722500 27.722500C1 W14026001 ZYPREXA VELOTAB 20 mg OLANZAPINUM COMPR. ORODISPERSABILE 20mg 28 G15 BOLI PSIHICE MSP 9N05AH03O V 05-07-2010 1,011.36 892.85 36.120000 36.120000 36.120000C1 W14023001 ZYPREXA VELOTAB 5 mg OLANZAPINUM COMPR. ORODISPERSABILE 5mg 28 G15 BOLI PSIHICE MSP 9N05AH03O V 05-07-2010 242.95 199.01 8.676785 8.676785 8.676785

C1 W53870001 ZYPADHERA 210mg OLANZAPINUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 210mg 1 G15 BOLI PSIHICE MSP 0N05AHP V 05-07-2010 891.69 783.06 891.690000 891.690000 891.690000

C1 W53871001 ZYPADHERA 300mg OLANZAPINUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 300mg 1 G15 BOLI PSIHICE MSP 0N05AHP V 05-07-2010 1,376.76 1,228.08 1,376.760000 1,376.760000 1,376.760000

C1 W53872001 ZYPADHERA 405mg OLANZAPINUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 405mg 1 G15 BOLI PSIHICE MSP 0N05AHP V 05-07-2010 1,712.52 1,536.12 1,712.520000 1,712.520000 1,712.520000

C1 W08531001 SEROQUEL 100mg QUETIAPINUM COMPR. FILM. 100mg 60 G15 BOLI PSIHICE MSP 9N05AH04O V 05-07-2010 257.08 210.58 4.284666 4.284666 4.284666C1 W52499001 SEROQUEL XR 200 mg QUETIAPINUM COMPR. FILM. ELIB. PREL. 200mg 60 G15 BOLI PSIHICE MSP 9N05AH04O V 05-07-2010 495.12 419.24 8.252000 8.252000 8.252000C1 W52500001 SEROQUEL XR 300 mg QUETIAPINUM COMPR. FILM. ELIB. PREL. 300mg 60 G15 BOLI PSIHICE MSP 9N05AH04O V 05-07-2010 574.91 492.44 9.581833 9.581833 9.581833C1 W54069001 SEROQUEL XR 400 mg QUETIAPINUM COMPR. FILM. ELIB. PREL. 400mg 60 G15 BOLI PSIHICE MSP 9N05AH04O V 05-07-2010 741.59 645.36 12.359833 12.359833 12.359833C1 W52894001 SEROQUEL XR 50 mg QUETIAPINUM COMPR. FILM. ELIB. PREL. 50mg 60 G15 BOLI PSIHICE MSP 9N05AH04O V 05-07-2010 231.49 189.62 3.858166 3.858166 3.858166C1 W05759001 EGLONYL (R) 50 mg SULPIRIDUM CAPS. 50mg 30 G15 BOLI PSIHICE 0N05ALO V 05-07-2010 10.75 7.95 0.358333 0.358333 0.358333C1 W07868001 EGLONYL (R) 200 mg SULPIRIDUM COMPR. 200mg 12 G15 BOLI PSIHICE 0N05ALO V 05-07-2010 10.49 7.76 0.874166 0.874166 0.874166C1 W55403001 AMISULPRIDA LPH 100 mg AMISULPRIDUM COMPR. 100mg 30 G15 BOLI PSIHICE MSP 0N05ALO V 05-07-2010 56.42 43.13 1.880666 1.880666 1.880666C1 W55404001 AMISULPRIDA LPH 200 mg AMISULPRIDUM COMPR. 200mg 30 G15 BOLI PSIHICE MSP 0N05ALO V 05-07-2010 85.73 67.80 2.857666 2.846333 2.846333C1 W55435001 MIDORA 200 mg AMISULPRIDUM COMPR. 200mg 30 G15 BOLI PSIHICE MSP 0N05ALO V 05-07-2010 85.39 67.53 2.846333 2.846333 2.846333C1 W54239004 AMISULPRIDE TEVA 400 mg AMISULPRIDUM COMPR. 400mg 30 G15 BOLI PSIHICE MSP 0N05ALO V 05-07-2010 86.26 68.22 2.875333 2.875333 2.875333C1 W00321001 SOLIAN 200 mg AMISULPRIDUM COMPR. DIVIZ. 200mg 30 G15 BOLI PSIHICE MSP 0N05ALO V 05-07-2010 127.35 104.32 4.245000 4.245000 4.245000C1 W07071001 SOLIAN 400 mg AMISULPRIDUM COMPR. FILM. 400mg 30 G15 BOLI PSIHICE MSP 0N05ALO V 05-07-2010 128.14 104.96 4.271333 4.271333 4.271333C1 W42944002 RISSET 1 mg RISPERIDONUM COMPR. FILM. 1 mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 7.80 5.77 0.390000 0.347500 0.347500C1 W42944001 RISSET 1 mg RISPERIDONUM COMPR. FILM. 1 mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 24.68 18.26 0.411333 0.347500 0.347500C1 W42684003 RISPEN 1 RISPERIDONUM COMPR. FILM. 1mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 23.57 17.44 0.471400 0.347500 0.347500C1 W42684001 RISPEN 1 RISPERIDONUM COMPR. FILM. 1mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 9.43 6.98 0.471500 0.347500 0.347500C1 W43798003 RILEPTID 1 mg RISPERIDONUM COMPR. FILM. 1mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 51.23 39.17 0.853833 0.347500 0.347500C1 W44037002 RISPERIDONE TEVA 1 mg RISPERIDONUM COMPR. FILM. 1mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 8.32 6.16 0.416000 0.347500 0.347500C1 W44037003 RISPERIDONE TEVA 1 mg RISPERIDONUM COMPR. FILM. 1mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 24.56 18.17 0.409333 0.347500 0.347500C1 W52045001 RISPERIDONA 1 mg RISPERIDONUM COMPR. FILM. 1mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 8.75 6.47 0.437500 0.347500 0.347500C1 W52463001 RISPERIDONA ACCORD 1 mg RISPERIDONUM COMPR. FILM. 1mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 23.48 17.37 0.391333 0.347500 0.347500C1 W52490001 XENOMA 1 mg RISPERIDONUM COMPR. FILM. 1mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 8.07 5.97 0.403500 0.347500 0.347500C1 W52490002 XENOMA 1 mg RISPERIDONUM COMPR. FILM. 1mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 24.21 17.91 0.403500 0.347500 0.347500C1 W52989001 SPRING 1 mg RISPERIDONUM COMPR. FILM. 1mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 23.31 17.25 1.165500 0.347500 0.347500C1 W52989002 SPRING 1 mg RISPERIDONUM COMPR. FILM. 1mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 33.85 25.88 1.128333 0.347500 0.347500C1 W52989003 SPRING 1 mg RISPERIDONUM COMPR. FILM. 1mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 64.33 50.88 1.072166 0.347500 0.347500C1 W53141004 RISPERIDONA FARMAL 1 mg RISPERIDONUM COMPR. FILM. 1mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 23.90 17.68 0.478000 0.347500 0.347500C1 W53843001 RISPERIDONE TORRENT 1 mg RISPERIDONUM COMPR. FILM. 1mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 6.95 5.14 0.347500 0.347500 0.347500C1 W55379002 RONYDAL 1 mg RISPERIDONUM COMPR. FILM. 1mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 32.08 23.73 0.534666 0.347500 0.347500C1 W42685003 RISPEN 2 RISPERIDONUM COMPR. FILM. 2 mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 45.63 34.89 0.912600 0.744500 0.744500C1 W42685001 RISPEN 2 RISPERIDONUM COMPR. FILM. 2 mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 18.86 13.95 0.943000 0.744500 0.744500C1 W42945001 RISSET 2 mg RISPERIDONUM COMPR. FILM. 2 mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 47.15 36.05 0.785833 0.744500 0.744500C1 W42945002 RISSET 2 mg RISPERIDONUM COMPR. FILM. 2 mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 16.24 12.02 0.812000 0.744500 0.744500C1 W43799003 RILEPTID 2 mg RISPERIDONUM COMPR. FILM. 2mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 101.10 79.96 1.685000 0.744500 0.744500C1 W43840002 RISPERIDONE TEVA 2 mg RISPERIDONUM COMPR. FILM. 2mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 16.04 11.87 0.802000 0.744500 0.744500C1 W43840003 RISPERIDONE TEVA 2 mg RISPERIDONUM COMPR. FILM. 2mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 46.58 35.61 0.776333 0.744500 0.744500C1 W43971010 RISON 2 mg RISPERIDONUM COMPR. FILM. 2mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 22.26 16.47 1.113000 0.744500 0.744500C1 W52046001 RISPERIDONA 2 mg RISPERIDONUM COMPR. FILM. 2mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 17.46 12.92 0.873000 0.744500 0.744500C1 W52464001 RISPERIDONA ACCORD 2 mg RISPERIDONUM COMPR. FILM. 2mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 44.67 34.15 0.744500 0.744500 0.744500C1 W52492001 XENOMA 2 mg RISPERIDONUM COMPR. FILM. 2mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 45.94 35.12 0.765666 0.744500 0.744500C1 W52990001 SPRING 2 mg RISPERIDONUM COMPR. FILM. 2mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 45.08 34.46 2.254000 0.744500 0.744500C1 W52990002 SPRING 2 mg RISPERIDONUM COMPR. FILM. 2mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 65.32 51.66 2.177333 0.744500 0.744500C1 W52990003 SPRING 2 mg RISPERIDONUM COMPR. FILM. 2mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 123.48 101.15 2.058000 0.744500 0.744500C1 W53117001 ESSENS 2 mg RISPERIDONUM COMPR. FILM. 2mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 24.36 18.02 0.812000 0.744500 0.744500C1 W53142004 RISPERIDONA FARMAL 2 mg RISPERIDONUM COMPR. FILM. 2mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 44.36 33.91 0.887200 0.744500 0.744500C1 W53844001 RISPERIDONE TORRENT 2 mg RISPERIDONUM COMPR. FILM. 2mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 16.18 11.97 0.809000 0.744500 0.744500C1 W54658002 RISPEMAR 2 mg RISPERIDONUM COMPR. FILM. 2mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 17.55 12.98 0.877500 0.744500 0.744500C1 W54658005 RISPEMAR 2 mg RISPERIDONUM COMPR. FILM. 2mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 52.53 40.16 0.875500 0.744500 0.744500C1 W55380002 RONYDAL 2 mg RISPERIDONUM COMPR. FILM. 2mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 64.26 50.82 1.071000 0.744500 0.744500C1 W42686003 RISPEN 3 RISPERIDONUM COMPR. FILM. 3mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 66.16 52.33 1.323200 1.151666 1.151666C1 W42686001 RISPEN 3 RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 28.29 20.93 1.414500 1.151666 1.151666C1 W42946001 RISSET 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 75.85 59.99 1.264166 1.151666 1.151666C1 W42946002 RISSET 3 mg RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 27.52 20.36 1.376000 1.151666 1.151666C1 W43800003 RILEPTID 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 144.92 118.71 2.415333 1.151666 1.151666C1 W43830002 TORENDO 3 mg RISPERIDONUM COMPR. FILM. 3mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 34.55 26.41 1.151666 1.151666 1.151666C1 W43842002 RISPERIDONE TEVA 3 mg RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 27.12 20.07 1.356000 1.151666 1.151666C1 W43842003 RISPERIDONE TEVA 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 75.30 59.55 1.255000 1.151666 1.151666C1 W43972010 RISON 3 mg RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 32.94 25.18 1.647000 1.151666 1.151666C1 W52047001 RISPERIDONA 3 mg RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 29.54 21.86 1.477000 1.151666 1.151666C1 W52465001 RISPERIDONA ACCORD 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 69.56 55.01 1.159333 1.151666 1.151666C1 W52493001 XENOMA 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 74.62 59.02 1.243666 1.151666 1.151666C1 W52991001 SPRING 3 mg RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 65.41 51.73 3.270500 1.151666 1.151666C1 W52991002 SPRING 3 mg RISPERIDONUM COMPR. FILM. 3mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 96.30 76.16 3.210000 1.151666 1.151666C1 W52991003 SPRING 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 179.78 147.26 2.996333 1.151666 1.151666C1 W53116001 ESSENS 3 mg RISPERIDONUM COMPR. FILM. 3mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 39.93 30.53 1.331000 1.151666 1.151666C1 W53143004 RISPERIDONA FARMAL 3 mg RISPERIDONUM COMPR. FILM. 3mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 67.39 53.30 1.347800 1.151666 1.151666C1 W53845001 RISPERIDONE TORRENT 3 mg RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 27.44 20.30 1.372000 1.151666 1.151666C1 W54659002 RISPEMAR 3 mg RISPERIDONUM COMPR. FILM. 3mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 26.72 19.77 1.336000 1.151666 1.151666C1 W54659005 RISPEMAR 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 75.11 59.40 1.251833 1.151666 1.151666

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Grupa terapeutica RO Valabil de la

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Preţ de referinţă/UT

Valoare compensare/UT

C1 W55381002 RONYDAL 3 mg RISPERIDONUM COMPR. FILM. 3mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 97.71 77.28 1.628500 1.151666 1.151666C1 W42687003 RISPEN 4 RISPERIDONUM COMPR. FILM. 4 mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 86.67 68.55 1.733400 1.583666 1.583666C1 W42687001 RISPEN 4 RISPERIDONUM COMPR. FILM. 4 mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 36.50 27.91 1.825000 1.583666 1.583666C1 W42947002 RISSET 4 mg RISPERIDONUM COMPR. FILM. 4mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 35.49 27.13 1.774500 1.583666 1.583666C1 W42947001 RISSET 4 mg RISPERIDONUM COMPR. FILM. 4mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 101.11 79.97 1.685166 1.583666 1.583666C1 W43801003 RILEPTID 4 mg RISPERIDONUM COMPR. FILM. 4mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 193.87 158.81 3.231166 1.583666 1.583666C1 W43831002 TORENDO 4 mg RISPERIDONUM COMPR. FILM. 4mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 47.51 36.32 1.583666 1.583666 1.583666C1 W43845003 RISPERIDONE TEVA 4 mg RISPERIDONUM COMPR. FILM. 4mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 100.57 79.54 1.676166 1.583666 1.583666C1 W43845002 RISPERIDONE TEVA 4 mg RISPERIDONUM COMPR. FILM. 4mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 35.29 26.98 1.764500 1.583666 1.583666C1 W43973010 RISON 4 mg RISPERIDONUM COMPR. FILM. 4mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 45.63 34.89 2.281500 1.583666 1.583666C1 W52048001 RISPERIDONA 4 mg RISPERIDONUM COMPR. FILM. 4mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 36.50 27.91 1.825000 1.583666 1.583666C1 W52479001 ESSENS 4 mg RISPERIDONUM COMPR. FILM. 4mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 50.00 38.23 1.666666 1.583666 1.583666C1 W52491001 XENOMA 4 mg RISPERIDONUM COMPR. FILM. 4mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 99.48 78.68 1.658000 1.583666 1.583666C1 W52992001 SPRING 4 mg RISPERIDONUM COMPR. FILM. 4mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 85.14 67.34 4.257000 1.583666 1.583666C1 W52992002 SPRING 4 mg RISPERIDONUM COMPR. FILM. 4mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 123.19 100.91 4.106333 1.583666 1.583666C1 W52992003 SPRING 4 mg RISPERIDONUM COMPR. FILM. 4mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 240.56 197.05 4.009333 1.583666 1.583666C1 W53144004 RISPERIDONA FARMAL 4 mg RISPERIDONUM COMPR. FILM. 4mg 50 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 93.29 73.78 1.865800 1.583666 1.583666C1 W53846001 RISPERIDONE TORRENT 4 mg RISPERIDONUM COMPR. FILM. 4mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 33.27 25.44 1.663500 1.583666 1.583666C1 W54660002 RISPEMAR 4 mg RISPERIDONUM COMPR. FILM. 4mg 20 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 34.73 26.55 1.736500 1.583666 1.583666C1 W54660005 RISPEMAR 4 mg RISPERIDONUM COMPR. FILM. 4mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 100.39 79.40 1.673166 1.583666 1.583666C1 W55382002 RONYDAL 4 mg RISPERIDONUM COMPR. FILM. 4mg 60 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 129.62 106.18 2.160333 1.583666 1.583666C1 W52480001 ESSENS 6 mg RISPERIDONUM COMPR. FILM. 6mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 67.82 53.64 2.260666 2.260666 2.260666C1 W43835001 TORENDO Q-TAB 1 mg RISPERIDONUM COMPR. ORODISPERSABILE 1mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 19.65 14.54 0.655000 0.655000 0.655000C1 W53155001 ESSENS OD 1 mg RISPERIDONUM COMPR. ORODISPERSABILE 1mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 20.83 15.41 0.694333 0.655000 0.655000C1 W43838001 TORENDO Q-TAB 2 mg RISPERIDONUM COMPR. ORODISPERSABILE 2mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 41.10 31.42 1.370000 1.370000 1.370000C1 W53156001 ESSENS OD 2 mg RISPERIDONUM COMPR. ORODISPERSABILE 2mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 44.36 33.91 1.478666 1.370000 1.370000C1 W53157001 ESSENS OD 3 mg RISPERIDONUM COMPR. ORODISPERSABILE 3mg 30 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 70.14 55.47 2.338000 2.338000 2.338000

C1 W13666001 RISPOLEPT CONSTA (R) 25 mg RISPERIDONUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 25mg 1 G15 BOLI PSIHICE MSP 9N05AX08P V 05-07-2010 423.41 353.45 423.410000 423.410000 423.410000

C1 W13666002 RISPOLEPT CONSTA 25 mg RISPERIDONUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 25mg 1 G15 BOLI PSIHICE MSP 9N05AX08P V 05-07-2010 423.41 353.45 423.410000 423.410000 423.410000

C1 W13667001 RISPOLEPT CONSTA (R) 37,5 mg RISPERIDONUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 37,5mg 1 G15 BOLI PSIHICE MSP 9N05AX08P V 05-07-2010 596.20 511.97 596.200000 596.200000 596.200000

C1 W13667002 RISPOLEPT CONSTA 37,5 mg RISPERIDONUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 37,5mg 1 G15 BOLI PSIHICE MSP 9N05AX08P V 05-07-2010 596.20 511.97 596.200000 596.200000 596.200000

C1 W13833001 RISPOLEPT CONSTA (R) 50 mg RISPERIDONUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 50mg 1 G15 BOLI PSIHICE MSP 9N05AX08P V 05-07-2010 717.50 623.26 717.500000 717.500000 717.500000

C1 W13833002 RISPOLEPT CONSTA 50 mg RISPERIDONUMPULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 50mg 1 G15 BOLI PSIHICE MSP 9N05AX08P V 05-07-2010 717.50 623.26 717.500000 717.500000 717.500000

C1 W08728004 RISPOLEPT RISPERIDONUM SOL. ORALA 1mg/ml 1 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 156.27 128.01 156.270000 52.030000 52.030000C1 W08728003 RISPOLEPT RISPERIDONUM SOL. ORALA 1mg/ml 1 G15 BOLI PSIHICE MSP 9N05AX08O V 05-07-2010 52.03 39.78 52.030000 52.030000 52.030000C1 W41602002 ABILIFY 10mg ARIPIPRAZOLUM COMPR. 10mg 28 G15 BOLI PSIHICE MSP 9N05AX12O V 05-07-2010 482.25 407.43 17.223214 17.223214 17.223214C1 W41603002 ABILIFY 15mg ARIPIPRAZOLUM COMPR. 15mg 28 G15 BOLI PSIHICE MSP 9N05AX12O V 05-07-2010 482.25 407.43 17.223214 17.223214 17.223214C1 W52520001 ABILIFY 7,5mg/ml ARIPIPRAZOLUM SOL. INJ. 7,5mg/ml 1 G15 BOLI PSIHICE MSP 9N05AX12P V 05-07-2010 20.96 15.51 20.960000 20.960000 20.960000C1 W43494001 CITALORAN 10 mg CITALOPRAMUM COMPR. FILM. 10mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 7.37 5.45 0.263214 0.236666 0.236666C1 W43705001 LINISAN 10 mg CITALOPRAMUM COMPR. FILM. 10mg 30 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 7.10 5.25 0.236666 0.236666 0.236666C1 W43993001 DALSAN 10 mg CITALOPRAMUM COMPR. FILM. 10mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 7.37 5.45 0.263214 0.236666 0.236666C1 W43495001 CITALORAN 20mg CITALOPRAMUM COMPR. FILM. 20mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 10.71 7.92 0.382500 0.382500 0.382500C1 W43706001 LINISAN 20 mg CITALOPRAMUM COMPR. FILM. 20mg 30 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 39.46 30.17 1.315333 0.382500 0.382500C1 W43994001 DALSAN 20 mg CITALOPRAMUM COMPR. FILM. 20mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 10.71 7.92 0.382500 0.382500 0.382500C1 W43496001 CITALORAN 40 mg CITALOPRAMUM COMPR. FILM. 40mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 33.50 24.79 1.196428 1.076666 1.076666C1 W43707001 LINISAN 40 mg CITALOPRAMUM COMPR. FILM. 40mg 30 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 32.30 23.90 1.076666 1.076666 1.076666C1 W43995001 DALSAN 40 mg CITALOPRAMUM COMPR. FILM. 40mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 33.50 24.79 1.196428 1.076666 1.076666C1 W13298001 CIPRALEX 10 mg ESCITALOPRAMUM COMPR. FILM. 10mg 14 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 61.81 47.26 4.415000 3.220000 3.220000C1 W13298008 CIPRALEX 10 mg ESCITALOPRAMUM COMPR. FILM. 10mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 90.16 71.31 3.220000 3.220000 3.220000C1 W13297008 CIPRALEX 5 mg ESCITALOPRAMUM COMPR. FILM. 5mg 28 G15 BOLI PSIHICE MSP 0N06ABO V 05-07-2010 49.56 37.89 1.770000 1.770000 1.770000C1 W13019001 TRITTICO AC 150 mg TRAZODONUM COMPR. ELIB. PREL. 150mg 20 G15 BOLI PSIHICE MSP 9N06AX05O V 05-07-2010 24.88 18.41 1.244000 1.244000 1.244000C1 W08616002 TRITTICO AC 75 mg TRAZODONUM COMPR. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX05O V 05-07-2010 18.66 13.81 0.622000 0.622000 0.622000C1 W08616001 TRITTICO AC 75 mg TRAZODONUM COMPR. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX05O V 05-07-2010 18.66 13.81 0.622000 0.622000 0.622000C1 W41558001 COAXIL (R) TIANEPTINUM DRAJ. 12,5mg 30 G15 BOLI PSIHICE MSP 9N06AX14O V 05-07-2010 33.65 25.73 1.121666 1.121666 1.121666C1 W55194001 IVRYX 150mg VENLAFAXINUM CAPS. ELIB. PREL. 150 mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 91.33 72.23 3.261785 2.504666 2.504666C1 W12589003 EFECTIN ER 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 135.66 111.12 4.845000 2.504666 2.504666C1 W52122001 VELAXIN 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 91.33 72.23 3.261785 2.504666 2.504666C1 W52962005 ALVENTA 150mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 75.14 59.43 2.504666 2.504666 2.504666C1 W53270003 FOBILESS 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 97.80 77.35 3.260000 2.504666 2.504666C1 W53494001 NOPEKAR 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 91.33 72.23 3.261785 2.504666 2.504666C1 W53486006 ADOXA EP 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 97.54 77.14 3.251333 2.504666 2.504666C1 W53499003 ELIFY EP 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 97.85 77.39 3.261666 2.504666 2.504666C1 W53627004 VENLAGAMMA 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 96.01 75.93 3.200333 2.504666 2.504666C1 W53627008 VENLAGAMMA 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 100 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 303.48 248.59 3.034800 2.504666 2.504666C1 W53630003 JARVIS 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 97.85 77.39 3.261666 2.504666 2.504666C1 W54057002 VENLAFAXINA ACTAVIS 150 mg VENLAFAXINUM CAPS. ELIB. PREL. 150mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 75.21 59.48 2.686071 2.504666 2.504666C1 W53268003 FOBILESS 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 35.49 27.13 1.183000 0.656400 0.656400C1 W53496001 NOPEKAR 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 46.45 35.51 1.658928 0.656400 0.656400C1 W53483006 ADOXA EP 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 41.57 31.78 1.385666 0.656400 0.656400C1 W53625004 VENLAGAMMA 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 21.05 15.57 0.701666 0.656400 0.656400C1 W53625008 VENLAGAMMA 37,5 mg VENLAFAXINUM CAPS. ELIB. PREL. 37,5mg 100 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 65.64 51.91 0.656400 0.656400 0.656400C1 W55192001 IVRYX 75mg VENLAFAXINUM CAPS. ELIB. PREL. 75 mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 47.42 36.25 1.693571 1.094333 1.094333C1 W12588002 EFECTIN ER 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 70.53 55.78 2.518928 1.094333 1.094333C1 W52123001 VELAXIN 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 47.42 36.25 1.693571 1.094333 1.094333C1 W52961005 ALVENTA 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 32.83 25.10 1.094333 1.094333 1.094333C1 W53269003 FOBILESS 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 50.77 38.81 1.692333 1.094333 1.094333C1 W53495001 NOPEKAR 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 47.42 36.25 1.693571 1.094333 1.094333C1 W53485006 ADOXA EP 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 50.65 38.72 1.688333 1.094333 1.094333C1 W53498003 ELIFY EP 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 50.82 38.85 1.694000 1.094333 1.094333C1 W53626004 VENLAGAMMA 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 35.26 26.96 1.175333 1.094333 1.094333C1 W53626008 VENLAGAMMA 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 100 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 111.66 88.31 1.116600 1.094333 1.094333C1 W53629003 JARVIS 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 50.82 38.85 1.694000 1.094333 1.094333C1 W54056002 VENLAFAXINA ACTAVIS 75 mg VENLAFAXINUM CAPS. ELIB. PREL. 75mg 28 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 47.61 36.40 1.700357 1.094333 1.094333C1 W53376001 ADOXA 25 mg VENLAFAXINUM COMPR. 25mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 29.21 21.61 0.973666 0.973666 0.973666C1 W53376002 ADOXA 25 mg VENLAFAXINUM COMPR. 25mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 29.21 21.61 0.973666 0.973666 0.973666C1 W42662001 VENLAFAXINA LPH 37,5 mg VENLAFAXINUM COMPR. 37,5mg 60 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 62.11 47.48 1.035166 1.035166 1.035166C1 W43057002 VELAXIN 37,5 mg VENLAFAXINUM COMPR. 37,5mg 56 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 58.00 44.34 1.035714 1.035166 1.035166

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W53375001 ADOXA 37,5 mg VENLAFAXINUM COMPR. 37,5mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 32.13 23.77 1.071000 1.035166 1.035166C1 W53375002 ADOXA 37,5 mg VENLAFAXINUM COMPR. 37,5mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 32.13 23.77 1.071000 1.035166 1.035166C1 W53377001 ADOXA 50 mg VENLAFAXINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 38.41 29.37 1.280333 1.280333 1.280333C1 W53377002 ADOXA 50 mg VENLAFAXINUM COMPR. 50mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 38.41 29.37 1.280333 1.280333 1.280333C1 W42661001 VENLAFAXINA LPH 75 mg VENLAFAXINUM COMPR. 75mg 60 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 77.33 61.16 1.288833 1.288833 1.288833C1 W43059002 VELAXIN 75 mg VENLAFAXINUM COMPR. 75mg 56 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 72.29 57.17 1.290892 1.288833 1.288833C1 W53378001 ADOXA 75 mg VENLAFAXINUM COMPR. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 40.78 31.18 1.359333 1.288833 1.288833C1 W53378002 ADOXA 75 mg VENLAFAXINUM COMPR. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 40.78 31.18 1.359333 1.288833 1.288833C1 W52959001 ARGOFAN 150 SR VENLAFAXINUM COMPR. ELIB. PREL. 150mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 111.51 88.19 3.717000 3.717000 3.717000C1 W52958001 ARGOFAN 75 SR VENLAFAXINUM COMPR. ELIB. PREL. 75mg 30 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 57.90 44.27 1.930000 1.930000 1.930000C1 W53044006 VENLAFAXINA ACTAVIS 37,5 mg VENLAFAXINUM COMPR. FILM. 37,5 mg 56 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 38.02 29.07 0.678928 0.678928 0.678928C1 W53046007 VENLAFAXINA ACTAVIS 75 mg VENLAFAXINUM COMPR. FILM. 75mg 56 G15 BOLI PSIHICE MSP 9N06AX16O V 05-07-2010 63.65 50.34 1.136607 1.136607 1.136607C1 W04338001 IXEL MILNACIPRANUM CAPS. 25mg 56 G15 BOLI PSIHICE MSP 9N06AX17O V 05-07-2010 71.36 56.44 1.274285 1.274285 1.274285C1 W04339001 IXEL MILNACIPRANUM CAPS. 50mg 56 G15 BOLI PSIHICE MSP 9N06AX17O V 05-07-2010 116.99 92.53 2.089107 2.089107 2.089107C1 W43297002 CYMBALTA 30mg DULOXETINUM CAPS. GASTROREZ. 30mg 28 G15 BOLI PSIHICE MSP 1N06AXO V 05-07-2010 105.15 83.16 3.755357 3.755357 3.755357C1 W43298001 CYMBALTA 60mg DULOXETINUM CAPS. GASTROREZ. 60mg 28 G15 BOLI PSIHICE MSP 1N06AXO V 05-07-2010 178.47 146.19 6.373928 6.373928 6.373928

C1 W02850001 ARICEPT (R) 10 mg DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 357.96 293.22 12.784285 6.091071 6.091071

C1 W53372004 ZILDON 10mg DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 171.42 140.42 6.122142 6.091071 6.091071

C1 W53425001 DAVIA 10 mg DONEPEZILUM COMPR. FILM. 10mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 249.29 204.20 8.309666 6.091071 6.091071

C1 W53425002 DAVIA 10 mg DONEPEZILUM COMPR. FILM. 10mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 249.29 204.20 8.309666 6.091071 6.091071

C1 W53618001 TUADIN 10 mg DONEPEZILUM COMPR. FILM. 10mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 249.27 204.19 8.309000 6.091071 6.091071

C1 W53618002 TUADIN 10 mg DONEPEZILUM COMPR. FILM. 10mg 60 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 475.50 401.24 7.925000 6.091071 6.091071

C1 W53618003 TUADIN 10 mg DONEPEZILUM COMPR. FILM. 10mg 90 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 677.82 586.85 7.531333 6.091071 6.091071

C1 W54062002 PRIDIA 10 mg DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 171.42 140.42 6.122142 6.091071 6.091071

C1 W54224001 ALZEPIL 10 mg DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 198.33 162.46 7.083214 6.091071 6.091071

C1 W54224002 ALZEPIL 10 mg DONEPEZILUM COMPR. FILM. 10mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 392.31 324.92 7.005535 6.091071 6.091071

C1 W54224003 ALZEPIL 10 mg DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 198.33 162.46 7.083214 6.091071 6.091071

C1 W54224004 ALZEPIL 10 mg DONEPEZILUM COMPR. FILM. 10mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 392.31 324.92 7.005535 6.091071 6.091071

C1 W54141002 DONECEPT 10 MG DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 170.55 139.70 6.091071 6.091071 6.091071

C1 W54338002 ALDEMIZ 10 mg DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 232.57 190.51 8.306071 6.091071 6.091071

C1 W54338003 ALDEMIZ 10 mg DONEPEZILUM COMPR. FILM. 10mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 248.27 203.37 8.275666 6.091071 6.091071

C1 W55206002 COGNEZIL 10 mg DONEPEZILUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 170.55 139.70 6.091071 6.091071 6.091071

C1 W54898003 DONEPEZIL TEVA 10 mg DONEPEZILUM COMPR. FILM. 10mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 231.43 189.57 7.714333 6.091071 6.091071

C1 W02851001 ARICEPT (R) 5 mg DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 304.77 249.65 10.884642 5.131785 5.131785

C1 W53371004 ZILDON 5 mg DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 145.54 119.22 5.197857 5.131785 5.131785

C1 W53424001 DAVIA 5 mg DONEPEZILUM COMPR. FILM. 5mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 212.26 173.87 7.075333 5.131785 5.131785

C1 W53424002 DAVIA 5 mg DONEPEZILUM COMPR. FILM. 5mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 212.26 173.87 7.075333 5.131785 5.131785

C1 W53617001 TUADIN 5 mg DONEPEZILUM COMPR. FILM. 5mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 212.24 173.85 7.074666 5.131785 5.131785

C1 W53617002 TUADIN 5 mg DONEPEZILUM COMPR. FILM. 5mg 60 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 415.39 346.09 6.923166 5.131785 5.131785

C1 W53617003 TUADIN 5 mg DONEPEZILUM COMPR. FILM. 5mg 90 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 587.66 504.14 6.529555 5.131785 5.131785

C1 W54061002 PRIDIA 5 mg DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 145.54 119.22 5.197857 5.131785 5.131785

C1 W54223001 ALZEPIL 5 mg DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 169.34 138.71 6.047857 5.131785 5.131785

C1 W54223002 ALZEPIL 5 mg DONEPEZILUM COMPR. FILM. 5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 338.67 277.42 6.047678 5.131785 5.131785

C1 W54223003 ALZEPIL 5 mg DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 169.34 138.71 6.047857 5.131785 5.131785

C1 W54223004 ALZEPIL 5 mg DONEPEZILUM COMPR. FILM. 5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 338.67 277.42 6.047678 5.131785 5.131785

C1 W54140002 DONECEPT 5 MG DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 143.69 117.70 5.131785 5.131785 5.131785

C1 W54337002 ALDEMIZ 5 mg DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 196.91 161.30 7.032500 5.131785 5.131785

C1 W54337003 ALDEMIZ 5 mg DONEPEZILUM COMPR. FILM. 5mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 209.74 171.81 6.991333 5.131785 5.131785

C1 W55205002 COGNEZIL 5 mg DONEPEZILUM COMPR. FILM. 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 145.03 118.80 5.179642 5.131785 5.131785

C1 W54897003 DONEPEZIL TEVA 5 mg DONEPEZILUM COMPR. FILM. 5mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 174.78 143.17 5.826000 5.131785 5.131785

C1 W43353001 ARICEPT EVESS DONEPEZILUM COMPR. ORODISPERSABILE 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 378.37 312.13 13.513214 13.513214 13.513214

C1 W43352001 ARICEPT EVESS DONEPEZILUM COMPR. ORODISPERSABILE 5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 304.77 249.65 10.884642 10.884642 10.884642

C1 W08735005 EXELON 1,5mg RIVASTIGMINUM CAPS. 1,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 331.48 271.53 5.919285 1.260178 1.260178

C1 W54389002 RIVASTIGMINA TEVA 1,5mg RIVASTIGMINUM CAPS. 1,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 194.05 158.95 3.465178 1.260178 1.260178

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W54714001 EVERTAS 1,5 mg RIVASTIGMINUM CAPS. 1,5mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 103.18 81.60 3.439333 1.260178 1.260178

C1 W55161002 RIVASTIGMINE SANDOZ1,5mg RIVASTIGMINUM CAPS. 1,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 206.17 168.88 3.681607 1.260178 1.260178

C1 W55429002 RIDAXIN 1,5 mg RIVASTIGMINUM CAPS. 1,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 180.48 147.84 3.222857 1.260178 1.260178

C1 W55025001 RISTIDIC 1,5 mg RIVASTIGMINUM CAPS. 1,5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 36.50 27.91 1.303571 1.260178 1.260178

C1 W55025002 RISTIDIC 1,5 mg RIVASTIGMINUM CAPS. 1,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 70.57 55.81 1.260178 1.260178 1.260178

C1 W54536002 NIMVASTID 1.5mg RIVASTIGMINUM CAPS. 1.5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 96.30 76.16 3.439285 1.260178 1.260178

C1 W05456005 EXELON 3mg RIVASTIGMINUM CAPS. 3mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 347.86 284.94 6.211785 2.386964 2.386964

C1 W54390002 RIVASTIGMINA TEVA 3mg RIVASTIGMINUM CAPS. 3mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 215.45 176.48 3.847321 2.386964 2.386964

C1 W54537001 NIMVASTID 3mg RIVASTIGMINUM CAPS. 3mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 107.58 85.08 3.842142 2.386964 2.386964

C1 W55160002 RIVASTIGMINE SANDOZ 3mg RIVASTIGMINUM CAPS. 3mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 215.45 176.48 3.847321 2.386964 2.386964

C1 W55430002 RIDAXIN 3 mg RIVASTIGMINUM CAPS. 3mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 203.04 166.32 3.625714 2.386964 2.386964

C1 W55026001 RISTIDIC 3 mg RIVASTIGMINUM CAPS. 3mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 70.46 55.73 2.516428 2.386964 2.386964

C1 W55026002 RISTIDIC 3 mg RIVASTIGMINUM CAPS. 3mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 133.67 109.49 2.386964 2.386964 2.386964

C1 W54391002 RIVASTIGMINA TEVA 4,5mg RIVASTIGMINUM CAPS. 4,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 323.18 264.73 5.771071 2.777857 2.777857

C1 W54717001 EVERTAS 4,5 mg RIVASTIGMINUM CAPS. 4,5mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 173.12 141.81 5.770666 2.777857 2.777857

C1 W55431002 RIDAXIN 4,5 mg RIVASTIGMINUM CAPS. 4,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 321.86 263.65 5.747500 2.777857 2.777857

C1 W55027001 RISTIDIC 4,5 mg RIVASTIGMINUM CAPS. 4,5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 82.02 64.87 2.929285 2.777857 2.777857

C1 W55027002 RISTIDIC 4,5 mg RIVASTIGMINUM CAPS. 4,5mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 155.56 127.42 2.777857 2.777857 2.777857

C1 W54392002 RIVASTIGMINA TEVA 6mg RIVASTIGMINUM CAPS. 6mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 406.71 338.13 7.262678 3.130892 3.130892

C1 W54718001 EVERTAS 6 mg RIVASTIGMINUM CAPS. 6mg 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 214.48 175.69 7.149333 3.130892 3.130892

C1 W55432002 RIDAXIN 6 mg RIVASTIGMINUM CAPS. 6mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 394.01 326.48 7.035892 3.130892 3.130892

C1 W55028001 RISTIDIC 6 mg RIVASTIGMINUM CAPS. 6mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 92.44 73.11 3.301428 3.130892 3.130892

C1 W55028002 RISTIDIC 6 mg RIVASTIGMINUM CAPS. 6mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 175.33 143.62 3.130892 3.130892 3.130892

C1 W54535002 NIMVASTID 1.5 mg RIVASTIGMINUM COMPR. ORODISPERSABILE 1.5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 107.92 85.35 3.854285 3.854285 3.854285

C1 W54540001 NIMVASTID 3mg RIVASTIGMINUM COMPR. ORODISPERSABILE 3mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 113.90 90.08 4.067857 4.067857 4.067857

C1 W54541001 NIMVASTID 4.5 mg RIVASTIGMINUM COMPR. ORODISPERSABILE 4.5mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 124.97 98.84 4.463214 4.463214 4.463214

C1 W54542001 NIMVASTID 6mg RIVASTIGMINUM COMPR. ORODISPERSABILE 6mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 131.63 107.82 4.701071 4.701071 4.701071

C1 W52347002 EXELON 4,6mg/24h RIVASTIGMINUM PLASTURE TRANSDERMIC 4,6mg/24h 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 1N06DATD V 05-07-2010 389.76 322.58 12.992000 12.992000 12.992000

C1 W52348002 EXELON 9,5mg/24h RIVASTIGMINUM PLASTURE TRANSDERMIC 9,5mg/24h 30 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 1N06DATD V 05-07-2010 389.76 322.58 12.992000 12.992000 12.992000

C1 W55333001 RIVASTIGMINA TEVA 2 mg/ml RIVASTIGMINUM SOL. ORALA 2mg/ml 1 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 419.44 349.81 419.440000 419.440000 419.440000

C1 W43623002 REMINYL 16 mg GALANTAMINUM CAPS. ELIB. PREL. 16mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 373.59 307.74 13.342500 13.342500 13.342500

C1 W43624002 REMINYL 24 mg GALANTAMINUM CAPS. ELIB. PREL. 24mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 416.76 347.35 14.884285 14.884285 14.884285

C1 W43620002 REMINYL 8 mg GALANTAMINUM CAPS. ELIB. PREL. 8mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 200.61 164.33 7.164642 7.164642 7.164642

C1 W41503001 REMINYL (R) 4 mg/ml GALANTAMINUM SOL. ORALA 4mg/ml 1 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 0N06DAO V 05-07-2010 253.63 207.76 253.630000 253.630000 253.630000

C1 W12136004 EBIXA 10 mg MEMANTINUM COMPR. FILM. 10mg 56 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 9N06DX01O V 05-07-2010 416.58 347.18 7.438928 7.438928 7.438928

C1 W12136001 EBIXA 10 mg MEMANTINUM COMPR. FILM. 10mg 28 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 9N06DX01O V 05-07-2010 214.39 175.61 7.656785 7.438928 7.438928

C1 W12135002 EBIXA (R) 10 mg/g MEMANTINUM PIC. ORALE, SOL. 10mg/g 1 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 9N06DX01O V 05-07-2010 377.23 311.08 377.230000 377.230000 377.230000

C1 W12135003 EBIXA (R) 10 mg/g MEMANTINUM PIC. ORALE, SOL. 10mg/g 1 G16DEMENTE(DEGENERATIVE,VASCULARE,MIXTE) CJAS 9N06DX01O V 05-07-2010 719.40 625.00 719.400000 377.230000 377.230000

C1 W04224001 MEDROL A 16 METHYLPREDNISOLONUM COMPR. 16mg 50 G17COLAGENOZE MAJORE(LUPUS ERIT.SIST,SCLERODERMIE) 9H02AB04O V 05-07-2010 32.54 24.08 0.650800 0.650800 0.650800

C1 W04222001 MEDROL 32 METHYLPREDNISOLONUM COMPR. 32mg 20 G17COLAGENOZE MAJORE(LUPUS ERIT.SIST,SCLERODERMIE) 9H02AB04O V 05-07-2010 29.57 21.88 1.478500 1.478500 1.478500

C1 W04223002 MEDROL 4 mg METHYLPREDNISOLONUM COMPR. 4mg 30 G17COLAGENOZE MAJORE(LUPUS ERIT.SIST,SCLERODERMIE) 9H02AB04O V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333

C1 W12490001 ENDOXAN (R) 50 mg CYCLOPHOSPHAMIDUM DRAJ. 50mg 50 G17COLAGENOZE MAJORE(LUPUS ERIT.SIST,SCLERODERMIE) 9L01AA01O V 05-07-2010 26.07 19.29 0.521400 0.521400 0.521400

C1 W52215001 ENDOXAN 200 mg CYCLOPHOSPHAMIDUM PULB. PT. SOL. PERF./INJ. I.V. 200mg 1 G17COLAGENOZE MAJORE(LUPUS ERIT.SIST,SCLERODERMIE) 9L01AA01P V 05-07-2010 15.86 11.73 15.860000 15.860000 15.860000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 G17COLAGENOZE MAJORE(LUPUS ERIT.SIST,SCLERODERMIE) 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C1 W54357001 PLAQUENIL® HYDROXYCHLOROQUINUM COMPR. FILM. 200mg 60 G17COLAGENOZE MAJORE(LUPUS ERIT.SIST,SCLERODERMIE) 9P01BA02O V 05-07-2010 33.36 24.68 0.556000 0.556000 0.556000

C1 W07440001 SULFASALAZIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 0A07ECO V 05-07-2010 28.17 20.84 0.563400 0.311700 0.311700

C1 W52803001 SALAZOPYRIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 100 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 0A07ECO V 05-07-2010 31.17 23.06 0.311700 0.311700 0.311700

C1 W12267001 DIPROPHOS (R) BETAMETHASONUM SUSP. INJ. I.M. 7mg/ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9H02AB01P V 05-07-2010 34.46 26.35 6.892000 6.892000 6.892000

C1 W04224001 MEDROL A 16 METHYLPREDNISOLONUM COMPR. 16mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9H02AB04O V 05-07-2010 32.54 24.08 0.650800 0.650800 0.650800

C1 W04222001 MEDROL 32 METHYLPREDNISOLONUM COMPR. 32mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9H02AB04O V 05-07-2010 29.57 21.88 1.478500 1.478500 1.478500

C1 W04223002 MEDROL 4 mg METHYLPREDNISOLONUM COMPR. 4mg 30 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9H02AB04O V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333

C1 W54019001 METOTREXATE BELLON 2,5 mg METHOTREXATUM COMPR. 2,5mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA MS 9L01BA01O V 05-07-2010 22.79 16.86 1.139500 1.139500 1.139500

C1 W04185002 METHOTREXAT "EBEWE" 500 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L01BA01P V 05-07-2010 240.51 197.01 48.102000 48.102000 48.102000

C1 W12733003 METHOTREXAT "EBEWE" 1000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L01BA01P V 05-07-2010 89.44 70.74 89.440000 89.440000 89.440000

C1 W12735001 METHOTREXAT "EBEWE" 5000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L01BA01P V 05-07-2010 400.04 332.01 400.040000 400.040000 400.040000

C1 W04186001 METHOTREXAT "EBEWE" 5 mg METHOTREXATUM SOL. INJ. 5mg/ml 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L01BA01P V 05-07-2010 23.77 17.59 2.377000 2.377000 2.377000

C1 W53758016 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G18

POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L01BA01P V 05-07-2010 109.28 86.43 109.280000 109.280000 109.280000

C1 W53758021 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G18

POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L01BA01P V 05-07-2010 123.90 101.49 123.900000 109.280000 109.280000

C1 W12308002 METHOTREXAT "EBEWE" 50 mg METHOTREXATUM SOL. INJ./PERF. 10mg/ml 1 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L01BA01P V 05-07-2010 13.30 9.84 13.300000 13.300000 13.300000

C1 W41654001 ARAVA 10mg LEFLUNOMIDUM COMPR. FILM. 10mg 30 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA MSP 9L04AA13O V 05-07-2010 279.37 228.84 9.312333 9.312333 9.312333

C1 W41653001 ARAVA 20mg LEFLUNOMIDUM COMPR. FILM. 20mg 30 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA MSP 9L04AA13O V 05-07-2010 291.97 239.16 9.732333 9.732333 9.732333

C1 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400

C1 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 1.878000 1.878000

C1 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000

C1 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 1.878000 1.878000

C1 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 3.789000 3.789000

C1 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000

C1 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 3.789000 3.789000

C1 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000

C1 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C1 W44020001 DICLOREUM 150 mg DICLOFENACUM CAPS. ELIB. PREL. 150mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 47.60 36.39 2.380000 2.380000 2.380000

C1 W53220001DICLOFENAC DUO PHARMASWISS 75 mg DICLOFENACUM CAPS. ELIB. PREL. 75mg 30 G18

POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 20.43 15.12 0.681000 0.681000 0.681000

C1 W02504001 TRATUL 50 DICLOFENACUM CAPS. GASTROREZ. 50mg 30 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 6.38 4.72 0.212666 0.212666 0.212666

C1 W13296001 DICLAC (R) 75 ID DICLOFENACUM COMPR. ELIB. MODIF. 75mg 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 3.91 2.89 0.391000 0.391000 0.391000

C1 W51407001 VOLTAREN (R) RETARD DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 6.55 4.85 0.655000 0.410000 0.410000

C1 W51307002 REFEN (R) RETARD DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 8.52 6.30 0.426000 0.410000 0.410000

C1 W02472001 DICLOTARD (R) 100 mg DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 8.20 6.07 0.410000 0.410000 0.410000

C1 W02500001 RHEUMAVEK DICLOFENACUM COMPR. FILM. GASTROREZ. 25mg 30 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 5.70 4.22 0.190000 0.150000 0.150000

C1 W51404002 VOLTAREN (R) 50 DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 6.55 4.85 0.327500 0.112500 0.112500

C1 W02459003 DICLOFENAC 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 4.25 3.14 0.212500 0.112500 0.112500

C1 W13867001 CLAFEN 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 2.45 1.81 0.122500 0.112500 0.112500

C1 W42674001 DICLOFENAC 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 2.25 1.66 0.112500 0.112500 0.112500

C1 W52030001DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G18

POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 3.81 2.82 0.190500 0.112500 0.112500

C1 W44068001 EPIFENAC DICLOFENACUM COMPR. GASTROREZ. 25mg 30 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 4.50 3.33 0.150000 0.150000 0.150000

C1 W51408001 VOLTAREN RAPID (R) DICLOFENACUM DRAJ. 50mg 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 2.33 1.72 0.233000 0.233000 0.233000

C1 W54364001 DICLOFENAC ARENA 25 mg DICLOFENACUM DRAJ. GASTROREZ. 25mg 30 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 5.70 4.22 0.190000 0.190000 0.190000

C1 W02488001 N - DICLOFENAC DICLOFENACUM DRAJ. GASTROREZ. 50mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 2.54 1.88 0.127000 0.127000 0.127000

C1 W54363002 DICLOFENAC ARENA 50 mg DICLOFENACUM DRAJ. GASTROREZ. 50mg 20 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABO V 05-07-2010 2.65 1.96 0.132500 0.127000 0.127000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W51406001 VOLTAREN (R) DICLOFENACUM SOL. INJ. 25mg/ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 9.38 6.94 1.876000 0.989000 0.989000

C1 W02501001 RHEUMAVEK DICLOFENACUM SOL. INJ. 25mg/ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000

C1 W02505001 TRATUL (R) DICLOFENACUM SOL. INJ. 30mg/ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 14.21 10.51 2.842000 2.842000 2.842000

C1 W42558001 DICLAC DICLOFENACUM SOL. INJ. 75mg 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000

C1 W14097002 ALMIRAL DICLOFENACUM SOL. INJ. 75mg/3ml 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 9.89 7.32 0.989000 0.989000 0.989000

C1 W42122001 DICLOFENAC 75 mg DICLOFENACUM SOL. INJ. 75mg/3ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000

C1 W08159003 DICLOFENAC AL I.M. DICLOFENACUM SOL. INJ. 75mg/3ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000

C1 W08159002 DICLOFENAC AL I.M. DICLOFENACUM SOL. INJ. 75mg/3ml 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 12.19 9.02 1.219000 0.989000 0.989000

C1 W55024001 REFEN 75 mg DICLOFENACUM SOL. INJ./PERF. 75mg/ml 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABP V 05-07-2010 4.04 2.99 0.808000 0.808000 0.808000

C1 W14114001 CLAFEN 100 mg DICLOFENACUM SUPOZ. 100mg 6 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 3.93 2.91 0.655000 0.370000 0.370000

C1 W51402003 VOLTAREN (R) DICLOFENACUM SUPOZ. 100mg 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 5.45 4.03 1.090000 0.370000 0.370000

C1 W12288001 DICLOFENAC 100 mg DICLOFENACUM SUPOZ. 100mg 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 5.24 3.88 0.524000 0.370000 0.370000

C1 W02480002 DICLOFENAC SODIC 100 mg DICLOFENACUM SUPOZ. 100mg 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 3.70 2.74 0.370000 0.370000 0.370000

C1 W44069001 EPIFENAC DICLOFENACUM SUPOZ. 100mg 5 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 3.54 2.62 0.708000 0.370000 0.370000

C1 W52023001 DICLOGESIC 12,5 SUPOZITOARE DICLOFENACUM SUPOZ. 12,5mg 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR K 05-07-2010 5.02 3.71 0.502000 0.502000 0.502000

C1 W02506001 TRATUL 120 DICLOFENACUM SUPOZ. 120mg 6 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 4.25 3.14 0.708333 0.708333 0.708333

C1 W51403001 VOLTAREN (R) DICLOFENACUM SUPOZ. 50mg 10 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 9.43 6.98 0.943000 0.943000 0.943000

C1 W02507001 TRATUL 60 DICLOFENACUM SUPOZ. 60mg 6 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 1M01ABR V 05-07-2010 3.68 2.72 0.613333 0.613333 0.613333

C1 W54357001 PLAQUENIL® HYDROXYCHLOROQUINUM COMPR. FILM. 200mg 60 G18POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA 9P01BA02O V 05-07-2010 33.36 24.68 0.556000 0.556000 0.556000

C1 W07440001 SULFASALAZIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 50 G19 SPONDILITA ANKILOZANTA 0A07ECO V 05-07-2010 28.17 20.84 0.563400 0.311700 0.311700C1 W52803001 SALAZOPYRIN EN SULFASALAZINUM COMPR. FILM. GASTROREZ. 500mg 100 G19 SPONDILITA ANKILOZANTA 0A07ECO V 05-07-2010 31.17 23.06 0.311700 0.311700 0.311700C1 W12267001 DIPROPHOS (R) BETAMETHASONUM SUSP. INJ. I.M. 7mg/ml 5 G19 SPONDILITA ANKILOZANTA 9H02AB01P V 05-07-2010 34.46 26.35 6.892000 6.892000 6.892000C1 W44020001 DICLOREUM 150 mg DICLOFENACUM CAPS. ELIB. PREL. 150mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 47.60 36.39 2.380000 2.380000 2.380000

C1 W53220001DICLOFENAC DUO PHARMASWISS 75 mg DICLOFENACUM CAPS. ELIB. PREL. 75mg 30 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 20.43 15.12 0.681000 0.681000 0.681000

C1 W02504001 TRATUL 50 DICLOFENACUM CAPS. GASTROREZ. 50mg 30 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 6.38 4.72 0.212666 0.212666 0.212666C1 W13296001 DICLAC (R) 75 ID DICLOFENACUM COMPR. ELIB. MODIF. 75mg 10 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 3.91 2.89 0.391000 0.391000 0.391000C1 W51407001 VOLTAREN (R) RETARD DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 10 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 6.55 4.85 0.655000 0.410000 0.410000C1 W51307002 REFEN (R) RETARD DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 8.52 6.30 0.426000 0.410000 0.410000C1 W02472001 DICLOTARD (R) 100 mg DICLOFENACUM COMPR. FILM. ELIB. PREL. 100mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 8.20 6.07 0.410000 0.410000 0.410000C1 W02500001 RHEUMAVEK DICLOFENACUM COMPR. FILM. GASTROREZ. 25mg 30 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 5.70 4.22 0.190000 0.150000 0.150000C1 W51404002 VOLTAREN (R) 50 DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 6.55 4.85 0.327500 0.112500 0.112500C1 W02459003 DICLOFENAC 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 4.25 3.14 0.212500 0.112500 0.112500C1 W13867001 CLAFEN 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 2.45 1.81 0.122500 0.112500 0.112500C1 W42674001 DICLOFENAC 50 mg DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 2.25 1.66 0.112500 0.112500 0.112500

C1 W52030001DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE DICLOFENACUM COMPR. FILM. GASTROREZ. 50mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 3.81 2.82 0.190500 0.112500 0.112500

C1 W44068001 EPIFENAC DICLOFENACUM COMPR. GASTROREZ. 25mg 30 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 4.50 3.33 0.150000 0.150000 0.150000C1 W51408001 VOLTAREN RAPID (R) DICLOFENACUM DRAJ. 50mg 10 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 2.33 1.72 0.233000 0.233000 0.233000C1 W54364001 DICLOFENAC ARENA 25 mg DICLOFENACUM DRAJ. GASTROREZ. 25mg 30 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 5.70 4.22 0.190000 0.190000 0.190000C1 W02488001 N - DICLOFENAC DICLOFENACUM DRAJ. GASTROREZ. 50mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 2.54 1.88 0.127000 0.127000 0.127000C1 W54363002 DICLOFENAC ARENA 50 mg DICLOFENACUM DRAJ. GASTROREZ. 50mg 20 G19 SPONDILITA ANKILOZANTA 1M01ABO V 05-07-2010 2.65 1.96 0.132500 0.127000 0.127000C1 W51406001 VOLTAREN (R) DICLOFENACUM SOL. INJ. 25mg/ml 5 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 9.38 6.94 1.876000 0.989000 0.989000C1 W02501001 RHEUMAVEK DICLOFENACUM SOL. INJ. 25mg/ml 5 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000C1 W02505001 TRATUL (R) DICLOFENACUM SOL. INJ. 30mg/ml 5 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 14.21 10.51 2.842000 2.842000 2.842000C1 W42558001 DICLAC DICLOFENACUM SOL. INJ. 75mg 5 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000C1 W14097002 ALMIRAL DICLOFENACUM SOL. INJ. 75mg/3ml 10 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 9.89 7.32 0.989000 0.989000 0.989000C1 W42122001 DICLOFENAC 75 mg DICLOFENACUM SOL. INJ. 75mg/3ml 5 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000C1 W08159003 DICLOFENAC AL I.M. DICLOFENACUM SOL. INJ. 75mg/3ml 5 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 6.09 4.51 1.218000 0.989000 0.989000C1 W08159002 DICLOFENAC AL I.M. DICLOFENACUM SOL. INJ. 75mg/3ml 10 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 12.19 9.02 1.219000 0.989000 0.989000C1 W55024001 REFEN 75 mg DICLOFENACUM SOL. INJ./PERF. 75mg/ml 5 G19 SPONDILITA ANKILOZANTA 1M01ABP V 05-07-2010 4.04 2.99 0.808000 0.808000 0.808000C1 W14114001 CLAFEN 100 mg DICLOFENACUM SUPOZ. 100mg 6 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 3.93 2.91 0.655000 0.370000 0.370000C1 W51402003 VOLTAREN (R) DICLOFENACUM SUPOZ. 100mg 5 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 5.45 4.03 1.090000 0.370000 0.370000C1 W12288001 DICLOFENAC 100 mg DICLOFENACUM SUPOZ. 100mg 10 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 5.24 3.88 0.524000 0.370000 0.370000C1 W02480002 DICLOFENAC SODIC 100 mg DICLOFENACUM SUPOZ. 100mg 10 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 3.70 2.74 0.370000 0.370000 0.370000C1 W44069001 EPIFENAC DICLOFENACUM SUPOZ. 100mg 5 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 3.54 2.62 0.708000 0.370000 0.370000C1 W52023001 DICLOGESIC 12,5 SUPOZITOARE DICLOFENACUM SUPOZ. 12,5mg 10 G19 SPONDILITA ANKILOZANTA 1M01ABR K 05-07-2010 5.02 3.71 0.502000 0.502000 0.502000C1 W02506001 TRATUL 120 DICLOFENACUM SUPOZ. 120mg 6 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 4.25 3.14 0.708333 0.708333 0.708333C1 W51403001 VOLTAREN (R) DICLOFENACUM SUPOZ. 50mg 10 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 9.43 6.98 0.943000 0.943000 0.943000C1 W02507001 TRATUL 60 DICLOFENACUM SUPOZ. 60mg 6 G19 SPONDILITA ANKILOZANTA 1M01ABR V 05-07-2010 3.68 2.72 0.613333 0.613333 0.613333

C1 W00009002 TROMBOSTOP 2 mg ACENOCUMAROLUM COMPR. 2mg 30 G2BOLNAVI CU PROTEZE VALVULARE SI VASCULARE 0B01AAO V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333

C1 W10586001 SINTROM (R) ACENOCUMAROLUM COMPR. 4mg 20 G2BOLNAVI CU PROTEZE VALVULARE SI VASCULARE 0B01AAO V 05-07-2010 6.75 4.99 0.337500 0.337500 0.337500

C1 W11164002 BROCRIPTIN (N04BC01) BROMOCRIPTINUM DRAJ. 2,5mg 40 G22 BOLI ENDOCRINE 0G02CBO V 05-07-2010 21.11 15.62 0.527750 0.527750 0.527750C1 W00716002 DOSTINEX CABERGOLINUM COMPR. 0,5mg 2 G22 BOLI ENDOCRINE MSP 0G02CBO V 05-07-2010 43.48 33.24 21.740000 15.430000 15.430000C1 W00716001 DOSTINEX CABERGOLINUM COMPR. 0,5mg 8 G22 BOLI ENDOCRINE MSP 0G02CBO V 05-07-2010 123.44 97.63 15.430000 15.430000 15.430000C1 W42027001 SOMAVERT 10 mg PEGVISOMANTUM LIOF. + SOLV. PT. SOL. INJ. 10mg 30 G22 BOLI ENDOCRINE CNAS 9H01AX01P V 05-07-2010 8,582.99 7,839.29 286.099666 286.099666 286.099666C1 W42028001 SOMAVERT 15 mg PEGVISOMANTUM LIOF. + SOLV. PT. SOL. INJ. 15mg 30 G22 BOLI ENDOCRINE CNAS 9H01AX01P V 05-07-2010 12,624.51 11,547.10 420.817000 420.817000 420.817000C1 W42029002 SOMAVERT 20 mg PEGVISOMANTUM LIOF. + SOLV. PT. SOL. INJ. 20mg 30 G22 BOLI ENDOCRINE CNAS 9H01AX01P V 05-07-2010 17,095.11 15,648.57 569.837000 569.837000 569.837000C1 W53832002 DESMOPRESINA TEVA 0,2mg DESMOPRESSINUM COMPR. 0,2mg 30 G22 BOLI ENDOCRINE 9H01BA02O V 05-07-2010 128.20 105.01 4.273333 4.273333 4.273333C1 W53989001 MINIRIN 0,2 mg DESMOPRESSINUM COMPR. 0,2mg 30 G22 BOLI ENDOCRINE 9H01BA02O V 05-07-2010 194.85 159.61 6.495000 4.273333 4.273333C1 W53992002 MINIRIN MELT 120 mcg DESMOPRESSINUM LIOF. ORAL 120mcg 30 G22 BOLI ENDOCRINE 9H01BA02O V 05-07-2010 194.83 159.59 6.494333 6.494333 6.494333C1 W53991002 MINIRIN MELT 60 mcg DESMOPRESSINUM LIOF. ORAL 60mcg 30 G22 BOLI ENDOCRINE 9H01BA02O V 05-07-2010 102.98 81.45 3.432666 3.432666 3.432666

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W42955001 SANDOSTATIN LAR 20 mg OCTREOTIDUMPULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg 1 G22 BOLI ENDOCRINE CNAS 0H01CBP V 05-07-2010 3,820.80 3,470.32 3,820.800000 3,820.800000 3,820.800000

C1 W42954001 SANDOSTATIN LAR 10 mg OCTREOTIDUMPULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg 1 G22 BOLI ENDOCRINE CNAS 0H01CBP V 05-07-2010 2,395.07 2,162.31 2,395.070000 2,395.070000 2,395.070000

C1 W42956001 SANDOSTATIN LAR 30 mg OCTREOTIDUMPULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg 1 G22 BOLI ENDOCRINE CNAS 0H01CBP V 05-07-2010 5,276.67 4,805.98 5,276.670000 5,276.670000 5,276.670000

C1 W12789001 SANDOSTATIN (R) OCTREOTIDUM SOL. INJ. 0,1mg/ml 5 G22 BOLI ENDOCRINE CNAS 0H01CBP V 05-07-2010 152.27 124.73 30.454000 30.454000 30.454000C1 W12079001 SOMATULINE (R) PR 30 mg LANREOTIDUM LIOF. PT. SOL. INJ. + SOLV. 30mg 1 G22 BOLI ENDOCRINE CNAS 0H01CBP V 05-07-2010 1,569.65 1,405.04 1,569.650000 1,569.650000 1,569.650000C1 W03165001 ASTONIN H FLUDROCORTISONUM COMPR. 0,1mg 50 G22 BOLI ENDOCRINE 9H02AA02O V 05-07-2010 47.66 36.44 0.953200 0.953200 0.953200C1 W05233001 SOLU - DECORTIN H 250 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 250mg 3 G22 BOLI ENDOCRINE 9H02AB06P V 05-07-2010 95.39 75.44 31.796666 31.796666 31.796666C1 W05234001 SOLU - DECORTIN H 50 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 50mg 3 G22 BOLI ENDOCRINE 9H02AB06P V 05-07-2010 35.62 27.23 11.873333 11.873333 11.873333C1 W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 G22 BOLI ENDOCRINE 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.082333 0.082333C1 W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 G22 BOLI ENDOCRINE 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.082333 0.082333C1 W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 G22 BOLI ENDOCRINE 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.082333C1 W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 G22 BOLI ENDOCRINE 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.082333 0.082333C1 W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 G22 BOLI ENDOCRINE 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.082333 0.082333C1 W54315001 HYDROCORTISONE ROUSSEL HYDROCORTISONUM COMPR. 10mg 25 G22 BOLI ENDOCRINE 9H02AB09O V 05-07-2010 13.56 10.03 0.542400 0.542400 0.542400C1 W51319001 HYDROCORTISONE 100 mg HYDROCORTISONUM LIOF. + SOLV. PT. SOL. INJ. 100mg 1 G22 BOLI ENDOCRINE 9H02AB09P V 05-07-2010 3.90 2.89 3.900000 3.900000 3.900000C1 W44080001 HYDROCORTISONE SUCCINAT SODIC HYDROCORTISONUM LIOF. + SOLV. PT. SOL. INJ. 100mg 1 G22 BOLI ENDOCRINE 9H02AB09P V 05-07-2010 3.90 2.89 3.900000 3.900000 3.900000C1 W51320001 HYDROCORTISONE 500 mg HYDROCORTISONUM LIOF. PT. SOL. INJ. + SOLV. 500mg 1 G22 BOLI ENDOCRINE 9H02AB09P V 05-07-2010 11.88 8.79 11.880000 11.880000 11.880000C1 W51922003 HIDROCORTIZON HEMISUCCINAT HYDROCORTISONUM SOL. INJ. I.V. 25mg/5ml 5 G22 BOLI ENDOCRINE 9H02AB09P V 05-07-2010 21.28 15.74 4.256000 4.256000 4.256000C1 W03975001 THYRO - 4 0,1 mg LEVOTHYROXINUM COMPR. 0,1mg 100 G22 BOLI ENDOCRINE 9H03AA01O V 05-07-2010 7.60 5.62 0.076000 0.076000 0.076000C1 W03976001 THYRO - 4 0,2 mg LEVOTHYROXINUM COMPR. 0,2mg 100 G22 BOLI ENDOCRINE 9H03AA01O V 05-07-2010 9.49 7.02 0.094900 0.094900 0.094900C1 W03965001 EUTHYROX (R) 100 LEVOTHYROXINUM COMPR. 100mcg 100 G22 BOLI ENDOCRINE 9H03AA01O V 05-07-2010 11.66 8.63 0.116600 0.116600 0.116600C1 W12400002 L-THYROXIN 100 BERLIN - CHEMIE LEVOTHYROXINUM COMPR. 100mcg 100 G22 BOLI ENDOCRINE 9H03AA01O V 05-07-2010 12.45 9.21 0.124500 0.116600 0.116600C1 W03967001 EUTHYROX (R) 200 LEVOTHYROXINUM COMPR. 200mcg 100 G22 BOLI ENDOCRINE 9H03AA01O V 05-07-2010 24.10 17.83 0.241000 0.241000 0.241000C1 W03968001 EUTHYROX (R) 25 LEVOTHYROXINUM COMPR. 25mcg 100 G22 BOLI ENDOCRINE 9H03AA01O K 05-07-2010 9.49 7.02 0.094900 0.094900 0.094900C1 W41954001 EUTHYROX (R) 50 LEVOTHYROXINUM COMPR. 50mcg 100 G22 BOLI ENDOCRINE 9H03AA01O V 05-07-2010 8.26 6.11 0.082600 0.082600 0.082600C1 W07735003 L-THYROXIN 50 LEVOTHYROXINUM COMPR. 50mcg 100 G22 BOLI ENDOCRINE 9H03AA01O V 05-07-2010 8.38 6.20 0.083800 0.082600 0.082600C1 W03843003 JODID 100 KALII IODIDUM COMPR. 100mcg 100 G22 BOLI ENDOCRINE 9H03CA01O V 05-07-2010 12.31 9.11 0.123100 0.123100 0.123100C1 W03843004 JODID 100 KALII IODIDUM COMPR. 100mcg 100 G22 BOLI ENDOCRINE 9H03CA01O V 05-07-2010 12.31 9.11 0.123100 0.123100 0.123100C1 W03844003 JODID 200 KALII IODIDUM COMPR. 200mcg 100 G22 BOLI ENDOCRINE 9H03CA01O V 05-07-2010 19.18 14.19 0.191800 0.191800 0.191800C1 W03844004 JODID 200 KALII IODIDUM COMPR. 200mcg 100 G22 BOLI ENDOCRINE 9H03CA01O V 05-07-2010 19.18 14.19 0.191800 0.191800 0.191800C1 W54017001 CUPRENIL PENICILLAMINUM COMPR. FILM. 250mg 100 G23 BOALA WILLSON MS 9M01CC01O V 05-07-2010 113.45 89.73 1.134500 1.134500 1.134500C1 W54017002 CUPRENIL PENICILLAMINUM COMPR. FILM. 250mg 30 G23 BOALA WILLSON MS 9M01CC01O V 05-07-2010 37.37 28.57 1.245666 1.134500 1.134500

C1 W51230001 VENOFER (R)COMPLEX DE HIDROXID DE FER (III) SUCROZA SOL. INJ./PERF. 20mg/ml 5 G25

INSUFICIENTA RENALA CRONICA MSP 3B03A5P V 05-07-2010 149.42 122.39 29.884000 29.884000 29.884000

C1 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 G25INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000

C1 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 G25INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 757.39 659.85 126.231666 100.413333 100.413333

C1 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 G25INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000

C1 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 G25INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C1 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C1 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 287.441666 287.441666

C1 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C1 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 238.11 195.04 39.685000 36.318333 36.318333

C1 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C1 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 457.85 385.05 76.308333 70.833333 70.833333

C1 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

C1 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

C1 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 651.86 563.04 108.643333 100.413333 100.413333

C1 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C1 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C1 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 840.17 735.80 140.028333 129.985000 129.985000

C1 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

C1 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 159.546666 159.546666

C1 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C1 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C1 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C1 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C1 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C1 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C1 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C1 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C1 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C1 W41530002 ARANESP 100mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 3,165.73 2,869.34 791.432500 791.432500 791.432500

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W41522002 ARANESP 10mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 390.73 323.47 97.682500 97.682500 97.682500

C1 W41531002 ARANESP 150mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 4,697.46 4,274.59 1,174.365000 1,174.365000 1,174.365000

C1 W41523002 ARANESP 15mcg/0,375ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 546.33 466.22 136.582500 136.582500 136.582500

C1 W41524002 ARANESP 20mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 701.15 608.26 175.287500 175.287500 175.287500

C1 W41532001 ARANESP 300mcg/0,6ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml 1 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 2,203.60 1,986.65 2,203.600000 2,203.600000 2,203.600000

C1 W41525002 ARANESP 30mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,007.27 889.10 251.817500 251.817500 251.817500

C1 W41526002 ARANESP 40mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,316.02 1,172.36 329.005000 329.005000 329.005000

C1 W41533001 ARANESP 500mcg/ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml 1 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 3,625.44 3,291.09 3,625.440000 3,625.440000 3,625.440000

C1 W41527002 ARANESP 50mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,623.11 1,454.09 405.777500 405.777500 405.777500

C1 W41528002 ARANESP 60mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 1,932.79 1,738.20 483.197500 483.197500 483.197500

C1 W41529002 ARANESP 80mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml 4 G25

INSUFICIENTA RENALA CRONICA MSP 0B03XAP V 05-07-2010 2,550.12 2,304.56 637.530000 637.530000 637.530000

C1 W42416002 APROVEL 150mg IRBESARTANUM COMPR. FILM. 150mg 28 G25INSUFICIENTA RENALA CRONICA MSP 0C09CAO V 05-07-2010 79.54 62.91 2.840714 2.840714 2.840714

C1 W42417002 APROVEL 300mg IRBESARTANUM COMPR. FILM. 300mg 28 G25INSUFICIENTA RENALA CRONICA MSP 0C09CAO V 05-07-2010 107.50 85.02 3.839285 3.839285 3.839285

C1 W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 G25INSUFICIENTA RENALA CRONICA 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.082333 0.082333

C1 W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 G25INSUFICIENTA RENALA CRONICA 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.082333 0.082333

C1 W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 G25INSUFICIENTA RENALA CRONICA 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.082333

C1 W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 G25INSUFICIENTA RENALA CRONICA 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.082333 0.082333

C1 W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 G25INSUFICIENTA RENALA CRONICA 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.082333 0.082333

C1 W52424002 ZEMPLAR 1mcg PARICALCITOLUM CAPS. MOI 1mcg 28 G25INSUFICIENTA RENALA CRONICA MSP 9H05BX02O V 05-07-2010 467.07 393.50 16.681071 16.681071 16.681071

C1 W52425002 ZEMPLAR 2mcg PARICALCITOLUM CAPS. MOI 2mcg 28 G25INSUFICIENTA RENALA CRONICA MSP 9H05BX02O V 05-07-2010 929.16 817.44 33.184285 33.184285 33.184285

C1 W52426002 ZEMPLAR 4mcg PARICALCITOLUM CAPS. MOI 4mcg 28 G25INSUFICIENTA RENALA CRONICA MSP 9H05BX02O V 05-07-2010 1,736.88 1,558.47 62.031428 62.031428 62.031428

C1 W42936001 ZEMPLAR PARICALCITOLUM SOL. INJ. 5 mcg/ml 5 G25INSUFICIENTA RENALA CRONICA MSP 9H05BX02P V 05-07-2010 473.88 399.75 94.776000 94.776000 94.776000

C1 W42936002 ZEMPLAR PARICALCITOLUM SOL. INJ. 5 mcg/ml 5 G25INSUFICIENTA RENALA CRONICA MSP 9H05BX02P V 05-07-2010 900.07 790.75 180.014000 180.014000 180.014000

C1 W12490001 ENDOXAN (R) 50 mg CYCLOPHOSPHAMIDUM DRAJ. 50mg 50 G25INSUFICIENTA RENALA CRONICA 9L01AA01O V 05-07-2010 26.07 19.29 0.521400 0.521400 0.521400

C1 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400

C1 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 1.878000 1.878000

C1 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000

C1 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 1.878000 1.878000

C1 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 3.789000 3.789000

C1 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000

C1 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 3.789000 3.789000

C1 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 G25INSUFICIENTA RENALA CRONICA 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000

C1 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 G25INSUFICIENTA RENALA CRONICA 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C1 W12240001 KETOSTERIL COMBINATII (AMINOACIZI) COMPR. FILM. FARA CONCENT100 G25INSUFICIENTA RENALA CRONICA MSP 9V06DDN1O V 05-07-2010 233.43 191.21 2.334300 2.334300 2.334300

C1 W53830001 DORZOPT 20 mg/ml DORZOLAMIDUM PIC. OFT., SOL 20mg/ml 1 G26 GLAUCOM 0S01ECF V 05-07-2010 30.72 22.73 30.720000 30.720000 30.720000C1 W02860001 TRUSOPT DORZOLAMIDUM SOL. OFT. 20mg/ml 1 G26 GLAUCOM 0S01ECF V 05-07-2010 40.66 31.09 40.660000 30.720000 30.720000C1 W07615001 AZOPT 10mg/ml BRINZOLAMIDUM PICATURI OFT.-SUSP. 10mg/ml 1 G26 GLAUCOM 0S01ECF V 05-07-2010 50.83 38.86 50.830000 50.830000 50.830000C1 W13201001 NYOLOL GEL TIMOLOLUM GEL OFT. 1mg/g 1 G26 GLAUCOM 1S01EDF V 05-07-2010 15.35 11.36 15.350000 15.350000 15.350000C1 W52052001 TIMOLOL RPH 0,25% TIMOLOLUM PIC. OFT., SOL. 2,5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 3.11 2.30 3.110000 3.110000 3.110000C1 W43675001 TIMABAK 5 mg/ml TIMOLOLUM PIC. OFT.,SOL. 5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 27.50 20.35 27.500000 4.670000 4.670000C1 W52051001 TIMOLOL RPH 0,5% TIMOLOLUM PIC. OFT.,SOL. 5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 4.67 3.46 4.670000 4.670000 4.670000C1 W51280001 TIMOPTIC TIMOLOLUM PIC. OFT.-SOL. 2,5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 9.41 6.96 9.410000 3.110000 3.110000C1 W51281001 TIMOPTIC TIMOLOLUM PIC. OFT.-SOL. 5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 10.09 7.47 10.090000 4.670000 4.670000C1 W44059001 TIMOLOL 0,25% TIMOLOLUM PICATURI OFT.-SOL. 0,25% 1 G26 GLAUCOM 1S01EDF V 05-07-2010 3.13 2.32 3.130000 3.110000 3.110000C1 W44058002 TIMOLOL 0,5% TIMOLOLUM PICATURI OFT.-SOL. 0,5% 1 G26 GLAUCOM 1S01EDF V 05-07-2010 5.39 3.99 5.390000 4.670000 4.670000C1 W41629002 UNITIMOLOL (R) TIMOLOLUM PICATURI OFT.-SOL. 0,5% 1 G26 GLAUCOM 1S01EDF V 05-07-2010 10.48 7.75 10.480000 4.670000 4.670000C1 W42628001 TIMO-GAL (R) TIMOLOLUM PICATURI OFT.-SOL. 0,5% 1 G26 GLAUCOM 1S01EDF V 05-07-2010 5.01 3.71 5.010000 4.670000 4.670000C1 W42638001 BETAXOLOL BETAXOLOLUM PIC. OFT., SOL. 5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 5.87 4.34 5.870000 5.300000 5.300000C1 W43453001 BETAX BETAXOLOLUM PIC. OFT.-SOL. 5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 5.30 3.92 5.300000 5.300000 5.300000C1 W00604001 BETOPTIC BETAXOLOLUM PIC.OFTALMICE,SOL. 5mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 15.27 11.30 15.270000 5.300000 5.300000C1 W00605001 BETOPTIC - S BETAXOLOLUM PICATURI OFT.-SUSP. 0,25% 1 G26 GLAUCOM 1S01EDF V 05-07-2010 15.27 11.30 15.270000 15.270000 15.270000

C1 W52116001 FORTINOL EP 2% CARTEOLOLUMPIC. OFTALMICE CU ELIB. PREL. 20mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 13.56 10.03 13.560000 13.560000 13.560000

C1 W41898001 CARTEOL 2% CARTEOLOLUM PICATURI OFT.-SOL. 2% 1 G26 GLAUCOM 1S01EDF V 05-07-2010 33.67 24.91 33.670000 33.670000 33.670000C1 W07542002 CARTEOL 2% CARTEOLOLUM PICATURI OFT.-SOL. 20mg/ml 1 G26 GLAUCOM 1S01EDF V 05-07-2010 15.92 11.78 15.920000 15.920000 15.920000

C1 W51521001 GANFORTCOMBINATII (BIMATOPROSTUM + TIMOLOLUM) PIC. OFT.,SOL. 300mcg/ml+5mg/ 1 G26 GLAUCOM 9S01ED51F V 05-07-2010 81.65 64.58 81.650000 81.650000 81.650000

C1 W51271001 COSOPTCOMBINATII (DORZOLAMIDUM+TIMOLOLUM) PIC. OFT.-SOL. FARA CONCENT1 G26 GLAUCOM 9S01ED51F V 05-07-2010 69.58 55.03 69.580000 69.580000 69.580000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W52810001 XALCOM (R)COMBINATII (LATANOPROSTUM+TIMOLOLUM) SOL. OFT. FARA CONCENT1 G26 GLAUCOM 9S01ED51F V 05-07-2010 82.65 65.37 82.650000 82.650000 82.650000

C1 W43319001 DUOTRAV 40mcg/ml + 5mg/mlCOMBINATII (TAVOPROSTUM+TIMOLOLUM) PIC. OFT.-SOL. 40mcg/ml + 5mg/ 1 G26 GLAUCOM 9S01ED51F V 05-07-2010 88.30 69.84 88.300000 88.300000 88.300000

C1 W54876001 UNILAT 50 micrograme/ml LATANOPROSTUM PIC. OFT., SOL. 50micrograme/ml 1 G26 GLAUCOM 0S01EEF V 05-07-2010 51.40 39.30 51.400000 51.380000 51.380000C1 W03937002 XALATAN (R) LATANOPROSTUM PICATURI OFT.-SOL. 0,005% 1 G26 GLAUCOM 0S01EEF V 05-07-2010 75.08 59.38 75.080000 51.380000 51.380000C1 W54612002 XALOPTIC LATANOPROSTUM PICATURI OFT.-SOL. 0,005% 1 G26 GLAUCOM 0S01EEF V 05-07-2010 51.38 39.28 51.380000 51.380000 51.380000C1 W51533001 LUMIGAN 0,3mg/ml BIMATOPROSTUM PIC. OFT.,SOL. 0,3mg/ml 1 G26 GLAUCOM 0S01EEF V 05-07-2010 68.09 53.85 68.090000 68.090000 68.090000C1 W06866001 TRAVATAN 40mcg/ml TRAVOPROSTUM PICATURI OFT.SOL. 40mcg/ml 1 G26 GLAUCOM 0S01EEF V 05-07-2010 71.85 56.83 71.850000 71.850000 71.850000

C1 W44063002 DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONUM SOL. INJ. 8mg 100 G27 PEMFIGUS 9H02AB02P V 05-07-2010 123.37 101.06 1.233700 0.919600 0.919600

C1 W44063001 DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONUM SOL. INJ. 8mg 5 G27 PEMFIGUS 9H02AB02P V 05-07-2010 6.96 5.15 1.392000 0.919600 0.919600C1 W08299002 DEXAMED DEXAMETHASONUM SOL. INJ. 8mg/2ml 100 G27 PEMFIGUS 9H02AB02P V 05-07-2010 91.96 72.73 0.919600 0.919600 0.919600C1 W08299001 DEXAMED DEXAMETHASONUM SOL. INJ. 8mg/2ml 10 G27 PEMFIGUS 9H02AB02P V 05-07-2010 10.35 7.66 1.035000 0.919600 0.919600C1 W04224001 MEDROL A 16 METHYLPREDNISOLONUM COMPR. 16mg 50 G27 PEMFIGUS 9H02AB04O V 05-07-2010 32.54 24.08 0.650800 0.650800 0.650800C1 W04222001 MEDROL 32 METHYLPREDNISOLONUM COMPR. 32mg 20 G27 PEMFIGUS 9H02AB04O V 05-07-2010 29.57 21.88 1.478500 1.478500 1.478500C1 W04223002 MEDROL 4 mg METHYLPREDNISOLONUM COMPR. 4mg 30 G27 PEMFIGUS 9H02AB04O V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333C1 W08307001 LEMOD SOLU 125 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 125mg 1 G27 PEMFIGUS 9H02AB04P V 05-07-2010 8.78 6.50 8.780000 8.780000 8.780000C1 W08310001 LEMOD SOLU 500 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 500mg 1 G27 PEMFIGUS 9H02AB04P V 05-07-2010 30.94 22.89 30.940000 30.940000 30.940000C1 W04237001 SOLU - MEDROL ACT-O-VIAL METHYLPREDNISOLONUM LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml 1 G27 PEMFIGUS 9H02AB04P V 05-07-2010 20.42 15.11 20.420000 20.420000 20.420000C1 W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 G27 PEMFIGUS 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.082333 0.082333C1 W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 G27 PEMFIGUS 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.082333 0.082333C1 W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 G27 PEMFIGUS 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.082333C1 W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 G27 PEMFIGUS 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.082333 0.082333C1 W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 G27 PEMFIGUS 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.082333 0.082333C1 W54013001 DISULONE DAPSONUM COMPR. 100mg 100 G27 PEMFIGUS MS 9J04BA02O V 05-07-2010 32.91 25.16 0.329100 0.329100 0.329100C1 W12490001 ENDOXAN (R) 50 mg CYCLOPHOSPHAMIDUM DRAJ. 50mg 50 G27 PEMFIGUS 9L01AA01O V 05-07-2010 26.07 19.29 0.521400 0.521400 0.521400

C1 W52215001 ENDOXAN 200 mg CYCLOPHOSPHAMIDUM PULB. PT. SOL. PERF./INJ. I.V. 200mg 1 G27 PEMFIGUS 9L01AA01P V 05-07-2010 15.86 11.73 15.860000 15.860000 15.860000C1 W54019001 METOTREXATE BELLON 2,5 mg METHOTREXATUM COMPR. 2,5mg 20 G27 PEMFIGUS MS 9L01BA01O V 05-07-2010 22.79 16.86 1.139500 1.139500 1.139500C1 W04185002 METHOTREXAT "EBEWE" 500 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 5 G27 PEMFIGUS 9L01BA01P V 05-07-2010 240.51 197.01 48.102000 48.102000 48.102000C1 W12733003 METHOTREXAT "EBEWE" 1000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G27 PEMFIGUS 9L01BA01P V 05-07-2010 89.44 70.74 89.440000 89.440000 89.440000C1 W12735001 METHOTREXAT "EBEWE" 5000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 G27 PEMFIGUS 9L01BA01P V 05-07-2010 400.04 332.01 400.040000 400.040000 400.040000C1 W04186001 METHOTREXAT "EBEWE" 5 mg METHOTREXATUM SOL. INJ. 5mg/ml 10 G27 PEMFIGUS 9L01BA01P V 05-07-2010 23.77 17.59 2.377000 2.377000 2.377000

C1 W53758016 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G27 PEMFIGUS 9L01BA01P V 05-07-2010 109.28 86.43 109.280000 109.280000 109.280000

C1 W53758021 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 G27 PEMFIGUS 9L01BA01P V 05-07-2010 123.90 101.49 123.900000 109.280000 109.280000

C1 W12308002 METHOTREXAT "EBEWE" 50 mg METHOTREXATUM SOL. INJ./PERF. 10mg/ml 1 G27 PEMFIGUS 9L01BA01P V 05-07-2010 13.30 9.84 13.300000 13.300000 13.300000C1 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 G27 PEMFIGUS 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400C1 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 G27 PEMFIGUS 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 1.878000 1.878000C1 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G27 PEMFIGUS 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000C1 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 G27 PEMFIGUS 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 1.878000 1.878000C1 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 G27 PEMFIGUS 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 3.789000 3.789000C1 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G27 PEMFIGUS 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000C1 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 G27 PEMFIGUS 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 3.789000 3.789000C1 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 G27 PEMFIGUS 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000C1 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 G27 PEMFIGUS 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C1 W08252001 CEREZYME 200U IMIGLUCERASUMPULB. PT.CONC. PT.SOL. PERF. 200U 1 G29 BOALA GAUCHER CNAS 9A16AB02P V 05-07-2010 3,484.17 3,161.48 3,484.170000 3,484.170000 3,484.170000

C1 W08253003 CEREZYME 400U IMIGLUCERASUMPULB. PT.CONC. PT.SOL. PERF. 400U 1 G29 BOALA GAUCHER CNAS 9A16AB02P V 05-07-2010 6,891.37 6,287.35 6,891.370000 6,891.370000 6,891.370000

C1 W51776001 ZAVESCA MIGLUSTATUM CAPS. 100mg 84 G29 BOALA GAUCHER CNAS 9A16AX06O V 05-07-2010 27,681.16 25,360.53 329.537619 329.537619 329.537619

C1 W53035002 PLAVIX 300mg CLOPIDOGRELUM COMPR. FILM. 300mg 30 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 779.14 679.81 25.971333 25.971333 25.971333

C1 W54060002 CLOPIDOGREL TEVA 75 mg CLOPIDOGRELUM COMPR. FILM. 75 mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 89.27 70.60 3.188214 2.440000 2.440000

C1 W54626003 ZYLLT CLOPIDOGRELUM COMPR. FILM. 75 mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 90.28 71.40 3.224285 2.440000 2.440000

C1 W01373004 PLAVIX 75mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 122.06 96.54 4.359285 2.440000 2.440000

C1 W54317002 TROMBEX 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 83.62 66.13 2.787333 2.440000 2.440000

C1 W54490001 EGITROMB 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 89.27 70.60 3.188214 2.440000 2.440000

C1 W54756003 CLOPIDOGREL MYLAN 75mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 84.40 66.75 3.014285 2.440000 2.440000

C1 W54973001 TROGRAN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 90.42 71.51 3.229285 2.440000 2.440000

C1 W54744002 CLOPIDOGREL DR. REDDY'S 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 79.30 62.72 2.832142 2.440000 2.440000

C1 W54744003 CLOPIDOGREL DR. REDDY'S 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 84.97 67.20 2.832333 2.440000 2.440000

C1 W54853001 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 68.37 54.07 2.441785 2.440000 2.440000

C1 W54853003 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 68.37 54.07 2.441785 2.440000 2.440000

C1 W54853005 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 84 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 215.10 176.20 2.560714 2.440000 2.440000

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C1 W54853006 CLOPIGAMMA 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 84 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 215.10 176.20 2.560714 2.440000 2.440000

C1 W54937002 PLAVOCORIN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 89.27 70.60 3.188214 2.440000 2.440000

C1 W55014003 TESSYRON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 85.00 67.23 2.833333 2.440000 2.440000

C1 W54935001 TUXEDON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 96.30 76.16 3.439285 2.440000 2.440000

C1 W54935002 TUXEDON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 84 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 273.95 224.40 3.261309 2.440000 2.440000

C1 W55371005 CLOPIDOGREL ACTAVIS 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 79.30 62.72 2.832142 2.440000 2.440000

C1 W55447002 DEFROZYP 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 79.30 62.72 2.832142 2.440000 2.440000

C1 W55445003 TESSYRON 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 30 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 85.00 67.23 2.833333 2.440000 2.440000

C1 W54933002 CLORODEN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 68.32 54.03 2.440000 2.440000 2.440000

C1 W54933009 CLORODEN 75 mg CLOPIDOGRELUM COMPR. FILM. 75mg 28 G3

BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE CJAS 0B01ACO V 05-07-2010 68.32 54.03 2.440000 2.440000 2.440000

C1 W02885004 DOXICICLINA DOXYCYCLINUM CAPS. 100mg 20 G30 BOLI VENERICE 0J01AAO V 05-07-2010 6.98 5.16 0.349000 0.349000 0.349000C1 W12627001 DOXICICLINA 100 mg DOXYCYCLINUM CAPS. 100mg 10 G30 BOLI VENERICE 0J01AAO V 05-07-2010 3.57 2.64 0.357000 0.349000 0.349000C1 W42906001 DOXICICLINA SANDOZ 100 mg DOXYCYCLINUM CAPS. 100mg 10 G30 BOLI VENERICE 0J01AAO V 05-07-2010 3.59 2.66 0.359000 0.349000 0.349000C1 W02896001 UNIDOX SOLUTAB DOXYCYCLINUM COMPR. DISP. 100mg 10 G30 BOLI VENERICE 0J01AAO V 05-07-2010 9.57 7.08 0.957000 0.957000 0.957000C1 W43836001 VIBRAMYCIN D DOXYCYCLINUM COMPR. DISP. 100mg 10 G30 BOLI VENERICE 0J01AAO V 05-07-2010 10.48 7.75 1.048000 0.957000 0.957000C1 W12028001 TETRACICLINA 250 mg TETRACYCLINUM CAPS. 250mg 20 G30 BOLI VENERICE 0J01AAO V 05-07-2010 3.17 2.35 0.158500 0.136500 0.136500C1 W42907001 TETRACICLINA SANDOZ 250 mg TETRACYCLINUM CAPS. 250mg 20 G30 BOLI VENERICE 0J01AAO V 05-07-2010 2.73 2.02 0.136500 0.136500 0.136500C1 W05834002 TETRACICLINA 250 mg TETRACYCLINUM CAPS. 250mg 20 G30 BOLI VENERICE 0J01AAO V 05-07-2010 3.02 2.23 0.151000 0.136500 0.136500C1 W12701001 TETRACICLINA ARENA 250 mg TETRACYCLINUM CAPS. 250mg 20 G30 BOLI VENERICE 0J01AAO V 05-07-2010 2.99 2.21 0.149500 0.136500 0.136500C1 W00574004 PENICILINA G SODICA BENZYLPENICILLINUM PULB. PT. SOL. INJ. 1 000 000ui 1 G30 BOLI VENERICE 0J01CEP V 05-07-2010 3.11 2.30 3.110000 3.110000 3.110000C1 W00571004 PENICILINA G POTASICA BENZYLPENICILLINUM PULB. PT. SOL. INJ. 1000000ui 1 G30 BOLI VENERICE 0J01CEP V 05-07-2010 3.11 2.30 3.110000 3.110000 3.110000C1 W00576004 PENICILINA G SODICA BENZYLPENICILLINUM PULB. PT. SOL. INJ. 400 000ui 1 G30 BOLI VENERICE 0J01CEP V 05-07-2010 2.10 1.55 2.100000 1.390000 1.390000C1 W00572004 PENICILINA G POTASICA BENZYLPENICILLINUM PULB. PT. SOL. INJ. 400000ui 1 G30 BOLI VENERICE 0J01CEP V 05-07-2010 1.39 1.03 1.390000 1.390000 1.390000C1 W10693001 PENICILINA V 1 000 000 U.I. PHENOXYMETHYLPENICILLINUM COMPR. 1000000ui 20 G30 BOLI VENERICE 0J01CEO V 05-07-2010 9.09 6.73 0.454500 0.454500 0.454500C1 W41595001 OSPEN (R) 1000 PHENOXYMETHYLPENICILLINUM COMPR. FILM. 1000000ui 12 G30 BOLI VENERICE 0J01CEO V 05-07-2010 3.45 2.55 0.287500 0.287500 0.287500C1 W41594001 OSPEN (R) 1500 PHENOXYMETHYLPENICILLINUM COMPR. FILM. 1500000ui 12 G30 BOLI VENERICE 0J01CEO V 05-07-2010 6.09 4.51 0.507500 0.507500 0.507500C1 W41596001 OSPEN (R) 500 PHENOXYMETHYLPENICILLINUM COMPR. FILM. 500000ui 12 G30 BOLI VENERICE 0J01CEO V 05-07-2010 2.62 1.94 0.218333 0.218333 0.218333C1 W41597001 OSPEN 400 PHENOXYMETHYLPENICILLINUM SIROP 400000ui/5ml 1 G30 BOLI VENERICE 0J01CEO V 05-07-2010 9.49 7.02 9.490000 9.490000 9.490000C1 W55416003 MOLDAMIN 1200000 UI BENZATHINI BENZYLPENICILLINUM PULB. PT. SUSP. INJ. 1200000UI 1 G30 BOLI VENERICE 0J01CEP V 05-07-2010 3.61 2.67 3.610000 3.610000 3.610000C1 W00560003 MOLDAMIN (R) BENZATHINI BENZYLPENICILLINUM PULB. PT. SUSP. INJ. 600000ui 1 G30 BOLI VENERICE 0J01CEP V 05-07-2010 1.39 1.03 1.390000 1.390000 1.390000C1 W13701001 EFICEF (R) 200 mg CEFIXIMUM CAPS. 200mg 10 G30 BOLI VENERICE 0J01DDO V 05-07-2010 34.70 26.53 3.470000 3.470000 3.470000C1 W02983002 ERITROMAGIS 200 mg ERYTHROMYCINUM COMPR. 200mg 20 G30 BOLI VENERICE 0J01FAO V 05-07-2010 7.07 5.23 0.353500 0.353500 0.353500C1 W08244001 ERITROMICINA 200 mg ERYTHROMYCINUM COMPR. 200mg 20 G30 BOLI VENERICE 0J01FAO V 05-07-2010 9.58 7.09 0.479000 0.353500 0.353500

C1 W44040001ERITROMICINA SANDOZ 200 mg COMPRIMATE ERYTHROMYCINUM COMPR. 200mg 20 G30 BOLI VENERICE 0J01FAO V 05-07-2010 8.43 6.24 0.421500 0.353500 0.353500

C1 W07045001 ERITROMICINA EUROPHARM 200 mg ERYTHROMYCINUM COMPR. 200mg 20 G30 BOLI VENERICE 0J01FAO V 05-07-2010 10.09 7.47 0.504500 0.353500 0.353500C1 W53821001 ERITROMICINA SANDOZ 200mg/5ml ERYTHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 G30 BOLI VENERICE 0J01FAO K 05-07-2010 11.43 8.46 11.430000 11.430000 11.430000C1 W42271001 AZATRIL 250 mg AZITHROMYCINUM CAPS. 250mg 6 G30 BOLI VENERICE 0J01FAO V 05-07-2010 25.45 18.83 4.241666 4.241666 4.241666C1 W00517001 SUMAMED 250 mg AZITHROMYCINUM CAPS. 250mg 6 G30 BOLI VENERICE 0J01FAO V 05-07-2010 37.90 28.98 6.316666 4.241666 4.241666C1 W00518001 SUMAMED 125 mg AZITHROMYCINUM COMPR. FILM. 125mg 6 G30 BOLI VENERICE 0J01FAO V 05-07-2010 25.30 18.72 4.216666 4.216666 4.216666

C1 W42879004AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE AZITHROMYCINUM COMPR. FILM. 250mg 6 G30 BOLI VENERICE 0J01FAO V 05-07-2010 48.70 37.23 8.116666 7.393333 7.393333

C1 W52838001 AZITROMICINA TERAPIA 250 mg AZITHROMYCINUM COMPR. FILM. 250mg 6 G30 BOLI VENERICE 0J01FAO V 05-07-2010 44.36 33.91 7.393333 7.393333 7.393333C1 W52838002 AZITROMICINA TERAPIA 250 mg AZITHROMYCINUM COMPR. FILM. 250mg 6 G30 BOLI VENERICE 0J01FAO V 05-07-2010 44.36 33.91 7.393333 7.393333 7.393333C1 W00519001 SUMAMED 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 38.08 29.11 12.693333 8.526666 8.526666C1 W42252001 AZITROX (R) 500 AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 25.58 18.93 8.526666 8.526666 8.526666

C1 W42878001AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 48.70 37.23 16.233333 8.526666 8.526666

C1 W43486001 AZIBIOT 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 25.59 18.93 8.530000 8.526666 8.526666C1 W43952001 ZITROCIN 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 25.59 18.93 8.530000 8.526666 8.526666C1 W52840001 AZITROMICINA TERAPIA 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 37.07 28.34 12.356666 8.526666 8.526666C1 W52840002 AZITROMICINA TERAPIA 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 37.07 28.34 12.356666 8.526666 8.526666C1 W55169001 ZITROCIN 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 25.59 18.93 8.530000 8.526666 8.526666C1 W52841001 AZITROMICINA TERAPIA 600 mg AZITHROMYCINUM COMPR. FILM. 600mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 44.51 34.03 14.836666 14.836666 14.836666C1 W52841002 AZITROMICINA TERAPIA 600 mg AZITHROMYCINUM COMPR. FILM. 600mg 3 G30 BOLI VENERICE 0J01FAO V 05-07-2010 44.51 34.03 14.836666 14.836666 14.836666

C1 W43050001 ZMAX 2 g AZITHROMYCINUMGRAN. ELIB. PREL. PT. SUSP. ORALA 2g 1 G30 BOLI VENERICE 0J01FAO V 05-07-2010 63.37 48.45 63.370000 63.370000 63.370000

C1 W44152001 SUMAMED (R) AZITHROMYCINUM LIOF. PT. SOL. PERF. 500mg 5 G30 BOLI VENERICE 0J01FAP V 05-07-2010 161.37 132.18 32.274000 32.274000 32.274000

C1 W53281001 AZITROX 200 mg/5 ml AZITHROMYCINUM PULB. + SOLV. SUSP. ORALA 200mg/5ml 1 G30 BOLI VENERICE 0J01FAO K 05-07-2010 16.33 12.08 16.330000 16.330000 16.330000C1 W42901001 AZITROMICINA SANDOZ 100 mg/5 ml AZITHROMYCINUM PULB. PT. SUSP. ORALA 100mg/5ml 1 G30 BOLI VENERICE 0J01FAO K 05-07-2010 22.40 16.57 22.400000 22.400000 22.400000C1 W42877002 AZITROMICINA SANDOZ 200 mg/5 ml AZITHROMYCINUM PULB. PT. SUSP. ORALA 200 mg/5 ml 1 G30 BOLI VENERICE 0J01FAO K 05-07-2010 34.28 26.21 34.280000 16.330000 16.330000C1 W00520002 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 G30 BOLI VENERICE 0J01FAO K 05-07-2010 25.12 18.59 25.120000 16.330000 16.330000C1 W00520001 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 G30 BOLI VENERICE 0J01FAO K 05-07-2010 48.48 37.06 48.480000 16.330000 16.330000C1 W00520003 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 G30 BOLI VENERICE 0J01FAO K 05-07-2010 60.21 46.03 60.210000 16.330000 16.330000C1 W01291001 EUCIPRIN CIPROFLOXACINUM CAPS. 250mg 12 G30 BOLI VENERICE 1J01MAO V 05-07-2010 8.01 5.93 0.667500 0.667500 0.667500C1 W54038001 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.55 4.85 0.655000 0.614000 0.614000C1 W54038002 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 20 G30 BOLI VENERICE 1J01MAO V 05-07-2010 12.28 9.09 0.614000 0.614000 0.614000C1 W54037001 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 37.23 28.46 3.723000 3.273500 3.273500C1 W54037002 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 20 G30 BOLI VENERICE 1J01MAO V 05-07-2010 65.47 51.78 3.273500 3.273500 3.273500C1 W44077004 CIPROCIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.475000 0.475000C1 W01273001 CIPRINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.475000 0.475000C1 W01288001 CIPROLEN (R) 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.475000 0.475000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W01271002 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.475000 0.475000C1 W01271001 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 20 G30 BOLI VENERICE 1J01MAO V 05-07-2010 12.26 9.07 0.613000 0.475000 0.475000C1 W51913001 CIPROFLOXACINA ALKALOID 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 7.86 5.82 0.786000 0.475000 0.475000C1 W07862001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.92 5.12 0.692000 0.475000 0.475000C1 W53066001 EUCIPRIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.09 4.51 0.609000 0.475000 0.475000C1 W53288001 ALVEBAR 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 4.75 3.51 0.475000 0.475000 0.475000C1 W55179001 CIPROFLOXACINA OZONE 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 5.29 3.91 0.529000 0.475000 0.475000C1 W01274001 CIPRINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 13.19 9.76 1.319000 0.647000 0.647000C1 W44076001 CIPROCIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 13.19 9.76 1.319000 0.647000 0.647000C1 W01289001 CIPROLEN (R) 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 13.19 9.76 1.319000 0.647000 0.647000C1 W01272001 CUMINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 13.19 9.76 1.319000 0.647000 0.647000C1 W13734001 CIPROZONE FORTE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.647000 0.647000C1 W51912001 CIPROFLOXACINA ALKALOID 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 15.07 11.15 1.507000 0.647000 0.647000C1 W07863001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 8.75 6.47 0.875000 0.647000 0.647000C1 W12545001 CIPRO QUIN (R) CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 13.19 9.76 1.319000 0.647000 0.647000C1 W52031001 CIPRODAR CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 13.19 9.76 1.319000 0.647000 0.647000C1 W53067001 EUCIPRIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.647000 0.647000C1 W53287001 ALVEBAR 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.647000C1 W54039001 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.647000 0.647000C1 W54039002 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 20 G30 BOLI VENERICE 1J01MAO V 05-07-2010 16.38 12.12 0.819000 0.647000 0.647000C1 W55180001 CIPROFLOXACINA OZONE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.647000 0.647000C1 W42772001 CIPRINOL 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 38.41 29.37 3.841000 3.723000 3.723000C1 W54040001 CIPROFLOXACINA ARENA 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 G30 BOLI VENERICE 1J01MAO V 05-07-2010 37.23 28.46 3.723000 3.723000 3.723000C1 W43891001 CIPROBAY XR 1000 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 1000 mg 7 G30 BOLI VENERICE 1J01MAO V 05-07-2010 84.50 66.83 12.071428 12.071428 12.071428C1 W43890001 CIPROBAY XR 500 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 500 mg 3 G30 BOLI VENERICE 1J01MAO V 05-07-2010 27.57 20.40 9.190000 9.190000 9.190000C1 W01275002 CIPRINOL (R) CIPROFLOXACINUM CONC. PT. SOL. PERF. 100mg/10ml 50 G30 BOLI VENERICE 1J01MAP V 05-07-2010 136.24 111.60 2.724800 2.724800 2.724800C1 W01275001 CIPRINOL (R) CIPROFLOXACINUM CONC. PT. SOL. PERF. 100mg/10ml 5 G30 BOLI VENERICE 1J01MAP V 05-07-2010 16.75 12.39 3.350000 2.724800 2.724800C1 W08223001 CIPRINOL CIPROFLOXACINUM SOL. PERF. 100mg/50ml 1 G30 BOLI VENERICE 1J01MAP V 05-07-2010 4.78 3.54 4.780000 4.780000 4.780000C1 W08224001 CIPRINOL CIPROFLOXACINUM SOL. PERF. 200mg/100ml 1 G30 BOLI VENERICE 1J01MAP V 05-07-2010 9.57 7.08 9.570000 9.570000 9.570000C1 W53353002 CIPROFLOXACINA INFOMED 2 mg/ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 G30 BOLI VENERICE 1J01MAP V 05-07-2010 87.28 69.03 8.728000 8.728000 8.728000C1 W53353003 CIPROFLOXACINA INFOMED 2 mg/ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 G30 BOLI VENERICE 1J01MAP V 05-07-2010 156.96 128.57 15.696000 8.728000 8.728000C1 W07480002 UFEXIL 2 mg/ ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 G30 BOLI VENERICE 1J01MAP V 05-07-2010 162.21 132.87 16.221000 9.570000 9.570000C1 W13653002 CIPROBAY (R) 400 CIPROFLOXACINUM SOL. PERF. 2mg/ml 5 G30 BOLI VENERICE 1J01MAP V 05-07-2010 702.27 609.28 140.454000 19.260000 19.260000C1 W42193001 CIPRINOL (R) CIPROFLOXACINUM SOL. PERF. 400mg/200ml 1 G30 BOLI VENERICE 1J01MAP V 05-07-2010 19.26 14.25 19.260000 19.260000 19.260000

C1 W07349003 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 3 G31A

Boala cronica inflamatorie intestinala CNAS 0L04ABP V 05-07-2010 7,483.01 6,830.14 2,494.336666 2,494.336666 2,494.336666

C1 W07349002 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 2 G31A

Boala cronica inflamatorie intestinala CNAS 0L04ABP V 05-07-2010 5,120.38 4,662.59 2,560.190000 2,494.336666 2,494.336666

C1 W52748002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN PEN PRE-UMPLUTA 40mg 2 G31A

Boala cronica inflamatorie intestinala CNAS 0L04ABP V 05-07-2010 4,773.44 4,344.30 2,386.720000 2,386.720000 2,386.720000

C1 W52746002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN SERINGA PREUMPLUTA 40mg 2 G31A

Boala cronica inflamatorie intestinala CNAS 0L04ABP V 05-07-2010 4,738.14 4,311.91 2,369.070000 2,369.070000 2,369.070000

C1 W07199001 MABTHERA 100 mg RITUXIMABUM CONC. PT. SOL. PERF. 10mg/ml 2 G31B Poliartrita reumatoida CNAS 9L01XC02P V 05-07-2010 2,454.04 2,216.41 1,227.020000 1,227.020000 1,227.020000C1 W07200001 MABTHERA 500 mg RITUXIMABUM CONC. PT. SOL. PERF. 10mg/ml 1 G31B Poliartrita reumatoida CNAS 9L01XC02P V 05-07-2010 6,028.99 5,496.18 6,028.990000 6,028.990000 6,028.990000C1 W41764001 ENBREL 25mg ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 2,270.02 2,047.58 567.505000 566.212500 566.212500C1 W52554001 ENBREL DE UZ PEDIATRIC ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500C1 W43135002 ENBREL 50 mg ETANERCEPTUM PULB+SOLV.PT.SOL.INJ 50mg 4 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 4,555.11 4,143.99 1,138.777500 1,138.777500 1,138.777500

C1 W52266001 ENBREL 25mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 25mg 4 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500

C1 W52267002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg 4 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W54896002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg 4 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W07349003 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 3 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 7,483.01 6,830.14 2,494.336666 2,494.336666 2,494.336666

C1 W07349002 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 2 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 5,120.38 4,662.59 2,560.190000 2,494.336666 2,494.336666

C1 W52748002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN PEN PRE-UMPLUTA 40mg 2 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 4,773.44 4,344.30 2,386.720000 2,386.720000 2,386.720000

C1 W52746002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN SERINGA PREUMPLUTA 40mg 2 G31B Poliartrita reumatoida CNAS 0L04ABP V 05-07-2010 4,738.14 4,311.91 2,369.070000 2,369.070000 2,369.070000

C1 W41764001 ENBREL 25mg ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 2,270.02 2,047.58 567.505000 566.212500 566.212500C1 W52554001 ENBREL DE UZ PEDIATRIC ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500C1 W43135002 ENBREL 50 mg ETANERCEPTUM PULB+SOLV.PT.SOL.INJ 50mg 4 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 4,555.11 4,143.99 1,138.777500 1,138.777500 1,138.777500

C1 W52266001 ENBREL 25mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 25mg 4 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500

C1 W52267002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg 4 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W54896002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg 4 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W07349003 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 3 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 7,483.01 6,830.14 2,494.336666 2,494.336666 2,494.336666

C1 W07349002 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 2 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 5,120.38 4,662.59 2,560.190000 2,494.336666 2,494.336666

C1 W52748002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN PEN PRE-UMPLUTA 40mg 2 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 4,773.44 4,344.30 2,386.720000 2,386.720000 2,386.720000

C1 W52746002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN SERINGA PREUMPLUTA 40mg 2 G31C Artropatia psoriazica CNAS 0L04ABP V 05-07-2010 4,738.14 4,311.91 2,369.070000 2,369.070000 2,369.070000

C1 W41764001 ENBREL 25mg ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 2,270.02 2,047.58 567.505000 566.212500 566.212500C1 W52554001 ENBREL DE UZ PEDIATRIC ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500C1 W43135002 ENBREL 50 mg ETANERCEPTUM PULB+SOLV.PT.SOL.INJ 50mg 4 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 4,555.11 4,143.99 1,138.777500 1,138.777500 1,138.777500

C1 W52266001 ENBREL 25mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 25mg 4 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500

C1 W52267002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg 4 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W54896002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg 4 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W07349003 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 3 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 7,483.01 6,830.14 2,494.336666 2,494.336666 2,494.336666

C1 W07349002 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 2 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 5,120.38 4,662.59 2,560.190000 2,494.336666 2,494.336666

C1 W52748002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN PEN PRE-UMPLUTA 40mg 2 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 4,773.44 4,344.30 2,386.720000 2,386.720000 2,386.720000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W52746002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN SERINGA PREUMPLUTA 40mg 2 G31D Spondilita ankilozanta CNAS 0L04ABP V 05-07-2010 4,738.14 4,311.91 2,369.070000 2,369.070000 2,369.070000

C1 W41764001 ENBREL 25mg ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31E Artrita juvenila CNAS 0L04ABP V 05-07-2010 2,270.02 2,047.58 567.505000 566.212500 566.212500C1 W52554001 ENBREL DE UZ PEDIATRIC ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31E Artrita juvenila CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500C1 W43135002 ENBREL 50 mg ETANERCEPTUM PULB+SOLV.PT.SOL.INJ 50mg 4 G31E Artrita juvenila CNAS 0L04ABP V 05-07-2010 4,555.11 4,143.99 1,138.777500 1,138.777500 1,138.777500

C1 W52266001 ENBREL 25mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 25mg 4 G31E Artrita juvenila CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500

C1 W52267002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg 4 G31E Artrita juvenila CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W54896002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg 4 G31E Artrita juvenila CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W41764001 ENBREL 25mg ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 2,270.02 2,047.58 567.505000 566.212500 566.212500C1 W52554001 ENBREL DE UZ PEDIATRIC ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500C1 W43135002 ENBREL 50 mg ETANERCEPTUM PULB+SOLV.PT.SOL.INJ 50mg 4 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 4,555.11 4,143.99 1,138.777500 1,138.777500 1,138.777500

C1 W52266001 ENBREL 25mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 25mg 4 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500

C1 W52267002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg 4 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W54896002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg 4 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C1 W07349003 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 3 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 7,483.01 6,830.14 2,494.336666 2,494.336666 2,494.336666

C1 W07349002 REMICADE 100 mg INFLIXIMABUMPULB. PT. CONC. PT. SOL. PERF. 100mg 2 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 5,120.38 4,662.59 2,560.190000 2,494.336666 2,494.336666

C1 W52748002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN PEN PRE-UMPLUTA 40mg 2 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 4,773.44 4,344.30 2,386.720000 2,386.720000 2,386.720000

C1 W52746002 HUMIRA 40 mg ADALIMUMABUMSOL. INJ. IN SERINGA PREUMPLUTA 40mg 2 G31F Psoriazis cronic sever (placi) CNAS 0L04ABP V 05-07-2010 4,738.14 4,311.91 2,369.070000 2,369.070000 2,369.070000

C1 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000

C1 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 757.39 659.85 126.231666 100.413333 100.413333

C1 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000

C1 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C1 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C1 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 287.441666 287.441666

C1 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C1 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 238.11 195.04 39.685000 36.318333 36.318333

C1 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C1 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 457.85 385.05 76.308333 70.833333 70.833333

C1 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

C1 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

C1 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 651.86 563.04 108.643333 100.413333 100.413333

C1 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C1 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C1 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 840.17 735.80 140.028333 129.985000 129.985000

C1 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

C1 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 159.546666 159.546666

C1 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C1 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C1 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C1 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C1 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C1 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C1 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C1 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C1 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C1 W08062003 REBETOL 200 mg RIBAVIRINUM CAPS. 200mg 140 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 9J05AB04O V 05-07-2010 610.50 551.34 4.360714 4.360714 4.360714

C1 W53326004 COPEGUS 200mg RIBAVIRINUM COMPR. FILM. 200mg 168 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 9J05AB04O V 05-07-2010 663.76 600.20 3.950952 3.950952 3.950952

C1 W07518002 ZEFFIX 100 mg LAMIVUDINUM COMPR. FILM. 100mg 28 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 9J05AF05O V 05-07-2010 278.07 227.78 9.931071 9.931071 9.931071

C1 W03923002 EPIVIR 150mg LAMIVUDINUM COMPR. FILM. 150mg 60 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 9J05AF05O V 05-07-2010 397.36 329.55 6.622666 6.622666 6.622666

C1 W03924002 EPIVIR 10mg/ml LAMIVUDINUM SOL. ORALA 10mg/ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 9J05AF05O V 05-07-2010 113.11 89.46 113.110000 113.110000 113.110000

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Grupa terapeutica RO Valabil de la

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C1 W07520001 ZEFFIX 5 mg/ml LAMIVUDINUM SOL. ORALA 5mg/ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 9J05AF05O V 05-07-2010 126.68 103.77 126.680000 126.680000 126.680000

C1 W51522001 HEPSERA ADEFOVIRUM DIPIVOXILUM COMPR. 10mg 30 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 0J05AFO V 05-07-2010 1,924.62 1,730.70 64.154000 64.154000 64.154000

C1 W51442002 BARACLUDE 0,5mg ENTECAVIRUM COMPR. FILM. 0,5mg 30 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 0J05AFO V 05-07-2010 1,744.69 1,565.63 58.156333 58.156333 58.156333

C1 W51443002 BARACLUDE 1mg ENTECAVIRUM COMPR. FILM. 1mg 30 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 0J05AFO V 05-07-2010 1,934.04 1,739.35 64.468000 64.468000 64.468000

C1 W51424001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 30MU/0,5ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0L03AAP V 05-07-2010 325.26 266.43 325.260000 325.260000 325.260000

C1 W51423001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 48MU/0,5ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0L03AAP V 05-07-2010 512.98 435.62 512.980000 512.980000 512.980000

C1 W53520001 TEVAGRASTIM 30MUI/0,5ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 300mcg/0,5ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0L03AAP V 05-07-2010 260.83 213.65 260.830000 260.830000 260.830000

C1 W53523001 TEVAGRASTIM 48MUI/0,8ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 480mcg/0,8ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 0L03AAP V 05-07-2010 425.24 355.13 425.240000 425.240000 425.240000

C1 W51330002 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 18Mui/0,6ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABBP V 05-07-2010 423.84 353.84 423.840000 423.840000 423.840000

C1 W51327001 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 3Mui/0,5ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABBP V 05-07-2010 87.23 68.99 87.230000 87.230000 87.230000

C1 W51329001 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 9Mui/0,5ml 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABBP V 05-07-2010 182.79 149.73 182.790000 182.790000 182.790000

C1 W13209002 INTRON A 18 milioane U.I. INTERFERONUM ALFA 2B SOL. INJ. PEN MULTIDOZA 18 milioane U.I. 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABBP V 05-07-2010 489.79 414.35 489.790000 489.790000 489.790000

C1 W13208001 INTRON A 30 milioane U.I. INTERFERONUM ALFA 2B SOL. INJ. PEN MULTIDOZA 30 milioane U.I. 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABBP V 05-07-2010 770.91 672.26 770.910000 770.910000 770.910000

C1 W07812002 PEGINTRON 100 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 100mcg 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABCP V 05-07-2010 818.23 715.67 818.230000 818.230000 818.230000

C1 W07813001 PEGINTRON 120 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 120mcg 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABCP V 05-07-2010 967.73 852.82 967.730000 967.730000 967.730000

C1 W07840001 PEGINTRON 150 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 150mcg 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABCP V 05-07-2010 1,191.02 1,057.68 1,191.020000 1,191.020000 1,191.020000

C1 W07841001 PEGINTRON 50 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 50mcg 1 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABCP V 05-07-2010 444.84 373.11 444.840000 444.840000 444.840000

C1 W52673003 PEGASYS 135 mcg/0,5ml PEGINTERFERON ALFA-2ASOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml 1 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABCP V 05-07-2010 774.99 676.00 774.990000 774.990000 774.990000

C1 W08978004 PEGASYS 180 mcg/0,5ml PEGINTERFERON ALFA-2ASOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml 1 G4

HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) CNAS 1L03ABCP V 05-07-2010 973.03 857.69 973.030000 973.030000 973.030000

C1 W00264001 VIREGYT (R)- K AMANTADINUM CAPS. 100mg 50 G4HEPATITE CRONICE DE ETIOLOGIE VIRALA(HVB,HCV) MSP 9N04BB01O V 05-07-2010 17.03 12.60 0.340600 0.340600 0.340600

C1 W04224001 MEDROL A 16 METHYLPREDNISOLONUM COMPR. 16mg 50 G5 HEPATITA AUTOIMUNA 9H02AB04O V 05-07-2010 32.54 24.08 0.650800 0.650800 0.650800C1 W04222001 MEDROL 32 METHYLPREDNISOLONUM COMPR. 32mg 20 G5 HEPATITA AUTOIMUNA 9H02AB04O V 05-07-2010 29.57 21.88 1.478500 1.478500 1.478500C1 W04223002 MEDROL 4 mg METHYLPREDNISOLONUM COMPR. 4mg 30 G5 HEPATITA AUTOIMUNA 9H02AB04O V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333C1 W08307001 LEMOD SOLU 125 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 125mg 1 G5 HEPATITA AUTOIMUNA 9H02AB04P V 05-07-2010 8.78 6.50 8.780000 8.780000 8.780000C1 W08310001 LEMOD SOLU 500 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 500mg 1 G5 HEPATITA AUTOIMUNA 9H02AB04P V 05-07-2010 30.94 22.89 30.940000 30.940000 30.940000C1 W04237001 SOLU - MEDROL ACT-O-VIAL METHYLPREDNISOLONUM LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml 1 G5 HEPATITA AUTOIMUNA 9H02AB04P V 05-07-2010 20.42 15.11 20.420000 20.420000 20.420000C1 W05233001 SOLU - DECORTIN H 250 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 250mg 3 G5 HEPATITA AUTOIMUNA 9H02AB06P V 05-07-2010 95.39 75.44 31.796666 31.796666 31.796666C1 W05234001 SOLU - DECORTIN H 50 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 50mg 3 G5 HEPATITA AUTOIMUNA 9H02AB06P V 05-07-2010 35.62 27.23 11.873333 11.873333 11.873333C1 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 G5 HEPATITA AUTOIMUNA 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C1 W00187002 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 100 G6

CIROZA BILIARA PRIMARA,COLANGITA SCLEROZANTA 9A05AA02O V 05-07-2010 123.98 98.05 1.239800 1.239800 1.239800

C1 W00187001 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 G6

CIROZA BILIARA PRIMARA,COLANGITA SCLEROZANTA 9A05AA02O V 05-07-2010 71.32 56.41 1.426400 1.239800 1.239800

C1 W00188001 URSOSAN ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 G6

CIROZA BILIARA PRIMARA,COLANGITA SCLEROZANTA 9A05AA02O V 05-07-2010 68.61 54.26 1.372200 1.239800 1.239800

C1 W53024004 URSOCHOL 150 mg ACIDUM URSODEOXYCHOLICUM COMPR. 150mg 60 G6

CIROZA BILIARA PRIMARA,COLANGITA SCLEROZANTA 9A05AA02O V 05-07-2010 54.05 41.32 0.900833 0.900833 0.900833

C1 W53025002 URSOCHOL 300 mg ACIDUM URSODEOXYCHOLICUM COMPR. 300mg 20 G6

CIROZA BILIARA PRIMARA,COLANGITA SCLEROZANTA 9A05AA02O V 05-07-2010 35.80 27.37 1.790000 1.790000 1.790000

C1 W03917001 DUPHALAC (R) LACTULOSUM LICHID ORAL 66,7% 1 G7 CIROZA HEPATICA 9A06AD11O V 05-07-2010 10.94 8.09 10.940000 10.940000 10.940000C1 W44054002 LACTULOSE LACTULOSUM SIROP 65% 1 G7 CIROZA HEPATICA 9A06AD11O V 05-07-2010 10.39 7.69 10.390000 3.450000 3.450000C1 W44054001 LACTULOSE LACTULOSUM SIROP 65% 1 G7 CIROZA HEPATICA 9A06AD11O V 05-07-2010 3.45 2.55 3.450000 3.450000 3.450000C1 W54245003 LACTULOSE-MIP 650 mg/ml LACTULOSUM SIROP 650mg/ml 1 G7 CIROZA HEPATICA 9A06AD11O V 05-07-2010 17.20 12.73 17.200000 17.200000 17.200000C1 W54245004 LACTULOSE-MIP 650 mg/ml LACTULOSUM SIROP 650mg/ml 1 G7 CIROZA HEPATICA 9A06AD11O V 05-07-2010 33.27 25.44 33.270000 17.200000 17.200000C1 W54468001 LACTULAK 660 mg/ml LACTULOSUM SOL. ORALA 660 mg/ml 1 G7 CIROZA HEPATICA 9A06AD11O V 05-07-2010 7.07 5.23 7.070000 7.070000 7.070000C1 W07013005 LAEVOLAC 670mg/ml LACTULOSUM SOL. ORALA 670mg/ml 1 G7 CIROZA HEPATICA 9A06AD11O V 05-07-2010 3.56 2.63 3.560000 3.560000 3.560000C1 W05444001 NORMIX 200 mg RIFAXIMINUM COMPR. FILM. 200mg 12 G7 CIROZA HEPATICA 9A07AA11O V 05-07-2010 36.53 27.93 3.044166 3.044166 3.044166C1 W05445001 NORMIX 100mg/5ml RIFAXIMINUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 G7 CIROZA HEPATICA 9A07AA11O V 05-07-2010 19.06 14.10 19.060000 19.060000 19.060000C1 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000C1 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 757.39 659.85 126.231666 100.413333 100.413333C1 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000C1 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C1 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C1 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 287.441666 287.441666

C1 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C1 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 238.11 195.04 39.685000 36.318333 36.318333

C1 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C1 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 457.85 385.05 76.308333 70.833333 70.833333

C1 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

C1 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C1 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 651.86 563.04 108.643333 100.413333 100.413333

C1 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C1 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C1 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 840.17 735.80 140.028333 129.985000 129.985000

C1 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

C1 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 159.546666 159.546666

C1 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C1 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C1 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C1 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C1 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C1 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C1 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C1 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C1 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 G7 CIROZA HEPATICA MSP 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C1 W03265002 FUROSEMID MCC 40 mg FUROSEMIDUM COMPR. 40mg 20 G7 CIROZA HEPATICA 9C03CA01O V 05-07-2010 1.62 1.20 0.081000 0.080000 0.080000C1 W42036002 FUROSEMID SLAVIA FUROSEMIDUM COMPR. 40mg 20 G7 CIROZA HEPATICA 9C03CA01O V 05-07-2010 2.27 1.68 0.113500 0.080000 0.080000C1 W07878001 FUROSEMID EEL FUROSEMIDUM COMPR. 40mg 20 G7 CIROZA HEPATICA 9C03CA01O V 05-07-2010 1.62 1.20 0.081000 0.080000 0.080000C1 W43155001 FUROSEMID ZENTIVA FUROSEMIDUM COMPR. 40mg 20 G7 CIROZA HEPATICA 9C03CA01O V 05-07-2010 6.01 4.45 0.300500 0.080000 0.080000C1 W03264001 FUROSEMID LPH 40 mg FUROSEMIDUM COMPR. 40mg 20 G7 CIROZA HEPATICA 9C03CA01O V 05-07-2010 3.04 2.25 0.152000 0.080000 0.080000C1 W52043001 FUROSEMID ARENA 40 mg FUROSEMIDUM COMPR. 40mg 20 G7 CIROZA HEPATICA 9C03CA01O V 05-07-2010 1.60 1.18 0.080000 0.080000 0.080000C1 W42799002 FUROSEMID 20 mg/2 ml FUROSEMIDUM SOL. INJ. 10mg/ml 5 G7 CIROZA HEPATICA 9C03CA01P V 05-07-2010 6.06 4.48 1.212000 1.212000 1.212000C1 W54824001 VEROSPIRON SPIRONOLACTONUM CAPS. 100mg 30 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 28.43 21.03 0.947666 0.947666 0.947666C1 W55360002 SPIRONOLACTONA ARENA 25 mg SPIRONOLACTONUM CAPS. 25mg 50 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 16.04 11.87 0.320800 0.320800 0.320800C1 W54823001 VEROSPIRON SPIRONOLACTONUM CAPS. 50mg 30 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 16.67 12.33 0.555666 0.540333 0.540333C1 W55359001 SPIRONOLACTONA ARENA 50 mg SPIRONOLACTONUM CAPS. 50mg 30 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 16.21 11.99 0.540333 0.540333 0.540333C1 W53792001 SPIRONOLACTONA EEL 25 mg SPIRONOLACTONUM COMPR. 25mg 20 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 4.30 3.18 0.215000 0.215000 0.215000C1 W53791001 SPIRONOLACTONA OZONE 25 mg SPIRONOLACTONUM COMPR. 25mg 50 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 10.77 7.97 0.215400 0.215000 0.215000C1 W55072001 SPIRONOLACTONA OZONE 25 mg SPIRONOLACTONUM COMPR. 25mg 50 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 10.77 7.97 0.215400 0.215000 0.215000C1 W08893001 SPIRONOLACTONA 25 mg SPIRONOLACTONUM COMPR. FILM. 25mg 50 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 16.18 11.97 0.323600 0.215000 0.215000C1 W52138001 ALSPIRON 25 mg SPIRONOLACTONUM COMPR. FILM. 25mg 20 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 4.30 3.18 0.215000 0.215000 0.215000C1 W41550001 ALSPIRON 50 mg SPIRONOLACTONUM COMPR. FILM. 50mg 20 G7 CIROZA HEPATICA 9C03DA01O V 05-07-2010 13.71 10.14 0.685500 0.685500 0.685500C1 W05233001 SOLU - DECORTIN H 250 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 250mg 3 G7 CIROZA HEPATICA 9H02AB06P V 05-07-2010 95.39 75.44 31.796666 31.796666 31.796666C1 W05234001 SOLU - DECORTIN H 50 PREDNISOLONUM LIOF. + SOLV. PT. SOL. INJ. 50mg 3 G7 CIROZA HEPATICA 9H02AB06P V 05-07-2010 35.62 27.23 11.873333 11.873333 11.873333C1 W08062003 REBETOL 200 mg RIBAVIRINUM CAPS. 200mg 140 G7 CIROZA HEPATICA CNAS 9J05AB04O V 05-07-2010 610.50 551.34 4.360714 4.360714 4.360714C1 W53326004 COPEGUS 200mg RIBAVIRINUM COMPR. FILM. 200mg 168 G7 CIROZA HEPATICA CNAS 9J05AB04O V 05-07-2010 663.76 600.20 3.950952 3.950952 3.950952C1 W07518002 ZEFFIX 100 mg LAMIVUDINUM COMPR. FILM. 100mg 28 G7 CIROZA HEPATICA CNAS 9J05AF05O V 05-07-2010 278.07 227.78 9.931071 9.931071 9.931071C1 W03923002 EPIVIR 150mg LAMIVUDINUM COMPR. FILM. 150mg 60 G7 CIROZA HEPATICA CNAS 9J05AF05O V 05-07-2010 397.36 329.55 6.622666 6.622666 6.622666C1 W03924002 EPIVIR 10mg/ml LAMIVUDINUM SOL. ORALA 10mg/ml 1 G7 CIROZA HEPATICA CNAS 9J05AF05O V 05-07-2010 113.11 89.46 113.110000 113.110000 113.110000C1 W07520001 ZEFFIX 5 mg/ml LAMIVUDINUM SOL. ORALA 5mg/ml 1 G7 CIROZA HEPATICA CNAS 9J05AF05O V 05-07-2010 126.68 103.77 126.680000 126.680000 126.680000C1 W51522001 HEPSERA ADEFOVIRUM DIPIVOXILUM COMPR. 10mg 30 G7 CIROZA HEPATICA CNAS 0J05AFO V 05-07-2010 1,924.62 1,730.70 64.154000 64.154000 64.154000C1 W51442002 BARACLUDE 0,5mg ENTECAVIRUM COMPR. FILM. 0,5mg 30 G7 CIROZA HEPATICA CNAS 0J05AFO V 05-07-2010 1,744.69 1,565.63 58.156333 58.156333 58.156333C1 W51443002 BARACLUDE 1mg ENTECAVIRUM COMPR. FILM. 1mg 30 G7 CIROZA HEPATICA CNAS 0J05AFO V 05-07-2010 1,934.04 1,739.35 64.468000 64.468000 64.468000C1 W51424001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 30MU/0,5ml 1 G7 CIROZA HEPATICA MSP 0L03AAP V 05-07-2010 325.26 266.43 325.260000 325.260000 325.260000C1 W51423001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 48MU/0,5ml 1 G7 CIROZA HEPATICA MSP 0L03AAP V 05-07-2010 512.98 435.62 512.980000 512.980000 512.980000C1 W53520001 TEVAGRASTIM 30MUI/0,5ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 300mcg/0,5ml 1 G7 CIROZA HEPATICA MSP 0L03AAP V 05-07-2010 260.83 213.65 260.830000 260.830000 260.830000C1 W53523001 TEVAGRASTIM 48MUI/0,8ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 480mcg/0,8ml 1 G7 CIROZA HEPATICA MSP 0L03AAP V 05-07-2010 425.24 355.13 425.240000 425.240000 425.240000C1 W51330002 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 18Mui/0,6ml 1 G7 CIROZA HEPATICA CNAS 1L03ABBP V 05-07-2010 423.84 353.84 423.840000 423.840000 423.840000C1 W51327001 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 3Mui/0,5ml 1 G7 CIROZA HEPATICA CNAS 1L03ABBP V 05-07-2010 87.23 68.99 87.230000 87.230000 87.230000C1 W51329001 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 9Mui/0,5ml 1 G7 CIROZA HEPATICA CNAS 1L03ABBP V 05-07-2010 182.79 149.73 182.790000 182.790000 182.790000C1 W13209002 INTRON A 18 milioane U.I. INTERFERONUM ALFA 2B SOL. INJ. PEN MULTIDOZA 18 milioane U.I. 1 G7 CIROZA HEPATICA CNAS 1L03ABBP V 05-07-2010 489.79 414.35 489.790000 489.790000 489.790000C1 W13208001 INTRON A 30 milioane U.I. INTERFERONUM ALFA 2B SOL. INJ. PEN MULTIDOZA 30 milioane U.I. 1 G7 CIROZA HEPATICA CNAS 1L03ABBP V 05-07-2010 770.91 672.26 770.910000 770.910000 770.910000C1 W07812002 PEGINTRON 100 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 100mcg 1 G7 CIROZA HEPATICA CNAS 1L03ABCP V 05-07-2010 818.23 715.67 818.230000 818.230000 818.230000C1 W07813001 PEGINTRON 120 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 120mcg 1 G7 CIROZA HEPATICA CNAS 1L03ABCP V 05-07-2010 967.73 852.82 967.730000 967.730000 967.730000C1 W07840001 PEGINTRON 150 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 150mcg 1 G7 CIROZA HEPATICA CNAS 1L03ABCP V 05-07-2010 1,191.02 1,057.68 1,191.020000 1,191.020000 1,191.020000C1 W07841001 PEGINTRON 50 mcg PEGINTERFERON ALFA-2B PULB. + SOLV. PT. SOL. INJ. 50mcg 1 G7 CIROZA HEPATICA CNAS 1L03ABCP V 05-07-2010 444.84 373.11 444.840000 444.840000 444.840000

C1 W52673003 PEGASYS 135 mcg/0,5ml PEGINTERFERON ALFA-2ASOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml 1 G7 CIROZA HEPATICA CNAS 1L03ABCP V 05-07-2010 774.99 676.00 774.990000 774.990000 774.990000

C1 W08978004 PEGASYS 180 mcg/0,5ml PEGINTERFERON ALFA-2ASOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml 1 G7 CIROZA HEPATICA CNAS 1L03ABCP V 05-07-2010 973.03 857.69 973.030000 973.030000 973.030000

C1 W00264001 VIREGYT (R)- K AMANTADINUM CAPS. 100mg 50 G7 CIROZA HEPATICA MSP 9N04BB01O V 05-07-2010 17.03 12.60 0.340600 0.340600 0.340600

C2 W53396002 ANDROCUR CYPROTERONUM COMPR. 50mg 50 3Programul national de oncologie 9G03HA01O V 05-07-2010 161.95 132.66 3.239000 3.239000 3.239000

C2 W12490001 ENDOXAN (R) 50 mg CYCLOPHOSPHAMIDUM DRAJ. 50mg 50 3Programul national de oncologie 9L01AA01O V 05-07-2010 26.07 19.29 0.521400 0.521400 0.521400

C2 W52215001 ENDOXAN 200 mg CYCLOPHOSPHAMIDUM PULB. PT. SOL. PERF./INJ. I.V. 200mg 1 3Programul national de oncologie 9L01AA01P V 05-07-2010 15.86 11.73 15.860000 15.860000 15.860000

C2 W01163002 LEUKERAN CHLORAMBUCILUM COMPR. FILM. 2mg 25 3Programul national de oncologie 9L01AA02O V 05-07-2010 7.07 5.23 0.282800 0.282800 0.282800

C2 W08256001 ALKERAN 2 mg MELPHALANUM COMPR. FILM. 2mg 25 3Programul national de oncologie 9L01AA03O V 05-07-2010 9.31 6.89 0.372400 0.372400 0.372400

C2 W12497001 HOLOXAN 1 g IFOSFAMIDUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie 9L01AA06P V 05-07-2010 116.89 92.45 116.890000 116.890000 116.890000

C2 W00699001 MYLERAN BUSULFANUM COMPR. FILM. 2mg 25 3Programul national de oncologie 9L01AB01O V 05-07-2010 15.65 11.58 0.626000 0.626000 0.626000

C2 W54014001 CEENU LOMUSTINUM CAPS. MOI 40mg 20 3Programul national de oncologie MS 9L01AD02O V 05-07-2010 470.52 396.67 23.526000 23.526000 23.526000

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55506001 TEMOZOLOMIDE SANDOZ 100 mg TEMOZOLOMIDUM CAPS. 100 mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 1,184.24 1,051.46 236.848000 236.848000 236.848000

C2 W05788001 TEMODAL 100 mg TEMOZOLOMIDUM CAPS. 100mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 1,783.75 1,601.47 356.750000 356.750000 356.750000

C2 W05788003 TEMODAL 100 mg TEMOZOLOMIDUM CAPS. 100mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 1,717.88 1,541.03 343.576000 343.576000 343.576000

C2 W55335001 TEMOZOLOMIDE TEVA 100 mg TEMOZOLOMIDUM CAPS. 100mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 1,184.24 1,051.46 236.848000 236.848000 236.848000

C2 W52722003 TEMODAL 140mg TEMOZOLOMIDUM CAPS. 140mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 2,778.07 2,513.68 555.614000 555.614000 555.614000

C2 W52723003 TEMODAL 180 mg TEMOZOLOMIDUM CAPS. 180mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 3,531.02 3,204.46 706.204000 706.204000 706.204000

C2 W55505001 TEMOZOLOMIDE SANDOZ 20 mg TEMOZOLOMIDUM CAPS. 20 mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 279.72 229.13 55.944000 55.944000 55.944000

C2 W05789001 TEMODAL 20 mg TEMOZOLOMIDUM CAPS. 20mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 420.15 350.46 84.030000 84.030000 84.030000

C2 W05789003 TEMODAL 20 mg TEMOZOLOMIDUM CAPS. 20mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 406.70 338.12 81.340000 81.340000 81.340000

C2 W55334001 TEMOZOLOMIDE TEVA 20 mg TEMOZOLOMIDUM CAPS. 20mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 279.72 229.13 55.944000 55.944000 55.944000

C2 W55509001 TEMOZOLOMIDE SANDOZ 250 mg TEMOZOLOMIDUM CAPS. 250 mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 2,799.75 2,533.57 559.950000 559.950000 559.950000

C2 W05790001 TEMODAL 250 mg TEMOZOLOMIDUM CAPS. 250mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 4,269.16 3,881.66 853.832000 853.832000 853.832000

C2 W55336001 TEMOZOLOMIDE TEVA 250 mg TEMOZOLOMIDUM CAPS. 250mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 2,799.75 2,533.57 559.950000 559.950000 559.950000

C2 W05791001 TEMODAL 5 mg TEMOZOLOMIDUM CAPS. 5mg 5 3Programul national de oncologie MSP 9L01AX03O V 05-07-2010 115.63 91.45 23.126000 23.126000 23.126000

C2 W54150001 TEMODAL 2,5mg/ml TEMOZOLOMIDUM PULB. PT. SOL. PERF. 2,5mg/ml 1 3Programul national de oncologie MSP 9L01AX03P V 05-07-2010 1,364.43 1,216.77 1,364.430000 1,364.430000 1,364.430000

C2 W55580001 DACARBAZINE 200 mg DACARBAZINUM PULB. PT. SOL. INJ. 200mg 10 3Programul national de oncologie 9L01AX04P V 05-07-2010 208.83 171.06 20.883000 20.883000 20.883000

C2 W54019001 METOTREXATE BELLON 2,5 mg METHOTREXATUM COMPR. 2,5mg 20 3Programul national de oncologie 9L01BA01O V 05-07-2010 22.79 16.86 1.139500 1.139500 1.139500

C2 W04185002 METHOTREXAT "EBEWE" 500 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 5 3Programul national de oncologie 9L01BA01P V 05-07-2010 240.51 197.01 48.102000 48.102000 48.102000

C2 W12733003 METHOTREXAT "EBEWE" 1000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 3Programul national de oncologie 9L01BA01P V 05-07-2010 89.44 70.74 89.440000 89.440000 89.440000

C2 W12735001 METHOTREXAT "EBEWE" 5000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 3Programul national de oncologie 9L01BA01P V 05-07-2010 400.04 332.01 400.040000 400.040000 400.040000

C2 W04186001 METHOTREXAT "EBEWE" 5 mg METHOTREXATUM SOL. INJ. 5mg/ml 10 3Programul national de oncologie 9L01BA01P V 05-07-2010 23.77 17.59 2.377000 2.377000 2.377000

C2 W53758016 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 3

Programul national de oncologie 9L01BA01P V 05-07-2010 109.28 86.43 109.280000 109.280000 109.280000

C2 W53758021 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 3

Programul national de oncologie 9L01BA01P V 05-07-2010 123.90 101.49 123.900000 123.900000 123.900000

C2 W12308002 METHOTREXAT "EBEWE" 50 mg METHOTREXATUM SOL. INJ./PERF. 10mg/ml 1 3Programul national de oncologie 9L01BA01P V 05-07-2010 13.30 9.84 13.300000 13.300000 13.300000

C2 W42003001 ALIMTA 500mg PEMETREXEDUMPULB. PT. CONC. PT. SOL. PERF. 500mg 1 3

Programul national de oncologie CNAS 9L01BA04P V 05-07-2010 5,524.45 5,033.30 5,524.450000 5,524.450000 5,524.450000

C2 W04118001 PURI - NETHOL MERCAPTOPURINUM COMPR. 50mg 25 3Programul national de oncologie 9L01BB02O V 05-07-2010 46.39 35.47 1.855600 1.855600 1.855600

C2 W05922001 LANVIS TIOGUANINUM COMPR. 40mg 25 3Programul national de oncologie 9L01BB03O V 05-07-2010 96.18 76.07 3.847200 3.847200 3.847200

C2 W44114001 LITAK 2 mg/ml CLADRIBINUM SOL. INJ. 2mg/ml 1 3Programul national de oncologie 9L01BB04P V 05-07-2010 1,599.58 1,432.50 1,599.580000 1,599.580000 1,599.580000

C2 W53403002 FLUDARA ORAL 10 mg FLUDARABINUM COMPR. FILM. 10mg 20 3Programul national de oncologie CNAS 9L01BB05O V 05-07-2010 1,865.33 1,676.31 93.266500 93.266500 93.266500

C2 W53398001 FLUDARA FLUDARABINUM LIOF. PT. SOL. INJ./PERF. 50mg 5 3Programul national de oncologie 9L01BB05P V 05-07-2010 2,665.05 2,410.00 533.010000 533.010000 533.010000

C2 W53700001 FLUDARABINA ACTAVIS 25 mg/ml FLUDARABINUM PULB. PT. SOL. INJ./PERF. 25mg/ml 1 3Programul national de oncologie 9L01BB05P V 05-07-2010 408.10 339.40 408.100000 408.100000 408.100000

C2 W02380001 CYTOSAR™ 100 mg CYTARABINUM PULB. + SOLV. PT. SOL. INJ. 100mg 1 3Programul national de oncologie 9L01BC01P V 05-07-2010 14.24 10.54 14.240000 14.240000 14.240000

C2 W13946007 ALEXAN 20mg/ml CYTARABINUM SOL. INJ. 20mg/ml 10 3Programul national de oncologie 9L01BC01P V 05-07-2010 123.08 97.34 12.308000 12.308000 12.308000

C2 W13946001 ALEXAN 20mg/ml CYTARABINUM SOL. INJ. 20mg/ml 1 3Programul national de oncologie 9L01BC01P V 05-07-2010 6.22 4.60 6.220000 6.220000 6.220000

C2 W42933004 ALEXAN 50mg/ml CYTARABINUM SOL. INJ. 50mg/ml 1 3Programul national de oncologie 9L01BC01P V 05-07-2010 96.30 76.16 96.300000 96.300000 96.300000

C2 W42933001 ALEXAN 50mg/ml CYTARABINUM SOL. INJ. 50mg/ml 1 3Programul national de oncologie 9L01BC01P V 05-07-2010 59.00 45.11 59.000000 59.000000 59.000000

C2 W53814001 DEPOCYTE 50mg CYTARABINUM SUSP. INJ. 50mg 1 3Programul national de oncologie 9L01BC01P V 05-07-2010 7,618.35 6,954.30 7,618.350000 7,618.350000 7,618.350000

C2 W43451001 5 - FLUOROURACIL EBEWE 50mg/ml FLUOROURACILUM CONC. PT. SOL. INJ./PERF. 50mg/ml 1 3Programul national de oncologie 9L01BC02P V 05-07-2010 4.71 3.48 4.710000 4.710000 4.710000

C2 W43451005 5 - FLUOROURACIL EBEWE 50mg/ml FLUOROURACILUM CONC. PT. SOL. INJ./PERF. 50mg/ml 1 3Programul national de oncologie 9L01BC02P V 05-07-2010 19.06 14.10 19.060000 19.060000 19.060000

C2 W43451006 5 - FLUOROURACIL EBEWE 50mg/ml FLUOROURACILUM CONC. PT. SOL. INJ./PERF. 50mg/ml 1 3Programul national de oncologie 9L01BC02P V 05-07-2010 113.69 89.92 113.690000 113.690000 113.690000

C2 W43451003 5 - FLUOROURACIL EBEWE 50mg/ml FLUOROURACILUM CONC. PT. SOL. INJ./PERF. 50mg/ml 1 3Programul national de oncologie 9L01BC02P V 05-07-2010 9.57 7.08 9.570000 9.570000 9.570000

C2 W41582001 EFUDIX FLUOROURACILUM UNGUENT 50 mg/g 1 3Programul national de oncologie 9L01BC02TD V 05-07-2010 116.09 91.81 116.090000 116.090000 116.090000

C2 W52182001 GEMCITABINA SINDAN 1 g GEMCITABINUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 1,104.30 978.12 1,104.300000 1,104.300000 1,104.300000

C2 W53192001 DERCIN 1 g GEMCITABINUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 442.91 371.34 442.910000 442.910000 442.910000

C2 W53505001 DAPLAX 1 g GEMCITABINUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 742.29 646.00 742.290000 742.290000 742.290000

C2 W53508001 GEMCITABINE POLPHARMA 1 g GEMCITABINUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 698.65 605.96 698.650000 698.650000 698.650000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53937001 GITRABIN 1 g GEMCITABINUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 748.35 651.56 748.350000 748.350000 748.350000

C2 W54991001 NALLIAN1 g GEMCITABINUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 742.60 646.28 742.600000 742.600000 742.600000

C2 W55240001 GEMCITIN 1 g GEMCITABINUM PULB. PT. SOL. PERF. 1g 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 336.89 275.96 336.890000 336.890000 336.890000

C2 W52183001 GEMCITABINA SINDAN 200 mg GEMCITABINUM PULB. PT. SOL. PERF. 200mg 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 288.60 236.40 288.600000 288.600000 288.600000

C2 W53191001 DERCIN 200 mg GEMCITABINUM PULB. PT. SOL. PERF. 200mg 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 96.68 76.46 96.680000 96.680000 96.680000

C2 W53504001 DAPLAX 200 mg GEMCITABINUM PULB. PT. SOL. PERF. 200mg 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 174.92 143.28 174.920000 174.920000 174.920000

C2 W53507001 GEMCITABINE POLPHARMA 200 mg GEMCITABINUM PULB. PT. SOL. PERF. 200mg 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 153.81 125.99 153.810000 153.810000 153.810000

C2 W53649001 GITRABIN 200 mg GEMCITABINUM PULB. PT. SOL. PERF. 200mg 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 171.22 140.25 171.220000 171.220000 171.220000

C2 W54990001 NALLIAN 200 mg GEMCITABINUM PULB. PT. SOL. PERF. 200mg 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 187.59 153.66 187.590000 187.590000 187.590000

C2 W55241001 GEMCITIN 200 mg GEMCITABINUM PULB. PT. SOL. PERF. 200mg 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 70.92 56.09 70.920000 70.920000 70.920000

C2 W54088001 GEMCITABINE MEDAC 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 119.48 94.50 119.480000 119.480000 119.480000

C2 W54088002 GEMCITABINE MEDAC 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 507.11 430.24 507.110000 507.110000 507.110000

C2 W54088003 GEMCITABINE MEDAC 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 725.45 630.55 725.450000 725.450000 725.450000

C2 W54270001 GEMCITABINE MYLAN 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 94.91 75.06 94.910000 94.910000 94.910000

C2 W54270005 GEMCITABINE MYLAN 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 422.96 353.04 422.960000 422.960000 422.960000

C2 W54381001 GEMCIRENA 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 96.59 76.39 96.590000 96.590000 96.590000

C2 W54381002 GEMCIRENA 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 442.85 371.28 442.850000 442.850000 442.850000

C2 W54381003 GEMCIRENA 38 mg/ml GEMCITABINUM PULB. PT. SOL. PERF. 38mg/ml 1 3Programul national de oncologie MSP 9L01BC05P V 05-07-2010 628.83 541.91 628.830000 628.830000 628.830000

C2 W08338001 XELODA 150 mg CAPECITABINUM COMPR. FILM. 150mg 60 3Programul national de oncologie 9L01BC06O V 05-07-2010 292.44 239.55 4.874000 4.874000 4.874000

C2 W08339001 XELODA 500 mg CAPECITABINUM COMPR. FILM. 500mg 120 3Programul national de oncologie 9L01BC06O V 05-07-2010 1,645.63 1,474.75 13.713583 13.713583 13.713583

C2 W42670006 UFT COMBINATII (TAGAFUR+URACIL) CAPS. 100mg+224mg 120 3Programul national de oncologie 9L01BC53O V 05-07-2010 2,181.19 1,966.09 18.176583 18.176583 18.176583

C2 W42670005 UFT COMBINATII (TAGAFUR+URACIL) CAPS. 100mg+224mg 36 3Programul national de oncologie 9L01BC53O V 05-07-2010 703.93 610.81 19.553611 19.553611 19.553611

C2 W54621001 VINBLASTINE PCH VINBLASTINUM SOL. INJ. 1mg/ml 1 3Programul national de oncologie MS 9L01CA01P V 05-07-2010 44.87 34.30 44.870000 44.870000 44.870000

C2 W52220001 SINDOVIN 1 mg VINCRISTINUM LIOF. PT. SOL. INJ./PERF. I.V. 1mg 1 3Programul national de oncologie 9L01CA02P V 05-07-2010 27.86 20.61 27.860000 27.860000 27.860000

C2 W42512002 NAVELBINE 20 mg VINORELBINUM CAPS. MOI 20mg 1 3Programul national de oncologie 9L01CA04O V 05-07-2010 237.60 194.63 237.600000 237.600000 237.600000

C2 W42513002 NAVELBINE 30 mg VINORELBINUM CAPS. MOI 30mg 1 3Programul national de oncologie 9L01CA04O V 05-07-2010 356.36 291.91 356.360000 356.360000 356.360000

C2 W43735002 VINORELBIN EBEWE 10 mg/ ml VINORELBINUM CONC. PT. SOL. INJ./PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 421.01 351.25 421.010000 421.010000 421.010000

C2 W43735001 VINORELBIN EBEWE 10 mg/ ml VINORELBINUM CONC. PT. SOL. INJ./PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 90.99 71.96 90.990000 90.990000 90.990000

C2 W43637003 VINORELBIN TEVA 10 mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 421.01 351.25 421.010000 421.010000 421.010000

C2 W43637001 VINORELBIN TEVA 10 mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 90.99 71.96 90.990000 90.990000 90.990000

C2 W52194002 VINORELBIN ACTAVIS 10 mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 526.36 447.90 526.360000 526.360000 526.360000

C2 W52194001 VINORELBIN ACTAVIS 10 mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 91.00 71.97 91.000000 91.000000 91.000000

C2 W53906001 TELBINE 10 mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 90.99 71.96 90.990000 90.990000 90.990000

C2 W53906003 TELBINE 10 mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 421.01 351.25 421.010000 421.010000 421.010000

C2 W54483001 VINORELBINE POLPHARMA 10mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 91.00 71.97 91.000000 91.000000 91.000000

C2 W54483002 VINORELBINE POLPHARMA 10mg/ml VINORELBINUM CONC. PT. SOL. PERF. 10mg/ml 10 3Programul national de oncologie 9L01CA04P V 05-07-2010 555.64 474.76 55.564000 55.564000 55.564000

C2 W54484001 VINORELBINE POLPHARMA 50mg/5ml VINORELBINUM CONC. PT. SOL. PERF. 50mg/5ml 1 3Programul national de oncologie 9L01CA04P V 05-07-2010 420.98 351.22 420.980000 420.980000 420.980000

C2 W54484002 VINORELBINE POLPHARMA 50mg/5ml VINORELBINUM CONC. PT. SOL. PERF. 50mg/5ml 10 3Programul national de oncologie 9L01CA04P V 05-07-2010 2,131.11 1,920.14 213.111000 213.111000 213.111000

C2 W03901001 NAVELBINE (R) VINORELBINUM SOL. INJ. 10mg/ml 10 3Programul national de oncologie 9L01CA04P V 05-07-2010 1,148.41 1,018.59 114.841000 114.841000 114.841000

C2 W08035001 VEPESID ETOPOSIDUM CAPS. MOI 100mg 10 3Programul national de oncologie 9L01CB01O V 05-07-2010 376.74 310.63 37.674000 37.674000 37.674000

C2 W08036001 VEPESID ETOPOSIDUM CAPS. MOI 50mg 20 3Programul national de oncologie 9L01CB01O V 05-07-2010 373.70 307.84 18.685000 18.685000 18.685000

C2 W03065001 ETOPOSID "EBEWE" 100 mg/5 ml ETOPOSIDUM CONC. PT. SOL. PERF. 100mg/5ml 1 3Programul national de oncologie 9L01CB01P V 05-07-2010 50.95 38.95 50.950000 50.950000 50.950000

C2 W52210001 SINTOPOZID 100 mg/5 ml ETOPOSIDUM CONC. PT. SOL. PERF. 100mg/5ml 1 3Programul national de oncologie 9L01CB01P V 05-07-2010 42.84 32.75 42.840000 42.840000 42.840000

C2 W52574001 ETOPOSIDE - TEVA ETOPOSIDUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01CB01P V 05-07-2010 41.71 31.89 41.710000 41.710000 41.710000

C2 W52574002 ETOPOSIDE - TEVA ETOPOSIDUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01CB01P V 05-07-2010 77.04 60.93 77.040000 77.040000 77.040000

C2 W51255002 ONXOL 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 426.40 356.19 426.400000 426.400000 426.400000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W51255003 ONXOL 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 646.44 558.06 646.440000 646.440000 646.440000

C2 W51255004 ONXOL 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,235.11 1,098.13 1,235.110000 1,235.110000 1,235.110000

C2 W51255001 ONXOL 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 139.97 114.65 139.970000 139.970000 139.970000

C2 W43372003 PACLITAXEL EBEWE 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 943.07 830.20 943.070000 943.070000 943.070000

C2 W43372004 PACLITAXEL EBEWE 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,235.14 1,098.15 1,235.140000 1,235.140000 1,235.140000

C2 W43372002 PACLITAXEL EBEWE 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 426.43 356.22 426.430000 426.430000 426.430000

C2 W43372001 PACLITAXEL EBEWE 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 140.00 114.68 140.000000 140.000000 140.000000

C2 W52058003 PACLITAXEL 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,137.53 1,008.60 1,137.530000 1,137.530000 1,137.530000

C2 W52058001 PACLITAXEL 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 10 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,103.77 977.63 110.377000 110.377000 110.377000

C2 W52058002 PACLITAXEL 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 4 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,414.41 1,262.62 353.602500 353.602500 353.602500

C2 W52212002 SINDAXEL PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 426.43 356.22 426.430000 426.430000 426.430000

C2 W52212004 SINDAXEL PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,235.14 1,098.15 1,235.140000 1,235.140000 1,235.140000

C2 W52212001 SINDAXEL PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 140.00 114.68 140.000000 140.000000 140.000000

C2 W52212003 SINDAXEL PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 646.56 558.17 646.560000 646.560000 646.560000

C2 W52212005 SINDAXEL PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,027.16 907.35 1,027.160000 1,027.160000 1,027.160000

C2 W54068001 PACLITAXEL KABI 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 129.29 105.91 129.290000 129.290000 129.290000

C2 W54068002 PACLITAXEL KABI 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 5 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 586.21 502.81 117.242000 117.242000 117.242000

C2 W54068003 PACLITAXEL KABI 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 406.71 338.13 406.710000 406.710000 406.710000

C2 W54068004 PACLITAXEL KABI 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 5 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,750.14 1,570.63 350.028000 350.028000 350.028000

C2 W54068005 PACLITAXEL KABI 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,137.48 1,008.56 1,137.480000 1,137.480000 1,137.480000

C2 W54068006 PACLITAXEL KABI 6mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 5 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 5,404.01 4,922.80 1,080.802000 1,080.802000 1,080.802000

C2 W55204001 PACLITAXEL PHARMASWISS 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 128.85 105.55 128.850000 128.850000 128.850000

C2 W55204002 PACLITAXEL PHARMASWISS 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 407.02 338.41 407.020000 407.020000 407.020000

C2 W54978001 PACLITAXEL ARCHIE SAMUEL 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 139.97 114.65 139.970000 139.970000 139.970000

C2 W54978002 PACLITAXEL ARCHIE SAMUEL 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 426.40 356.19 426.400000 426.400000 426.400000

C2 W54978003 PACLITAXEL ARCHIE SAMUEL 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 646.44 558.06 646.440000 646.440000 646.440000

C2 W54978004 PACLITAXEL ARCHIE SAMUEL 6 mg/ml PACLITAXELUM CONC. PT. SOL. PERF. 6mg/ml 1 3Programul national de oncologie MSP 9L01CD01P V 05-07-2010 1,235.11 1,098.13 1,235.110000 1,235.110000 1,235.110000

C2 W12995001 TAXOTERE 20 mg DOCETAXELUMCONC. + SOLV. PT. SOL. PERF. 20mg 1 3

Programul national de oncologie MSP 9L01CD02P V 05-07-2010 631.11 544.00 631.110000 631.110000 631.110000

C2 W55406001 DOCETAXEL TEVA 20mg/0,5ml DOCETAXELUMCONC. + SOLV. PT. SOL. PERF. 20mg/0,5ml 1 3

Programul national de oncologie MSP 9L01CD02P V 05-07-2010 434.96 364.05 434.960000 434.960000 434.960000

C2 W12994001 TAXOTERE 80 mg DOCETAXELUMCONC. + SOLV. PT. SOL. PERF. 80mg 1 3

Programul national de oncologie MSP 9L01CD02P V 05-07-2010 2,311.91 2,086.02 2,311.910000 2,311.910000 2,311.910000

C2 W55407001 DOCETAXEL TEVA 80mg/2ml DOCETAXELUMCONC. + SOLV. PT. SOL. PERF. 80mg/2ml 1 3

Programul national de oncologie MSP 9L01CD02P V 05-07-2010 1,527.54 1,366.41 1,527.540000 1,527.540000 1,527.540000

C2 W55044001 TAXOTERE 20 mg/1ml DOCETAXELUM CONC. PT. SOL. PERF. 20mg/1ml 1 3Programul national de oncologie MSP 9L01CD02P V 05-07-2010 631.11 544.00 631.110000 631.110000 631.110000

C2 W55045001 TAXOTERE 80 mg/4ml DOCETAXELUM CONC. PT. SOL. PERF. 80mg/4ml 1 3Programul national de oncologie MSP 9L01CD02P V 05-07-2010 2,311.91 2,086.02 2,311.910000 2,311.910000 2,311.910000

C2 W54311001 COSMOGEN LYOVAC 0,5 mg DACTINOMICINUM SOL. INJ. 0,5mg 1 3Programul national de oncologie MS 9L01DA01P V 05-07-2010 123.43 101.11 123.430000 123.430000 123.430000

C2 W02868002 CAELYX 2 mg/ml DOXORUBICINUM CONC. PT. SOL. PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 1,610.02 1,442.08 1,610.020000 1,610.020000 1,610.020000

C2 W02868003 CAELYX 2 mg/ml DOXORUBICINUM CONC. PT. SOL. PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 3,918.76 3,560.19 3,918.760000 3,918.760000 3,918.760000

C2 W42736002 DOXORUBICIN "EBEWE" 2mg/ml DOXORUBICINUM CONC. PT. SOL. PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 134.17 109.90 134.170000 134.170000 134.170000

C2 W42736001 DOXORUBICIN "EBEWE" 2mg/ml DOXORUBICINUM CONC. PT. SOL. PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 36.82 28.15 36.820000 36.820000 36.820000

C2 W52191001 ADRIBLASTINA RD 10 mg DOXORUBICINUM LIOF. PT. SOL. INJ. 10mg 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 37.25 28.48 37.250000 37.250000 37.250000

C2 W52192001 ADRIBLASTINA RD 50 mg DOXORUBICINUM LIOF. PT. SOL. INJ. 50mg 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 139.01 113.87 139.010000 139.010000 139.010000

C2 W52903001 SINDROXOCIN 2mg/ml DOXORUBICINUM PULB. PT. SOL. PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 35.46 27.11 35.460000 35.460000 35.460000

C2 W52903002 SINDROXOCIN 2mg/ml DOXORUBICINUM PULB. PT. SOL. PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 128.69 105.41 128.690000 128.690000 128.690000

C2 W52570002 DOXORUBICIN TEVA 2 mg/ml DOXORUBICINUM SOL. INJ. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 83.83 66.30 83.830000 83.830000 83.830000

C2 W52570003 DOXORUBICIN TEVA 2 mg/ml DOXORUBICINUM SOL. INJ. 2mg/ml 1 3Programul national de oncologie 9L01DB01P V 05-07-2010 112.55 89.01 112.550000 112.550000 112.550000

C2 W41876001 EPIRUBICIN "EBEWE" 2 mg/ml EPIRUBICINUM CONC. PT. SOL. INJ. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 63.51 48.55 63.510000 63.510000 63.510000

C2 W41876003 EPIRUBICIN "EBEWE" 2 mg/ml EPIRUBICINUM CONC. PT. SOL. INJ. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 532.43 453.47 532.430000 532.430000 532.430000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W41876002 EPIRUBICIN "EBEWE" 2 mg/ml EPIRUBICINUM CONC. PT. SOL. INJ. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 282.29 231.23 282.290000 282.290000 282.290000

C2 W52209001 EPISINDAN 10 mg EPIRUBICINUM LIOF. PT. SOL. INJ. 10mg 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 55.77 42.64 55.770000 55.770000 55.770000

C2 W52197001 FARMORUBICIN RD 10 mg EPIRUBICINUM LIOF. PT. SOL. INJ. 10mg 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 75.32 59.57 75.320000 75.320000 75.320000

C2 W52208001 EPISINDAN 50 mg EPIRUBICINUM LIOF. PT. SOL. INJ. 50mg 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 284.57 233.10 284.570000 284.570000 284.570000

C2 W52196001 FARMORUBICIN (R) RD 50 mg EPIRUBICINUM LIOF. PT. SOL. INJ. 50mg 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 318.89 261.21 318.890000 318.890000 318.890000

C2 W53860001 EPIRUBICINA TEVA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 55.45 42.39 55.450000 55.450000 55.450000

C2 W53860002 EPIRUBICINA TEVA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 105.18 83.19 105.180000 105.180000 105.180000

C2 W53860003 EPIRUBICINA TEVA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 249.27 204.19 249.270000 249.270000 249.270000

C2 W53860004 EPIRUBICINA TEVA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 677.71 586.75 677.710000 677.710000 677.710000

C2 W53860005 EPIRUBICINA TEVA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 879.23 771.63 879.230000 879.230000 879.230000

C2 W55573001 ECCLEPIA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 52.19 39.90 52.190000 52.190000 52.190000

C2 W55573002 ECCLEPIA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 101.96 80.64 101.960000 101.960000 101.960000

C2 W55573003 ECCLEPIA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 241.72 198.00 241.720000 241.720000 241.720000

C2 W55573004 ECCLEPIA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 528.65 450.00 528.650000 528.650000 528.650000

C2 W55573005 ECCLEPIA 2 mg/ml EPIRUBICINUM SOL. INJ./PERF. 2mg/ml 1 3Programul national de oncologie 9L01DB03P V 05-07-2010 877.45 770.00 877.450000 877.450000 877.450000

C2 W03575001 ZAVEDOS IDARUBICINUM CAPS. 10mg 1 3Programul national de oncologie 9L01DB06O V 05-07-2010 247.64 202.85 247.640000 247.640000 247.640000

C2 W03581001 ZAVEDOS 5 mg IDARUBICINUM LIOF. PT. SOL. INJ. 5mg 1 3Programul national de oncologie 9L01DB06P V 05-07-2010 174.59 143.01 174.590000 174.590000 174.590000

C2 W42735002 ONKOTRONE MITOXANTRONUM CONC. PT. SOL. INJ. 2mg/ml 1 3Programul national de oncologie MSP 9L01DB07P V 05-07-2010 642.27 554.24 642.270000 642.270000 642.270000

C2 W51235001 BLEOCIN BLEOMYCINUM SULFAS LIOF. PT. SOL. INJ. 15mg 1 3Programul national de oncologie 9L01DC01P V 05-07-2010 76.37 60.40 76.370000 76.370000 76.370000

C2 W01315001 CISPLATIN "EBEWE" 10 mg/20 ml CISPLATINUM CONC. PT. SOL. PERF. 10mg/20ml 1 3Programul national de oncologie 9L01XA01P V 05-07-2010 12.37 9.15 12.370000 12.370000 12.370000

C2 W52577001 CISPLATIN TEVA 10 mg/20 ml CISPLATINUM CONC. PT. SOL. PERF. 10mg/20ml 1 3Programul national de oncologie 9L01XA01P V 05-07-2010 11.99 8.87 11.990000 11.990000 11.990000

C2 W52187002 SINPLATIN 1 mg/1 ml CISPLATINUM CONC. PT. SOL. PERF. 1mg/1ml 1 3Programul national de oncologie 9L01XA01P V 05-07-2010 32.91 24.35 32.910000 32.910000 32.910000

C2 W52187001 SINPLATIN 1 mg/1 ml CISPLATINUM CONC. PT. SOL. PERF. 1mg/1ml 1 3Programul national de oncologie 9L01XA01P V 05-07-2010 10.45 7.73 10.450000 10.450000 10.450000

C2 W01316001 CISPLATIN "EBEWE" 25 mg/50 ml CISPLATINUM CONC. PT. SOL. PERF. 25mg/50ml 1 3Programul national de oncologie 9L01XA01P V 05-07-2010 29.74 22.00 29.740000 29.740000 29.740000

C2 W01317001 CISPLATIN "EBEWE" 50 mg/100 ml CISPLATINUM CONC. PT. SOL. PERF. 50mg/100ml 1 3Programul national de oncologie 9L01XA01P V 05-07-2010 41.20 31.50 41.200000 41.200000 41.200000

C2 W13052003 CARBOPLATIN "EBEWE" 10 mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 216.88 177.65 216.880000 216.880000 216.880000

C2 W13052002 CARBOPLATIN "EBEWE" 10 mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 29.48 21.81 29.480000 29.480000 29.480000

C2 W13052001 CARBOPLATIN "EBEWE" 10 mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 78.85 62.36 78.850000 78.850000 78.850000

C2 W52579002 CARBOPLATIN TEVA 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 61.91 47.33 61.910000 61.910000 61.910000

C2 W52579003 CARBOPLATIN TEVA 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 161.75 132.49 161.750000 161.750000 161.750000

C2 W53000001 CARBOPLATIN ACTAVIS 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 24.33 18.00 24.330000 24.330000 24.330000

C2 W53000002 CARBOPLATIN ACTAVIS 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 65.25 49.89 65.250000 65.250000 65.250000

C2 W53000003 CARBOPLATIN ACTAVIS 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie 9L01XA02P V 05-07-2010 162.03 132.72 162.030000 162.030000 162.030000

C2 W42983002 ELOXATIN 5mg/ml OXALIPLATINUM CONC. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,704.18 1,528.47 1,704.180000 1,704.180000 1,704.180000

C2 W42983001 ELOXATIN 5mg/ml OXALIPLATINUM CONC. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 887.70 779.40 887.700000 887.700000 887.700000

C2 W54318002 OXALIPLATINA TEVA 5 mg/ml OXALIPLATINUM CONC. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 547.78 467.55 547.780000 547.780000 547.780000

C2 W54318003 OXALIPLATINA TEVA 5 mg/ml OXALIPLATINUM CONC. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,024.71 905.10 1,024.710000 1,024.710000 1,024.710000

C2 W12948001 ELOXATIN 5 mg/ml OXALIPLATINUM LIOF. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,704.18 1,528.47 1,704.180000 1,704.180000 1,704.180000

C2 W12948002 ELOXATIN 5 mg/ml OXALIPLATINUM LIOF. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 887.70 779.40 887.700000 887.700000 887.700000

C2 W52195002 OXALIPLATIN ACTAVIS 5 mg/ml OXALIPLATINUM LIOF. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,132.27 1,003.78 1,132.270000 1,132.270000 1,132.270000

C2 W52195001 OXALIPLATIN ACTAVIS 5 mg/ml OXALIPLATINUM LIOF. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 601.73 517.05 601.730000 601.730000 601.730000

C2 W52468003 OXALIPLATIN EBEWE 5mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,787.98 1,605.35 1,787.980000 1,787.980000 1,787.980000

C2 W52468002 OXALIPLATIN EBEWE 5mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 986.00 869.59 986.000000 986.000000 986.000000

C2 W52468001 OXALIPLATIN EBEWE 5mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 535.50 456.28 535.500000 535.500000 535.500000

C2 W53414001 OXALIPLATIN ACCORD 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,101.59 975.63 1,101.590000 1,101.590000 1,101.590000

C2 W54652001 OXALIPLATIN ACCORD 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 586.21 502.81 586.210000 586.210000 586.210000

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entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55017001 OXALIPLATIN MEDICO UNO 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 601.28 516.63 601.280000 601.280000 601.280000

C2 W55017002 OXALIPLATIN MEDICO UNO 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,131.69 1,003.25 1,131.690000 1,131.690000 1,131.690000

C2 W55242001 OXALIPLATIN PHARMASWISS 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 530.07 451.30 530.070000 530.070000 530.070000

C2 W55242003 OXALIPLATIN PHARMASWISS 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 993.24 876.23 993.240000 993.240000 993.240000

C2 W54761001 REZIDOL 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 598.96 514.50 598.960000 598.960000 598.960000

C2 W54761002 REZIDOL 5 mg/ml OXALIPLATINUM PULB. PT. SOL. PERF. 5mg/ml 1 3Programul national de oncologie 9L01XA03P V 05-07-2010 1,131.69 1,003.25 1,131.690000 1,131.690000 1,131.690000

C2 W07199001 MABTHERA 100 mg RITUXIMABUM CONC. PT. SOL. PERF. 10mg/ml 2 3Programul national de oncologie CNAS 9L01XC02P V 05-07-2010 2,454.04 2,216.41 1,227.020000 1,227.020000 1,227.020000

C2 W07200001 MABTHERA 500 mg RITUXIMABUM CONC. PT. SOL. PERF. 10mg/ml 1 3Programul national de oncologie CNAS 9L01XC02P V 05-07-2010 6,028.99 5,496.18 6,028.990000 6,028.990000 6,028.990000

C2 W07881001 HERCEPTIN 150mg TRASTUZUMABUMPULB. PT. CONC. PT. SOL. PERF. 150mg 1 3

Programul national de oncologie CNAS 9L01XC03P V 05-07-2010 2,889.22 2,615.66 2,889.220000 2,889.220000 2,889.220000

C2 W42668001 MABCAMPATH 10 mg/ml ALEMTUZUMABUM CONC. PT. SOL. PERF. 10mg/ml 3 3Programul national de oncologie CNAS 9L01XC04P V 05-07-2010 5,391.97 4,911.76 1,797.323333 1,797.323333 1,797.323333

C2 W42669001 MABCAMPATH 30 mg/ml ALEMTUZUMABUM CONC. PT. SOL. PERF. 30mg/ml 3 3Programul national de oncologie CNAS 9L01XC04P V 05-07-2010 5,392.39 4,912.14 1,797.463333 1,797.463333 1,797.463333

C2 W52549002 ERBITUX 5mg/ml CETUXIMABUM SOL. PERF. 5mg/ml 1 3Programul national de oncologie CNAS 9L01XC06P V 05-07-2010 985.60 869.22 985.600000 985.600000 985.600000

C2 W42165002 AVASTIN 25mg/ml BEVACIZUMABUM CONC. PT. SOL. PERF. 25mg/ml 1 3Programul national de oncologie CNAS 9L01XC07P V 05-07-2010 5,743.58 5,234.33 5,743.580000 5,743.580000 5,743.580000

C2 W42165001 AVASTIN 25mg/ml BEVACIZUMABUM CONC. PT. SOL. PERF. 25mg/ml 1 3Programul national de oncologie CNAS 9L01XC07P V 05-07-2010 1,487.28 1,329.48 1,487.280000 1,487.280000 1,487.280000

C2 W06844004 GLIVEC 100 mg IMATINIBUM CAPS. 100mg 120 3Programul national de oncologie CNAS 9L01XE01O V 05-07-2010 9,860.90 9,011.69 82.174166 82.174166 82.174166

C2 W42501001 TARCEVA 100 mg ERLOTINIBUM COMPR. FILM. 100mg 30 3Programul national de oncologie CNAS 9L01XE03O V 05-07-2010 6,894.25 6,289.99 229.808333 229.808333 229.808333

C2 W42502001 TARCEVA 150 mg ERLOTINIBUM COMPR. FILM. 150mg 30 3Programul national de oncologie CNAS 9L01XE03O V 05-07-2010 9,163.06 8,371.47 305.435333 305.435333 305.435333

C2 W42500001 TARCEVA 25 mg ERLOTINIBUM COMPR. FILM. 25mg 30 3Programul national de oncologie CNAS 9L01XE03O V 05-07-2010 2,116.70 1,906.92 70.556666 70.556666 70.556666

C2 W43546001 SUTENT 12,5 mg SUNITINIBUM CAPS. 12,5mg 30 3Programul national de oncologie CNAS 9L01XE04O V 05-07-2010 5,521.57 5,030.65 184.052333 184.052333 184.052333

C2 W43556001 SUTENT 25mg SUNITINIBUM CAPS. 25mg 30 3Programul national de oncologie CNAS 9L01XE04O V 05-07-2010 10,972.29 10,031.31 365.743000 365.743000 365.743000

C2 W43557001 SUTENT 50 mg SUNITINIBUM CAPS. 50mg 30 3Programul national de oncologie CNAS 9L01XE04O V 05-07-2010 21,873.74 20,032.63 729.124666 729.124666 729.124666

C2 W54280001 NEXAVAR 200 mg SORAFENIBUM COMPR. FILM. 200mg 112 3Programul national de oncologie CNAS 9L01XE05O V 05-07-2010 15,901.84 14,553.83 141.980714 141.980714 141.980714

C2 W54613001 SPRYCEL 100mg DASATINIBUM COMPR. FILM. 100 mg 30 3Programul national de oncologie CNAS 9L01XE06O V 05-07-2010 17,776.52 16,273.71 592.550666 592.550666 592.550666

C2 W51768001 SPRYCEL 20mg DASATINIBUM COMPR. FILM. 20 mg 60 3Programul national de oncologie CNAS 9L01XE06O V 05-07-2010 8,409.15 7,679.81 140.152500 140.152500 140.152500

C2 W51769001 SPRYCEL 50mg DASATINIBUM COMPR. FILM. 50 mg 60 3Programul national de oncologie CNAS 9L01XE06O V 05-07-2010 16,747.49 15,329.65 279.124833 279.124833 279.124833

C2 W51770001 SPRYCEL 70mg DASATINIBUM COMPR. FILM. 70 mg 60 3Programul national de oncologie CNAS 9L01XE06O V 05-07-2010 16,747.49 15,329.65 279.124833 279.124833 279.124833

C2 W52721001 TORISEL 25mg/ml TEMSIROLIMUSUMCONC. + SOLV. PT. SOL. PERF. 25mg/ml 1 3

Programul national de oncologie 9L01XE09P V 05-07-2010 4,102.18 3,728.46 4,102.180000 4,102.180000 4,102.180000

C2 W10506002 ASPARAGINASE 10000 MEDAC ASPARAGINAZUM LIOF. PT. SOL. INJ./PERF. 10000ui 5 3Programul national de oncologie 9L01XX02P V 05-07-2010 1,312.36 1,169.00 262.472000 262.472000 262.472000

C2 W10508002 ASPARAGINASE 5000 MEDAC ASPARAGINAZUM LIOF. PT. SOL. INJ./PERF. 5000ui 5 3Programul national de oncologie 9L01XX02P V 05-07-2010 858.38 752.50 171.676000 171.676000 171.676000

C2 W55579001 ONCASPAR ASPARAGINAZUM PULB. PT. SOL. INJ. 3750U.I. 1 3Programul national de oncologie 9L01XX02P V 05-07-2010 4,918.86 4,477.71 4,918.860000 4,918.860000 4,918.860000

C2 W03542001 HYDREA HYDROXYCARBAMIDUM CAPS. 500mg 100 3Programul national de oncologie 9L01XX05O V 05-07-2010 82.90 65.56 0.829000 0.829000 0.829000

C2 W07049006 ESTRACYT ESTRAMUSTINUM CAPS. 140mg 100 3Programul national de oncologie 9L01XX11O V 05-07-2010 413.95 344.77 4.139500 4.139500 4.139500

C2 W54018001 VESANOID 10 mg TRETINOINUM CAPS. MOI 10mg 100 3Programul national de oncologie MS 9L01XX14O V 05-07-2010 849.67 744.51 8.496700 8.496700 8.496700

C2 W53177001 HYCAMTIN 1 mg TOPOTECAMUM CAPS. 1mg 10 3Programul national de oncologie 9L01XX17O V 05-07-2010 1,759.49 1,579.21 175.949000 175.949000 175.949000

C2 W54750001 TOPOTECAN TEVA 1 mg/1ml TOPOTECAMUM CONC. PT. SOL. PERF. 1mg/1ml 1 3Programul national de oncologie 9L01XX17P V 05-07-2010 207.35 169.85 207.350000 207.350000 207.350000

C2 W54571001 TOPOTECAN ACTAVIS TOPOTECAMUM CONC. PT. SOL. PERF. 4 mg 1 3Programul national de oncologie 9L01XX17P V 05-07-2010 744.08 647.64 744.080000 744.080000 744.080000

C2 W54751001 TOPOTECAN TEVA 4 mg/4ml TOPOTECAMUM CONC. PT. SOL. PERF. 4mg/4ml 1 3Programul national de oncologie 9L01XX17P V 05-07-2010 744.07 647.63 744.070000 744.070000 744.070000

C2 W55110001 TOPOTECAN ACCORD 4 mg TOPOTECAMUMPULB. PT. CONC. PT. SOL. PERF. 4mg 1 3

Programul national de oncologie 9L01XX17P V 05-07-2010 742.56 646.25 742.560000 742.560000 742.560000

C2 W05958002 HYCAMTIN 4 mg TOPOTECAMUM PULB.CONC.SOL.PERF. 4mg 1 3Programul national de oncologie 9L01XX17P V 05-07-2010 1,106.59 980.22 1,106.590000 1,106.590000 1,106.590000

C2 W52206002 IRINOTESIN 20mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 501.67 425.25 501.670000 501.670000 501.670000

C2 W52206001 IRINOTESIN 20mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 203.54 166.73 203.540000 203.540000 203.540000

C2 W52802002 CAMPTO IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 733.65 638.07 733.650000 733.650000 733.650000

C2 W52802003 CAMPTO IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 733.53 637.96 733.530000 733.530000 733.530000

C2 W52802004 CAMPTO IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 2,353.75 2,124.40 2,353.750000 2,353.750000 2,353.750000

C2 W54336001 IRINOTRCAN MEDAC 20 mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 203.54 166.73 203.540000 203.540000 203.540000

C2 W54336002 IRINOTRCAN MEDAC 20 mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 501.67 425.25 501.670000 501.670000 501.670000

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W54336003 IRINOTRCAN MEDAC 20 mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 1,554.73 1,391.36 1,554.730000 1,554.730000 1,554.730000

C2 W54522001 TEKAZOL 20 mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 203.54 166.73 203.540000 203.540000 203.540000

C2 W54522002 TEKAZOL 20 mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 501.67 425.25 501.670000 501.670000 501.670000

C2 W55114001 IRINOTECAN PHARMASWISS 20 mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 203.54 166.73 203.540000 203.540000 203.540000

C2 W55114002 IRINOTECAN PHARMASWISS 20 mg/ml IRINOTECANUM CONC. PT. SOL. PERF. 20mg/ml 1 3Programul national de oncologie 9L01XX19P V 05-07-2010 501.67 425.25 501.670000 501.670000 501.670000

C2 W51535001 LYSODREN 500mg MITOTANUM COMPR. 500mg 100 3Programul national de oncologie 9L01XX23O V 05-07-2010 2,830.20 2,561.51 28.302000 28.302000 28.302000

C2 W42249001 VELCADE 3,5 mg BORTEZOMIBUM PULB. PT. SOL. INJ. 3,5mg 1 3Programul national de oncologie CNAS 9L01XX32P V 05-07-2010 5,026.50 4,576.46 5,026.500000 5,026.500000 5,026.500000

C2 W52184001 MEGESIN 160 mg MEGESTROLUM COMPR. 160mg 30 3Programul national de oncologie 0L02ABO V 05-07-2010 123.30 97.52 4.110000 4.110000 4.110000

C2 W43179001 ELIGARD 22,5 mg LEUPRORELINUM LIOF. SI SOLV. PT. SOL. INJ. 22,5mg 1 3Programul national de oncologie MSP 1L02AEP V 05-07-2010 1,147.73 1,017.96 1,147.730000 1,147.730000 1,147.730000

C2 W43178001 ELIGARD 7,5 mg LEUPRORELINUM LIOF. SI SOLV. PT. SOL. INJ. 7,5mg 1 3Programul national de oncologie MSP 1L02AEP V 05-07-2010 439.74 368.43 439.740000 439.740000 439.740000

C2 W07196002 LUCRIN DEPOT 11,25mg LEUPRORELINUMLIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg 1 3

Programul national de oncologie MSP 1L02AEP V 05-07-2010 992.77 875.80 992.770000 992.770000 992.770000

C2 W07197002 LUCRIN DEPOT 3,75mg LEUPRORELINUMLIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg 1 3

Programul national de oncologie MSP 1L02AEP V 05-07-2010 428.87 358.46 428.870000 428.870000 428.870000

C2 W52321002 ELIGARD 45 mg LEUPRORELINUM PULB+SOLV.PT.SOL.INJ 45mg 1 3Programul national de oncologie MSP 1L02AEP V 05-07-2010 2,246.62 2,026.12 2,246.620000 2,246.620000 2,246.620000

C2 W10731001 ZOLADEX LA 10,8 mg GOSERELINUM IMPLANT 10,8 mg 1 3Programul national de oncologie MSP 9L02AE03P V 05-07-2010 1,169.98 1,038.37 1,169.980000 1,169.980000 1,169.980000

C2 W10173001 ZOLADEX (R) GOSERELINUM IMPLANT 3,6mg 1 3Programul national de oncologie MSP 9L02AE03P V 05-07-2010 435.66 364.69 435.660000 435.660000 435.660000

C2 W12505001 DIPHERELINE 0,1 mg TRIPTORELINUM LIOF. + SOLV. PT. SOL. INJ. 0,1mg 7 3Programul national de oncologie MSP 1L02AEP V 05-07-2010 134.30 110.01 19.185714 19.185714 19.185714

C2 W12169001 DIPHERELINE (R) 11,25 mg TRIPTORELINUMLIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11,25mg 1 3

Programul national de oncologie MSP 1L02AEP V 05-07-2010 1,182.19 1,049.58 1,182.190000 1,182.190000 1,182.190000

C2 W12506001 DIPHERELINE (R) 3,75 mg TRIPTORELINUMLIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3,75mg 1 3

Programul national de oncologie MSP 1L02AEP V 05-07-2010 439.72 368.41 439.720000 439.720000 439.720000

C2 W54084001 GONAPEPTYL ZILNIC 0,1 mg/ml TRIPTORELINUM SOL. INJ. 0,1mg/ml 7 3Programul national de oncologie MSP 1L02AEP V 05-07-2010 232.43 190.39 33.204285 33.204285 33.204285

C2 W54084002 GONAPEPTYL ZILNIC 0,1 mg/ml TRIPTORELINUM SOL. INJ. 0,1mg/ml 28 3Programul national de oncologie MSP 1L02AEP V 05-07-2010 825.44 722.28 29.480000 29.480000 29.480000

C2 W43979006 TAMOXIFEN 10 TEVA TAMOXIFENUM COMPR. 10mg 100 3Programul national de oncologie 9L02BA01O V 05-07-2010 21.73 16.08 0.217300 0.217300 0.217300

C2 W52193001 TAMONEPRIN (R) 10 mg TAMOXIFENUM COMPR. 10mg 60 3Programul national de oncologie 9L02BA01O V 05-07-2010 28.81 21.32 0.480166 0.480166 0.480166

C2 W53654002 TAMOXIFEN SANDOZ 10 TAMOXIFENUM COMPR. FILM. 10mg 100 3Programul national de oncologie 9L02BA01O V 05-07-2010 51.91 39.69 0.519100 0.519100 0.519100

C2 W51514001 FASLODEX 250mg/5ml FULVESTRANTUM SOL. INJ. 250mg/5ml 1 3Programul national de oncologie MSP 9L02BA03P V 05-07-2010 1,725.82 1,548.32 1,725.820000 1,725.820000 1,725.820000

C2 W03217002 FLUTAN FLUTAMIDUM COMPR. 250mg 100 3Programul national de oncologie 0L02BBO V 05-07-2010 268.40 219.86 2.684000 2.684000 2.684000

C2 W52204001 FLUTASIN 250 mg FLUTAMIDUM COMPR. 250mg 30 3Programul national de oncologie 0L02BBO V 05-07-2010 40.22 30.75 1.340666 1.340666 1.340666

C2 W51924001 FLUTAMIDE CSC 250 mg FLUTAMIDUM COMPR. FILM. 250mg 30 3Programul national de oncologie 0L02BBO V 05-07-2010 43.73 33.43 1.457666 1.457666 1.457666

C2 W12048001 CASODEX 150 mg BICALUTAMIDUM COMPR. FILM. 150mg 28 3Programul national de oncologie 0L02BBO V 05-07-2010 680.54 589.35 24.305000 24.305000 24.305000

C2 W55157001 YONISTIB 150 mg BICALUTAMIDUM COMPR. FILM. 150mg 28 3Programul national de oncologie 0L02BBO V 05-07-2010 467.12 393.55 16.682857 16.682857 16.682857

C2 W10174001 CASODEX 50 mg BICALUTAMIDUM COMPR. FILM. 50mg 28 3Programul national de oncologie 0L02BBO V 05-07-2010 350.88 287.42 12.531428 12.531428 12.531428

C2 W53339003 BICALUTAMIDA SANDOZ 50 mg BICALUTAMIDUM COMPR. FILM. 50mg 30 3Programul national de oncologie 0L02BBO V 05-07-2010 244.36 200.16 8.145333 8.145333 8.145333

C2 W53567003 BICALTON 50 mg BICALUTAMIDUM COMPR. FILM. 50mg 28 3Programul national de oncologie 0L02BBO V 05-07-2010 226.87 185.84 8.102500 8.102500 8.102500

C2 W54250001 BICALUTAMIDA RANBAXY 50 mg BICALUTAMIDUM COMPR. FILM. 50mg 28 3Programul national de oncologie 0L02BBO V 05-07-2010 228.07 186.82 8.145357 8.145357 8.145357

C2 W54250009 BICALUTAMIDA RANBAXY 50 mg BICALUTAMIDUM COMPR. FILM. 50mg 28 3Programul national de oncologie 0L02BBO V 05-07-2010 228.07 186.82 8.145357 8.145357 8.145357

C2 W54851001 CALUMID BICALUTAMIDUM COMPR. FILM. 50mg 30 3Programul national de oncologie 0L02BBO V 05-07-2010 244.42 200.21 8.147333 8.147333 8.147333

C2 W55156001 YONISTIB 50 mg BICALUTAMIDUM COMPR. FILM. 50mg 28 3Programul national de oncologie 0L02BBO V 05-07-2010 228.12 186.86 8.147142 8.147142 8.147142

C2 W52201001 ROGLUTEN (R) 250 mg AMINOGLUTETHIMIDUM COMPR. 250mg 40 3Programul national de oncologie 9L02BG01O V 05-07-2010 151.03 123.71 3.775750 3.775750 3.775750

C2 W52207001 ARIMIDEX ANASTROZOLUM COMPR. FILM. 1mg 28 3Programul national de oncologie 0L02BGO V 05-07-2010 528.50 449.86 18.875000 18.875000 18.875000

C2 W53147002 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 28 3Programul national de oncologie 0L02BGO V 05-07-2010 400.97 332.86 14.320357 14.320357 14.320357

C2 W53147003 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 30 3Programul national de oncologie 0L02BGO V 05-07-2010 424.54 354.49 14.151333 14.151333 14.151333

C2 W53147004 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 50 3Programul national de oncologie 0L02BGO V 05-07-2010 630.83 543.74 12.616600 12.616600 12.616600

C2 W53147005 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 84 3Programul national de oncologie 0L02BGO V 05-07-2010 964.60 849.95 11.483333 11.483333 11.483333

C2 W53147006 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 98 3Programul national de oncologie 0L02BGO V 05-07-2010 1,061.56 938.91 10.832244 10.832244 10.832244

C2 W53147007 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 100 3Programul national de oncologie 0L02BGO V 05-07-2010 1,081.76 957.44 10.817600 10.817600 10.817600

C2 W53147008 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 300 3Programul national de oncologie 0L02BGO V 05-07-2010 2,950.27 2,671.67 9.834233 9.834233 9.834233

C2 W53147001 ANASTROZOL TERAPIA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 20 3Programul national de oncologie 0L02BGO V 05-07-2010 290.44 237.91 14.522000 14.522000 14.522000

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entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53245005 ENZAMIDEX 1mg ANASTROZOLUM COMPR. FILM. 1mg 30 3Programul national de oncologie 0L02BGO V 05-07-2010 297.35 243.57 9.911666 9.911666 9.911666

C2 W53266005 EGISTROZOL 1 mg ANASTROZOLUM COMPR. FILM. 1mg 30 3Programul national de oncologie 0L02BGO V 05-07-2010 276.97 226.88 9.232333 9.232333 9.232333

C2 W53266010 EGISTROZOL 1 mg ANASTROZOLUM COMPR. FILM. 1mg 90 3Programul national de oncologie 0L02BGO V 05-07-2010 1,090.93 965.85 12.121444 12.121444 12.121444

C2 W53924001 ANASTROZOLE MEDICO UNO 1 mg ANASTROZOLUM COMPR. FILM. 1mg 28 3Programul national de oncologie 0L02BGO V 05-07-2010 309.33 253.38 11.047500 11.047500 11.047500

C2 W55088002 OZOLAN 1 mg ANASTROZOLUM COMPR. FILM. 1mg 28 3Programul national de oncologie 0L02BGO V 05-07-2010 356.71 292.19 12.739642 12.739642 12.739642

C2 W55347004 ANASTROZOL TEVA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 28 3Programul national de oncologie 0L02BGO V 05-07-2010 253.12 207.34 9.040000 9.040000 9.040000

C2 W55347005 ANASTROZOL TEVA 1 mg ANASTROZOLUM COMPR. FILM. 1mg 30 3Programul national de oncologie 0L02BGO V 05-07-2010 271.19 222.14 9.039666 9.039666 9.039666

C2 W51409001 FEMARA 2,5 mg LETROZOLUM COMPR. FILM. 2,5mg 30 3Programul national de oncologie 0L02BGO V 05-07-2010 553.21 472.53 18.440333 18.440333 18.440333

C2 W55524001 LETRALAN 2,5 mg LETROZOLUM COMPR. FILM. 2,5mg 30 3Programul national de oncologie 0L02BGO V 05-07-2010 322.47 264.15 10.749000 10.749000 10.749000

C2 W08074001 AROMASIN 25 mg EXEMESTANUM DRAJ. 25mg 30 3Programul national de oncologie 0L02BGO V 05-07-2010 375.46 309.46 12.515333 12.515333 12.515333

C2 W51424001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 30MU/0,5ml 1 3Programul national de oncologie MSP 0L03AAP V 05-07-2010 325.26 266.43 325.260000 325.260000 325.260000

C2 W51423001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 48MU/0,5ml 1 3Programul national de oncologie MSP 0L03AAP V 05-07-2010 512.98 435.62 512.980000 512.980000 512.980000

C2 W53520001 TEVAGRASTIM 30MUI/0,5ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 300mcg/0,5ml 1 3Programul national de oncologie MSP 0L03AAP V 05-07-2010 260.83 213.65 260.830000 260.830000 260.830000

C2 W53523001 TEVAGRASTIM 48MUI/0,8ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 480mcg/0,8ml 1 3Programul national de oncologie MSP 0L03AAP V 05-07-2010 425.24 355.13 425.240000 425.240000 425.240000

C2 W51563001 NEULASTA 6mg PEGFILGRASTIMUM SOL. INJ. 6mg 1 3Programul national de oncologie CJAS 0L03AAP V 05-07-2010 4,252.70 3,866.55 4,252.700000 4,252.700000 4,252.700000

C2 W51330002 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 18Mui/0,6ml 1 3Programul national de oncologie CJAS 1L03ABBP V 05-07-2010 423.84 353.84 423.840000 423.840000 423.840000

C2 W51327001 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 3Mui/0,5ml 1 3Programul national de oncologie CJAS 1L03ABBP V 05-07-2010 87.23 68.99 87.230000 87.230000 87.230000

C2 W51329001 ROFERON A INTERFERONUM ALFA 2A SOL. INJ. 9Mui/0,5ml 1 3Programul national de oncologie CJAS 1L03ABBP V 05-07-2010 182.79 149.73 182.790000 182.790000 182.790000

C2 W13209002 INTRON A 18 milioane U.I. INTERFERONUM ALFA 2B SOL. INJ. PEN MULTIDOZA 18 milioane U.I. 1 3Programul national de oncologie CJAS 1L03ABBP V 05-07-2010 489.79 414.35 489.790000 489.790000 489.790000

C2 W13208001 INTRON A 30 milioane U.I. INTERFERONUM ALFA 2B SOL. INJ. PEN MULTIDOZA 30 milioane U.I. 1 3Programul national de oncologie CJAS 1L03ABBP V 05-07-2010 770.91 672.26 770.910000 770.910000 770.910000

C2 W52200003 SINDRONAT (R) 400 mg ACIDUM CLODRONICUM CAPS. 400mg 120 3Programul national de oncologie MSP 0M05BAO V 05-07-2010 354.57 290.44 2.954750 2.954750 2.954750

C2 W53382001 BONEFOS (R) 400 mg ACIDUM CLODRONICUM CAPS. 400mg 100 3Programul national de oncologie MSP 0M05BAO V 05-07-2010 595.49 511.32 5.954900 5.954900 5.954900

C2 W53383001 BONEFOS (R) 800 mg ACIDUM CLODRONICUM COMPR. FILM. 800mg 60 3Programul national de oncologie MSP 0M05BAO V 05-07-2010 730.66 635.33 12.177666 12.177666 12.177666

C2 W52199001 SINDRONAT (R) 300 mg/5 ml ACIDUM CLODRONICUM CONC. PT. SOL. PERF. 300mg/5ml 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 27.98 20.70 27.980000 27.980000 27.980000

C2 W53384001 BONEFOS (R) 60 mg/ml ACIDUM CLODRONICUM CONC. PT. SOL. PERF. 60mg/ml 5 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 187.65 153.71 37.530000 37.530000 37.530000

C2 W42119006 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 226.29 185.36 226.290000 226.290000 226.290000

C2 W42119005 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 134.87 110.48 134.870000 134.870000 134.870000

C2 W42119008 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 614.48 528.74 614.480000 614.480000 614.480000

C2 W42119007 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 431.73 361.08 431.730000 431.730000 431.730000

C2 W52121001 PAMIRED 30 ACIDUM PAMIDRONICUM LIOF. PT. SOL. PERF. I.V. 30mg 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 186.20 152.52 186.200000 186.200000 186.200000

C2 W52120001 PAMIRED 60 ACIDUM PAMIDRONICUM LIOF. PT. SOL. PERF. I.V. 60mg 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 289.65 237.26 289.650000 289.650000 289.650000

C2 W07918001 AREDIA (R) 15 mg ACIDUM PAMIDRONICUM LIOF.+ SOLV. PT. SOL. PERF. 15mg 4 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 686.18 594.52 171.545000 171.545000 171.545000

C2 W42716001 BONVIVA 150mg ACIDUM IBANDRONICUM COMPR. FILM. 150mg 1 3Programul national de oncologie MSP 0M05BAO V 05-07-2010 129.02 105.68 129.020000 129.020000 129.020000

C2 W41499001 BONDRONAT 50mg ACIDUM IBANDRONICUM COMPR. FILM. 50mg 28 3Programul national de oncologie MSP 0M05BAO V 05-07-2010 1,086.61 961.89 38.807500 38.807500 38.807500

C2 W41498001 BONDRONAT 6mg/6ml ACIDUM IBANDRONICUM CONC. PT. SOL. PERF. 6mg/6ml 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 1,018.41 899.32 1,018.410000 1,018.410000 1,018.410000

C2 W43328001 BONVIVA 3mg/3ml ACIDUM IBANDRONICUMSOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml 1 3

Programul national de oncologie MSP 0M05BAP V 05-07-2010 423.74 353.75 423.740000 423.740000 423.740000

C2 W08426001 ZOMETA 4 mg ACIDUM ZOLEDRONICUM PULB. + SOLV. SOL. PERF. 4mg 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 1,232.72 1,095.93 1,232.720000 1,232.720000 1,232.720000

C2 W42407001 ACLASTA 5mg/100ml ACIDUM ZOLEDRONICUM SOL. PERF. 5mg/100ml 1 3Programul national de oncologie MSP 0M05BAP V 05-07-2010 1,560.32 1,396.48 1,560.320000 1,560.320000 1,560.320000

C2 W04133001 UROMITEXAN (R) 400 mg MESNUM SOL. INJ. 400mg/4ml 15 3Programul national de oncologie 9V03AF01P V 05-07-2010 58.56 44.77 3.904000 3.904000 3.904000

C2 W00734001 CALCIUM FOLINAT "EBEWE" 15 mg CALCII FOLINAS CAPS. 15mg 20 3Programul national de oncologie 1V03AFO V 05-07-2010 37.99 29.04 1.899500 1.899500 1.899500

C2 W10673002 LEUCOVORIN-TEVA 100 mg/10 ml CALCII FOLINAS SOL. INJ. 10mg/ml 1 3Programul national de oncologie 1V03AFP V 05-07-2010 38.50 29.43 38.500000 38.500000 38.500000

C2 W52217001 FOLCASIN (R) 100 mg/10 ml CALCII FOLINAS SOL. INJ. 10mg/ml 1 3Programul national de oncologie 1V03AFP V 05-07-2010 38.46 29.40 38.460000 38.460000 38.460000

C2 W54980002 FOLINAT DE CALCIU TEVA 10 mg/ml CALCII FOLINAS SOL. INJ. 10mg/ml 1 3Programul national de oncologie 1V03AFP V 05-07-2010 38.50 29.43 38.500000 38.500000 38.500000

C2 W52219001 FOLCASIN (R) 30 mg/10 ml CALCII FOLINAS SOL. INJ. 3mg/ml 1 3Programul national de oncologie 1V03AFP V 05-07-2010 18.24 13.50 18.240000 18.240000 18.240000

C2 W00735003 CALCIUMFOLINAT "EBEWE" 10 mg/ml CALCII FOLINAS SOL. INJ./PERF. 10mg/ml 5 3Programul national de oncologie 1V03AFP V 05-07-2010 173.14 141.82 34.628000 34.628000 34.628000

C2 W00735001 CALCIUMFOLINAT "EBEWE" 10 mg/ml CALCII FOLINAS SOL. INJ./PERF. 10mg/ml 5 3Programul national de oncologie 1V03AFP V 05-07-2010 63.35 50.10 12.670000 12.670000 12.670000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W08161001 ETHYOL AMIFOSTINUM LIOF. PT. SOL. PERF. 375mg 5 3Programul national de oncologie MSP 9V03AF05P V 05-07-2010 2,215.99 1,998.02 443.198000 443.198000 443.198000

C2 W10542001 ETHYOL (R) AMIFOSTINUM LIOF. PT. SOL. PERF. 500mg 3 3Programul national de oncologie MSP 9V03AF05P V 05-07-2010 2,086.03 1,878.79 695.343333 695.343333 695.343333

C2 W52999001 HUMULIN R INSULINE UMANE SOL. INJ. 100UI/ml 1 5Programul national de diabet zaharat 0A10ABP V 05-07-2010 56.53 43.22 56.530000 56.530000 56.530000

C2 W52999002 HUMULIN R INSULINE UMANE SOL. INJ. 100UI/ml 5 5Programul national de diabet zaharat 0A10ABP V 05-07-2010 114.76 90.76 22.952000 22.952000 22.952000

C2 W08452003 INSUMAN RAPID 100UI/ml INSULINE UMANE SOL. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat 0A10ABP V 05-07-2010 121.06 95.74 24.212000 24.212000 24.212000

C2 W10503002 ACTRAPID PENFILL 100 UI/ml INSULINE UMANE SOL. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat 0A10ABP V 05-07-2010 124.93 98.81 24.986000 24.986000 24.986000

C2 W08451001 INSUMAN RAPID 100UI/ml INSULINE UMANE SOL. INJ. IN FLACON 100UI/ml 5 5Programul national de diabet zaharat 0A10ABP V 05-07-2010 167.51 137.21 33.502000 33.502000 33.502000

C2 W08453003 INSUMAN RAPID 100 UI/ml OPTISET INSULINE UMANESOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml 5 5

Programul national de diabet zaharat 0A10ABP V 05-07-2010 121.06 95.74 24.212000 24.212000 24.212000

C2 W52601001 HUMALOG 100 U/ml INSULINUM LISPRO SOL. INJ. 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ABP V 05-07-2010 157.06 128.65 31.412000 31.412000 31.412000

C2 W53873001 HUMALOG KWIKPEN100U/ml INSULINUM LISPRO SOL. INJ. 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ABP V 05-07-2010 190.62 156.14 38.124000 38.124000 38.124000

C2 W07268001 NOVORAPID PENFILL 100 U/ml INSULINUM ASPART SOL. INJ. IN CARTUS 100Uml 5 5Programul national de diabet zaharat MSP 0A10ABP V 05-07-2010 159.01 130.25 31.802000 31.802000 31.802000

C2 W41740004 APIDRA 100U/ml INSULINUM GLULIZINA SOL. INJ. IN CARTUS 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ABP V 05-07-2010 159.01 130.25 31.802000 31.802000 31.802000

C2 W41737001 APIDRA 100U/ml INSULINUM GLULIZINA SOL. INJ. IN FLACON 100U/ml 1 5Programul national de diabet zaharat MSP 0A10ABP V 05-07-2010 99.99 79.08 99.990000 99.990000 99.990000

C2 W41739004 APIDRA 100U/ml INSULINUM GLULIZINASOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml 5 5

Programul national de diabet zaharat MSP 0A10ABP V 05-07-2010 169.46 138.81 33.892000 33.892000 33.892000

C2 W52538004 APIDRA 100U/ml INSULINUM GLULIZINASOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml 5 5

Programul national de diabet zaharat MSP 0A10ABP V 05-07-2010 159.01 130.25 31.802000 31.802000 31.802000

C2 W52986001 HUMULIN N INSULINE UMANE SUSP. INJ. 100UI/ml 1 5Programul national de diabet zaharat 0A10ACP V 05-07-2010 56.53 43.22 56.530000 56.530000 56.530000

C2 W52986002 HUMULIN N INSULINE UMANE SUSP. INJ. 100UI/ml 5 5Programul national de diabet zaharat 0A10ACP V 05-07-2010 114.76 90.76 22.952000 22.952000 22.952000

C2 W08444003 INSUMAN BASAL 100UI/ml INSULINE UMANE SUSP. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat 0A10ACP V 05-07-2010 124.89 98.77 24.978000 24.978000 24.978000

C2 W03714002 INSULATARD PENFILL 100 UI/ml INSULINE UMANE SUSP. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat 0A10ACP V 05-07-2010 124.93 98.81 24.986000 24.986000 24.986000

C2 W08381002 INSUMAN BASAL 100UI/ml INSULINE UMANE SUSP. INJ. IN FLACON 100UI/ml 5 5Programul national de diabet zaharat 0A10ACP V 05-07-2010 167.51 137.21 33.502000 33.502000 33.502000

C2 W08382003 INSUMAN BASAL 100UI/ml OPTISET INSULINE UMANESUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml 5 5

Programul national de diabet zaharat 0A10ACP V 05-07-2010 163.51 133.94 32.702000 32.702000 32.702000

C2 W53876001 HUMALOG BASAL KWIKPEN 100U/ml INSULINUM LISPRO SUSP. INJ. 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ACP V 05-07-2010 190.62 156.14 38.124000 38.124000 38.124000

C2 W53106001 HUMULIN M3 INSULINE UMANE SUSP. INJ. 100ui/ml 1 5Programul national de diabet zaharat 0A10ADP V 05-07-2010 56.53 43.22 56.530000 56.530000 56.530000

C2 W53106002 HUMULIN M3 INSULINE UMANE SUSP. INJ. 100ui/ml 5 5Programul national de diabet zaharat 0A10ADP V 05-07-2010 114.76 90.76 22.952000 22.952000 22.952000

C2 W08446003 INSUMAN COMB 25 100UI/ml INSULINE UMANE SUSP. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat 0A10ADP V 05-07-2010 124.89 98.77 24.978000 24.978000 24.978000

C2 W08449003 INSUMAN COMB 50 100UI/ml INSULINE UMANE SUSP. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat 0A10ADP V 05-07-2010 124.89 98.77 24.978000 24.978000 24.978000

C2 W03703002 MIXTARD 30 PENFILL 100 UI/ml INSULINE UMANE SUSP. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat 0A10ADP V 05-07-2010 127.97 104.82 25.594000 25.594000 25.594000

C2 W08445002 INSUMAN COMB 25 100UI/ml INSULINE UMANE SUSP. INJ. IN FLACON 100UI/ml 5 5Programul national de diabet zaharat 0A10ADP V 05-07-2010 167.51 137.21 33.502000 33.502000 33.502000

C2 W08447003 INSUMAN COMB 25 100UI/ml OPTISET INSULINE UMANESUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml 5 5

Programul national de diabet zaharat 0A10ADP V 05-07-2010 121.06 95.74 24.212000 24.212000 24.212000

C2 W08450003 INSUMAN COMB 50 100UI/ml OPTISET INSULINE UMANESUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml 5 5

Programul national de diabet zaharat 0A10ADP V 05-07-2010 163.51 133.94 32.702000 32.702000 32.702000

C2 W03665001 HUMALOG MIX50 INSULINUM LISPRO SUSP. INJ. 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ADP V 05-07-2010 164.09 134.41 32.818000 32.818000 32.818000

C2 W52602001 HUMALOG MIX25 INSULINUM LISPRO SUSP. INJ. 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ADP V 05-07-2010 165.68 135.71 33.136000 33.136000 33.136000

C2 W53874001 HUMALOG MIX25 KWIKPEN 100U/ml INSULINUM LISPRO SUSP. INJ. 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ADP V 05-07-2010 190.62 156.14 38.124000 38.124000 38.124000

C2 W53875001 HUMALOG MIX50 KWIKPEN 100U/ml INSULINUM LISPRO SUSP. INJ. 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ADP V 05-07-2010 190.62 156.14 38.124000 38.124000 38.124000

C2 W08254001 NOVOMIX 30 PENFILL 100 U/ml INSULINUM ASPART SUSP. INJ. IN CARTUS 100U/ml 5 5Programul national de diabet zaharat MSP 0A10ADP V 05-07-2010 171.22 140.25 34.244000 34.244000 34.244000

C2 W08054002 LANTUS 100UI/ml INSULINUM GLARGINE SOL. INJ. IN CARTUS 100UI/ml 5 5Programul national de diabet zaharat MSP 0A10AEP V 05-07-2010 273.95 224.40 54.790000 54.790000 54.790000

C2 W10010005 LANTUS 100UI/ml INSULINUM GLARGINE SOL. INJ. IN FLACON 100UI/ml 1 5Programul national de diabet zaharat MSP 0A10AEP V 05-07-2010 187.55 153.63 187.550000 187.550000 187.550000

C2 W06751008 LANTUS OptiSet INSULINUM GLARGINESOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml 5 5

Programul national de diabet zaharat MSP 0A10AEP V 05-07-2010 273.95 224.40 54.790000 54.790000 54.790000

C2 W52628008 LANTUS SoloStar INSULINUM GLARGINESOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml 5 5

Programul national de diabet zaharat MSP 0A10AEP V 05-07-2010 273.95 224.40 54.790000 54.790000 54.790000

C2 W41732002 LEVEMIR PENFILL 100 U/ml INSULINUM DETEMIR SOL. INJ. IN CARTUS 100U/ml 5 5Programul national de diabet zaharat MSP 0A10AEP V 05-07-2010 299.06 244.97 59.812000 59.812000 59.812000

C2 W53953001 METFORMIN ARENA 1000 MG METFORMINUM COMPR. 1000mg 50 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 25.15 18.61 0.503000 0.503000 0.503000

C2 W53953002 METFORMIN ARENA 1000 MG METFORMINUM COMPR. 1000mg 200 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 89.95 71.14 0.449750 0.449750 0.449750

C2 W53951003 METFORMIN ARENA 500 MG METFORMINUM COMPR. 500mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 4.82 3.57 0.080333 0.080333 0.080333

C2 W53952001 METFORMIN ARENA 850 MG METFORMINUM COMPR. 850mg 15 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 5.18 3.83 0.345333 0.345333 0.345333

C2 W53952002 METFORMIN ARENA 850 MG METFORMINUM COMPR. 850mg 1000 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 299.64 245.45 0.299640 0.299640 0.299640

C2 W43318001 GLUCOPHAGE XR METFORMINUM COMPR. ELIB. PREL. 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 15.28 11.31 0.509333 0.509333 0.509333

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W43318002 GLUCOPHAGE XR METFORMINUM COMPR. ELIB. PREL. 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 15.28 11.31 0.509333 0.509333 0.509333

C2 W42349002 SIOFOR 1000 METFORMINUM COMPR. FILM. 1000mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 18.09 13.38 0.301500 0.301500 0.301500

C2 W43828002 METFOGAMMA 1000mg METFORMINUM COMPR. FILM. 1000mg 120 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 21.48 15.89 0.179000 0.179000 0.179000

C2 W44032002 METFORMIN TEVA 1000 mg METFORMINUM COMPR. FILM. 1000mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 8.52 6.30 0.142000 0.142000 0.142000

C2 W13583011 GLUCOPHAGE 1000 mg METFORMINUM COMPR. FILM. 1000mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 27.97 20.69 0.466166 0.466166 0.466166

C2 W53864005 METFORMIN BLUEFISH 1000 mg METFORMINUM COMPR. FILM. 1000mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 16.50 12.21 0.275000 0.275000 0.275000

C2 W53905002 METFORMIN AUROBINDO 1000 mg METFORMINUM COMPR. FILM. 1000mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 8.95 6.62 0.298333 0.298333 0.298333

C2 W53905005 METFORMIN AUROBINDO 1000 mg METFORMINUM COMPR. FILM. 1000mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 17.90 13.24 0.298333 0.298333 0.298333

C2 W13955001 MEGUAN (R) 500 mg METFORMINUM COMPR. FILM. 500mg 20 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 4.38 3.24 0.219000 0.219000 0.219000

C2 W13724002 METFOGAMMA (R) 500 METFORMINUM COMPR. FILM. 500mg 120 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 10.74 7.95 0.089500 0.089500 0.089500

C2 W41726001 METFORMIN LPH (R) 500 mg METFORMINUM COMPR. FILM. 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 3.98 2.94 0.132666 0.132666 0.132666

C2 W42688001 DIPIMET 500 mg METFORMINUM COMPR. FILM. 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 3.84 2.84 0.128000 0.128000 0.128000

C2 W43670003 METFORMIN-TEVA 500 mg METFORMINUM COMPR. FILM. 500mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 5.50 4.07 0.091666 0.091666 0.091666

C2 W53862001 METFORMIN BLUEFISH 500 mg METFORMINUM COMPR. FILM. 500mg 20 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 1.86 1.38 0.093000 0.093000 0.093000

C2 W53862003 METFORMIN BLUEFISH 500 mg METFORMINUM COMPR. FILM. 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 2.80 2.07 0.093333 0.093333 0.093333

C2 W53903003 METFORMIN AUROBINDO 500 mg METFORMINUM COMPR. FILM. 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 3.44 2.55 0.114666 0.114666 0.114666

C2 W53903008 METFORMIN AUROBINDO 500 mg METFORMINUM COMPR. FILM. 500mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 6.87 5.08 0.114500 0.114500 0.114500

C2 W07422002 SIOFOR (R) 850 METFORMINUM COMPR. FILM. 850mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 18.14 13.42 0.302333 0.302333 0.302333

C2 W13873005 GLUCOPHAGE 850 mg METFORMINUM COMPR. FILM. 850mg 100 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 25.21 18.65 0.252100 0.252100 0.252100

C2 W14102001 MEGUAN (R) 850 mg METFORMINUM COMPR. FILM. 850mg 20 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 7.63 5.65 0.381500 0.381500 0.381500

C2 W51844001 MEDIFOR 850 METFORMINUM COMPR. FILM. 850mg 56 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 9.09 6.73 0.162321 0.162321 0.162321

C2 W14042001 METFORMIN LPH (R) 850 mg METFORMINUM COMPR. FILM. 850mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 4.92 3.64 0.164000 0.164000 0.164000

C2 W08499004 METFOGAMMA 850 METFORMINUM COMPR. FILM. 850mg 120 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 18.26 13.51 0.152166 0.152166 0.152166

C2 W43671007 METFORMIN-TEVA 850 mg METFORMINUM COMPR. FILM. 850mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 7.86 5.82 0.131000 0.131000 0.131000

C2 W53863001 METFORMIN BLUEFISH 850 mg METFORMINUM COMPR. FILM. 850mg 20 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 2.96 2.19 0.148000 0.148000 0.148000

C2 W53863003 METFORMIN BLUEFISH 850 mg METFORMINUM COMPR. FILM. 850mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 4.44 3.28 0.148000 0.148000 0.148000

C2 W53863008 METFORMIN BLUEFISH 850 mg METFORMINUM COMPR. FILM. 850mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 8.88 6.57 0.148000 0.148000 0.148000

C2 W53863014 METFORMIN BLUEFISH 850 mg METFORMINUM COMPR. FILM. 850mg 100 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 14.79 10.94 0.147900 0.147900 0.147900

C2 W53904003 METFORMIN AUROBINDO 850 mg METFORMINUM COMPR. FILM. 850mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 4.85 3.59 0.161666 0.161666 0.161666

C2 W53904008 METFORMIN AUROBINDO 850 mg METFORMINUM COMPR. FILM. 850mg 60 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 9.69 7.17 0.161500 0.161500 0.161500

C2 W52149002 FORMIRAN 1000 mg METFORMINUM COMPR. PT. SOL. ORALA 1000mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 9.31 6.89 0.310333 0.310333 0.310333

C2 W52149001 FORMIRAN 1000 mg METFORMINUM COMPR. PT. SOL. ORALA 1000mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 9.31 6.89 0.310333 0.310333 0.310333

C2 W52147001 FORMIRAN 500 mg METFORMINUM COMPR. PT. SOL. ORALA 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 3.85 2.85 0.128333 0.128333 0.128333

C2 W52147002 FORMIRAN 500 mg METFORMINUM COMPR. PT. SOL. ORALA 500mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 3.85 2.85 0.128333 0.128333 0.128333

C2 W52148002 FORMIRAN 850 mg METFORMINUM COMPR. PT. SOL. ORALA 850mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 6.61 4.89 0.220333 0.220333 0.220333

C2 W52148001 FORMIRAN 850 mg METFORMINUM COMPR. PT. SOL. ORALA 850mg 30 5Programul national de diabet zaharat 0A10BAO V 05-07-2010 6.61 4.89 0.220333 0.220333 0.220333

C2 W42141001 SILUBIN RETARD BUFORMINUM DRAJ. RET. 100mg 60 5Programul national de diabet zaharat 9A10BA03O V 05-07-2010 19.06 14.10 0.317666 0.317666 0.317666

C2 W53919001 GLIBENCLAMID ATB 1,75 MG GLIBENCLAMIDUM COMPR. 1,75 mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 1.91 1.41 0.063666 0.063666 0.063666

C2 W07202003 MANINIL 1,75 mg GLIBENCLAMIDUM COMPR. 1,75mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 11.79 8.72 0.098250 0.098250 0.098250

C2 W41462002 GLIBENCLAMID LPH 1,75 mg GLIBENCLAMIDUM COMPR. 1,75mg 60 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.21 3.11 0.070166 0.070166 0.070166

C2 W41858002 GLIBENCLAMID ARENA 1,75 mg GLIBENCLAMIDUM COMPR. 1,75mg 100 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 11.59 8.58 0.115900 0.115900 0.115900

C2 W41858004 GLIBENCLAMID ARENA 1,75 mg GLIBENCLAMIDUM COMPR. 1,75mg 1000 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 70.10 55.44 0.070100 0.070100 0.070100

C2 W41858003 GLIBENCLAMID ARENA 1,75 mg GLIBENCLAMIDUM COMPR. 1,75mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 2.03 1.50 0.067666 0.067666 0.067666

C2 W07206003 MANINIL 3,5 mg GLIBENCLAMIDUM COMPR. 3,5mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 8.54 6.32 0.071166 0.071166 0.071166

C2 W41859002 GLIBENCLAMID ARENA 3,5 mg GLIBENCLAMIDUM COMPR. 3,5mg 100 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 14.35 10.62 0.143500 0.143500 0.143500

C2 W41463002 GLIBENCLAMID LPH 3,5 mg GLIBENCLAMIDUM COMPR. 3,5mg 60 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 3.05 2.26 0.050833 0.050833 0.050833

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W41859003 GLIBENCLAMID ARENA 3,5 mg GLIBENCLAMIDUM COMPR. 3,5mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 5.59 4.14 0.186333 0.186333 0.186333

C2 W41859004 GLIBENCLAMID ARENA 3,5 mg GLIBENCLAMIDUM COMPR. 3,5mg 1000 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 96.42 76.26 0.096420 0.096420 0.096420

C2 W53920001 GLIBENCLAMID ATB 3,5 MG GLIBENCLAMIDUM COMPR. 3,5mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 1.37 1.01 0.045666 0.045666 0.045666

C2 W53679002 GLIBENCLAMID ARENA 5 mg GLIBENCLAMIDUM COMPR. 5mg 100 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 3.71 2.74 0.037100 0.037100 0.037100

C2 W53679003 GLIBENCLAMID ARENA 5 mg GLIBENCLAMIDUM COMPR. 5mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 5.73 4.24 0.191000 0.191000 0.191000

C2 W41467001 GLIPIZID LPH 5 mg GLIPIZIDUM COMPR. 5mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 15.49 11.46 0.516333 0.516333 0.516333

C2 W54934001 GLIPIZIDA ATB 5mg GLIPIZIDUM COMPR. 5mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 15.49 11.46 0.516333 0.516333 0.516333

C2 W03348001 GLUCOTROL XL 10 mg GLIPIZIDUM COMPR. FILM. ELIB. MODIF. 10mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 46.14 35.28 1.538000 1.538000 1.538000

C2 W03349001 GLUCOTROL XL 5mg GLIPIZIDUM COMPR. FILM. ELIB. MODIF. 5mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 23.84 17.64 0.794666 0.794666 0.794666

C2 W03352001 GLURENORM GLIQUIDONUM COMPR. 30mg 60 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 27.49 20.34 0.458166 0.458166 0.458166

C2 W03343002 DIABREZIDE GLICLAZIDUM COMPR. 80mg 40 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.10 9.69 0.327500 0.327500 0.327500

C2 W42334001 ESQUEL (R) 80 mg GLICLAZIDUM COMPR. 80mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.10 9.69 0.436666 0.436666 0.436666

C2 W43501001 GLICLAZID LPH GLICLAZIDUM COMPR. 80mg 60 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 17.69 13.09 0.294833 0.294833 0.294833

C2 W08547001 DIAPREL MR GLICLAZIDUM COMPR. ELIB. MODIF. 30mg 60 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 25.18 18.63 0.419666 0.419666 0.419666

C2 W42385001 GLICLAZID MR LPH 30 mg GLICLAZIDUM COMPR. ELIB. PREL. 30mg 60 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 16.38 12.12 0.273000 0.273000 0.273000

C2 W52505001 GLICLAZIDA EP ANTIBIOTICE 30 mg GLICLAZIDUM COMPR. ELIB. PREL. 30mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 8.12 6.01 0.270666 0.270666 0.270666

C2 W52941001 GLITOPP MR 30 mg GLICLAZIDUM COMPR. ELIB. PREL. 30mg 10 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 2.68 1.98 0.268000 0.268000 0.268000

C2 W52941002 GLITOPP MR 30 mg GLICLAZIDUM COMPR. ELIB. PREL. 30mg 20 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 5.38 3.98 0.269000 0.269000 0.269000

C2 W52941003 GLITOPP MR 30 mg GLICLAZIDUM COMPR. ELIB. PREL. 30mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 8.06 5.96 0.268666 0.268666 0.268666

C2 W54001004 GLYCLADA 30 mg GLICLAZIDUM COMPR. ELIB. PREL. 30mg 60 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 16.33 12.08 0.272166 0.272166 0.272166

C2 W52457001 TINERIL 4 mg GLIMEPIRIDUM COMPR 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 14.35 10.62 0.478333 0.478333 0.478333

C2 W43475001 AMYX 1 GLIMEPIRIDUM COMPR. 1 mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.19 3.10 0.139666 0.139666 0.139666

C2 W43299001 MEGLIMID 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 9.08 6.72 0.302666 0.302666 0.302666

C2 W42241001 GLIMEPIRID LPH 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.19 3.10 0.139666 0.139666 0.139666

C2 W43825002 GLIMERAN 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.08 3.02 0.136000 0.136000 0.136000

C2 W43825001 GLIMERAN 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.08 3.02 0.136000 0.136000 0.136000

C2 W52454001 TINERIL 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.19 3.10 0.139666 0.139666 0.139666

C2 W52831001 GLIMEGAMMA AAA-PHARMA 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.19 3.10 0.139666 0.139666 0.139666

C2 W52831003 GLIMEGAMMA AAA-PHARMA 1 mg GLIMEPIRIDUM COMPR. 1mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 16.76 12.40 0.139666 0.139666 0.139666

C2 W53362002 GLIMEPIRIDA ACCORD 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.14 3.06 0.138000 0.138000 0.138000

C2 W53439001 GLIMEGAMMA 1 mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 4.39 3.25 0.146333 0.146333 0.146333

C2 W53439003 GLIMEGAMMA 1 mg GLIMEPIRIDUM COMPR. 1mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 25.81 19.10 0.215083 0.215083 0.215083

C2 W53450001 AMARYL 1mg GLIMEPIRIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 6.46 4.78 0.215333 0.215333 0.215333

C2 W43300001 MEGLIMID 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 18.00 13.32 0.600000 0.600000 0.600000

C2 W43476001 AMYX 2 GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 7.23 5.35 0.241000 0.241000 0.241000

C2 W42242001 GLIMEPIRID LPH 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 7.23 5.35 0.241000 0.241000 0.241000

C2 W43832001 GLIMERAN 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 6.89 5.10 0.229666 0.229666 0.229666

C2 W43832002 GLIMERAN 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 6.89 5.10 0.229666 0.229666 0.229666

C2 W44007003 GLIMEPIRIDE 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 7.23 5.35 0.241000 0.241000 0.241000

C2 W52455001 TINERIL 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 7.23 5.35 0.241000 0.241000 0.241000

C2 W52830001 GLIMEGAMMA AAA-PHARMA 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 7.23 5.35 0.241000 0.241000 0.241000

C2 W52830003 GLIMEGAMMA AAA-PHARMA 2 mg GLIMEPIRIDUM COMPR. 2mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 28.88 21.37 0.240666 0.240666 0.240666

C2 W53363002 GLIMEPIRIDA ACCORD 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 7.21 5.33 0.240333 0.240333 0.240333

C2 W53440001 GLIMEGAMMA 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 9.45 6.99 0.315000 0.315000 0.315000

C2 W53440003 GLIMEGAMMA 2 mg GLIMEPIRIDUM COMPR. 2mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 47.48 36.30 0.395666 0.395666 0.395666

C2 W53451001 AMARYL 2 mg GLIMEPIRIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 11.11 8.22 0.370333 0.370333 0.370333

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W43301001 MEGLIMID 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 24.93 18.44 0.831000 0.831000 0.831000

C2 W43477001 AMYX 3 GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.50 9.99 0.450000 0.450000 0.450000

C2 W42243001 GLIMEPIRID LPH 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.50 9.99 0.450000 0.450000 0.450000

C2 W43834002 GLIMERAN 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 12.88 9.53 0.429333 0.429333 0.429333

C2 W43834001 GLIMERAN 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 12.88 9.53 0.429333 0.429333 0.429333

C2 W44010003 GLIMEPIRIDE 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.50 9.99 0.450000 0.450000 0.450000

C2 W52456001 TINERIL 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.50 9.99 0.450000 0.450000 0.450000

C2 W52829001 GLIMEGAMMA AAA-PHARMA 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.50 9.99 0.450000 0.450000 0.450000

C2 W52829003 GLIMEGAMMA AAA-PHARMA 3 mg GLIMEPIRIDUM COMPR. 3mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 52.22 39.92 0.435166 0.435166 0.435166

C2 W53364002 GLIMEPIRIDA ACCORD 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.41 9.92 0.447000 0.447000 0.447000

C2 W53441001 GLIMEGAMMA 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.50 9.99 0.450000 0.450000 0.450000

C2 W53441003 GLIMEGAMMA 3 mg GLIMEPIRIDUM COMPR. 3mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 52.22 39.92 0.435166 0.435166 0.435166

C2 W53452001 AMARYL 3 mg GLIMEPIRIDUM COMPR. 3mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 20.75 15.35 0.691666 0.691666 0.691666

C2 W43478001 AMYX 4 GLIMEPIRIDUM COMPR. 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 14.35 10.62 0.478333 0.478333 0.478333

C2 W43837002 GLIMERAN 4 mg GLIMEPIRIDUM COMPR. 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.47 9.97 0.449000 0.449000 0.449000

C2 W43837001 GLIMERAN 4 mg GLIMEPIRIDUM COMPR. 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 13.47 9.97 0.449000 0.449000 0.449000

C2 W52828001 GLIMEGAMMA AAA-PHARMA 4 mg GLIMEPIRIDUM COMPR. 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 14.35 10.62 0.478333 0.478333 0.478333

C2 W52828003 GLIMEGAMMA AAA-PHARMA 4 mg GLIMEPIRIDUM COMPR. 4mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 55.51 42.44 0.462583 0.462583 0.462583

C2 W53365002 GLIMEPIRIDA ACCORD 4mg GLIMEPIRIDUM COMPR. 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 14.35 10.62 0.478333 0.478333 0.478333

C2 W53442001 GLIMEGAMMA 4 mg GLIMEPIRIDUM COMPR. 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 14.35 10.62 0.478333 0.478333 0.478333

C2 W53442003 GLIMEGAMMA 4 mg GLIMEPIRIDUM COMPR. 4mg 120 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 55.51 42.44 0.462583 0.462583 0.462583

C2 W53453001 AMARYL 4 mg GLIMEPIRIDUM COMPR. 4mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 22.06 16.32 0.735333 0.735333 0.735333

C2 W53443001 GLIMEGAMMA 6 mg GLIMEPIRIDUM COMPR. 6mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 56.08 42.87 1.869333 1.869333 1.869333

C2 W54469001 AMARYL 6 mg GLIMEPIRIDUM COMPR. 6mg 30 5Programul national de diabet zaharat 0A10BBO V 05-07-2010 25.73 19.04 0.857666 0.857666 0.857666

C2 W42117002 BIDIAB 400 mg/2,5 mgCOMBINATII (METFORMINUM+GLIBENCLAMIDUM) CAPS. 400mg+2,5mg 500 5

Programul national de diabet zaharat 9A10BD02O V 05-07-2010 217.00 177.75 0.434000 0.434000 0.434000

C2 W42117001 BIDIAB 400 mg/2,5 mgCOMBINATII (METFORMINUM+GLIBENCLAMIDUM) CAPS. 400mg+2,5mg 20 5

Programul national de diabet zaharat 9A10BD02O V 05-07-2010 10.66 7.89 0.533000 0.533000 0.533000

C2 W10546002 GLIBOMET (R)COMBINATII(GLIBENCLAMIDUM+METFORMINUM) COMPR. FILM. 2,5mg/400mg 60 5

Programul national de diabet zaharat 9A10BD02O V 05-07-2010 25.70 19.01 0.428333 0.428333 0.428333

C2 W41557001 GLIFORMINCOMBINATII(GLIBENCLAMIDUM+METFORMINUM) COMPR. FILM. 400mg + 2,5mg 60 5

Programul national de diabet zaharat 9A10BD02O V 05-07-2010 25.70 19.01 0.428333 0.428333 0.428333

C2 W13594002 GLUCOVANCE (R) 500 mg/2,5 mgCOMBINATII(GLIBENCLAMIDUM+METFORMINUM) COMPR. FILM. 500mg/2,5mg 60 5

Programul national de diabet zaharat 9A10BD02O V 05-07-2010 27.55 20.38 0.459166 0.459166 0.459166

C2 W13595002 GLUCOVANCE (R) 500 mg/5 mgCOMBINATII(GLIBENCLAMIDUM+METFORMINUM) COMPR. FILM. 500mg/5mg 60 5

Programul national de diabet zaharat 9A10BD02O V 05-07-2010 27.55 20.38 0.459166 0.459166 0.459166

C2 W43043009 AVANDAMET 2mg/1000mgCOMBINATII (ROSIGLITAZONUM+METFORMINUM) COMPR. FILM. 2mg/1000mg 56 5

Programul national de diabet zaharat CJAS 9A10BD03O V 05-07-2010 124.02 98.09 2.214642 2.214642 2.214642

C2 W43044009 AVANDAMET 4mg/1000mgCOMBINATII (ROSIGLITAZONUM+METFORMINUM) COMPR. FILM. 4mg/1000mg 56 5

Programul national de diabet zaharat CJAS 9A10BD03O V 05-07-2010 197.13 161.48 3.520178 3.520178 3.520178

C2 W51439002 AVAGLIM 4mg/4mgCOMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM) COMPR. FILM. 4mg/4mg 28 5

Programul national de diabet zaharat CJAS 9A10BD04O V 05-07-2010 118.22 93.50 4.222142 4.222142 4.222142

C2 W51440002 AVAGLIM 8mg/4mgCOMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM) COMPR. FILM. 8mg/4mg 28 5

Programul national de diabet zaharat CJAS 9A10BD04O V 05-07-2010 206.09 168.82 7.360357 7.360357 7.360357

C2 W52765005 COMPETACTCOMBINATII ( PIOGLITAZONUM + METFORMINUM) COMPR. FILM. 15mg/850mg 56 5

Programul national de diabet zaharat CJAS 9A10BD05O V 05-07-2010 194.53 159.35 3.473750 3.473750 3.473750

C2 W00001002 GLUCOBAY (R) 100 ACARBOSUM COMPR. 100mg 120 5Programul national de diabet zaharat 0A10BFO V 05-07-2010 85.15 67.34 0.709583 0.709583 0.709583

C2 W00002002 GLUCOBAY (R) 50 ACARBOSUM COMPR. 50mg 120 5Programul national de diabet zaharat 0A10BFO V 05-07-2010 63.51 48.55 0.529250 0.529250 0.529250

C2 W07718001 AVANDIA 4mg ROSIGLITAZONUM COMPR. FILM. 4mg 28 5Programul national de diabet zaharat CJAS 0A10BGO V 05-07-2010 100.39 79.40 3.585357 3.585357 3.585357

C2 W08069002 ACTOS 15mg PIOGLITAZONUM COMPR. 15mg 28 5Programul national de diabet zaharat CJAS 0A10BGO V 05-07-2010 128.58 105.32 4.592142 4.592142 4.592142

C2 W08070003 ACTOS 30mg PIOGLITAZONUM COMPR. 30mg 28 5Programul national de diabet zaharat CJAS 0A10BGO V 05-07-2010 193.50 158.50 6.910714 6.910714 6.910714

C2 W08071002 ACTOS 45mg PIOGLITAZONUM COMPR. 45mg 28 5Programul national de diabet zaharat CJAS 0A10BGO V 05-07-2010 251.40 205.93 8.978571 8.978571 8.978571

C2 W51928002 JANUVIA 100mg SITAGLIPTINUM COMPR. FILM. 100mg 28 5Programul national de diabet zaharat CJAS 9A10BH01O V 05-07-2010 195.77 160.36 6.991785 6.991785 6.991785

C2 W54877001 REPAGLINIDA FARMAL 0,5 mg REPAGLINIDUM COMPR. 0,5mg 30 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 20.49 15.16 0.683000 0.683000 0.683000

C2 W54877002 REPAGLINIDA FARMAL 0,5 mg REPAGLINIDUM COMPR. 0,5mg 90 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 59.50 45.49 0.661111 0.661111 0.661111

C2 W54877003 REPAGLINIDA FARMAL 0,5 mg REPAGLINIDUM COMPR. 0,5mg 120 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 75.34 59.59 0.627833 0.627833 0.627833

C2 W54877004 REPAGLINIDA FARMAL 0,5 mg REPAGLINIDUM COMPR. 0,5mg 270 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 160.74 131.67 0.595333 0.595333 0.595333

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W54878001 REPAGLINIDA FARMAL 1 mg REPAGLINIDUM COMPR. 1mg 30 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 27.18 20.11 0.906000 0.906000 0.906000

C2 W54878002 REPAGLINIDA FARMAL 1 mg REPAGLINIDUM COMPR. 1mg 90 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 74.94 59.27 0.832666 0.832666 0.832666

C2 W54878003 REPAGLINIDA FARMAL 1 mg REPAGLINIDUM COMPR. 1mg 120 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 99.92 79.03 0.832666 0.832666 0.832666

C2 W54878004 REPAGLINIDA FARMAL 1 mg REPAGLINIDUM COMPR. 1mg 270 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 213.20 174.64 0.789629 0.789629 0.789629

C2 W54879001 REPAGLINIDA FARMAL 2 mg REPAGLINIDUM COMPR. 2mg 30 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 33.22 24.58 1.107333 1.107333 1.107333

C2 W54879002 REPAGLINIDA FARMAL 2 mg REPAGLINIDUM COMPR. 2mg 90 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 91.60 72.45 1.017777 1.017777 1.017777

C2 W54879003 REPAGLINIDA FARMAL 2 mg REPAGLINIDUM COMPR. 2mg 120 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 122.13 96.59 1.017750 1.017750 1.017750

C2 W54879004 REPAGLINIDA FARMAL 2 mg REPAGLINIDUM COMPR. 2mg 270 5Programul national de diabet zaharat 9A10BX02O V 05-07-2010 260.52 213.40 0.964888 0.964888 0.964888

C2 W52269001 BYETTA 10mcg/doza EXENATIDUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 10mcg/doza 1 5

Programul national de diabet zaharat CJAS 9A10BX04P V 05-07-2010 466.28 392.78 466.280000 466.280000 466.280000

C2 W52268001 BYETTA 5mcg/doza EXENATIDUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 5mcg/doza 1 5

Programul national de diabet zaharat CJAS 9A10BX04P V 05-07-2010 404.39 336.00 404.390000 404.390000 404.390000

C2 W41932004 BENFOGAMMA BENFOTIAMINUM DRAJ. 50mg 50 5Programul national de diabet zaharat 0A11DAO V 05-07-2010 28.66 21.20 0.573200 0.573200 0.573200

C2 W41932003 BENFOGAMMA BENFOTIAMINUM DRAJ. 50mg 100 5Programul national de diabet zaharat 0A11DAO V 05-07-2010 52.03 39.78 0.520300 0.520300 0.520300

C2 W01610001 MILGAMMA (R) N COMBINATII CAPS. MOI FARA CONCENT20 5Programul national de diabet zaharat MSP 9A11DBN1O V 05-07-2010 20.23 14.97 1.011500 1.011500 1.011500

C2 W01610003 MILGAMMA (R) N COMBINATII CAPS. MOI FARA CONCENT100 5Programul national de diabet zaharat MSP 9A11DBN1O V 05-07-2010 84.15 66.55 0.841500 0.841500 0.841500

C2 W01610002 MILGAMMA (R) N COMBINATII CAPS. MOI FARA CONCENT50 5Programul national de diabet zaharat MSP 9A11DBN1O V 05-07-2010 46.78 35.76 0.935600 0.935600 0.935600

C2 W42092001 MILGAMMA (R) 100 COMBINATII DRAJ. FARA CONCENT30 5Programul national de diabet zaharat MSP 9A11DBN1O V 05-07-2010 49.74 38.03 1.658000 1.658000 1.658000

C2 W42092003 MILGAMMA (R) 100 COMBINATII DRAJ. FARA CONCENT100 5Programul national de diabet zaharat MSP 9A11DBN1O V 05-07-2010 138.75 113.65 1.387500 1.387500 1.387500

C2 W42092002 MILGAMMA (R) 100 COMBINATII DRAJ. FARA CONCENT60 5Programul national de diabet zaharat MSP 9A11DBN1O V 05-07-2010 89.74 70.97 1.495666 1.495666 1.495666

C2 W01611002 MILGAMMA (R) N COMBINATII SOL. INJ. FARA CONCENT25 5Programul national de diabet zaharat MSP 9A11DBN1P V 05-07-2010 83.35 65.92 3.334000 3.334000 3.334000

C2 W01611001 MILGAMMA (R) N COMBINATII SOL. INJ. FARA CONCENT5 5Programul national de diabet zaharat MSP 9A11DBN1P V 05-07-2010 18.47 13.67 3.694000 3.694000 3.694000

C2 W41647001 MILGAMMA (R) NA COMBINATII SOL. INJ. FARA CONCENT5 5Programul national de diabet zaharat MSP 9A11DBN1P V 05-07-2010 20.49 15.16 4.098000 4.098000 4.098000

C2 W01731003 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT100 5Programul national de diabet zaharat MSP 9B03BA51O V 05-07-2010 84.15 66.55 0.841500 0.841500 0.841500

C2 W01731001 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT20 5Programul national de diabet zaharat MSP 9B03BA51O V 05-07-2010 20.23 14.97 1.011500 1.011500 1.011500

C2 W01731002 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT50 5Programul national de diabet zaharat MSP 9B03BA51O V 05-07-2010 46.78 35.76 0.935600 0.935600 0.935600

C2 T0001Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA DCI FARA FORMA FARA CONCENT1 5

Programul national de diabet zaharat 9FARA ATC0 V 05-07-2010 1.20 1.20 1.200000 1.200000 1.200000

C2 W02559001 A.T. 10 (R) DIHYDROTACHYSTEROLUM PICATURI ORALE-SOL. 1mg/ml 1 7Programul national de boli endocrine 1A11CCO K 05-07-2010 25.93 19.18 25.930000 25.930000 25.930000

C2 W00231001 ALPHA D3 0,25 mcg ALFACALCIDOLUM CAPS. MOI 0,25mcg 50 7Programul national de boli endocrine 1A11CCO V 05-07-2010 33.55 25.65 0.671000 0.671000 0.671000

C2 W44042001 ALPHA D3 0,50 mcg ALFACALCIDOLUM CAPS. MOI 0,50mcg 30 7Programul national de boli endocrine 1A11CCO V 05-07-2010 31.32 23.17 1.044000 1.044000 1.044000

C2 W51334001 ROCALTROL CALCITRIOLUM CAPS. MOI 0,25mcg 100 7Programul national de boli endocrine 1A11CCO V 05-07-2010 76.80 60.74 0.768000 0.768000 0.768000

C2 W03029001 OESTROGEL (R) ESTRADIOLUM GEL 0,06% 1 7Programul national de boli endocrine 0G03CATD V 05-07-2010 16.56 12.25 16.560000 16.560000 16.560000

C2 W03025001 ESTREVA (R) ESTRADIOLUM GEL 0,1% 1 7Programul national de boli endocrine 0G03CATD V 05-07-2010 29.34 21.71 29.340000 29.340000 29.340000

C2 W53395002 CLIMARA ESTRADIOLUM PLASTURE TRANSDERM. 50mcg/24ore 4 7Programul national de boli endocrine 0G03CATD V 05-07-2010 33.25 25.42 8.312500 8.312500 8.312500

C2 W12902001 LIVIAL (R) 2,5 mg TIBOLONUM COMPR. 2,5mg 28 7Programul national de boli endocrine 9G03CX01O V 05-07-2010 72.65 57.46 2.594642 2.594642 2.594642

C2 W43639001 LADYBON TIBOLONUM COMPR. 2,5mg 28 7Programul national de boli endocrine 9G03CX01O V 05-07-2010 71.02 56.17 2.536428 2.536428 2.536428

C2 W43639002 LADYBON TIBOLONUM COMPR. 2,5mg 84 7Programul national de boli endocrine 9G03CX01O V 05-07-2010 180.35 147.73 2.147023 2.147023 2.147023

C2 W53408001 KLIMODIEN ESTRADIOLUMVALERAT+DIENOGEST DRAJ. FARA CONCENT28 7Programul national de boli endocrine YG03FAO V 05-07-2010 34.12 26.09 1.218571 1.218571 1.218571

C2 W53455002 EVISTA 60mg RALOXIFENUM COMPR. FILM. 60mg 28 7Programul national de boli endocrine 9G03XC01O V 05-07-2010 124.68 98.61 4.452857 4.452857 4.452857

C2 W42160002 THYROGEN 0,9 mg TIREOTROPINUM ALFA PULB. PT. SOL. INJ. 0,9mg 2 7Programul national de boli endocrine 9H01AB01P V 05-07-2010 3,371.21 3,057.85 1,685.605000 1,685.605000 1,685.605000

C2 W04224001 MEDROL A 16 METHYLPREDNISOLONUM COMPR. 16mg 50 7Programul national de boli endocrine 9H02AB04O V 05-07-2010 32.54 24.08 0.650800 0.650800 0.650800

C2 W04222001 MEDROL 32 METHYLPREDNISOLONUM COMPR. 32mg 20 7Programul national de boli endocrine 9H02AB04O V 05-07-2010 29.57 21.88 1.478500 1.478500 1.478500

C2 W04223002 MEDROL 4 mg METHYLPREDNISOLONUM COMPR. 4mg 30 7Programul national de boli endocrine 9H02AB04O V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333

C2 W08307001 LEMOD SOLU 125 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 125mg 1 7Programul national de boli endocrine 9H02AB04P V 05-07-2010 8.78 6.50 8.780000 8.780000 8.780000

C2 W08310001 LEMOD SOLU 500 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 500mg 1 7Programul national de boli endocrine 9H02AB04P V 05-07-2010 30.94 22.89 30.940000 30.940000 30.940000

C2 W04237001 SOLU - MEDROL ACT-O-VIAL METHYLPREDNISOLONUM LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml 1 7Programul national de boli endocrine 9H02AB04P V 05-07-2010 20.42 15.11 20.420000 20.420000 20.420000

C2 W03975001 THYRO - 4 0,1 mg LEVOTHYROXINUM COMPR. 0,1mg 100 7Programul national de boli endocrine 9H03AA01O V 05-07-2010 7.60 5.62 0.076000 0.076000 0.076000

C2 W03976001 THYRO - 4 0,2 mg LEVOTHYROXINUM COMPR. 0,2mg 100 7Programul national de boli endocrine 9H03AA01O V 05-07-2010 9.49 7.02 0.094900 0.094900 0.094900

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W03965001 EUTHYROX (R) 100 LEVOTHYROXINUM COMPR. 100mcg 100 7Programul national de boli endocrine 9H03AA01O V 05-07-2010 11.66 8.63 0.116600 0.116600 0.116600

C2 W12400002 L-THYROXIN 100 BERLIN - CHEMIE LEVOTHYROXINUM COMPR. 100mcg 100 7Programul national de boli endocrine 9H03AA01O V 05-07-2010 12.45 9.21 0.124500 0.124500 0.124500

C2 W03967001 EUTHYROX (R) 200 LEVOTHYROXINUM COMPR. 200mcg 100 7Programul national de boli endocrine 9H03AA01O V 05-07-2010 24.10 17.83 0.241000 0.241000 0.241000

C2 W03968001 EUTHYROX (R) 25 LEVOTHYROXINUM COMPR. 25mcg 100 7Programul national de boli endocrine 9H03AA01O K 05-07-2010 9.49 7.02 0.094900 0.094900 0.094900

C2 W41954001 EUTHYROX (R) 50 LEVOTHYROXINUM COMPR. 50mcg 100 7Programul national de boli endocrine 9H03AA01O V 05-07-2010 8.26 6.11 0.082600 0.082600 0.082600

C2 W07735003 L-THYROXIN 50 LEVOTHYROXINUM COMPR. 50mcg 100 7Programul national de boli endocrine 9H03AA01O V 05-07-2010 8.38 6.20 0.083800 0.083800 0.083800

C2 W02017003 JODTHYROX (R) 100/130,8 LEVOTIROXINUM+KALII IODIDUM COMPR. FARA CONCENT50 7Programul national de boli endocrine 9H03AAN1O V 05-07-2010 14.73 10.90 0.294600 0.294600 0.294600

C2 W00834003 CARBIMAZOLE 5 CARBIMAZOLUM COMPR. FILM. 5mg 100 7Programul national de boli endocrine 0H03BBO V 05-07-2010 16.83 12.45 0.168300 0.168300 0.168300

C2 W13148002 THYROZOL (R) 10 mg THIAMAZOLUM COMPR. FILM. 10mg 50 7Programul national de boli endocrine 0H03BBO V 05-07-2010 20.96 15.51 0.419200 0.419200 0.419200

C2 W13149002 THYROZOL (R) 20 mg THIAMAZOLUM COMPR. FILM. 20mg 50 7Programul national de boli endocrine 0H03BBO V 05-07-2010 25.47 18.84 0.509400 0.509400 0.509400

C2 W13147003 THYROZOL (R) 5 mg THIAMAZOLUM COMPR. FILM. 5mg 100 7Programul national de boli endocrine 0H03BBO V 05-07-2010 30.79 22.78 0.307900 0.307900 0.307900

C2 W03843003 JODID 100 KALII IODIDUM COMPR. 100mcg 100 7Programul national de boli endocrine 9H03CA01O V 05-07-2010 12.31 9.11 0.123100 0.123100 0.123100

C2 W03843004 JODID 100 KALII IODIDUM COMPR. 100mcg 100 7Programul national de boli endocrine 9H03CA01O V 05-07-2010 12.31 9.11 0.123100 0.123100 0.123100

C2 W03844003 JODID 200 KALII IODIDUM COMPR. 200mcg 100 7Programul national de boli endocrine 9H03CA01O V 05-07-2010 19.18 14.19 0.191800 0.191800 0.191800

C2 W03844004 JODID 200 KALII IODIDUM COMPR. 200mcg 100 7Programul national de boli endocrine 9H03CA01O V 05-07-2010 19.18 14.19 0.191800 0.191800 0.191800

C2 W13566001 FORSTEO 20mcg/80mcg TERIPARATIDUM SOL. INJ. 20mcg/80mcg 1 7Programul national de boli endocrine MSP 9H05AA02P V 05-07-2010 1,640.71 1,470.24 1,640.710000 1,640.710000 1,640.710000

C2 W00761001 TONOCALCIN 100 UI CALCITONINUM (SOMON) SOL. INJ. 100UI 5 7Programul national de boli endocrine 9H05BA01P V 05-07-2010 67.76 53.59 13.552000 13.552000 13.552000

C2 W08119001 NYLEX (R) CALCITONINUM (SOMON) SOL. INJ. 100UI/ml 5 7Programul national de boli endocrine 9H05BA01P V 05-07-2010 32.28 23.88 6.456000 6.456000 6.456000

C2 W00756001 MIACALCIC (R) CALCITONINUM (SOMON) SOL. INJ. 50ui/ml 5 7Programul national de boli endocrine 9H05BA01P V 05-07-2010 34.39 26.29 6.878000 6.878000 6.878000

C2 W08186001 NYLEX 100 UI/doza CALCITONINUM (SOMON) SPRAY NAZ.,SOL. 100UI/doza 1 7Programul national de boli endocrine 9H05BA01N V 05-07-2010 48.24 36.88 48.240000 48.240000 48.240000

C2 W41439001 NYLEX (R) CALCITONINUM (SOMON) SPRAY NAZAL - SOL. 200UI/doza 1 7Programul national de boli endocrine 9H05BA01N V 05-07-2010 71.12 56.25 71.120000 71.120000 71.120000

C2 W53635001 ACID ALENDRONIC ACCORD 10 mg ACIDUM ALENDRONICUM COMPR. 10mg 28 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 48.15 36.81 1.719642 1.719642 1.719642

C2 W54297001 TEVANAT 70 mg ACIDUM ALENDRONICUM COMPR. 70 mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 48.15 36.81 12.037500 12.037500 12.037500

C2 W08599002 FOSAMAX 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 2 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 37.04 28.32 18.520000 18.520000 18.520000

C2 W53636001 ACID ALENDRONIC ACCORD 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 48.15 36.81 12.037500 12.037500 12.037500

C2 W53741001 RANOS 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 47.54 36.35 11.885000 11.885000 11.885000

C2 W54083001 ACID ALENDRONIC BLUEFISH 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 2 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 24.87 18.40 12.435000 12.435000 12.435000

C2 W54083002 ACID ALENDRONIC BLUEFISH 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 24.65 18.24 6.162500 6.162500 6.162500

C2 W55248001 INSTREL 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 47.54 36.35 11.885000 11.885000 11.885000

C2 W52948001 ALENDRONAT SANDOZ 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 2 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 12.79 9.46 6.395000 6.395000 6.395000

C2 W54078001 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 12 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 131.62 107.81 10.968333 10.968333 10.968333

C2 W54078002 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 2 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 24.71 18.28 12.355000 12.355000 12.355000

C2 W54078003 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 47.85 36.58 11.962500 11.962500 11.962500

C2 W42716001 BONVIVA 150mg ACIDUM IBANDRONICUM COMPR. FILM. 150mg 1 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 129.02 105.68 129.020000 129.020000 129.020000

C2 W41499001 BONDRONAT 50mg ACIDUM IBANDRONICUM COMPR. FILM. 50mg 28 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 1,086.61 961.89 38.807500 38.807500 38.807500

C2 W41498001 BONDRONAT 6mg/6ml ACIDUM IBANDRONICUM CONC. PT. SOL. PERF. 6mg/6ml 1 7Programul national de boli endocrine MSP 0M05BAP V 05-07-2010 1,018.41 899.32 1,018.410000 1,018.410000 1,018.410000

C2 W43328001 BONVIVA 3mg/3ml ACIDUM IBANDRONICUMSOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml 1 7

Programul national de boli endocrine MSP 0M05BAP V 05-07-2010 423.74 353.75 423.740000 423.740000 423.740000

C2 W52144002 RISENDROS 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 81.75 64.66 20.437500 20.437500 20.437500

C2 W53578003 RISEDRONAT TEVA 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 84.06 66.48 21.015000 21.015000 21.015000

C2 W53774001 JUVERITAL 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 84.06 66.48 21.015000 21.015000 21.015000

C2 W53733003 ACTONEL (R) SAPTAMANAL ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 111.35 88.07 27.837500 27.837500 27.837500

C2 W54377002 LORINE 35mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 36.41 27.84 9.102500 9.102500 9.102500

C2 W55054001 JUVERITAL 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 84.06 66.48 21.015000 21.015000 21.015000

C2 W55168002 OSTEORON 35 mg ACIDUM RISEDRONICUM COMPR. FILM. 35mg 4 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 72.38 57.24 18.095000 18.095000 18.095000

C2 W55053001 JUVERITAL 5 mg ACIDUM RISEDRONICUM COMPR. FILM. 5mg 28 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 72.38 57.24 2.585000 2.585000 2.585000

C2 W54976001 ACTONEL 75 mg ACIDUM RISEDRONICUM COMPR. FILM. 75mg 2 7Programul national de boli endocrine MSP 0M05BAO V 05-07-2010 127.84 104.72 63.920000 63.920000 63.920000

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ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W08426001 ZOMETA 4 mg ACIDUM ZOLEDRONICUM PULB. + SOLV. SOL. PERF. 4mg 1 7Programul national de boli endocrine MSP 0M05BAP V 05-07-2010 1,232.72 1,095.93 1,232.720000 1,232.720000 1,232.720000

C2 W42407001 ACLASTA 5mg/100ml ACIDUM ZOLEDRONICUM SOL. PERF. 5mg/100ml 1 7Programul national de boli endocrine MSP 0M05BAP V 05-07-2010 1,560.32 1,396.48 1,560.320000 1,560.320000 1,560.320000

C2 W42702002 FOSAVANCE 70mg/2800UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/2800UI 4 7

Programul national de boli endocrine MSP 0M05BBO V 05-07-2010 89.64 70.90 22.410000 22.410000 22.410000

C2 W42702001 FOSAVANCE 70mg/2800UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/2800UI 2 7

Programul national de boli endocrine MSP 0M05BBO V 05-07-2010 47.19 36.08 23.595000 23.595000 23.595000

C2 W52559001 FOSAVANCE 70mg/5600UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/5600UI 2 7

Programul national de boli endocrine MSP 0M05BBO V 05-07-2010 47.19 36.08 23.595000 23.595000 23.595000

C2 W52559002 FOSAVANCE 70mg/5600UI

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) COMPR. 70mg/5600UI 4 7

Programul national de boli endocrine MSP 0M05BBO V 05-07-2010 89.64 70.90 22.410000 22.410000 22.410000

C2 W42094002 OSSEOR 2 g STRONTIUM RANELATUM GRAN. PT. SUSP. ORALA 2g 14 7Programul national de boli endocrine 0M05BXO V 05-07-2010 104.48 82.63 7.462857 7.462857 7.462857

C2 W42094003 OSSEOR 2 g STRONTIUM RANELATUM GRAN. PT. SUSP. ORALA 2g 28 7Programul national de boli endocrine 0M05BXO V 05-07-2010 174.18 142.68 6.220714 6.220714 6.220714

C2 W00231001 ALPHA D3 0,25 mcg ALFACALCIDOLUM CAPS. MOI 0,25mcg 50 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica 1A11CCO V 05-07-2010 33.55 25.65 0.671000 0.671000 0.671000

C2 W44042001 ALPHA D3 0,50 mcg ALFACALCIDOLUM CAPS. MOI 0,50mcg 30 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica 1A11CCO V 05-07-2010 31.32 23.17 1.044000 1.044000 1.044000

C2 W51334001 ROCALTROL CALCITRIOLUM CAPS. MOI 0,25mcg 100 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1A11CCO V 05-07-2010 76.80 60.74 0.768000 0.768000 0.768000

C2 W03447001 HEPARINE SODIQUE PANPHARMA HEPARINUM SOL. INJ. 5000ui/ml 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9B01AB01P V 05-07-2010 127.84 104.72 12.784000 12.784000 12.784000

C2 W51289001 HEPARIN HEPARINUM SOL. INJ. 5000ui/ml 5 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9B01AB01P V 05-07-2010 8.64 6.39 1.728000 1.728000 1.728000

C2 W51290001 HEPARIN HEPARINUM SOL. INJ. 5000ui/ml 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9B01AB01P V 05-07-2010 43.79 33.48 4.379000 4.379000 4.379000

C2 W13613002 CLEXANE 2000ui anti-Xa/0,2ml ENOXAPARINUM SOL. INJ. 2000ui anti-Xa/0,210 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 72.76 57.55 7.276000 7.276000 7.276000

C2 W13612002 CLEXANE 4000ui anti-Xa/0,4ml ENOXAPARINUM SOL. INJ. 4000ui anti-Xa/0,410 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 144.23 118.14 14.423000 14.423000 14.423000

C2 W13611002 CLEXANE 6000ui anti-Xa/0,6ml ENOXAPARINUM SOL. INJ. 6000ui anti-Xa/0,610 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 187.44 153.54 18.744000 18.744000 18.744000

C2 W13610001 CLEXANE 8000ui anti-Xa/0,8ml ENOXAPARINUM SOL. INJ. 8000ui anti-Xa/0,82 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 52.07 39.81 26.035000 26.035000 26.035000

C2 W41789001FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml NADROPARINUM SOL. INJ. 2850 ui AFXa/0,3 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 75.24 59.51 7.524000 7.524000 7.524000

C2 W41790001FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml NADROPARINUM SOL. INJ. 3800 ui AFXa/0,4 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 103.22 81.64 10.322000 10.322000 10.322000

C2 W41788001FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml NADROPARINUM SOL. INJ. 5700 ui AFXa/0,6 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 132.15 108.25 13.215000 13.215000 13.215000

C2 W41791001FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml NADROPARINUM SOL. INJ. 7600 ui AXa/0,8m10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 189.31 155.07 18.931000 18.931000 18.931000

C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 84.26 66.64 8.426000 8.426000 8.426000

C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 101.17 80.01 20.234000 20.234000 20.234000

C2 W12409001 INNOHEP TINZAPARINUM SOL. INJ. 10000u ANTIF. X 2 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 35.03 26.78 17.515000 17.515000 17.515000

C2 W12409002 INNOHEP TINZAPARINUM SOL. INJ. 10000u ANTIF. X 2 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 26.07 19.29 13.035000 13.035000 13.035000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W08678002 INNOHEP TINZAPARINUM SOL. INJ. 10000u ANTIF. X 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 534.94 455.77 53.494000 53.494000 53.494000

C2 W08679002 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 1,110.78 984.06 111.078000 111.078000 111.078000

C2 W42118002 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 2 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 102.92 81.40 51.460000 51.460000 51.460000

C2 W42118003 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 2 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 126.78 103.85 63.390000 63.390000 63.390000

C2 W42118001 INNOHEP TINZAPARINUM SOL. INJ. 20000u ANTIF. X 2 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 1B01ABP V 05-07-2010 73.48 58.11 36.740000 36.740000 36.740000

C2 W51230001 VENOFER (R)COMPLEX DE HIDROXID DE FER (III) SUCROZA SOL. INJ./PERF. 20mg/ml 5 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica 3B03A5P V 05-07-2010 149.42 122.39 29.884000 29.884000 29.884000

C2 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000

C2 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 757.39 659.85 126.231666 126.231666 126.231666

C2 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000

C2 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C2 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C2 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 305.771666 305.771666

C2 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C2 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 238.11 195.04 39.685000 39.685000 39.685000

C2 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C2 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 457.85 385.05 76.308333 76.308333 76.308333

C2 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

C2 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

C2 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 651.86 563.04 108.643333 108.643333 108.643333

C2 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C2 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C2 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 840.17 735.80 140.028333 140.028333 140.028333

C2 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 173.251666 173.251666

C2 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C2 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C2 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C2 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C2 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C2 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C2 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C2 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C2 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C2 W41530002 ARANESP 100mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 3,165.73 2,869.34 791.432500 791.432500 791.432500

C2 W41522002 ARANESP 10mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 390.73 323.47 97.682500 97.682500 97.682500

C2 W41531002 ARANESP 150mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 4,697.46 4,274.59 1,174.365000 1,174.365000 1,174.365000

C2 W41523002 ARANESP 15mcg/0,375ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 546.33 466.22 136.582500 136.582500 136.582500

C2 W41524002 ARANESP 20mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 701.15 608.26 175.287500 175.287500 175.287500

C2 W41532001 ARANESP 300mcg/0,6ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml 1 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 2,203.60 1,986.65 2,203.600000 2,203.600000 2,203.600000

C2 W41525002 ARANESP 30mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,007.27 889.10 251.817500 251.817500 251.817500

C2 W41526002 ARANESP 40mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,316.02 1,172.36 329.005000 329.005000 329.005000

C2 W41533001 ARANESP 500mcg/ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml 1 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 3,625.44 3,291.09 3,625.440000 3,625.440000 3,625.440000

C2 W41527002 ARANESP 50mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,623.11 1,454.09 405.777500 405.777500 405.777500

C2 W41528002 ARANESP 60mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 1,932.79 1,738.20 483.197500 483.197500 483.197500

C2 W41529002 ARANESP 80mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml 4 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0B03XAP V 05-07-2010 2,550.12 2,304.56 637.530000 637.530000 637.530000

C2 W43185002 MIMPARA 30 mg CINACALCETUM COMPR. FILM. 30mg 28 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica CNAS 0H05BXO V 05-07-2010 858.29 752.42 30.653214 30.653214 30.653214

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W43186002 MIMPARA 60 mg CINACALCETUM COMPR. FILM. 60mg 28 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica CNAS 0H05BXO V 05-07-2010 1,542.35 1,380.00 55.083928 55.083928 55.083928

C2 W43187002 MIMPARA 90 mg CINACALCETUM COMPR. FILM. 90mg 28 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica CNAS 0H05BXO V 05-07-2010 2,178.13 1,963.28 77.790357 77.790357 77.790357

C2 W52424002 ZEMPLAR 1mcg PARICALCITOLUM CAPS. MOI 1mcg 28 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9H05BX02O V 05-07-2010 467.07 393.50 16.681071 16.681071 16.681071

C2 W52425002 ZEMPLAR 2mcg PARICALCITOLUM CAPS. MOI 2mcg 28 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9H05BX02O V 05-07-2010 929.16 817.44 33.184285 33.184285 33.184285

C2 W52426002 ZEMPLAR 4mcg PARICALCITOLUM CAPS. MOI 4mcg 28 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9H05BX02O V 05-07-2010 1,736.88 1,558.47 62.031428 62.031428 62.031428

C2 W42936001 ZEMPLAR PARICALCITOLUM SOL. INJ. 5 mcg/ml 5 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9H05BX02P V 05-07-2010 473.88 399.75 94.776000 94.776000 94.776000

C2 W42936002 ZEMPLAR PARICALCITOLUM SOL. INJ. 5 mcg/ml 5 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 9H05BX02P V 05-07-2010 900.07 790.75 180.014000 180.014000 180.014000

C2 W08985002 RENAGEL 800mg SEVELAMER COMPR. FILM. 800mg 180 10

Programul national de supleere a functiei renale la bolnavii cu insuficienta renala cronica MSP 0V03AEO V 05-07-2010 798.29 697.38 4.434944 4.434944 4.434944

C2 W51713001 REFACTO 1000UI MOROCTOCOG ALFA PULB. + SOL. PT. SOL. INJ. 1000 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 2,724.56 2,464.60 2,724.560000 2,724.560000 2,724.560000C2 W52041001 REFACTO 2000UI MOROCTOCOG ALFA PULB. + SOL. PT. SOL. INJ. 2000 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 5,378.28 4,899.20 5,378.280000 5,378.280000 5,378.280000C2 W51711001 REFACTO 250UI MOROCTOCOG ALFA PULB. + SOL. PT. SOL. INJ. 250 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 734.27 638.64 734.270000 734.270000 734.270000C2 W51712001 REFACTO 500UI MOROCTOCOG ALFA PULB. + SOL. PT. SOL. INJ. 500 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 1,397.73 1,247.32 1,397.730000 1,397.730000 1,397.730000

C2 W43876001 RECOMBINATE 1000 UI/10 ml OCTOCOG ALFALIOF. + SOLV. PT. SOL. INJ./PERF. 1000UI/10ml 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 2,846.10 2,576.10 2,846.100000 2,846.100000 2,846.100000

C2 W43874001 RECOMBINATE 250 UI/10 ml OCTOCOG ALFALIOF. + SOLV. PT. SOL. INJ./PERF. 250UI/10ml 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 764.66 666.53 764.660000 764.660000 764.660000

C2 W43875001 RECOMBINATE 500 UI/10 ml OCTOCOG ALFALIOF. + SOLV. PT. SOL. INJ./PERF. 500 UI/10ml 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 1,458.47 1,303.05 1,458.470000 1,458.470000 1,458.470000

C2 W51449001 ADVATE 1000UI OCTOCOG ALFA PULB+SOLV.PT.SOL.INJ 1000UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 3,425.96 3,108.08 3,425.960000 3,425.960000 3,425.960000C2 W52624001 KOGENATE BAYER 1000UI OCTOCOG ALFA PULB+SOLV.PT.SOL.INJ 1000UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 3,067.11 2,778.86 3,067.110000 3,067.110000 3,067.110000C2 W52627001 KOGENATE BAYER 2000UI OCTOCOG ALFA PULB+SOLV.PT.SOL.INJ 2000UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 6,063.73 5,528.05 6,063.730000 6,063.730000 6,063.730000C2 W52620001 KOGENATE BAYER 250UI OCTOCOG ALFA PULB+SOLV.PT.SOL.INJ 250UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 819.90 717.20 819.900000 819.900000 819.900000C2 W51448001 ADVATE 500UI OCTOCOG ALFA PULB+SOLV.PT.SOL.INJ 500 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 1,774.96 1,593.41 1,774.960000 1,774.960000 1,774.960000C2 W52622001 KOGENATE BAYER 500UI OCTOCOG ALFA PULB+SOLV.PT.SOL.INJ 500UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 1,569.00 1,404.45 1,569.000000 1,569.000000 1,569.000000C2 W51447001 ADVATE 250UI OCTOCOG ALFA PULB+SOLV.PT.SOL.INJ. 250 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD02P V 05-07-2010 909.63 799.52 909.630000 909.630000 909.630000

C2 W52172001 FEIBA NF 500 U FEIBACOMPLEX DE ANTIINHIBITORI AI COAGULARII

LIOF. + SOLV. PT. SOL. INJ./PERF. 500 U/20ml 1 6.1 Hemofilie si talasemie MSP 9B02BD03P V 05-07-2010 1,676.20 1,502.80 1,676.200000 1,676.200000 1,676.200000

C2 W51619001 OCTANINE F 250 FACTOR IX DE COAGULARE LIOF. + SOLV. PT. SOL. PERF. 250 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 549.67 469.28 549.670000 549.670000 549.670000

C2 W51615001 OCTANINE F 500 FACTOR IX DE COAGULARE LIOF. + SOLV. PT. SOL. PERF. 500 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 986.45 870.00 986.450000 986.450000 986.450000C2 W51617001 OCTANINE F 1000 FACTOR IX DE COAGULARE PULB. LIOF. + SOLV. 1000 UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 1,902.05 1,710.00 1,902.050000 1,902.050000 1,902.050000

C2 W43969001 IMMUNINE 600 UI FACTOR IX DE COAGULAREPULB.+SOLV. PT. SOL. INJ./PERF. 600UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 1,046.72 925.30 1,046.720000 1,046.720000 1,046.720000

C2 W51453002 BENEFIX 1000UI NONACOG ALPHA PULB+SOLV.PT.SOL.INJ 1000UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 2,809.89 2,542.88 2,809.890000 2,809.890000 2,809.890000C2 W52572002 BENEFIX 2000UI NONACOG ALPHA PULB+SOLV.PT.SOL.INJ 2000UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 5,548.93 5,055.76 5,548.930000 5,548.930000 5,548.930000C2 W51451002 BENEFIX 250UI NONACOG ALPHA PULB+SOLV.PT.SOL.INJ 250UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 822.38 719.48 822.380000 822.380000 822.380000C2 W51452001 BENEFIX 500UI NONACOG ALPHA PULB+SOLV.PT.SOL.INJ 500UI 1 6.1 Hemofilie si talasemie MSP 9B02BD04P V 05-07-2010 1,440.37 1,286.44 1,440.370000 1,440.370000 1,440.370000

C2 W42961003 IMMUNATE 1000 UIFACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND

LIOF. + SOLV. PT. SOL. INJ./PERF. 1000UI 1 6.1 Hemofilie si talasemie MSP 9B02BD06P V 05-07-2010 1,264.07 1,124.70 1,264.070000 1,264.070000 1,264.070000

C2 W13317001 IMMUNATE 250 UIFACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND

LIOF. + SOLV. PT. SOL. INJ./PERF. 250UI 1 6.1 Hemofilie si talasemie MSP 9B02BD06P V 05-07-2010 364.26 298.38 364.260000 364.260000 364.260000

C2 W42960002 IMMUNATE 500 UIFACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND

LIOF. + SOLV. PT. SOL. INJ./PERF. 500UI 1 6.1 Hemofilie si talasemie MSP 9B02BD06P V 05-07-2010 662.18 572.50 662.180000 662.180000 662.180000

C2 W52389001 HAEMATE P 500 UIFACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND

LIOF. SI SOLV. PT. SOL. INJ./PERF. FARA CONCENT1 6.1 Hemofilie si talasemie MSP 9B02BD06P V 05-07-2010 1,869.35 1,680.00 1,869.350000 1,869.350000 1,869.350000

C2 W53036001 NOVOSEVEN 2mg (100 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 100 KIU 1 6.1 Hemofilie si talasemie MSP 9B02BD08P V 05-07-2010 5,682.80 5,178.58 5,682.800000 5,682.800000 5,682.800000C2 W53037001 NOVOSEVEN 5mg (250 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 250 KIU 1 6.1 Hemofilie si talasemie MSP 9B02BD08P V 05-07-2010 14,100.73 12,901.45 14,100.730000 14,100.730000 14,100.730000C2 W53034001 NOVOSEVEN 1mg (50 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 50 KIU 1 6.1 Hemofilie si talasemie MSP 9B02BD08P V 05-07-2010 2,876.83 2,604.29 2,876.830000 2,876.830000 2,876.830000C2 W02408001 DESFERAL DEFEROXAMINUM LIOF. PT. SOL. INJ./PERF. 500mg 10 6.1 Hemofilie si talasemie MSP 9V03AC01P V 05-07-2010 134.74 110.37 13.474000 13.474000 13.474000C2 W51484001 EXJADE 125mg DEFERASIROXUM COMPR. DISP. 125mg 28 6.1 Hemofilie si talasemie CNAS 9V03AC03O V 05-07-2010 785.88 685.99 28.067142 28.067142 28.067142C2 W51485001 EXJADE 250mg DEFERASIROXUM COMPR. DISP. 250mg 28 6.1 Hemofilie si talasemie CNAS 9V03AC03O V 05-07-2010 1,627.37 1,458.00 58.120357 58.120357 58.120357C2 W51486001 EXJADE 500mg DEFERASIROXUM COMPR. DISP. 500mg 28 6.1 Hemofilie si talasemie CNAS 9V03AC03O V 05-07-2010 2,930.96 2,653.95 104.677142 104.677142 104.677142C2 W51687001 OSETRON 4 mg ONDANSETRONUM COMPR. FILM. 4mg 10 9.1 Transplant medular MSP 0A04AAO V 05-07-2010 19.00 14.06 1.900000 1.900000 1.900000C2 W13065003 ZOFRAN 4 mg ONDANSETRONUM COMPR. FILM. 4mg 10 9.1 Transplant medular MSP 0A04AAO V 05-07-2010 66.19 52.35 6.619000 6.619000 6.619000C2 W51686001 OSETRON 8 mg ONDANSETRONUM COMPR. FILM. 8mg 10 9.1 Transplant medular MSP 0A04AAO V 05-07-2010 33.24 24.59 3.324000 3.324000 3.324000C2 W43039002 ONDARAN MD 4mg ONDANSETRONUM COMPR. ORODISPERSABILE 4mg 10 9.1 Transplant medular MSP 0A04AAO V 05-07-2010 19.12 14.15 1.912000 1.912000 1.912000C2 W43039003 ONDARAN MD 4mg ONDANSETRONUM COMPR. ORODISPERSABILE 4mg 10 9.1 Transplant medular MSP 0A04AAO V 05-07-2010 19.12 14.15 1.912000 1.912000 1.912000C2 W44038001 ONDARAN MD 8 mg ONDANSETRONUM COMPR. ORODISPERSABILE 8mg 10 9.1 Transplant medular MSP 0A04AAO V 05-07-2010 33.48 24.77 3.348000 3.348000 3.348000C2 W51665001 OSETRON 4 mg ONDANSETRONUM SOL. INJ. 2mg/ml 5 9.1 Transplant medular MSP 0A04AAP V 05-07-2010 23.73 17.56 4.746000 4.746000 4.746000C2 W51663001 OSETRON 8 mg ONDANSETRONUM SOL. INJ. 2mg/ml 5 9.1 Transplant medular MSP 0A04AAP V 05-07-2010 43.66 33.38 8.732000 8.732000 8.732000C2 W10005001 ZOFRAN 4mg/2ml ONDANSETRONUM SOL. INJ. 4mg/2ml 5 9.1 Transplant medular MSP 0A04AAP V 05-07-2010 136.39 111.72 27.278000 27.278000 27.278000C2 W07916001 ZOFRAN 8mg/4ml ONDANSETRONUM SOL. INJ. 8mg/4ml 5 9.1 Transplant medular MSP 0A04AAP V 05-07-2010 175.65 143.88 35.130000 35.130000 35.130000C2 W51505002 EMESET 8 mg/4 ml ONDANSETRONUM SOL. INJ./PERF. 2mg/ml 5 9.1 Transplant medular MSP 0A04AAP V 05-07-2010 43.65 33.37 8.730000 8.730000 8.730000C2 W51504002 EMESET 4 mg/2 ml ONDANSETRONUM SOL. INJ./PERF. 2mg/ml 5 9.1 Transplant medular MSP 0A04AAP V 05-07-2010 23.74 17.56 4.748000 4.748000 4.748000C2 W00187002 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 100 9.1 Transplant medular 9A05AA02O V 05-07-2010 123.98 98.05 1.239800 1.239800 1.239800C2 W00187001 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.1 Transplant medular 9A05AA02O V 05-07-2010 71.32 56.41 1.426400 1.426400 1.426400C2 W00188001 URSOSAN ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.1 Transplant medular 9A05AA02O V 05-07-2010 68.61 54.26 1.372200 1.372200 1.372200C2 W53024004 URSOCHOL 150 mg ACIDUM URSODEOXYCHOLICUM COMPR. 150mg 60 9.1 Transplant medular 9A05AA02O V 05-07-2010 54.05 41.32 0.900833 0.900833 0.900833

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53025002 URSOCHOL 300 mg ACIDUM URSODEOXYCHOLICUM COMPR. 300mg 20 9.1 Transplant medular 9A05AA02O V 05-07-2010 35.80 27.37 1.790000 1.790000 1.790000C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 9.1 Transplant medular 1B01ABP V 05-07-2010 84.26 66.64 8.426000 8.426000 8.426000C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 9.1 Transplant medular 1B01ABP V 05-07-2010 101.17 80.01 20.234000 20.234000 20.234000C2 W54011001 EXACYL ACIDUM TRANEXAMICUM SOL. INJ. 500mg/5ml 5 9.1 Transplant medular MS 9B02AA02P V 05-07-2010 12.77 9.45 2.554000 2.554000 2.554000C2 W53036001 NOVOSEVEN 2mg (100 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 100 KIU 1 9.1 Transplant medular MSP 9B02BD08P V 05-07-2010 5,682.80 5,178.58 5,682.800000 5,682.800000 5,682.800000C2 W53037001 NOVOSEVEN 5mg (250 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 250 KIU 1 9.1 Transplant medular MSP 9B02BD08P V 05-07-2010 14,100.73 12,901.45 14,100.730000 14,100.730000 14,100.730000C2 W53034001 NOVOSEVEN 1mg (50 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 50 KIU 1 9.1 Transplant medular MSP 9B02BD08P V 05-07-2010 2,876.83 2,604.29 2,876.830000 2,876.830000 2,876.830000C2 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 9.1 Transplant medular 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000C2 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 757.39 659.85 126.231666 126.231666 126.231666C2 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 9.1 Transplant medular 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000C2 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 9.1 Transplant medular 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C2 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C2 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 305.771666 305.771666

C2 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C2 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 238.11 195.04 39.685000 39.685000 39.685000

C2 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C2 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 457.85 385.05 76.308333 76.308333 76.308333

C2 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 9.1 Transplant medular 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

C2 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

C2 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 651.86 563.04 108.643333 108.643333 108.643333

C2 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 9.1 Transplant medular 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C2 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C2 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 840.17 735.80 140.028333 140.028333 140.028333

C2 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

C2 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 173.251666 173.251666

C2 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C2 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 9.1 Transplant medular 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C2 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 9.1 Transplant medular MSP 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C2 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 9.1 Transplant medular MSP 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C2 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 9.1 Transplant medular MSP 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C2 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 9.1 Transplant medular MSP 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C2 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 9.1 Transplant medular MSP 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C2 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 9.1 Transplant medular MSP 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C2 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 9.1 Transplant medular MSP 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C2 W05892003 TIMENTIN 3,2 gTICARCILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 3,2g 10 9.1 Transplant medular 9J01CR03P V 05-07-2010 258.95 212.11 25.895000 25.895000 25.895000

C2 W13057003 TAZOCIN 4,5 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.1 Transplant medular 9J01CR05P V 05-07-2010 791.71 691.34 65.975833 65.975833 65.975833

C2 W41794002 TAZOCIN 2,25 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.1 Transplant medular 9J01CR05P V 05-07-2010 474.43 400.26 39.535833 39.535833 39.535833

C2 W53595001PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 27.41 20.28 27.410000 27.410000 27.410000

C2 W53595002PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.1 Transplant medular 9J01CR05P V 05-07-2010 125.94 99.60 25.188000 25.188000 25.188000

C2 W53595003PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.1 Transplant medular 9J01CR05P V 05-07-2010 238.84 195.64 23.884000 23.884000 23.884000

C2 W53595004PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 53.04 40.55 53.040000 53.040000 53.040000

C2 W53595005PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.1 Transplant medular 9J01CR05P V 05-07-2010 238.84 195.64 47.768000 47.768000 47.768000

C2 W53595006PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.1 Transplant medular 9J01CR05P V 05-07-2010 458.60 385.73 45.860000 45.860000 45.860000

C2 W54763001PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55423001 PERASIN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55369001 BACTACIN 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55116002PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 12 9.1 Transplant medular 9J01CR05P V 05-07-2010 323.10 264.66 26.925000 26.925000 26.925000

C2 W53596001PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W53596002PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 5 9.1 Transplant medular 9J01CR05P V 05-07-2010 240.48 196.99 48.096000 48.096000 48.096000

C2 W53596003PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 10 9.1 Transplant medular 9J01CR05P V 05-07-2010 461.26 388.17 46.126000 46.126000 46.126000

C2 W54765001PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 53.43 40.85 53.430000 53.430000 53.430000

C2 W55424001 PERASIN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55370001 BACTACIN 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.1 Transplant medular 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55117002PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 12 9.1 Transplant medular 9J01CR05P V 05-07-2010 539.33 459.80 44.944166 44.944166 44.944166

C2 W04120001 MERONEM IV 1 g MEROPENEMUM PULB. PT. SOL. INJ. I.V./PERF. 1g 10 9.1 Transplant medular 0J01DHP V 05-07-2010 1,159.03 1,028.33 115.903000 115.903000 115.903000

C2 W04121001 MERONEM IV 500 mg MEROPENEMUM PULB. PT. SOL. INJ. I.V./PERF. 500mg 10 9.1 Transplant medular 0J01DHP V 05-07-2010 625.02 538.41 62.502000 62.502000 62.502000C2 W54471002 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 5 9.1 Transplant medular 0J01DHP V 05-07-2010 178.13 145.91 35.626000 35.626000 35.626000C2 W54471003 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 10 9.1 Transplant medular 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000C2 W54471005 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 5 9.1 Transplant medular 0J01DHP V 05-07-2010 178.13 145.91 35.626000 35.626000 35.626000C2 W54471006 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 10 9.1 Transplant medular 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000C2 W51274002 TIENAM I.V. IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 10 9.1 Transplant medular 0J01DHP V 05-07-2010 522.63 444.48 52.263000 52.263000 52.263000C2 W51274003 TIENAM I.V. IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 25 9.1 Transplant medular 0J01DHP V 05-07-2010 1,200.31 1,066.20 48.012400 48.012400 48.012400

C2 W54532001IMIPENEM/CILASTATIN KABI 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 10 9.1 Transplant medular 0J01DHP V 05-07-2010 361.69 296.27 36.169000 36.169000 36.169000

C2 W54533003IMIPENEM/CILASTAN TEVA 250 mg/250mg IMIPENEMUM + CILASTATINUM PULB. PT. SUSP. PERF. 250mg/250mg 10 9.1 Transplant medular 0J01DHP V 05-07-2010 178.13 145.91 17.813000 17.813000 17.813000

C2 W54534003IMIPENEM/CILASTAN TEVA 500 mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SUSP. PERF. 500mg/500mg 10 9.1 Transplant medular 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000

C2 W43348001 VANCOMYCIN TEVA VANCOMYCINUM LIOF. PT. SOL. PERF. 1g 1 9.1 Transplant medular 9J01XA01P V 05-07-2010 63.37 48.45 63.370000 63.370000 63.370000C2 W43347001 VANCOMYCIN TEVA VANCOMYCINUM LIOF. PT. SOL. PERF. 500mg 1 9.1 Transplant medular 9J01XA01P V 05-07-2010 32.74 24.22 32.740000 32.740000 32.740000C2 W06052001 EDICIN VANCOMYCINUM LIOF. PT. SOL. PERF./INJ. 500mg 1 9.1 Transplant medular 9J01XA01P V 05-07-2010 51.26 39.19 51.260000 51.260000 51.260000C2 W06051001 EDICIN VANCOMYCINUM PULB.LIOF.PT.SOL.PERF./INJ 1g 1 9.1 Transplant medular 9J01XA01P V 05-07-2010 71.77 56.76 71.770000 71.770000 71.770000C2 W13105001 TARGOCID (R) 400 mg TEICOPLANINUM LIOF. + SOLV. PT. SOL. INJ. 400mg 1 9.1 Transplant medular 9J01XA02P V 05-07-2010 143.92 117.89 143.920000 143.920000 143.920000C2 W52799001 ZYVOXID (R) LINEZOLIDUM COMPR. FILM. 600mg 10 9.1 Transplant medular 9J01XX08O V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W52800001 ZYVOXID (R) LINEZOLIDUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 9.1 Transplant medular 9J01XX08O V 05-07-2010 994.48 877.37 994.480000 994.480000 994.480000C2 W52801001 ZYVOXID (R) LINEZOLIDUM SOL. PERF. 2mg/ml 10 9.1 Transplant medular 9J01XX08P V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W08955001 DIFLAZON 100 mg FLUCONAZOLUM CAPS. 100mg 28 9.1 Transplant medular 1J02ACO V 05-07-2010 235.85 193.19 8.423214 8.423214 8.423214C2 W08372001 FLUCOVIM 100 FLUCONAZOLUM CAPS. 100mg 4 9.1 Transplant medular 1J02ACO V 05-07-2010 25.55 18.90 6.387500 6.387500 6.387500C2 W44099001 FLUCORIC 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 43.26 33.07 6.180000 6.180000 6.180000C2 W42371002 FUNGOLON 100 mg FLUCONAZOLUM CAPS. 100mg 16 9.1 Transplant medular 1J02ACO V 05-07-2010 82.46 65.22 5.153750 5.153750 5.153750C2 W43597001 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 2 9.1 Transplant medular 1J02ACO V 05-07-2010 9.41 6.96 4.705000 4.705000 4.705000C2 W43597002 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 31.43 23.25 4.490000 4.490000 4.490000C2 W08956001 DIFLAZON 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 22.47 16.62 22.470000 22.470000 22.470000C2 W08970003 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 4 9.1 Transplant medular 1J02ACO V 05-07-2010 78.44 62.04 19.610000 19.610000 19.610000C2 W08970002 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 2 9.1 Transplant medular 1J02ACO V 05-07-2010 43.15 32.99 21.575000 21.575000 21.575000C2 W08373001 FLUCOVIM 150 FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W03156001 DIFLUCAN 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 25.02 18.51 25.020000 25.020000 25.020000C2 W44089001 FLUCORIC 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 18.83 13.93 18.830000 18.830000 18.830000C2 W43288001 FLUCONAZOL SANDOZ (R) 150 FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 14.55 10.77 14.550000 14.550000 14.550000C2 W42174001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W42741001 FLUCONAZOL TERAPIA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 9.18 6.79 9.180000 9.180000 9.180000C2 W42192002 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 3 9.1 Transplant medular 1J02ACO V 05-07-2010 31.93 23.62 10.643333 10.643333 10.643333C2 W42192001 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 12.50 9.25 12.500000 12.500000 12.500000C2 W43598001 FLUCONAZOLE TEVA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000C2 W42693001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 9.66 7.15 9.660000 9.660000 9.660000C2 W51994001 FLUCONAZOL MEDOCHEMIE 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000C2 W52224001 FLUCONAZOL BIOGALENICA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000C2 W52335001 FLUCONAZOL MEDICO UNO 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000C2 W53943002 FLUCONAZOL ARENA 150 MG FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000C2 W55071001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.1 Transplant medular 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W43599002 FLUCONAZOLE TEVA 200 mg FLUCONAZOLUM CAPS. 200mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 39.28 30.03 5.611428 5.611428 5.611428C2 W08958001 DIFLAZON 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 61.57 47.07 8.795714 8.795714 8.795714C2 W08374001 FLUCOVIM 50 FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714C2 W03157001 DIFLUCAN 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 56.41 43.13 8.058571 8.058571 8.058571C2 W44098001 FLUCORIC 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 29.54 21.86 4.220000 4.220000 4.220000C2 W43287001 FLUCONAZOL SANDOZ (R) 50 FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 41.83 31.98 5.975714 5.975714 5.975714C2 W42172001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714C2 W42370002 FUNGOLON 50 mg FLUCONAZOLUM CAPS. 50mg 8 9.1 Transplant medular 1J02ACO V 05-07-2010 19.00 14.06 2.375000 2.375000 2.375000C2 W43225001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 10 9.1 Transplant medular 1J02ACO V 05-07-2010 25.47 18.84 2.547000 2.547000 2.547000C2 W43596001 FLUCONAZOLE TEVA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 16.64 12.31 2.377142 2.377142 2.377142C2 W42414001 FLUCONAZOL TERAPIA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 19.65 14.54 2.807142 2.807142 2.807142C2 W42321001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 19.54 14.46 2.791428 2.791428 2.791428C2 W51993001 FLUCONAZOL MEDOCHEMIE 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 16.12 11.93 2.302857 2.302857 2.302857C2 W52225001 FLUCONAZOL BIOGALENICA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 15.73 11.64 2.247142 2.247142 2.247142C2 W53942002 FLUCONAZOL ARENA 50 MG FLUCONAZOLUM CAPS. 50mg 7 9.1 Transplant medular 1J02ACO V 05-07-2010 19.08 14.12 2.725714 2.725714 2.725714C2 W03159001 DIFLUCAN (R) 50 mg/5 ml FLUCONAZOLUM PULB. PT. SUSP. ORALA 50mg/5ml 1 9.1 Transplant medular 1J02ACO V 05-07-2010 56.41 43.13 56.410000 56.410000 56.410000C2 W03160004 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.1 Transplant medular 1J02ACP V 05-07-2010 162.21 132.87 162.210000 162.210000 162.210000C2 W03160002 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.1 Transplant medular 1J02ACP V 05-07-2010 40.44 30.92 40.440000 40.440000 40.440000C2 W12072001 DIFLAZON 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.1 Transplant medular 1J02ACP V 05-07-2010 45.72 34.95 45.720000 45.720000 45.720000C2 W42083003 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.1 Transplant medular 1J02ACP V 05-07-2010 39.86 30.47 39.860000 39.860000 39.860000C2 W42083001 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.1 Transplant medular 1J02ACP V 05-07-2010 55.66 42.55 55.660000 55.660000 55.660000C2 W42083002 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.1 Transplant medular 1J02ACP V 05-07-2010 167.39 137.11 167.390000 167.390000 167.390000C2 W52223003 FLUCONAZOL BIOGALENICA 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.1 Transplant medular 1J02ACP V 05-07-2010 53.01 40.53 53.010000 53.010000 53.010000C2 W53987001 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.1 Transplant medular 1J02ACP V 05-07-2010 222.76 182.47 22.276000 22.276000 22.276000C2 W53987002 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.1 Transplant medular 1J02ACP V 05-07-2010 432.48 361.77 21.624000 21.624000 21.624000C2 W53987004 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.1 Transplant medular 1J02ACP V 05-07-2010 532.57 453.60 53.257000 53.257000 53.257000C2 W53987005 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.1 Transplant medular 1J02ACP V 05-07-2010 904.25 794.59 45.212500 45.212500 45.212500C2 W53987007 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.1 Transplant medular 1J02ACP V 05-07-2010 876.27 768.92 87.627000 87.627000 87.627000C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 9.1 Transplant medular MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 9.1 Transplant medular MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 9.1 Transplant medular MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 9.1 Transplant medular MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000C2 W51607001 NOXAFIL SP 40mg/ml POSACONAZOLUM SUSP. ORALA 40mg/ml 1 9.1 Transplant medular MSP 2J02ACO V 05-07-2010 2,974.83 2,694.20 2,974.830000 2,974.830000 2,974.830000

C2 W06665001 CANCIDAS 50 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 50mg 1 9.1 Transplant medular MSP 9J02AX04P V 05-07-2010 1,345.76 1,199.64 1,345.760000 1,345.760000 1,345.760000

C2 W06670001 CANCIDAS 70 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 70mg 1 9.1 Transplant medular MSP 9J02AX04P V 05-07-2010 1,734.79 1,556.55 1,734.790000 1,734.790000 1,734.790000

C2 W42857001 ACICLOVIR 200 mg ACICLOVIRUM CAPS. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 20.18 14.93 1.009000 1.009000 1.009000C2 W53675001 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 21.37 15.81 1.068500 1.068500 1.068500C2 W53675003 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 1000 9.1 Transplant medular 1J05ABO V 05-07-2010 803.94 702.56 0.803940 0.803940 0.803940C2 W53676001 ACICLOVIR ARENA 400 mg ACICLOVIRUM CAPS. 400mg 10 9.1 Transplant medular 1J05ABO V 05-07-2010 19.43 14.38 1.943000 1.943000 1.943000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W00044001 ACICLOVIR TERAPIA 200 mg ACICLOVIRUM COMPR. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 17.10 12.65 0.855000 0.855000 0.855000C2 W13972001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 17.18 12.71 0.859000 0.859000 0.859000C2 W41451001 CLOVIRAL 200 mg ACICLOVIRUM COMPR. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 16.39 12.13 0.819500 0.819500 0.819500C2 W06667003 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 13.76 10.18 0.688000 0.688000 0.688000C2 W53225001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 12.97 9.60 0.648500 0.648500 0.648500C2 W06668003 ACICLOVIR 400 mg ACICLOVIRUM COMPR. 400mg 10 9.1 Transplant medular 1J05ABO V 05-07-2010 19.18 14.19 1.918000 1.918000 1.918000C2 W08894001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500C2 W08177003 LOVIR 200 mg ACICLOVIRUM COMPR. DISP. 200mg 10 9.1 Transplant medular 1J05ABO V 05-07-2010 3.73 2.76 0.373000 0.373000 0.373000C2 W55183001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.1 Transplant medular 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500C2 W51494001 ACIKLOVIR ACICLOVIRUM COMPR. FILM. 400mg 35 9.1 Transplant medular 1J05ABO V 05-07-2010 57.04 43.61 1.629714 1.629714 1.629714C2 W00058001 VIROLEX ACICLOVIRUM PULB. PT. SOL. INJ./PERF. 250mg 5 9.1 Transplant medular 9J05AB01P V 05-07-2010 282.31 231.25 56.462000 56.462000 56.462000C2 W06049001 VALTREX 500 mg VALACYCLOVIRUM COMPR. FILM. 500mg 10 9.1 Transplant medular 1J05ABO V 05-07-2010 100.40 79.41 10.040000 10.040000 10.040000C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 9.1 Transplant medular MSP 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000

C2 W43357003 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 986.45 870.00 986.450000 986.450000 986.450000

C2 W43357004 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 1,902.05 1,710.00 1,902.050000 1,902.050000 1,902.050000

C2 W43357002 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 528.65 450.00 528.650000 528.650000 528.650000

C2 W43357001 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 118.95 94.08 118.950000 118.950000 118.950000

C2 W51530002 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 544.52 464.56 544.520000 544.520000 544.520000

C2 W51530003 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 1,018.20 899.13 1,018.200000 1,018.200000 1,018.200000

C2 W43965001 IG VENA 10g/200mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 10g/200ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 2,265.63 2,043.56 2,265.630000 2,265.630000 2,265.630000

C2 W43962001 IG VENA 1g/20mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 1g/20ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 270.72 221.76 270.720000 270.720000 270.720000

C2 W43963001 IG VENA 2,5g/50mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 2,5g/50ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 619.82 533.64 619.820000 619.820000 619.820000

C2 W13462001 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 745.56 649.00 745.560000 745.560000 745.560000

C2 W13462003 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 2,508.09 2,266.00 2,508.090000 2,508.090000 2,508.090000

C2 W13462002 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 1,312.36 1,169.00 1,312.360000 1,312.360000 1,312.360000

C2 W43964001 IG VENA 5g/100mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5g/100ml 1 9.1 Transplant medular MSP 9J06BA02P V 05-07-2010 1,168.26 1,036.80 1,168.260000 1,168.260000 1,168.260000

C2 W12490001 ENDOXAN (R) 50 mg CYCLOPHOSPHAMIDUM DRAJ. 50mg 50 9.1 Transplant medular 9L01AA01O V 05-07-2010 26.07 19.29 0.521400 0.521400 0.521400

C2 W52215001 ENDOXAN 200 mg CYCLOPHOSPHAMIDUM PULB. PT. SOL. PERF./INJ. I.V. 200mg 1 9.1 Transplant medular 9L01AA01P V 05-07-2010 15.86 11.73 15.860000 15.860000 15.860000C2 W08256001 ALKERAN 2 mg MELPHALANUM COMPR. FILM. 2mg 25 9.1 Transplant medular 9L01AA03O V 05-07-2010 9.31 6.89 0.372400 0.372400 0.372400C2 W12497001 HOLOXAN 1 g IFOSFAMIDUM PULB. PT. SOL. PERF. 1g 1 9.1 Transplant medular 9L01AA06P V 05-07-2010 116.89 92.45 116.890000 116.890000 116.890000C2 W00699001 MYLERAN BUSULFANUM COMPR. FILM. 2mg 25 9.1 Transplant medular 9L01AB01O V 05-07-2010 15.65 11.58 0.626000 0.626000 0.626000C2 W54019001 METOTREXATE BELLON 2,5 mg METHOTREXATUM COMPR. 2,5mg 20 9.1 Transplant medular 9L01BA01O V 05-07-2010 22.79 16.86 1.139500 1.139500 1.139500C2 W04185002 METHOTREXAT "EBEWE" 500 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 5 9.1 Transplant medular 9L01BA01P V 05-07-2010 240.51 197.01 48.102000 48.102000 48.102000C2 W12733003 METHOTREXAT "EBEWE" 1000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 9.1 Transplant medular 9L01BA01P V 05-07-2010 89.44 70.74 89.440000 89.440000 89.440000C2 W12735001 METHOTREXAT "EBEWE" 5000 mg METHOTREXATUM CONC. PT. SOL. INJ./PERF. 100mg/ml 1 9.1 Transplant medular 9L01BA01P V 05-07-2010 400.04 332.01 400.040000 400.040000 400.040000C2 W04186001 METHOTREXAT "EBEWE" 5 mg METHOTREXATUM SOL. INJ. 5mg/ml 10 9.1 Transplant medular 9L01BA01P V 05-07-2010 23.77 17.59 2.377000 2.377000 2.377000

C2 W53758016 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 9.1 Transplant medular 9L01BA01P V 05-07-2010 109.28 86.43 109.280000 109.280000 109.280000

C2 W53758021 METOJECT 50mg/ml METHOTREXATUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml 1 9.1 Transplant medular 9L01BA01P V 05-07-2010 123.90 101.49 123.900000 123.900000 123.900000

C2 W12308002 METHOTREXAT "EBEWE" 50 mg METHOTREXATUM SOL. INJ./PERF. 10mg/ml 1 9.1 Transplant medular 9L01BA01P V 05-07-2010 13.30 9.84 13.300000 13.300000 13.300000C2 W53403002 FLUDARA ORAL 10 mg FLUDARABINUM COMPR. FILM. 10mg 20 9.1 Transplant medular 9L01BB05O V 05-07-2010 1,865.33 1,676.31 93.266500 93.266500 93.266500C2 W53398001 FLUDARA FLUDARABINUM LIOF. PT. SOL. INJ./PERF. 50mg 5 9.1 Transplant medular 9L01BB05P V 05-07-2010 2,665.05 2,410.00 533.010000 533.010000 533.010000C2 W53700001 FLUDARABINA ACTAVIS 25 mg/ml FLUDARABINUM PULB. PT. SOL. INJ./PERF. 25mg/ml 1 9.1 Transplant medular 9L01BB05P V 05-07-2010 408.10 339.40 408.100000 408.100000 408.100000C2 W08035001 VEPESID ETOPOSIDUM CAPS. MOI 100mg 10 9.1 Transplant medular 9L01CB01O V 05-07-2010 376.74 310.63 37.674000 37.674000 37.674000C2 W08036001 VEPESID ETOPOSIDUM CAPS. MOI 50mg 20 9.1 Transplant medular 9L01CB01O V 05-07-2010 373.70 307.84 18.685000 18.685000 18.685000C2 W03065001 ETOPOSID "EBEWE" 100 mg/5 ml ETOPOSIDUM CONC. PT. SOL. PERF. 100mg/5ml 1 9.1 Transplant medular 9L01CB01P V 05-07-2010 50.95 38.95 50.950000 50.950000 50.950000C2 W52210001 SINTOPOZID 100 mg/5 ml ETOPOSIDUM CONC. PT. SOL. PERF. 100mg/5ml 1 9.1 Transplant medular 9L01CB01P V 05-07-2010 42.84 32.75 42.840000 42.840000 42.840000C2 W52574001 ETOPOSIDE - TEVA ETOPOSIDUM CONC. PT. SOL. PERF. 20mg/ml 1 9.1 Transplant medular 9L01CB01P V 05-07-2010 41.71 31.89 41.710000 41.710000 41.710000C2 W52574002 ETOPOSIDE - TEVA ETOPOSIDUM CONC. PT. SOL. PERF. 20mg/ml 1 9.1 Transplant medular 9L01CB01P V 05-07-2010 77.04 60.93 77.040000 77.040000 77.040000C2 W03575001 ZAVEDOS IDARUBICINUM CAPS. 10mg 1 9.1 Transplant medular 9L01DB06O V 05-07-2010 247.64 202.85 247.640000 247.640000 247.640000C2 W03581001 ZAVEDOS 5 mg IDARUBICINUM LIOF. PT. SOL. INJ. 5mg 1 9.1 Transplant medular 9L01DB06P V 05-07-2010 174.59 143.01 174.590000 174.590000 174.590000C2 W42735002 ONKOTRONE MITOXANTRONUM CONC. PT. SOL. INJ. 2mg/ml 1 9.1 Transplant medular MSP 9L01DB07P V 05-07-2010 642.27 554.24 642.270000 642.270000 642.270000C2 W01315001 CISPLATIN "EBEWE" 10 mg/20 ml CISPLATINUM CONC. PT. SOL. PERF. 10mg/20ml 1 9.1 Transplant medular 9L01XA01P V 05-07-2010 12.37 9.15 12.370000 12.370000 12.370000C2 W52577001 CISPLATIN TEVA 10 mg/20 ml CISPLATINUM CONC. PT. SOL. PERF. 10mg/20ml 1 9.1 Transplant medular 9L01XA01P V 05-07-2010 11.99 8.87 11.990000 11.990000 11.990000C2 W52187002 SINPLATIN 1 mg/1 ml CISPLATINUM CONC. PT. SOL. PERF. 1mg/1ml 1 9.1 Transplant medular 9L01XA01P V 05-07-2010 32.91 24.35 32.910000 32.910000 32.910000C2 W52187001 SINPLATIN 1 mg/1 ml CISPLATINUM CONC. PT. SOL. PERF. 1mg/1ml 1 9.1 Transplant medular 9L01XA01P V 05-07-2010 10.45 7.73 10.450000 10.450000 10.450000C2 W01316001 CISPLATIN "EBEWE" 25 mg/50 ml CISPLATINUM CONC. PT. SOL. PERF. 25mg/50ml 1 9.1 Transplant medular 9L01XA01P V 05-07-2010 29.74 22.00 29.740000 29.740000 29.740000C2 W01317001 CISPLATIN "EBEWE" 50 mg/100 ml CISPLATINUM CONC. PT. SOL. PERF. 50mg/100ml 1 9.1 Transplant medular 9L01XA01P V 05-07-2010 41.20 31.50 41.200000 41.200000 41.200000C2 W13052003 CARBOPLATIN "EBEWE" 10 mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 216.88 177.65 216.880000 216.880000 216.880000C2 W13052002 CARBOPLATIN "EBEWE" 10 mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 29.48 21.81 29.480000 29.480000 29.480000C2 W13052001 CARBOPLATIN "EBEWE" 10 mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 78.85 62.36 78.850000 78.850000 78.850000C2 W52579002 CARBOPLATIN TEVA 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 61.91 47.33 61.910000 61.910000 61.910000C2 W52579003 CARBOPLATIN TEVA 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 161.75 132.49 161.750000 161.750000 161.750000C2 W53000001 CARBOPLATIN ACTAVIS 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 24.33 18.00 24.330000 24.330000 24.330000C2 W53000002 CARBOPLATIN ACTAVIS 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 65.25 49.89 65.250000 65.250000 65.250000C2 W53000003 CARBOPLATIN ACTAVIS 10mg/ml CARBOPLATINUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular 9L01XA02P V 05-07-2010 162.03 132.72 162.030000 162.030000 162.030000C2 W07199001 MABTHERA 100 mg RITUXIMABUM CONC. PT. SOL. PERF. 10mg/ml 2 9.1 Transplant medular MSP 9L01XC02P V 05-07-2010 2,454.04 2,216.41 1,227.020000 1,227.020000 1,227.020000C2 W07200001 MABTHERA 500 mg RITUXIMABUM CONC. PT. SOL. PERF. 10mg/ml 1 9.1 Transplant medular MSP 9L01XC02P V 05-07-2010 6,028.99 5,496.18 6,028.990000 6,028.990000 6,028.990000C2 W42668001 MABCAMPATH 10 mg/ml ALEMTUZUMABUM CONC. PT. SOL. PERF. 10mg/ml 3 9.1 Transplant medular MSP 9L01XC04P V 05-07-2010 5,391.97 4,911.76 1,797.323333 1,797.323333 1,797.323333C2 W42669001 MABCAMPATH 30 mg/ml ALEMTUZUMABUM CONC. PT. SOL. PERF. 30mg/ml 3 9.1 Transplant medular MSP 9L01XC04P V 05-07-2010 5,392.39 4,912.14 1,797.463333 1,797.463333 1,797.463333C2 W51424001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 30MU/0,5ml 1 9.1 Transplant medular MSP 0L03AAP V 05-07-2010 325.26 266.43 325.260000 325.260000 325.260000C2 W51423001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 48MU/0,5ml 1 9.1 Transplant medular MSP 0L03AAP V 05-07-2010 512.98 435.62 512.980000 512.980000 512.980000C2 W53520001 TEVAGRASTIM 30MUI/0,5ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 300mcg/0,5ml 1 9.1 Transplant medular MSP 0L03AAP V 05-07-2010 260.83 213.65 260.830000 260.830000 260.830000C2 W53523001 TEVAGRASTIM 48MUI/0,8ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 480mcg/0,8ml 1 9.1 Transplant medular MSP 0L03AAP V 05-07-2010 425.24 355.13 425.240000 425.240000 425.240000C2 W04406001 CELLCEPT 250mg MYCOPHENOLATUM CAPS. 250mg 100 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 530.69 451.87 5.306900 5.306900 5.306900C2 W04407001 CELLCEPT 500mg MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 530.69 451.87 10.613800 10.613800 10.613800

C2 W54137001MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 356.71 292.19 7.134200 7.134200 7.134200

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Grupa terapeutica RO Valabil de la

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C2 W42264003 MYFORTIC 180 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 180mg 120 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 644.64 556.41 5.372000 5.372000 5.372000C2 W42265003 MYFORTIC 360 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 360mg 120 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 1,171.26 1,039.55 9.760500 9.760500 9.760500C2 W52877001 MYFENAX 250mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 366.89 301.60 3.668900 3.668900 3.668900

C2 W54699001MYCOPHENOLATE MOFETIL ACCORD 250 mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 356.71 292.19 3.567100 3.567100 3.567100

C2 W52876001 MYFENAX 500mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W54225001MYCOFENOLAT MOFETIL ACTAVIS 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 363.84 298.03 7.276800 7.276800 7.276800

C2 W54939001MICOFENOLAT MOFETIL DR. REDDY'S 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.1 Transplant medular MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W10576001 RAPAMUNE 1mg SIROLIMUS DRAJ. 1mg 30 9.1 Transplant medular MSP 9L04AA10O V 05-07-2010 570.30 488.21 19.010000 19.010000 19.010000C2 W41764001 ENBREL 25mg ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 9.1 Transplant medular MSP 0L04ABP V 05-07-2010 2,270.02 2,047.58 567.505000 567.505000 567.505000C2 W52554001 ENBREL DE UZ PEDIATRIC ETANERCEPTUM PULB. + SOLV. PT. SOL. INJ. 25mg 4 9.1 Transplant medular MSP 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500C2 W43135002 ENBREL 50 mg ETANERCEPTUM PULB+SOLV.PT.SOL.INJ 50mg 4 9.1 Transplant medular MSP 0L04ABP V 05-07-2010 4,555.11 4,143.99 1,138.777500 1,138.777500 1,138.777500

C2 W52266001 ENBREL 25mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 25mg 4 9.1 Transplant medular MSP 0L04ABP V 05-07-2010 2,264.85 2,042.84 566.212500 566.212500 566.212500

C2 W52267002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN SERINGA PREUMPLUTA 50mg 4 9.1 Transplant medular MSP 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C2 W54896002 ENBREL 50mg ETANERCEPTUMSOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg 4 9.1 Transplant medular MSP 0L04ABP V 05-07-2010 4,458.85 4,055.68 1,114.712500 1,114.712500 1,114.712500

C2 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 9.1 Transplant medular 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400C2 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 9.1 Transplant medular 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 2.740000 2.740000C2 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.1 Transplant medular 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000C2 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.1 Transplant medular 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 2.743200 2.743200C2 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 9.1 Transplant medular 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 5.829400 5.829400C2 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.1 Transplant medular 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000C2 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.1 Transplant medular 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 6.089600 6.089600C2 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 9.1 Transplant medular 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000C2 W53729001 PROGRAF (R) 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 250.15 204.91 5.003000 5.003000 5.003000C2 W55262007 TACROLIMUS SANDOZ 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 162.60 133.19 3.252000 3.252000 3.252000C2 W53730001 PROGRAF (R) 1 mg TACROLIMUSUM CAPS. 1mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 433.77 362.95 8.675400 8.675400 8.675400C2 W55263007 TACROLIMUS SANDOZ 1 mg TACROLIMUSUM CAPS. 1mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 290.63 238.06 5.812600 5.812600 5.812600C2 W53731001 PROGRAF (R) 5 mg TACROLIMUSUM CAPS. 5mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 1,903.38 1,711.22 38.067600 38.067600 38.067600C2 W51974002 ADVAGRAF 0,5mg TACROLIMUSUM CAPS. ELIB. PREL. 0,5mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 249.57 204.43 4.991400 4.991400 4.991400C2 W51975002 ADVAGRAF 1mg TACROLIMUSUM CAPS. ELIB. PREL. 1mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 475.96 401.66 9.519200 9.519200 9.519200C2 W51976002 ADVAGRAF 5mg TACROLIMUSUM CAPS. ELIB. PREL. 5mg 50 9.1 Transplant medular MSP 9L04AD02O V 05-07-2010 2,066.95 1,861.28 41.339000 41.339000 41.339000C2 W53732001 PROGRAF (R) 5 mg/ml TACROLIMUSUM CONC. PT. SOL. PERF. 5mg/ml 10 9.1 Transplant medular MSP 9L04AD02P V 05-07-2010 1,718.54 1,541.64 171.854000 171.854000 171.854000C2 W05977002 TRAMAL (R) TRAMADOLUM CAPS. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 11.79 8.72 0.589500 0.589500 0.589500C2 W42813002 TRALGIT 50 TRAMADOLUM CAPS. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 7.89 5.84 0.394500 0.394500 0.394500C2 W12691002 TRAMADOL TRAMADOLUM CAPS. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 5.82 4.31 0.291000 0.291000 0.291000C2 W07472002 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 11.49 8.50 0.383000 0.383000 0.383000C2 W07472001 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.384000 0.384000C2 W05960001 MABRON 50 mg TRAMADOLUM CAPS. 50mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 4.98 3.68 0.498000 0.498000 0.498000C2 W41593001 K-ALMA (R) TRAMADOLUM CAPS. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W42576001 TRAMACALM TRAMADOLUM CAPS. 50mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.384000 0.384000C2 W13570001 TRAMADOL LPH 50 mg TRAMADOLUM CAPS. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W08476001 URGENDOL TRAMADOLUM CAPS. 50mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 3.81 2.82 0.381000 0.381000 0.381000C2 W52049001 TRAMADOL ARENA TRAMADOLUM CAPS. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 8.97 6.64 0.448500 0.448500 0.448500C2 W53128005 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 17.35 12.84 1.735000 1.735000 1.735000C2 W53128006 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 33.41 24.72 1.670500 1.670500 1.670500C2 W53128007 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 47.28 36.15 1.576000 1.576000 1.576000C2 W53128008 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 50 9.1 Transplant medular 9N02AX02O V 05-07-2010 71.47 56.52 1.429400 1.429400 1.429400C2 W53129005 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 26.02 19.25 2.602000 2.602000 2.602000C2 W53129006 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 48.48 37.06 2.424000 2.424000 2.424000C2 W53129007 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 68.55 54.22 2.285000 2.285000 2.285000C2 W53129008 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 50 9.1 Transplant medular 9N02AX02O V 05-07-2010 107.20 84.78 2.144000 2.144000 2.144000C2 W53130005 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 32.48 24.03 3.248000 3.248000 3.248000C2 W53130006 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 58.30 44.57 2.915000 2.915000 2.915000C2 W53130007 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 77.94 61.64 2.598000 2.598000 2.598000C2 W53130008 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 50 9.1 Transplant medular 9N02AX02O V 05-07-2010 121.12 95.79 2.422400 2.422400 2.422400C2 W42440001 TRAMAG 50 TRAMADOLUM COMPR. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W42957001 TRAMADOL EEL TRAMADOLUM COMPR. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W42178001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.497000 0.497000C2 W55077001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 9.1 Transplant medular 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.497000 0.497000C2 W13507001 TRAMADOLOR (R) 100 ID TRAMADOLUM COMPR. ELIB. MODIF. 100mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 6.29 4.65 0.629000 0.629000 0.629000C2 W12750001 TRAMADOL (R) RETARD TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 18.88 13.97 0.629333 0.629333 0.629333C2 W41922003 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 50 9.1 Transplant medular 9N02AX02O V 05-07-2010 48.37 36.98 0.967400 0.967400 0.967400C2 W41922001 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 9.85 7.29 0.985000 0.985000 0.985000C2 W41922002 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 27.23 20.15 0.907666 0.907666 0.907666C2 W53489001 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 5 9.1 Transplant medular 9N02AX02O V 05-07-2010 7.40 5.47 1.480000 1.480000 1.480000C2 W53489005 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 39.43 30.15 1.314333 1.314333 1.314333C2 W41923002 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 33.48 24.77 1.116000 1.116000 1.116000C2 W41923001 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 21.00 15.54 2.100000 2.100000 2.100000C2 W41924001 TRALGIT SR 200 TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 27.44 20.30 2.744000 2.744000 2.744000C2 W53488002 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 20.05 14.83 2.005000 2.005000 2.005000C2 W53488005 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 51.71 39.53 1.723666 1.723666 1.723666C2 W53487002 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 27.86 20.61 2.786000 2.786000 2.786000C2 W53487012 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 76.29 60.34 2.543000 2.543000 2.543000C2 W07784001 TRADOLAN 50 mg TRAMADOLUM COMPR. FILM. 50mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 10.62 7.86 0.354000 0.354000 0.354000C2 W07473001 TRAMAL RETARD 100 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 100mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 9.68 7.16 0.968000 0.968000 0.968000C2 W05978001 TRAMAL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 21.97 16.25 2.197000 2.197000 2.197000C2 W43360001 TRAMADOL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 62.30 47.63 2.076666 2.076666 2.076666C2 W05979001 TRAMAL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 10 9.1 Transplant medular 9N02AX02O V 05-07-2010 28.12 20.80 2.812000 2.812000 2.812000C2 W43361001 TRAMADOL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 30 9.1 Transplant medular 9N02AX02O V 05-07-2010 74.39 58.83 2.479666 2.479666 2.479666C2 W43913002 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 9.1 Transplant medular 9N02AX02O V 05-07-2010 100.21 79.25 100.210000 100.210000 100.210000C2 W43913001 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 9.1 Transplant medular 9N02AX02O V 05-07-2010 12.57 9.30 12.570000 12.570000 12.570000C2 W07470002 TRAMADOL AL PICATURI TRAMADOLUM PIC. ORALE, SOL. FARA CONCENT1 9.1 Transplant medular 9N02AX02O V 05-07-2010 5.02 3.71 5.020000 5.020000 5.020000C2 W05982001 TRAMAL (R) TRAMADOLUM PICATURI ORALE-SOL. 100mg/ml 1 9.1 Transplant medular 9N02AX02O V 05-07-2010 7.73 5.72 7.730000 7.730000 7.730000C2 W05961002 MABRON TRAMADOLUM SOL. INJ. 100mg 100 9.1 Transplant medular 9N02AX02P V 05-07-2010 136.67 111.95 1.366700 1.366700 1.366700C2 W43912001 TRALGIT 100 TRAMADOLUM SOL. INJ. 100mg/2ml 5 9.1 Transplant medular 9N02AX02P V 05-07-2010 12.25 9.06 2.450000 2.450000 2.450000C2 W05980001 TRAMAL (R) 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 9.1 Transplant medular 9N02AX02P V 05-07-2010 7.55 5.59 1.510000 1.510000 1.510000C2 W05967001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.1 Transplant medular 9N02AX02P V 05-07-2010 13.07 9.67 2.614000 2.614000 2.614000C2 W05966001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.1 Transplant medular 9N02AX02P V 05-07-2010 10.69 7.91 2.138000 2.138000 2.138000

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C2 W43914001 TRALGIT 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 9.1 Transplant medular 9N02AX02P V 05-07-2010 11.46 8.48 2.292000 2.292000 2.292000C2 W08477001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.1 Transplant medular 9N02AX02P V 05-07-2010 4.88 3.61 0.976000 0.976000 0.976000C2 W08478001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.1 Transplant medular 9N02AX02P V 05-07-2010 7.66 5.67 1.532000 1.532000 1.532000C2 W05969001 TRAMADOL TRAMADOLUM SUPOZ. 100mg 5 9.1 Transplant medular 9N02AX02R V 05-07-2010 5.56 4.11 1.112000 1.112000 1.112000C2 W51323001 PULMOZYME DORNAZA ALFA SOL. INHAL. 1mg/ml 6 9.1 Transplant medular MSP 9R05CB13Inh V 05-07-2010 638.05 550.37 106.341666 106.341666 106.341666C2 W51484001 EXJADE 125mg DEFERASIROXUM COMPR. DISP. 125mg 28 9.1 Transplant medular MSP 9V03AC03O V 05-07-2010 785.88 685.99 28.067142 28.067142 28.067142C2 W51485001 EXJADE 250mg DEFERASIROXUM COMPR. DISP. 250mg 28 9.1 Transplant medular MSP 9V03AC03O V 05-07-2010 1,627.37 1,458.00 58.120357 58.120357 58.120357C2 W51486001 EXJADE 500mg DEFERASIROXUM COMPR. DISP. 500mg 28 9.1 Transplant medular MSP 9V03AC03O V 05-07-2010 2,930.96 2,653.95 104.677142 104.677142 104.677142C2 W04133001 UROMITEXAN (R) 400 mg MESNUM SOL. INJ. 400mg/4ml 15 9.1 Transplant medular 9V03AF01P V 05-07-2010 58.56 44.77 3.904000 3.904000 3.904000

C2 W43351003 REVIA NALTREXONUM COMPR. FILM. 50mg 28 11.1Tratamentul toxicodependentelor 9N07BB04O V 05-07-2010 303.92 248.95 10.854285 10.854285 10.854285

C2 W43351002 REVIA NALTREXONUM COMPR. FILM. 50mg 14 11.1Tratamentul toxicodependentelor 9N07BB04O V 05-07-2010 203.86 166.99 14.561428 14.561428 14.561428

C2 W51921003 SINTALGON 2,5 mg METHADONUM COMPR. 2,5mg 50 11.1Tratamentul toxicodependentelor 9N07BC02O V 05-07-2010 24.35 18.02 0.487000 0.487000 0.487000

C2 W52853001 SUBSTIDON 20 mg METHADONUM COMPR. 20mg 20 11.1Tratamentul toxicodependentelor 9N07BC02O V 05-07-2010 25.10 18.57 1.255000 1.255000 1.255000

C2 W52853002 SUBSTIDON 20 mg METHADONUM COMPR. 20mg 50 11.1Tratamentul toxicodependentelor 9N07BC02O V 05-07-2010 60.73 46.43 1.214600 1.214600 1.214600

C2 W52854001 SUBSTIDON 5 mg METHADONUM COMPR. 5mg 20 11.1Tratamentul toxicodependentelor 9N07BC02O V 05-07-2010 6.27 4.64 0.313500 0.313500 0.313500

C2 W52854002 SUBSTIDON 5 mg METHADONUM COMPR. 5mg 50 11.1Tratamentul toxicodependentelor 9N07BC02O V 05-07-2010 15.69 11.61 0.313800 0.313800 0.313800

C2 W51719001 SUBOXONE 2mg/0,5mgCOMBINATII ( BUPRENORPHINUM + NALAXONE) COMPR. SUBLING. 2mg/0,5mg 7 11.1

Tratamentul toxicodependentelor 9N07BC51SL V 05-07-2010 29.74 22.00 4.248571 4.248571 4.248571

C2 W51728001 SUBOXONE 8mg/2mgCOMBINATII ( BUPRENORPHINUM + NALAXONE) COMPR. SUBLING. 8mg/2mg 7 11.1

Tratamentul toxicodependentelor 9N07BC51SL V 05-07-2010 107.37 84.92 15.338571 15.338571 15.338571

C2 W53799002 NEOTIGASON 10 mg ACITRETINUM CAPS. 10mg 30 6.2 Epidermoliza buloasa 9D05BB02O V 05-07-2010 74.57 58.98 2.485666 2.485666 2.485666C2 W08066001 TETRACICLINA CLORHIDRAT TETRACYCLINUM UNGUENT 3% 1 6.2 Epidermoliza buloasa 9D06AA04TD V 05-07-2010 6.55 4.85 6.550000 6.550000 6.550000C2 W10102001 FUCIDIN 20 mg/g ACIDUM FUSIDICUM CREMA 20mg/g 1 6.2 Epidermoliza buloasa 9D06AX01TD V 05-07-2010 15.15 11.21 15.150000 15.150000 15.150000C2 W08442001 FUCIDIN 20 mg/g ACIDUM FUSIDICUM UNGUENT 20mg/g 1 6.2 Epidermoliza buloasa 9D06AX01TD V 05-07-2010 15.15 11.21 15.150000 15.150000 15.150000C2 W54309001 FLAMMAZINE SULFADIAZINUM CREMA 1% 1 6.2 Epidermoliza buloasa 9D06BA01TD V 05-07-2010 169.44 138.79 169.440000 169.440000 169.440000

C2 W12411001 FUCIDIN HCOMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) CREMA FARA CONCENT1 6.2 Epidermoliza buloasa 9D07CA01TD V 05-07-2010 21.68 16.04 21.680000 21.680000 21.680000

C2 W12126001 DIPROGENTA (R) COMBINATII CREMA 0,5mg/1mg pe gra1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 12.48 9.23 12.480000 12.480000 12.480000C2 W01905001 TRIDERM (R) COMBINATII CREMA FARA CONCENT1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 15.19 11.24 15.190000 15.190000 15.190000C2 W51499002 BELOGENT COMBINATII CREMA FARA CONCENT1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 12.51 9.26 12.510000 12.510000 12.510000C2 W51499001 BELOGENT COMBINATII CREMA FARA CONCENT1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 10.94 8.09 10.940000 10.940000 10.940000C2 W12125001 DIPROGENTA (R) COMBINATII UNGUENT 0,5mg/1mg pe gra1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 12.48 9.23 12.480000 12.480000 12.480000C2 W01906001 TRIDERM COMBINATII UNGUENT FARA CONCENT1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 15.19 11.24 15.190000 15.190000 15.190000C2 W51493002 BELOGENT COMBINATII UNGUENT FARA CONCENT1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 12.51 9.26 12.510000 12.510000 12.510000C2 W51493001 BELOGENT COMBINATII UNGUENT FARA CONCENT1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 10.94 8.09 10.940000 10.940000 10.940000

C2 W10463001 FUCICORT 20 mg/1mg pe gramCOMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) CREMA 20mg/1mg pe gra1 6.2 Epidermoliza buloasa 9D07CC01TD V 05-07-2010 23.77 17.59 23.770000 23.770000 23.770000

C2 W12028001 TETRACICLINA 250 mg TETRACYCLINUM CAPS. 250mg 20 6.2 Epidermoliza buloasa 0J01AAO V 05-07-2010 3.17 2.35 0.158500 0.158500 0.158500C2 W12028002 TETRACICLINA 250 mg TETRACYCLINUM CAPS. 250mg 1000 6.2 Epidermoliza buloasa 0J01AAO V 05-07-2010 135.12 110.68 0.135120 0.135120 0.135120C2 W42907001 TETRACICLINA SANDOZ 250 mg TETRACYCLINUM CAPS. 250mg 20 6.2 Epidermoliza buloasa 0J01AAO V 05-07-2010 2.73 2.02 0.136500 0.136500 0.136500C2 W05834002 TETRACICLINA 250 mg TETRACYCLINUM CAPS. 250mg 20 6.2 Epidermoliza buloasa 0J01AAO V 05-07-2010 3.02 2.23 0.151000 0.151000 0.151000C2 W12701001 TETRACICLINA ARENA 250 mg TETRACYCLINUM CAPS. 250mg 20 6.2 Epidermoliza buloasa 0J01AAO V 05-07-2010 2.99 2.21 0.149500 0.149500 0.149500C2 W12701002 TETRACICLINA ARENA 250 mg TETRACYCLINUM CAPS. 250mg 500 6.2 Epidermoliza buloasa 0J01AAO V 05-07-2010 65.86 52.09 0.131720 0.131720 0.131720C2 W12143001 FENITOIN 100 mg PHENYTOINUM COMPR. 100mg 20 6.2 Epidermoliza buloasa 9N03AB02O V 05-07-2010 2.77 2.05 0.138500 0.138500 0.138500C2 W12761001 PHENHYDAN (R)SOLUTIE INJECTABILA PHENYTOINUM SOL. INJ. 50mg/ml 5 6.2 Epidermoliza buloasa 9N03AB02P V 05-07-2010 67.57 53.44 13.514000 13.514000 13.514000C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 9.2 Transplant de cord 1B01ABP V 05-07-2010 84.26 66.64 8.426000 8.426000 8.426000C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 9.2 Transplant de cord 1B01ABP V 05-07-2010 101.17 80.01 20.234000 20.234000 20.234000C2 W02947001 ADRENALINA 1 mg EPINEPHRINUM SOL. INJ. 1mg/ml 100 9.2 Transplant de cord 9C01CA24P V 05-07-2010 138.32 113.30 1.383200 1.383200 1.383200

C2 W13057003 TAZOCIN 4,5 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.2 Transplant de cord 9J01CR05P V 05-07-2010 791.71 691.34 65.975833 65.975833 65.975833

C2 W41794002 TAZOCIN 2,25 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.2 Transplant de cord 9J01CR05P V 05-07-2010 474.43 400.26 39.535833 39.535833 39.535833

C2 W53595001PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 27.41 20.28 27.410000 27.410000 27.410000

C2 W53595002PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.2 Transplant de cord 9J01CR05P V 05-07-2010 125.94 99.60 25.188000 25.188000 25.188000

C2 W53595003PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.2 Transplant de cord 9J01CR05P V 05-07-2010 238.84 195.64 23.884000 23.884000 23.884000

C2 W53595004PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 53.04 40.55 53.040000 53.040000 53.040000

C2 W53595005PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.2 Transplant de cord 9J01CR05P V 05-07-2010 238.84 195.64 47.768000 47.768000 47.768000

C2 W53595006PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.2 Transplant de cord 9J01CR05P V 05-07-2010 458.60 385.73 45.860000 45.860000 45.860000

C2 W54763001PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55423001 PERASIN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55369001 BACTACIN 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55116002PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 12 9.2 Transplant de cord 9J01CR05P V 05-07-2010 323.10 264.66 26.925000 26.925000 26.925000

C2 W53596001PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W53596002PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 5 9.2 Transplant de cord 9J01CR05P V 05-07-2010 240.48 196.99 48.096000 48.096000 48.096000

C2 W53596003PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 10 9.2 Transplant de cord 9J01CR05P V 05-07-2010 461.26 388.17 46.126000 46.126000 46.126000

C2 W54765001PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 53.43 40.85 53.430000 53.430000 53.430000

C2 W55424001 PERASIN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55370001 BACTACIN 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.2 Transplant de cord 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55117002PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 12 9.2 Transplant de cord 9J01CR05P V 05-07-2010 539.33 459.80 44.944166 44.944166 44.944166

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W13676001 MEDOCEF 1 g CEFOPERAZONUM PULB. PT. SOL. INJ. 1g 10 9.2 Transplant de cord 0J01DDP V 05-07-2010 188.16 154.13 18.816000 18.816000 18.816000C2 W13677001 MEDOCEF 2 g CEFOPERAZONUM PULB. PT. SOL. INJ. 2g 10 9.2 Transplant de cord 0J01DDP V 05-07-2010 313.62 256.90 31.362000 31.362000 31.362000C2 W51970001 LYZONE 2 g CEFOPERAZONUM PULB. PT. SOL. INJ. 2g 1 9.2 Transplant de cord 0J01DDP V 05-07-2010 27.06 20.02 27.060000 27.060000 27.060000C2 W44045001 CEFOZON 500 mg CEFOPERAZONUM PULB. PT. SOL. INJ. 500mg 1 9.2 Transplant de cord 0J01DDP V 05-07-2010 5.22 3.86 5.220000 5.220000 5.220000

C2 W52795001 CEFOZON 2 g CEFOPERAZONUMPULB. PT. SOL. INJ./PERF. I.M./I.V. 2g 1 9.2 Transplant de cord 0J01DDP V 05-07-2010 15.65 11.58 15.650000 15.650000 15.650000

C2 W44061001 CEFOZON 1 g CEFOPERAZONUMPULB. PT. SOL. INJ./PERF.I.M./I.V. 1g 1 9.2 Transplant de cord 0J01DDP V 05-07-2010 9.49 7.02 9.490000 9.490000 9.490000

C2 W54471002 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 5 9.2 Transplant de cord 0J01DHP V 05-07-2010 178.13 145.91 35.626000 35.626000 35.626000C2 W54471003 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 10 9.2 Transplant de cord 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000C2 W54471005 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 5 9.2 Transplant de cord 0J01DHP V 05-07-2010 178.13 145.91 35.626000 35.626000 35.626000C2 W54471006 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 10 9.2 Transplant de cord 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000C2 W51274002 TIENAM I.V. IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 10 9.2 Transplant de cord 0J01DHP V 05-07-2010 522.63 444.48 52.263000 52.263000 52.263000C2 W51274003 TIENAM I.V. IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 25 9.2 Transplant de cord 0J01DHP V 05-07-2010 1,200.31 1,066.20 48.012400 48.012400 48.012400

C2 W54532001IMIPENEM/CILASTATIN KABI 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 10 9.2 Transplant de cord 0J01DHP V 05-07-2010 361.69 296.27 36.169000 36.169000 36.169000

C2 W54533003IMIPENEM/CILASTAN TEVA 250 mg/250mg IMIPENEMUM + CILASTATINUM PULB. PT. SUSP. PERF. 250mg/250mg 10 9.2 Transplant de cord 0J01DHP V 05-07-2010 178.13 145.91 17.813000 17.813000 17.813000

C2 W54534003IMIPENEM/CILASTAN TEVA 500 mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SUSP. PERF. 500mg/500mg 10 9.2 Transplant de cord 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000

C2 W52799001 ZYVOXID (R) LINEZOLIDUM COMPR. FILM. 600mg 10 9.2 Transplant de cord 9J01XX08O V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W52800001 ZYVOXID (R) LINEZOLIDUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 9.2 Transplant de cord 9J01XX08O V 05-07-2010 994.48 877.37 994.480000 994.480000 994.480000C2 W52801001 ZYVOXID (R) LINEZOLIDUM SOL. PERF. 2mg/ml 10 9.2 Transplant de cord 9J01XX08P V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W08955001 DIFLAZON 100 mg FLUCONAZOLUM CAPS. 100mg 28 9.2 Transplant de cord 1J02ACO V 05-07-2010 235.85 193.19 8.423214 8.423214 8.423214C2 W08372001 FLUCOVIM 100 FLUCONAZOLUM CAPS. 100mg 4 9.2 Transplant de cord 1J02ACO V 05-07-2010 25.55 18.90 6.387500 6.387500 6.387500C2 W44099001 FLUCORIC 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 43.26 33.07 6.180000 6.180000 6.180000C2 W42371002 FUNGOLON 100 mg FLUCONAZOLUM CAPS. 100mg 16 9.2 Transplant de cord 1J02ACO V 05-07-2010 82.46 65.22 5.153750 5.153750 5.153750C2 W43597001 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 2 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.41 6.96 4.705000 4.705000 4.705000C2 W43597002 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 31.43 23.25 4.490000 4.490000 4.490000C2 W08956001 DIFLAZON 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 22.47 16.62 22.470000 22.470000 22.470000C2 W08970003 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 4 9.2 Transplant de cord 1J02ACO V 05-07-2010 78.44 62.04 19.610000 19.610000 19.610000C2 W08970002 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 2 9.2 Transplant de cord 1J02ACO V 05-07-2010 43.15 32.99 21.575000 21.575000 21.575000C2 W08373001 FLUCOVIM 150 FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W03156001 DIFLUCAN 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 25.02 18.51 25.020000 25.020000 25.020000C2 W44089001 FLUCORIC 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 18.83 13.93 18.830000 18.830000 18.830000C2 W43288001 FLUCONAZOL SANDOZ (R) 150 FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 14.55 10.77 14.550000 14.550000 14.550000C2 W42174001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W42741001 FLUCONAZOL TERAPIA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.18 6.79 9.180000 9.180000 9.180000C2 W42192002 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 3 9.2 Transplant de cord 1J02ACO V 05-07-2010 31.93 23.62 10.643333 10.643333 10.643333C2 W42192001 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 12.50 9.25 12.500000 12.500000 12.500000C2 W43598001 FLUCONAZOLE TEVA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000C2 W42693001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.66 7.15 9.660000 9.660000 9.660000C2 W51994001 FLUCONAZOL MEDOCHEMIE 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000C2 W52224001 FLUCONAZOL BIOGALENICA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000C2 W52335001 FLUCONAZOL MEDICO UNO 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000C2 W53943002 FLUCONAZOL ARENA 150 MG FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000C2 W55071001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W43599002 FLUCONAZOLE TEVA 200 mg FLUCONAZOLUM CAPS. 200mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 39.28 30.03 5.611428 5.611428 5.611428C2 W08958001 DIFLAZON 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 61.57 47.07 8.795714 8.795714 8.795714C2 W08374001 FLUCOVIM 50 FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714C2 W03157001 DIFLUCAN 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 56.41 43.13 8.058571 8.058571 8.058571C2 W44098001 FLUCORIC 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 29.54 21.86 4.220000 4.220000 4.220000C2 W43287001 FLUCONAZOL SANDOZ (R) 50 FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 41.83 31.98 5.975714 5.975714 5.975714C2 W42172001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714C2 W42370002 FUNGOLON 50 mg FLUCONAZOLUM CAPS. 50mg 8 9.2 Transplant de cord 1J02ACO V 05-07-2010 19.00 14.06 2.375000 2.375000 2.375000C2 W43225001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 10 9.2 Transplant de cord 1J02ACO V 05-07-2010 25.47 18.84 2.547000 2.547000 2.547000C2 W43596001 FLUCONAZOLE TEVA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 16.64 12.31 2.377142 2.377142 2.377142C2 W42414001 FLUCONAZOL TERAPIA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 19.65 14.54 2.807142 2.807142 2.807142C2 W42321001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 19.54 14.46 2.791428 2.791428 2.791428C2 W51993001 FLUCONAZOL MEDOCHEMIE 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 16.12 11.93 2.302857 2.302857 2.302857C2 W52225001 FLUCONAZOL BIOGALENICA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 15.73 11.64 2.247142 2.247142 2.247142C2 W53942002 FLUCONAZOL ARENA 50 MG FLUCONAZOLUM CAPS. 50mg 7 9.2 Transplant de cord 1J02ACO V 05-07-2010 19.08 14.12 2.725714 2.725714 2.725714C2 W03159001 DIFLUCAN (R) 50 mg/5 ml FLUCONAZOLUM PULB. PT. SUSP. ORALA 50mg/5ml 1 9.2 Transplant de cord 1J02ACO V 05-07-2010 56.41 43.13 56.410000 56.410000 56.410000C2 W03160004 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.2 Transplant de cord 1J02ACP V 05-07-2010 162.21 132.87 162.210000 162.210000 162.210000C2 W03160002 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.2 Transplant de cord 1J02ACP V 05-07-2010 40.44 30.92 40.440000 40.440000 40.440000C2 W12072001 DIFLAZON 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.2 Transplant de cord 1J02ACP V 05-07-2010 45.72 34.95 45.720000 45.720000 45.720000C2 W42083003 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.2 Transplant de cord 1J02ACP V 05-07-2010 39.86 30.47 39.860000 39.860000 39.860000C2 W42083001 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.2 Transplant de cord 1J02ACP V 05-07-2010 55.66 42.55 55.660000 55.660000 55.660000C2 W42083002 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.2 Transplant de cord 1J02ACP V 05-07-2010 167.39 137.11 167.390000 167.390000 167.390000C2 W52223003 FLUCONAZOL BIOGALENICA 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.2 Transplant de cord 1J02ACP V 05-07-2010 53.01 40.53 53.010000 53.010000 53.010000C2 W53987001 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.2 Transplant de cord 1J02ACP V 05-07-2010 222.76 182.47 22.276000 22.276000 22.276000C2 W53987002 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.2 Transplant de cord 1J02ACP V 05-07-2010 432.48 361.77 21.624000 21.624000 21.624000C2 W53987004 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.2 Transplant de cord 1J02ACP V 05-07-2010 532.57 453.60 53.257000 53.257000 53.257000C2 W53987005 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.2 Transplant de cord 1J02ACP V 05-07-2010 904.25 794.59 45.212500 45.212500 45.212500C2 W53987007 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.2 Transplant de cord 1J02ACP V 05-07-2010 876.27 768.92 87.627000 87.627000 87.627000C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 9.2 Transplant de cord MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 9.2 Transplant de cord MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 9.2 Transplant de cord MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 9.2 Transplant de cord MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 9.2 Transplant de cord MSP 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000C2 W04406001 CELLCEPT 250mg MYCOPHENOLATUM CAPS. 250mg 100 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 530.69 451.87 5.306900 5.306900 5.306900C2 W04407001 CELLCEPT 500mg MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 530.69 451.87 10.613800 10.613800 10.613800

C2 W54137001MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 356.71 292.19 7.134200 7.134200 7.134200

C2 W42264003 MYFORTIC 180 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 180mg 120 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 644.64 556.41 5.372000 5.372000 5.372000C2 W42265003 MYFORTIC 360 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 360mg 120 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 1,171.26 1,039.55 9.760500 9.760500 9.760500C2 W52877001 MYFENAX 250mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 366.89 301.60 3.668900 3.668900 3.668900

C2 W54699001MYCOPHENOLATE MOFETIL ACCORD 250 mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 356.71 292.19 3.567100 3.567100 3.567100

C2 W52876001 MYFENAX 500mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W54225001MYCOFENOLAT MOFETIL ACTAVIS 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 363.84 298.03 7.276800 7.276800 7.276800

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W54939001MICOFENOLAT MOFETIL DR. REDDY'S 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.2 Transplant de cord MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 9.2 Transplant de cord 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400C2 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 9.2 Transplant de cord 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 2.740000 2.740000C2 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.2 Transplant de cord 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000C2 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.2 Transplant de cord 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 2.743200 2.743200C2 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 9.2 Transplant de cord 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 5.829400 5.829400C2 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.2 Transplant de cord 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000C2 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.2 Transplant de cord 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 6.089600 6.089600C2 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 9.2 Transplant de cord 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000C2 W53729001 PROGRAF (R) 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 250.15 204.91 5.003000 5.003000 5.003000C2 W55262007 TACROLIMUS SANDOZ 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 162.60 133.19 3.252000 3.252000 3.252000C2 W53730001 PROGRAF (R) 1 mg TACROLIMUSUM CAPS. 1mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 433.77 362.95 8.675400 8.675400 8.675400C2 W55263007 TACROLIMUS SANDOZ 1 mg TACROLIMUSUM CAPS. 1mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 290.63 238.06 5.812600 5.812600 5.812600C2 W53731001 PROGRAF (R) 5 mg TACROLIMUSUM CAPS. 5mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 1,903.38 1,711.22 38.067600 38.067600 38.067600C2 W51974002 ADVAGRAF 0,5mg TACROLIMUSUM CAPS. ELIB. PREL. 0,5mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 249.57 204.43 4.991400 4.991400 4.991400C2 W51975002 ADVAGRAF 1mg TACROLIMUSUM CAPS. ELIB. PREL. 1mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 475.96 401.66 9.519200 9.519200 9.519200C2 W51976002 ADVAGRAF 5mg TACROLIMUSUM CAPS. ELIB. PREL. 5mg 50 9.2 Transplant de cord MSP 9L04AD02O V 05-07-2010 2,066.95 1,861.28 41.339000 41.339000 41.339000C2 W53732001 PROGRAF (R) 5 mg/ml TACROLIMUSUM CONC. PT. SOL. PERF. 5mg/ml 10 9.2 Transplant de cord MSP 9L04AD02P V 05-07-2010 1,718.54 1,541.64 171.854000 171.854000 171.854000C2 W43049001 TRACLEER 125 mg BOSENTANUM COMPR. FILM. 125mg 56 6.3 Hipertensiunea pulmonara MSP 9C02KX01O V 05-07-2010 10,401.33 9,507.49 185.738035 185.738035 185.738035C2 W43048002 TRACLEER 62,5 mg BOSENTANUM COMPR. FILM. 62,5mg 56 6.3 Hipertensiunea pulmonara MSP 9C02KX01O V 05-07-2010 10,043.42 9,179.13 179.346785 179.346785 179.346785C2 W42831001 REVATIO 20 mg SILDENAFILUM COMPR. FILM. 20mg 90 6.3 Hipertensiunea pulmonara MSP 9G04BE03O V 05-07-2010 2,075.58 1,869.20 23.062000 23.062000 23.062000C2 W00187002 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 100 9.3 Transplant hepatic 9A05AA02O V 05-07-2010 123.98 98.05 1.239800 1.239800 1.239800C2 W00187001 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.3 Transplant hepatic 9A05AA02O V 05-07-2010 71.32 56.41 1.426400 1.426400 1.426400C2 W00188001 URSOSAN ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.3 Transplant hepatic 9A05AA02O V 05-07-2010 68.61 54.26 1.372200 1.372200 1.372200C2 W53024004 URSOCHOL 150 mg ACIDUM URSODEOXYCHOLICUM COMPR. 150mg 60 9.3 Transplant hepatic 9A05AA02O V 05-07-2010 54.05 41.32 0.900833 0.900833 0.900833C2 W53025002 URSOCHOL 300 mg ACIDUM URSODEOXYCHOLICUM COMPR. 300mg 20 9.3 Transplant hepatic 9A05AA02O V 05-07-2010 35.80 27.37 1.790000 1.790000 1.790000C2 W13613002 CLEXANE 2000ui anti-Xa/0,2ml ENOXAPARINUM SOL. INJ. 2000ui anti-Xa/0,210 9.3 Transplant hepatic 1B01ABP V 05-07-2010 72.76 57.55 7.276000 7.276000 7.276000C2 W13612002 CLEXANE 4000ui anti-Xa/0,4ml ENOXAPARINUM SOL. INJ. 4000ui anti-Xa/0,410 9.3 Transplant hepatic 1B01ABP V 05-07-2010 144.23 118.14 14.423000 14.423000 14.423000C2 W13611002 CLEXANE 6000ui anti-Xa/0,6ml ENOXAPARINUM SOL. INJ. 6000ui anti-Xa/0,610 9.3 Transplant hepatic 1B01ABP V 05-07-2010 187.44 153.54 18.744000 18.744000 18.744000C2 W13610001 CLEXANE 8000ui anti-Xa/0,8ml ENOXAPARINUM SOL. INJ. 8000ui anti-Xa/0,82 9.3 Transplant hepatic 1B01ABP V 05-07-2010 52.07 39.81 26.035000 26.035000 26.035000C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 9.3 Transplant hepatic 1B01ABP V 05-07-2010 84.26 66.64 8.426000 8.426000 8.426000C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 9.3 Transplant hepatic 1B01ABP V 05-07-2010 101.17 80.01 20.234000 20.234000 20.234000C2 W53401001 ILOMEDIN 20 ILOPROSTUM CONC. PT. SOL. PERF. 20mcg/ml 5 9.3 Transplant hepatic MSP 0B01ACP V 05-07-2010 869.75 762.93 173.950000 173.950000 173.950000

C2 W51786004 VENTAVIS 10mcg/ml ILOPROSTUMSOL. DE INHALAT PRIN NEBULIZ. 10mcg/ml 30 9.3 Transplant hepatic MSP 0B01ACInh V 05-07-2010 2,155.48 1,942.50 71.849333 71.849333 71.849333

C2 W00257001 ACTILYSE ALTEPLASUM PULB+SOLV. PT. SOL. INJ 50mg 1 9.3 Transplant hepatic MSP 9B01AD02P V 05-07-2010 1,659.48 1,487.46 1,659.480000 1,659.480000 1,659.480000C2 W54011001 EXACYL ACIDUM TRANEXAMICUM SOL. INJ. 500mg/5ml 5 9.3 Transplant hepatic MS 9B02AA02P V 05-07-2010 12.77 9.45 2.554000 2.554000 2.554000C2 W53036001 NOVOSEVEN 2mg (100 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 100 KIU 1 9.3 Transplant hepatic MSP 9B02BD08P V 05-07-2010 5,682.80 5,178.58 5,682.800000 5,682.800000 5,682.800000C2 W53037001 NOVOSEVEN 5mg (250 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 250 KIU 1 9.3 Transplant hepatic MSP 9B02BD08P V 05-07-2010 14,100.73 12,901.45 14,100.730000 14,100.730000 14,100.730000C2 W53034001 NOVOSEVEN 1mg (50 KUI) EPTACOG ALFA ACTIVATUM PULB. + SOLV. PT. SOL. INJ. 50 KIU 1 9.3 Transplant hepatic MSP 9B02BD08P V 05-07-2010 2,876.83 2,604.29 2,876.830000 2,876.830000 2,876.830000

C2 W07005001 DIUREX 50

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) CAPS. 50mg/20mg 20 9.3 Transplant hepatic 9C03EB01O V 05-07-2010 21.11 15.62 1.055500 1.055500 1.055500

C2 W53832002 DESMOPRESINA TEVA 0,2mg DESMOPRESSINUM COMPR. 0,2mg 30 9.3 Transplant hepatic 9H01BA02O V 05-07-2010 128.20 105.01 4.273333 4.273333 4.273333C2 W53989001 MINIRIN 0,2 mg DESMOPRESSINUM COMPR. 0,2mg 30 9.3 Transplant hepatic 9H01BA02O V 05-07-2010 194.85 159.61 6.495000 6.495000 6.495000C2 W53992002 MINIRIN MELT 120 mcg DESMOPRESSINUM LIOF. ORAL 120mcg 30 9.3 Transplant hepatic 9H01BA02O V 05-07-2010 194.83 159.59 6.494333 6.494333 6.494333C2 W53991002 MINIRIN MELT 60 mcg DESMOPRESSINUM LIOF. ORAL 60mcg 30 9.3 Transplant hepatic 9H01BA02O V 05-07-2010 102.98 81.45 3.432666 3.432666 3.432666

C2 W13057003 TAZOCIN 4,5 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 791.71 691.34 65.975833 65.975833 65.975833

C2 W41794002 TAZOCIN 2,25 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 474.43 400.26 39.535833 39.535833 39.535833

C2 W53595001PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 27.41 20.28 27.410000 27.410000 27.410000

C2 W53595002PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 125.94 99.60 25.188000 25.188000 25.188000

C2 W53595003PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 238.84 195.64 23.884000 23.884000 23.884000

C2 W53595004PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 53.04 40.55 53.040000 53.040000 53.040000

C2 W53595005PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 238.84 195.64 47.768000 47.768000 47.768000

C2 W53595006PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 458.60 385.73 45.860000 45.860000 45.860000

C2 W54763001PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55423001 PERASIN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55369001 BACTACIN 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55116002PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 12 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 323.10 264.66 26.925000 26.925000 26.925000

C2 W53596001PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W53596002PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 5 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 240.48 196.99 48.096000 48.096000 48.096000

C2 W53596003PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 10 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 461.26 388.17 46.126000 46.126000 46.126000

C2 W54765001PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 53.43 40.85 53.430000 53.430000 53.430000

C2 W55424001 PERASIN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55370001 BACTACIN 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55117002PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 12 9.3 Transplant hepatic 9J01CR05P V 05-07-2010 539.33 459.80 44.944166 44.944166 44.944166

C2 W52799001 ZYVOXID (R) LINEZOLIDUM COMPR. FILM. 600mg 10 9.3 Transplant hepatic 9J01XX08O V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W52800001 ZYVOXID (R) LINEZOLIDUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 9.3 Transplant hepatic 9J01XX08O V 05-07-2010 994.48 877.37 994.480000 994.480000 994.480000C2 W52801001 ZYVOXID (R) LINEZOLIDUM SOL. PERF. 2mg/ml 10 9.3 Transplant hepatic 9J01XX08P V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 9.3 Transplant hepatic MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 9.3 Transplant hepatic MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 9.3 Transplant hepatic MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 9.3 Transplant hepatic MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Grupa terapeutica RO Valabil de la

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Valoare compensare/UT

C2 W06665001 CANCIDAS 50 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 50mg 1 9.3 Transplant hepatic MSP 9J02AX04P V 05-07-2010 1,345.76 1,199.64 1,345.760000 1,345.760000 1,345.760000

C2 W06670001 CANCIDAS 70 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 70mg 1 9.3 Transplant hepatic MSP 9J02AX04P V 05-07-2010 1,734.79 1,556.55 1,734.790000 1,734.790000 1,734.790000

C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 9.3 Transplant hepatic MSP 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000

C2 W54188003 HEPATECT CP 50 UI/ml IMUNOGLOBULINA ANTI-HEPATITICA B SOL. PERF. 50 UI/ ml 1 9.3 Transplant hepatic MSP 9J06BB04P V 05-07-2010 7,482.85 6,830.00 7,482.850000 7,482.850000 7,482.850000C2 W51424001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 30MU/0,5ml 1 9.3 Transplant hepatic 0L03AAP V 05-07-2010 325.26 266.43 325.260000 325.260000 325.260000C2 W51423001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 48MU/0,5ml 1 9.3 Transplant hepatic 0L03AAP V 05-07-2010 512.98 435.62 512.980000 512.980000 512.980000C2 W53520001 TEVAGRASTIM 30MUI/0,5ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 300mcg/0,5ml 1 9.3 Transplant hepatic 0L03AAP V 05-07-2010 260.83 213.65 260.830000 260.830000 260.830000C2 W53523001 TEVAGRASTIM 48MUI/0,8ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 480mcg/0,8ml 1 9.3 Transplant hepatic 0L03AAP V 05-07-2010 425.24 355.13 425.240000 425.240000 425.240000C2 W04406001 CELLCEPT 250mg MYCOPHENOLATUM CAPS. 250mg 100 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 530.69 451.87 5.306900 5.306900 5.306900C2 W04407001 CELLCEPT 500mg MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 530.69 451.87 10.613800 10.613800 10.613800

C2 W54137001MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 356.71 292.19 7.134200 7.134200 7.134200

C2 W42264003 MYFORTIC 180 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 180mg 120 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 644.64 556.41 5.372000 5.372000 5.372000C2 W42265003 MYFORTIC 360 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 360mg 120 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 1,171.26 1,039.55 9.760500 9.760500 9.760500C2 W52877001 MYFENAX 250mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 366.89 301.60 3.668900 3.668900 3.668900

C2 W54699001MYCOPHENOLATE MOFETIL ACCORD 250 mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 356.71 292.19 3.567100 3.567100 3.567100

C2 W52876001 MYFENAX 500mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W54225001MYCOFENOLAT MOFETIL ACTAVIS 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 363.84 298.03 7.276800 7.276800 7.276800

C2 W54939001MICOFENOLAT MOFETIL DR. REDDY'S 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.3 Transplant hepatic MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W10576001 RAPAMUNE 1mg SIROLIMUS DRAJ. 1mg 30 9.3 Transplant hepatic MSP 9L04AA10O V 05-07-2010 570.30 488.21 19.010000 19.010000 19.010000C2 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400C2 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 2.740000 2.740000C2 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000C2 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 2.743200 2.743200C2 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 5.829400 5.829400C2 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000C2 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 6.089600 6.089600C2 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 9.3 Transplant hepatic 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000C2 W53729001 PROGRAF (R) 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 250.15 204.91 5.003000 5.003000 5.003000C2 W55262007 TACROLIMUS SANDOZ 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 162.60 133.19 3.252000 3.252000 3.252000C2 W53730001 PROGRAF (R) 1 mg TACROLIMUSUM CAPS. 1mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 433.77 362.95 8.675400 8.675400 8.675400C2 W55263007 TACROLIMUS SANDOZ 1 mg TACROLIMUSUM CAPS. 1mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 290.63 238.06 5.812600 5.812600 5.812600C2 W53731001 PROGRAF (R) 5 mg TACROLIMUSUM CAPS. 5mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 1,903.38 1,711.22 38.067600 38.067600 38.067600C2 W51974002 ADVAGRAF 0,5mg TACROLIMUSUM CAPS. ELIB. PREL. 0,5mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 249.57 204.43 4.991400 4.991400 4.991400C2 W51975002 ADVAGRAF 1mg TACROLIMUSUM CAPS. ELIB. PREL. 1mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 475.96 401.66 9.519200 9.519200 9.519200C2 W51976002 ADVAGRAF 5mg TACROLIMUSUM CAPS. ELIB. PREL. 5mg 50 9.3 Transplant hepatic MSP 9L04AD02O V 05-07-2010 2,066.95 1,861.28 41.339000 41.339000 41.339000C2 W53732001 PROGRAF (R) 5 mg/ml TACROLIMUSUM CONC. PT. SOL. PERF. 5mg/ml 10 9.3 Transplant hepatic MSP 9L04AD02P V 05-07-2010 1,718.54 1,541.64 171.854000 171.854000 171.854000

C2 W52872001 MEZYM FORTE 25000 PANCREATINUMCAPS. CU MINI-COMPR. GASTROREZ. 356,100mg 20 6.4 Mucoviscidoza MSP 9A09AA02O V 05-07-2010 42.40 42.40 2.120000 2.120000 2.120000

C2 W11904002 KREON 10000 PANCREATINUM CAPS. GASTROREZ. 150mg 20 6.4 Mucoviscidoza MSP 9A09AA02O V 05-07-2010 21.60 21.60 1.080000 1.080000 1.080000C2 W11894002 KREON 25000 PANCREATINUM CAPS. GASTROREZ. 300mg 20 6.4 Mucoviscidoza MSP 9A09AA02O V 05-07-2010 33.00 33.00 1.650000 1.650000 1.650000C2 W43772002 KREON 40000 PANCREATINUM CAPS. GASTROREZ. 400mg 50 6.4 Mucoviscidoza MSP 9A09AA02O V 05-07-2010 135.40 110.91 2.708000 2.708000 2.708000C2 W01326002 KLACID (R) CLARITHROMYCINUM COMPR. FILM. 250mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 28.49 21.08 2.035000 2.035000 2.035000C2 W12279002 LEKOKLAR (R) 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 32.16 23.79 2.297142 2.297142 2.297142C2 W51965001 CLAR 250 CLARITHROMYCINUM COMPR. FILM. 250mg 20 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 22.93 16.97 1.146500 1.146500 1.146500C2 W14043001 KLERIMED (R) 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.188571 1.188571C2 W44093001 KLABAX 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714C2 W42303001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714C2 W08490001 FROMILID 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.188571 1.188571C2 W55181001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714C2 W12280001 LEKOKLAR (R) 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 37.86 28.94 2.704285 2.704285 2.704285C2 W14044001 KLERIMED (R) 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.324285 2.324285C2 W44087001 KLABAX 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142C2 W51964001 CLAR 500 CLARITHROMYCINUM COMPR. FILM. 500mg 20 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 44.26 33.84 2.213000 2.213000 2.213000C2 W42304001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142C2 W08491001 FROMILID 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.324285 2.324285C2 W54044001 ROCLARIN 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 20 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 50.70 38.76 2.535000 2.535000 2.535000C2 W55182001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142C2 W41606001 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 5 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 18.34 13.57 3.668000 3.668000 3.668000C2 W41606002 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 25.67 18.99 3.667142 3.667142 3.667142C2 W44088001 KLABAX MR 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 35.12 26.85 5.017142 5.017142 5.017142C2 W13607002 KLACID SR CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 5 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 36.34 27.78 7.268000 7.268000 7.268000C2 W41838002 FROMILID (R) UNO CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 7 6.4 Mucoviscidoza 0J01FAO V 05-07-2010 28.03 20.74 4.004285 4.004285 4.004285C2 W01327001 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 39.05 29.85 39.050000 39.050000 39.050000C2 W01327002 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 24.42 18.07 24.420000 24.420000 24.420000C2 W06981001 FROMILID (R) 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 23.24 17.19 23.240000 23.240000 23.240000C2 W42258001 LEKOKLAR 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 26.15 19.35 26.150000 26.150000 26.150000C2 W44092002 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 31.53 23.33 31.530000 31.530000 31.530000C2 W44092001 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 18.91 13.99 18.910000 18.910000 18.910000C2 W42259002 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 61.39 46.93 61.390000 61.390000 61.390000C2 W42259001 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 44.75 34.21 44.750000 44.750000 44.750000C2 W44091002 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 50.97 38.97 50.970000 50.970000 50.970000C2 W44091001 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 6.4 Mucoviscidoza 0J01FAO K 05-07-2010 31.60 23.38 31.600000 31.600000 31.600000C2 W01329001 KLACID I.V. CLARITHROMYCINUM LIOF. PT. SOL. PERF. 500mg 1 6.4 Mucoviscidoza 0J01FAP V 05-07-2010 53.67 41.03 53.670000 53.670000 53.670000C2 W52060001 TOBI (R) TOBRAMYCINUM SOL. INHAL. 300mg/5ml 28 6.4 Mucoviscidoza MSP 0J01GBInh V 05-07-2010 8,859.63 8,093.09 316.415357 316.415357 316.415357C2 W51323001 PULMOZYME DORNAZA ALFA SOL. INHAL. 1mg/ml 6 6.4 Mucoviscidoza MSP 9R05CB13Inh V 05-07-2010 638.05 550.37 106.341666 106.341666 106.341666

C2 W00187002 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 100 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9A05AA02O V 05-07-2010 123.98 98.05 1.239800 1.239800 1.239800

C2 W00187001 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9A05AA02O V 05-07-2010 71.32 56.41 1.426400 1.426400 1.426400

C2 W00188001 URSOSAN ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9A05AA02O V 05-07-2010 68.61 54.26 1.372200 1.372200 1.372200

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53024004 URSOCHOL 150 mg ACIDUM URSODEOXYCHOLICUM COMPR. 150mg 60 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9A05AA02O V 05-07-2010 54.05 41.32 0.900833 0.900833 0.900833

C2 W53025002 URSOCHOL 300 mg ACIDUM URSODEOXYCHOLICUM COMPR. 300mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9A05AA02O V 05-07-2010 35.80 27.37 1.790000 1.790000 1.790000

C2 W00231001 ALPHA D3 0,25 mcg ALFACALCIDOLUM CAPS. MOI 0,25mcg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1A11CCO V 05-07-2010 33.55 25.65 0.671000 0.671000 0.671000

C2 W44042001 ALPHA D3 0,50 mcg ALFACALCIDOLUM CAPS. MOI 0,50mcg 30 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1A11CCO V 05-07-2010 31.32 23.17 1.044000 1.044000 1.044000

C2 W43774001 FRAGMIN 10000 UI/0,4 ml DALTEPARINUM SOL. INJ. 10000UI/0,4ml 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 125.68 102.95 25.136000 25.136000 25.136000

C2 W52806002 FRAGMIN 10000 UI/ml DALTEPARINUM SOL. INJ. 10000ui/ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 266.21 218.06 26.621000 26.621000 26.621000

C2 W43775001 FRAGMIN 12500 UI/0,5 ml DALTEPARINUM SOL. INJ. 12500 UI/0,5ml 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 170.47 139.64 34.094000 34.094000 34.094000

C2 W52805003 FRAGMIN15000 UI/0,6 ml DALTEPARINUM SOL. INJ. 15000ui/0,6ml 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 206.39 169.06 41.278000 41.278000 41.278000

C2 W43776001 FRAGMIN 18000 UI/0,72 ml DALTEPARINUM SOL. INJ. 18000 UI/0,72ml 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 234.71 192.26 46.942000 46.942000 46.942000

C2 W52809004 FRAGMIN 2500 UI/0,2 ml DALTEPARINUM SOL. INJ. 2500ui/0,2ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 77.41 61.22 7.741000 7.741000 7.741000

C2 W52808004 FRAGMIN 5000 UI/0,2 ml DALTEPARINUM SOL. INJ. 5000ui/0,2ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 141.82 116.17 14.182000 14.182000 14.182000

C2 W52807002 FRAGMIN 7500 UI/0,3 ml DALTEPARINUM SOL. INJ. 7500ui/0,3ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 202.52 165.89 20.252000 20.252000 20.252000

C2 W13613002 CLEXANE 2000ui anti-Xa/0,2ml ENOXAPARINUM SOL. INJ. 2000ui anti-Xa/0,210 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 72.76 57.55 7.276000 7.276000 7.276000

C2 W13612002 CLEXANE 4000ui anti-Xa/0,4ml ENOXAPARINUM SOL. INJ. 4000ui anti-Xa/0,410 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 144.23 118.14 14.423000 14.423000 14.423000

C2 W13611002 CLEXANE 6000ui anti-Xa/0,6ml ENOXAPARINUM SOL. INJ. 6000ui anti-Xa/0,610 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 187.44 153.54 18.744000 18.744000 18.744000

C2 W13610001 CLEXANE 8000ui anti-Xa/0,8ml ENOXAPARINUM SOL. INJ. 8000ui anti-Xa/0,82 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 52.07 39.81 26.035000 26.035000 26.035000

C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 84.26 66.64 8.426000 8.426000 8.426000

C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1B01ABP V 05-07-2010 101.17 80.01 20.234000 20.234000 20.234000

C2 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000

C2 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 757.39 659.85 126.231666 126.231666 126.231666

C2 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000

C2 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C2 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C2 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 305.771666 305.771666

C2 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C2 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 238.11 195.04 39.685000 39.685000 39.685000

C2 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C2 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 457.85 385.05 76.308333 76.308333 76.308333

C2 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

C2 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

C2 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 651.86 563.04 108.643333 108.643333 108.643333

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C2 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C2 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 840.17 735.80 140.028333 140.028333 140.028333

C2 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

C2 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 173.251666 173.251666

C2 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C2 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C2 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C2 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C2 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C2 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C2 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C2 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C2 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C2 W42955001 SANDOSTATIN LAR 20 mg OCTREOTIDUMPULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0H01CBP V 05-07-2010 3,820.80 3,470.32 3,820.800000 3,820.800000 3,820.800000

C2 W42954001 SANDOSTATIN LAR 10 mg OCTREOTIDUMPULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0H01CBP V 05-07-2010 2,395.07 2,162.31 2,395.070000 2,395.070000 2,395.070000

C2 W42956001 SANDOSTATIN LAR 30 mg OCTREOTIDUMPULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0H01CBP V 05-07-2010 5,276.67 4,805.98 5,276.670000 5,276.670000 5,276.670000

C2 W12789001 SANDOSTATIN (R) OCTREOTIDUM SOL. INJ. 0,1mg/ml 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 0H01CBP V 05-07-2010 152.27 124.73 30.454000 30.454000 30.454000

C2 W13057003 TAZOCIN 4,5 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 791.71 691.34 65.975833 65.975833 65.975833

C2 W41794002 TAZOCIN 2,25 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 474.43 400.26 39.535833 39.535833 39.535833

C2 W53595001PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 27.41 20.28 27.410000 27.410000 27.410000

C2 W53595002PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 125.94 99.60 25.188000 25.188000 25.188000

C2 W53595003PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 238.84 195.64 23.884000 23.884000 23.884000

C2 W53595004PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 53.04 40.55 53.040000 53.040000 53.040000

C2 W53595005PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 238.84 195.64 47.768000 47.768000 47.768000

C2 W53595006PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 458.60 385.73 45.860000 45.860000 45.860000

C2 W54763001PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55423001 PERASIN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55369001 BACTACIN 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55116002PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 12 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 323.10 264.66 26.925000 26.925000 26.925000

C2 W53596001PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53596002PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 240.48 196.99 48.096000 48.096000 48.096000

C2 W53596003PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 461.26 388.17 46.126000 46.126000 46.126000

C2 W54765001PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 53.43 40.85 53.430000 53.430000 53.430000

C2 W55424001 PERASIN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55370001 BACTACIN 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55117002PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 12 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01CR05P V 05-07-2010 539.33 459.80 44.944166 44.944166 44.944166

C2 W13105001 TARGOCID (R) 400 mg TEICOPLANINUM LIOF. + SOLV. PT. SOL. INJ. 400mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01XA02P V 05-07-2010 143.92 117.89 143.920000 143.920000 143.920000

C2 W52799001 ZYVOXID (R) LINEZOLIDUM COMPR. FILM. 600mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01XX08O V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000

C2 W52800001 ZYVOXID (R) LINEZOLIDUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01XX08O V 05-07-2010 994.48 877.37 994.480000 994.480000 994.480000

C2 W52801001 ZYVOXID (R) LINEZOLIDUM SOL. PERF. 2mg/ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J01XX08P V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000

C2 W03875001 NIZORAL 200 mg KETOCONAZOLUM COMPR. 200mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J02AB02O V 05-07-2010 20.42 15.11 2.042000 2.042000 2.042000

C2 W12109001 KETOCONAZOL 200 mg KETOCONAZOLUM COMPR. 200mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J02AB02O V 05-07-2010 8.01 5.93 0.801000 0.801000 0.801000

C2 W08175002 KETOCONAZOL 200 mg KETOCONAZOLUM COMPR. 200mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J02AB02O V 05-07-2010 6.86 5.08 0.686000 0.686000 0.686000

C2 W12122001 KETOSTIN 200 mg KETOCONAZOLUM COMPR. 200mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J02AB02O V 05-07-2010 12.59 9.31 1.259000 1.259000 1.259000

C2 W41983001 KEFUNGIN KETOCONAZOLUM COMPR. 200mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J02AB02O V 05-07-2010 6.86 5.08 0.686000 0.686000 0.686000

C2 W54365002 KETOCONAZOL ARENA 200 mg KETOCONAZOLUM COMPR. 200mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J02AB02O V 05-07-2010 9.15 6.77 0.915000 0.915000 0.915000

C2 W08955001 DIFLAZON 100 mg FLUCONAZOLUM CAPS. 100mg 28 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 235.85 193.19 8.423214 8.423214 8.423214

C2 W08372001 FLUCOVIM 100 FLUCONAZOLUM CAPS. 100mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 25.55 18.90 6.387500 6.387500 6.387500

C2 W44099001 FLUCORIC 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 43.26 33.07 6.180000 6.180000 6.180000

C2 W42371002 FUNGOLON 100 mg FLUCONAZOLUM CAPS. 100mg 16 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 82.46 65.22 5.153750 5.153750 5.153750

C2 W43597001 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 2 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.41 6.96 4.705000 4.705000 4.705000

C2 W43597002 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 31.43 23.25 4.490000 4.490000 4.490000

C2 W08956001 DIFLAZON 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 22.47 16.62 22.470000 22.470000 22.470000

C2 W08970003 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 78.44 62.04 19.610000 19.610000 19.610000

C2 W08970002 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 2 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 43.15 32.99 21.575000 21.575000 21.575000

C2 W08373001 FLUCOVIM 150 FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W03156001 DIFLUCAN 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 25.02 18.51 25.020000 25.020000 25.020000

C2 W44089001 FLUCORIC 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 18.83 13.93 18.830000 18.830000 18.830000

C2 W43288001 FLUCONAZOL SANDOZ (R) 150 FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 14.55 10.77 14.550000 14.550000 14.550000

C2 W42174001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W42741001 FLUCONAZOL TERAPIA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.18 6.79 9.180000 9.180000 9.180000

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W42192002 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 3 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 31.93 23.62 10.643333 10.643333 10.643333

C2 W42192001 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 12.50 9.25 12.500000 12.500000 12.500000

C2 W43598001 FLUCONAZOLE TEVA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000

C2 W42693001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.66 7.15 9.660000 9.660000 9.660000

C2 W51994001 FLUCONAZOL MEDOCHEMIE 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000

C2 W52224001 FLUCONAZOL BIOGALENICA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000

C2 W52335001 FLUCONAZOL MEDICO UNO 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000

C2 W53943002 FLUCONAZOL ARENA 150 MG FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000

C2 W55071001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W43599002 FLUCONAZOLE TEVA 200 mg FLUCONAZOLUM CAPS. 200mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 39.28 30.03 5.611428 5.611428 5.611428

C2 W08958001 DIFLAZON 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 61.57 47.07 8.795714 8.795714 8.795714

C2 W08374001 FLUCOVIM 50 FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714

C2 W03157001 DIFLUCAN 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 56.41 43.13 8.058571 8.058571 8.058571

C2 W44098001 FLUCORIC 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 29.54 21.86 4.220000 4.220000 4.220000

C2 W43287001 FLUCONAZOL SANDOZ (R) 50 FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 41.83 31.98 5.975714 5.975714 5.975714

C2 W42172001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714

C2 W42370002 FUNGOLON 50 mg FLUCONAZOLUM CAPS. 50mg 8 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 19.00 14.06 2.375000 2.375000 2.375000

C2 W43225001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 25.47 18.84 2.547000 2.547000 2.547000

C2 W43596001 FLUCONAZOLE TEVA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 16.64 12.31 2.377142 2.377142 2.377142

C2 W42414001 FLUCONAZOL TERAPIA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 19.65 14.54 2.807142 2.807142 2.807142

C2 W42321001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 19.54 14.46 2.791428 2.791428 2.791428

C2 W51993001 FLUCONAZOL MEDOCHEMIE 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 16.12 11.93 2.302857 2.302857 2.302857

C2 W52225001 FLUCONAZOL BIOGALENICA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 15.73 11.64 2.247142 2.247142 2.247142

C2 W53942002 FLUCONAZOL ARENA 50 MG FLUCONAZOLUM CAPS. 50mg 7 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 19.08 14.12 2.725714 2.725714 2.725714

C2 W03159001 DIFLUCAN (R) 50 mg/5 ml FLUCONAZOLUM PULB. PT. SUSP. ORALA 50mg/5ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 56.41 43.13 56.410000 56.410000 56.410000

C2 W03160004 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 162.21 132.87 162.210000 162.210000 162.210000

C2 W03160002 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 40.44 30.92 40.440000 40.440000 40.440000

C2 W12072001 DIFLAZON 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 45.72 34.95 45.720000 45.720000 45.720000

C2 W42083003 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 39.86 30.47 39.860000 39.860000 39.860000

C2 W42083001 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 55.66 42.55 55.660000 55.660000 55.660000

C2 W42083002 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 167.39 137.11 167.390000 167.390000 167.390000

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W52223003 FLUCONAZOL BIOGALENICA 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 53.01 40.53 53.010000 53.010000 53.010000

C2 W53987001 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 222.76 182.47 22.276000 22.276000 22.276000

C2 W53987002 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 432.48 361.77 21.624000 21.624000 21.624000

C2 W53987004 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 532.57 453.60 53.257000 53.257000 53.257000

C2 W53987005 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 904.25 794.59 45.212500 45.212500 45.212500

C2 W53987007 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACP V 05-07-2010 876.27 768.92 87.627000 87.627000 87.627000

C2 W03837002 ORUNGAL ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 76.74 60.69 5.116000 5.116000 5.116000

C2 W43051001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W51942001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 124.00 98.07 8.266666 8.266666 8.266666

C2 W51946001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W52343006 OMICRAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W52249002 SPORILIN 100 mg ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W53957001 ITRACONAZOL LPH 100 mg ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W53958001 MICOGAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J02ACO V 05-07-2010 52.43 40.08 3.495333 3.495333 3.495333

C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428

C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214

C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000

C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000

C2 W06665001 CANCIDAS 50 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 50mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J02AX04P V 05-07-2010 1,345.76 1,199.64 1,345.760000 1,345.760000 1,345.760000

C2 W06670001 CANCIDAS 70 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 70mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J02AX04P V 05-07-2010 1,734.79 1,556.55 1,734.790000 1,734.790000 1,734.790000

C2 W42857001 ACICLOVIR 200 mg ACICLOVIRUM CAPS. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 20.18 14.93 1.009000 1.009000 1.009000

C2 W53675001 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 21.37 15.81 1.068500 1.068500 1.068500

C2 W53675003 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 1000 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 803.94 702.56 0.803940 0.803940 0.803940

C2 W53676001 ACICLOVIR ARENA 400 mg ACICLOVIRUM CAPS. 400mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 19.43 14.38 1.943000 1.943000 1.943000

C2 W00044001 ACICLOVIR TERAPIA 200 mg ACICLOVIRUM COMPR. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 17.10 12.65 0.855000 0.855000 0.855000

C2 W13972001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 17.18 12.71 0.859000 0.859000 0.859000

C2 W41451001 CLOVIRAL 200 mg ACICLOVIRUM COMPR. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 16.39 12.13 0.819500 0.819500 0.819500

C2 W06667003 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 13.76 10.18 0.688000 0.688000 0.688000

C2 W53225001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 12.97 9.60 0.648500 0.648500 0.648500

C2 W06668003 ACICLOVIR 400 mg ACICLOVIRUM COMPR. 400mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 19.18 14.19 1.918000 1.918000 1.918000

C2 W08894001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W08177003 LOVIR 200 mg ACICLOVIRUM COMPR. DISP. 200mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 3.73 2.76 0.373000 0.373000 0.373000

C2 W55183001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500

C2 W51494001 ACIKLOVIR ACICLOVIRUM COMPR. FILM. 400mg 35 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 57.04 43.61 1.629714 1.629714 1.629714

C2 W00058001 VIROLEX ACICLOVIRUM PULB. PT. SOL. INJ./PERF. 250mg 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9J05AB01P V 05-07-2010 282.31 231.25 56.462000 56.462000 56.462000

C2 W06049001 VALTREX 500 mg VALACYCLOVIRUM COMPR. FILM. 500mg 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas 1J05ABO V 05-07-2010 100.40 79.41 10.040000 10.040000 10.040000

C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000

C2 W43357003 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 986.45 870.00 986.450000 986.450000 986.450000

C2 W43357004 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 1,902.05 1,710.00 1,902.050000 1,902.050000 1,902.050000

C2 W43357002 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 528.65 450.00 528.650000 528.650000 528.650000

C2 W43357001 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 118.95 94.08 118.950000 118.950000 118.950000

C2 W51530002 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 544.52 464.56 544.520000 544.520000 544.520000

C2 W51530003 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 1,018.20 899.13 1,018.200000 1,018.200000 1,018.200000

C2 W43965001 IG VENA 10g/200mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 10g/200ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 2,265.63 2,043.56 2,265.630000 2,265.630000 2,265.630000

C2 W43962001 IG VENA 1g/20mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 1g/20ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 270.72 221.76 270.720000 270.720000 270.720000

C2 W43963001 IG VENA 2,5g/50mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 2,5g/50ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 619.82 533.64 619.820000 619.820000 619.820000

C2 W13462001 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 745.56 649.00 745.560000 745.560000 745.560000

C2 W13462003 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 2,508.09 2,266.00 2,508.090000 2,508.090000 2,508.090000

C2 W13462002 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 1,312.36 1,169.00 1,312.360000 1,312.360000 1,312.360000

C2 W43964001 IG VENA 5g/100mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5g/100ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9J06BA02P V 05-07-2010 1,168.26 1,036.80 1,168.260000 1,168.260000 1,168.260000

C2 W12490001 ENDOXAN (R) 50 mg CYCLOPHOSPHAMIDUM DRAJ. 50mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L01AA01O V 05-07-2010 26.07 19.29 0.521400 0.521400 0.521400

C2 W52215001 ENDOXAN 200 mg CYCLOPHOSPHAMIDUM PULB. PT. SOL. PERF./INJ. I.V. 200mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L01AA01P V 05-07-2010 15.86 11.73 15.860000 15.860000 15.860000

C2 W51424001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 30MU/0,5ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0L03AAP V 05-07-2010 325.26 266.43 325.260000 325.260000 325.260000

C2 W51423001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 48MU/0,5ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0L03AAP V 05-07-2010 512.98 435.62 512.980000 512.980000 512.980000

C2 W53520001 TEVAGRASTIM 30MUI/0,5ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 300mcg/0,5ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0L03AAP V 05-07-2010 260.83 213.65 260.830000 260.830000 260.830000

C2 W53523001 TEVAGRASTIM 48MUI/0,8ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 480mcg/0,8ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0L03AAP V 05-07-2010 425.24 355.13 425.240000 425.240000 425.240000

C2 W04406001 CELLCEPT 250mg MYCOPHENOLATUM CAPS. 250mg 100 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 530.69 451.87 5.306900 5.306900 5.306900

C2 W04407001 CELLCEPT 500mg MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 530.69 451.87 10.613800 10.613800 10.613800

C2 W54137001MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 356.71 292.19 7.134200 7.134200 7.134200

C2 W42264003 MYFORTIC 180 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 180mg 120 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 644.64 556.41 5.372000 5.372000 5.372000

C2 W42265003 MYFORTIC 360 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 360mg 120 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 1,171.26 1,039.55 9.760500 9.760500 9.760500

C2 W52877001 MYFENAX 250mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 366.89 301.60 3.668900 3.668900 3.668900

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W54699001MYCOPHENOLATE MOFETIL ACCORD 250 mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 356.71 292.19 3.567100 3.567100 3.567100

C2 W52876001 MYFENAX 500mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W54225001MYCOFENOLAT MOFETIL ACTAVIS 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 363.84 298.03 7.276800 7.276800 7.276800

C2 W54939001MICOFENOLAT MOFETIL DR. REDDY'S 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W10576001 RAPAMUNE 1mg SIROLIMUS DRAJ. 1mg 30 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AA10O V 05-07-2010 570.30 488.21 19.010000 19.010000 19.010000

C2 W13098001 SIMULECT 20 mg BASILIXIMABUMLIOF. + SOLV. PT. SOL. INJ./PERF. 20mg 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AC02P V 05-07-2010 4,678.85 4,257.52 4,678.850000 4,678.850000 4,678.850000

C2 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400

C2 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 2.740000 2.740000

C2 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000

C2 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 2.743200 2.743200

C2 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 5.829400 5.829400

C2 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000

C2 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 6.089600 6.089600

C2 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000

C2 W53729001 PROGRAF (R) 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 250.15 204.91 5.003000 5.003000 5.003000

C2 W55262007 TACROLIMUS SANDOZ 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 162.60 133.19 3.252000 3.252000 3.252000

C2 W53730001 PROGRAF (R) 1 mg TACROLIMUSUM CAPS. 1mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 433.77 362.95 8.675400 8.675400 8.675400

C2 W55263007 TACROLIMUS SANDOZ 1 mg TACROLIMUSUM CAPS. 1mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 290.63 238.06 5.812600 5.812600 5.812600

C2 W53731001 PROGRAF (R) 5 mg TACROLIMUSUM CAPS. 5mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 1,903.38 1,711.22 38.067600 38.067600 38.067600

C2 W51974002 ADVAGRAF 0,5mg TACROLIMUSUM CAPS. ELIB. PREL. 0,5mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 249.57 204.43 4.991400 4.991400 4.991400

C2 W51975002 ADVAGRAF 1mg TACROLIMUSUM CAPS. ELIB. PREL. 1mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 475.96 401.66 9.519200 9.519200 9.519200

C2 W51976002 ADVAGRAF 5mg TACROLIMUSUM CAPS. ELIB. PREL. 5mg 50 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02O V 05-07-2010 2,066.95 1,861.28 41.339000 41.339000 41.339000

C2 W53732001 PROGRAF (R) 5 mg/ml TACROLIMUSUM CONC. PT. SOL. PERF. 5mg/ml 10 9.4

Transplant renal, transplant combinat de rinichi si pancreas MSP 9L04AD02P V 05-07-2010 1,718.54 1,541.64 171.854000 171.854000 171.854000

C2 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C2 W53635001 ACID ALENDRONIC ACCORD 10 mg ACIDUM ALENDRONICUM COMPR. 10mg 28 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 48.15 36.81 1.719642 1.719642 1.719642

C2 W54297001 TEVANAT 70 mg ACIDUM ALENDRONICUM COMPR. 70 mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 48.15 36.81 12.037500 12.037500 12.037500

C2 W08599002 FOSAMAX 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 2 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 37.04 28.32 18.520000 18.520000 18.520000

C2 W53636001 ACID ALENDRONIC ACCORD 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 48.15 36.81 12.037500 12.037500 12.037500

C2 W53741001 RANOS 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 47.54 36.35 11.885000 11.885000 11.885000

C2 W54083001 ACID ALENDRONIC BLUEFISH 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 2 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 24.87 18.40 12.435000 12.435000 12.435000

C2 W54083002 ACID ALENDRONIC BLUEFISH 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 24.65 18.24 6.162500 6.162500 6.162500

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55248001 INSTREL 70 mg ACIDUM ALENDRONICUM COMPR. 70mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 47.54 36.35 11.885000 11.885000 11.885000

C2 W52948001 ALENDRONAT SANDOZ 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 2 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 12.79 9.46 6.395000 6.395000 6.395000

C2 W54078001 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 12 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 131.62 107.81 10.968333 10.968333 10.968333

C2 W54078002 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 2 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 24.71 18.28 12.355000 12.355000 12.355000

C2 W54078003 ADRONIK 70 mg ACIDUM ALENDRONICUM COMPR. FILM. 70mg 4 9.4

Transplant renal, transplant combinat de rinichi si pancreas 0M05BAO V 05-07-2010 47.85 36.58 11.962500 11.962500 11.962500

C2 W42905002 MIALGIN (R) 100 mg/2 ml PETHIDINUM SOL. INJ. 50mg/ml 5 9.4

Transplant renal, transplant combinat de rinichi si pancreas 9N02AB02P V 05-07-2010 7.78 5.76 1.556000 1.556000 1.556000

C2 W43357003 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 986.45 870.00 986.450000 986.450000 986.450000

C2 W43357004 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 1,902.05 1,710.00 1,902.050000 1,902.050000 1,902.050000

C2 W43357002 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 528.65 450.00 528.650000 528.650000 528.650000

C2 W43357001 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 118.95 94.08 118.950000 118.950000 118.950000

C2 W51530002 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 544.52 464.56 544.520000 544.520000 544.520000

C2 W51530003 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 1,018.20 899.13 1,018.200000 1,018.200000 1,018.200000

C2 W43965001 IG VENA 10g/200mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 10g/200ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 2,265.63 2,043.56 2,265.630000 2,265.630000 2,265.630000

C2 W43962001 IG VENA 1g/20mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 1g/20ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 270.72 221.76 270.720000 270.720000 270.720000

C2 W43963001 IG VENA 2,5g/50mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 2,5g/50ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 619.82 533.64 619.820000 619.820000 619.820000

C2 W13462001 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 745.56 649.00 745.560000 745.560000 745.560000

C2 W13462003 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 2,508.09 2,266.00 2,508.090000 2,508.090000 2,508.090000

C2 W13462002 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 1,312.36 1,169.00 1,312.360000 1,312.360000 1,312.360000

C2 W43964001 IG VENA 5g/100mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5g/100ml 1 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9J06BA02P V 05-07-2010 1,168.26 1,036.80 1,168.260000 1,168.260000 1,168.260000

C2 W12590001 RILUTEK 50 mg RILUZOLUM COMPR. FILM. 50mg 56 6.5

Boli neurologice degenerative/inflamatorii si miastenia gravis MSP 9N07XX02O V 05-07-2010 1,000.36 882.76 17.863571 17.863571 17.863571

C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 9.5Transplant de celule pancreatice 1B01ABP V 05-07-2010 84.26 66.64 8.426000 8.426000 8.426000

C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 9.5Transplant de celule pancreatice 1B01ABP V 05-07-2010 101.17 80.01 20.234000 20.234000 20.234000

C2 W52799001 ZYVOXID (R) LINEZOLIDUM COMPR. FILM. 600mg 10 9.5Transplant de celule pancreatice 9J01XX08O V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000

C2 W52800001 ZYVOXID (R) LINEZOLIDUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 9.5Transplant de celule pancreatice 9J01XX08O V 05-07-2010 994.48 877.37 994.480000 994.480000 994.480000

C2 W52801001 ZYVOXID (R) LINEZOLIDUM SOL. PERF. 2mg/ml 10 9.5Transplant de celule pancreatice 9J01XX08P V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000

C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 9.5Transplant de celule pancreatice MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428

C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 9.5Transplant de celule pancreatice MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214

C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 9.5Transplant de celule pancreatice MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000

C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 9.5Transplant de celule pancreatice MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000

C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 9.5Transplant de celule pancreatice MSP 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000

C2 W42119006 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 6.6 Osteogeneza imperfecta 0M05BAP V 05-07-2010 226.29 185.36 226.290000 226.290000 226.290000C2 W42119005 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 6.6 Osteogeneza imperfecta 0M05BAP V 05-07-2010 134.87 110.48 134.870000 134.870000 134.870000C2 W42119008 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 6.6 Osteogeneza imperfecta 0M05BAP V 05-07-2010 614.48 528.74 614.480000 614.480000 614.480000C2 W42119007 PAMIDRONAT TORREX ACIDUM PAMIDRONICUM CONC. PT. SOL. PERF. 15mg/ml 1 6.6 Osteogeneza imperfecta 0M05BAP V 05-07-2010 431.73 361.08 431.730000 431.730000 431.730000C2 W52121001 PAMIRED 30 ACIDUM PAMIDRONICUM LIOF. PT. SOL. PERF. I.V. 30mg 1 6.6 Osteogeneza imperfecta 0M05BAP V 05-07-2010 186.20 152.52 186.200000 186.200000 186.200000C2 W52120001 PAMIRED 60 ACIDUM PAMIDRONICUM LIOF. PT. SOL. PERF. I.V. 60mg 1 6.6 Osteogeneza imperfecta 0M05BAP V 05-07-2010 289.65 237.26 289.650000 289.650000 289.650000

C2 W07918001 AREDIA (R) 15 mg ACIDUM PAMIDRONICUM LIOF.+ SOLV. PT. SOL. PERF. 15mg 4 6.6 Osteogeneza imperfecta 0M05BAP V 05-07-2010 686.18 594.52 171.545000 171.545000 171.545000C2 W13613002 CLEXANE 2000ui anti-Xa/0,2ml ENOXAPARINUM SOL. INJ. 2000ui anti-Xa/0,210 9.6 Transplant pulmonar 1B01ABP V 05-07-2010 72.76 57.55 7.276000 7.276000 7.276000C2 W13612002 CLEXANE 4000ui anti-Xa/0,4ml ENOXAPARINUM SOL. INJ. 4000ui anti-Xa/0,410 9.6 Transplant pulmonar 1B01ABP V 05-07-2010 144.23 118.14 14.423000 14.423000 14.423000C2 W13611002 CLEXANE 6000ui anti-Xa/0,6ml ENOXAPARINUM SOL. INJ. 6000ui anti-Xa/0,610 9.6 Transplant pulmonar 1B01ABP V 05-07-2010 187.44 153.54 18.744000 18.744000 18.744000C2 W13610001 CLEXANE 8000ui anti-Xa/0,8ml ENOXAPARINUM SOL. INJ. 8000ui anti-Xa/0,82 9.6 Transplant pulmonar 1B01ABP V 05-07-2010 52.07 39.81 26.035000 26.035000 26.035000C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml REVIPARINUM SOL. INJ. 1432ui/0,25ml 10 9.6 Transplant pulmonar 1B01ABP V 05-07-2010 84.26 66.64 8.426000 8.426000 8.426000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml REVIPARINUM SOL. INJ. 3436ui/0,6ml 5 9.6 Transplant pulmonar 1B01ABP V 05-07-2010 101.17 80.01 20.234000 20.234000 20.234000C2 W54011001 EXACYL ACIDUM TRANEXAMICUM SOL. INJ. 500mg/5ml 5 9.6 Transplant pulmonar MS 9B02AA02P V 05-07-2010 12.77 9.45 2.554000 2.554000 2.554000C2 W02947001 ADRENALINA 1 mg EPINEPHRINUM SOL. INJ. 1mg/ml 100 9.6 Transplant pulmonar 9C01CA24P V 05-07-2010 138.32 113.30 1.383200 1.383200 1.383200

C2 W13057003 TAZOCIN 4,5 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 791.71 691.34 65.975833 65.975833 65.975833

C2 W41794002 TAZOCIN 2,25 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 474.43 400.26 39.535833 39.535833 39.535833

C2 W53595001PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 27.41 20.28 27.410000 27.410000 27.410000

C2 W53595002PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 125.94 99.60 25.188000 25.188000 25.188000

C2 W53595003PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 238.84 195.64 23.884000 23.884000 23.884000

C2 W53595004PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 53.04 40.55 53.040000 53.040000 53.040000

C2 W53595005PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 238.84 195.64 47.768000 47.768000 47.768000

C2 W53595006PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 458.60 385.73 45.860000 45.860000 45.860000

C2 W54763001PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55423001 PERASIN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55369001 BACTACIN 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55116002PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 12 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 323.10 264.66 26.925000 26.925000 26.925000

C2 W53596001PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W53596002PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 5 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 240.48 196.99 48.096000 48.096000 48.096000

C2 W53596003PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 10 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 461.26 388.17 46.126000 46.126000 46.126000

C2 W54765001PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 53.43 40.85 53.430000 53.430000 53.430000

C2 W55424001 PERASIN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55370001 BACTACIN 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55117002PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 12 9.6 Transplant pulmonar 9J01CR05P V 05-07-2010 539.33 459.80 44.944166 44.944166 44.944166

C2 W52799001 ZYVOXID (R) LINEZOLIDUM COMPR. FILM. 600mg 10 9.6 Transplant pulmonar 9J01XX08O V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W52800001 ZYVOXID (R) LINEZOLIDUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 9.6 Transplant pulmonar 9J01XX08O V 05-07-2010 994.48 877.37 994.480000 994.480000 994.480000C2 W52801001 ZYVOXID (R) LINEZOLIDUM SOL. PERF. 2mg/ml 10 9.6 Transplant pulmonar 9J01XX08P V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000C2 W08955001 DIFLAZON 100 mg FLUCONAZOLUM CAPS. 100mg 28 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 235.85 193.19 8.423214 8.423214 8.423214C2 W08372001 FLUCOVIM 100 FLUCONAZOLUM CAPS. 100mg 4 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 25.55 18.90 6.387500 6.387500 6.387500C2 W44099001 FLUCORIC 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 43.26 33.07 6.180000 6.180000 6.180000C2 W42371002 FUNGOLON 100 mg FLUCONAZOLUM CAPS. 100mg 16 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 82.46 65.22 5.153750 5.153750 5.153750C2 W43597001 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 2 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.41 6.96 4.705000 4.705000 4.705000C2 W43597002 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 31.43 23.25 4.490000 4.490000 4.490000C2 W08956001 DIFLAZON 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 22.47 16.62 22.470000 22.470000 22.470000C2 W08970003 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 4 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 78.44 62.04 19.610000 19.610000 19.610000C2 W08970002 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 2 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 43.15 32.99 21.575000 21.575000 21.575000C2 W08373001 FLUCOVIM 150 FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W03156001 DIFLUCAN 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 25.02 18.51 25.020000 25.020000 25.020000C2 W44089001 FLUCORIC 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 18.83 13.93 18.830000 18.830000 18.830000C2 W43288001 FLUCONAZOL SANDOZ (R) 150 FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 14.55 10.77 14.550000 14.550000 14.550000C2 W42174001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W42741001 FLUCONAZOL TERAPIA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.18 6.79 9.180000 9.180000 9.180000C2 W42192002 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 3 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 31.93 23.62 10.643333 10.643333 10.643333C2 W42192001 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 12.50 9.25 12.500000 12.500000 12.500000C2 W43598001 FLUCONAZOLE TEVA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000C2 W42693001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.66 7.15 9.660000 9.660000 9.660000C2 W51994001 FLUCONAZOL MEDOCHEMIE 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000C2 W52224001 FLUCONAZOL BIOGALENICA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000C2 W52335001 FLUCONAZOL MEDICO UNO 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000C2 W53943002 FLUCONAZOL ARENA 150 MG FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000C2 W55071001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000C2 W43599002 FLUCONAZOLE TEVA 200 mg FLUCONAZOLUM CAPS. 200mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 39.28 30.03 5.611428 5.611428 5.611428C2 W08958001 DIFLAZON 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 61.57 47.07 8.795714 8.795714 8.795714C2 W08374001 FLUCOVIM 50 FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714C2 W03157001 DIFLUCAN 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 56.41 43.13 8.058571 8.058571 8.058571C2 W44098001 FLUCORIC 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 29.54 21.86 4.220000 4.220000 4.220000C2 W43287001 FLUCONAZOL SANDOZ (R) 50 FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 41.83 31.98 5.975714 5.975714 5.975714C2 W42172001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714C2 W42370002 FUNGOLON 50 mg FLUCONAZOLUM CAPS. 50mg 8 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 19.00 14.06 2.375000 2.375000 2.375000C2 W43225001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 10 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 25.47 18.84 2.547000 2.547000 2.547000C2 W43596001 FLUCONAZOLE TEVA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 16.64 12.31 2.377142 2.377142 2.377142C2 W42414001 FLUCONAZOL TERAPIA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 19.65 14.54 2.807142 2.807142 2.807142C2 W42321001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 19.54 14.46 2.791428 2.791428 2.791428C2 W51993001 FLUCONAZOL MEDOCHEMIE 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 16.12 11.93 2.302857 2.302857 2.302857C2 W52225001 FLUCONAZOL BIOGALENICA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 15.73 11.64 2.247142 2.247142 2.247142C2 W53942002 FLUCONAZOL ARENA 50 MG FLUCONAZOLUM CAPS. 50mg 7 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 19.08 14.12 2.725714 2.725714 2.725714C2 W03159001 DIFLUCAN (R) 50 mg/5 ml FLUCONAZOLUM PULB. PT. SUSP. ORALA 50mg/5ml 1 9.6 Transplant pulmonar 1J02ACO V 05-07-2010 56.41 43.13 56.410000 56.410000 56.410000C2 W03160004 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 162.21 132.87 162.210000 162.210000 162.210000C2 W03160002 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 40.44 30.92 40.440000 40.440000 40.440000C2 W12072001 DIFLAZON 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 45.72 34.95 45.720000 45.720000 45.720000C2 W42083003 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 39.86 30.47 39.860000 39.860000 39.860000C2 W42083001 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 55.66 42.55 55.660000 55.660000 55.660000C2 W42083002 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 167.39 137.11 167.390000 167.390000 167.390000C2 W52223003 FLUCONAZOL BIOGALENICA 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 53.01 40.53 53.010000 53.010000 53.010000C2 W53987001 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 222.76 182.47 22.276000 22.276000 22.276000C2 W53987002 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 432.48 361.77 21.624000 21.624000 21.624000

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Grupa terapeutica RO Valabil de la

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C2 W53987004 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 532.57 453.60 53.257000 53.257000 53.257000C2 W53987005 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 904.25 794.59 45.212500 45.212500 45.212500C2 W53987007 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.6 Transplant pulmonar 1J02ACP V 05-07-2010 876.27 768.92 87.627000 87.627000 87.627000C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 9.6 Transplant pulmonar MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 9.6 Transplant pulmonar MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 9.6 Transplant pulmonar MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 9.6 Transplant pulmonar MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000C2 W42857001 ACICLOVIR 200 mg ACICLOVIRUM CAPS. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 20.18 14.93 1.009000 1.009000 1.009000C2 W53675001 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 21.37 15.81 1.068500 1.068500 1.068500C2 W53675003 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 1000 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 803.94 702.56 0.803940 0.803940 0.803940C2 W53676001 ACICLOVIR ARENA 400 mg ACICLOVIRUM CAPS. 400mg 10 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 19.43 14.38 1.943000 1.943000 1.943000C2 W00044001 ACICLOVIR TERAPIA 200 mg ACICLOVIRUM COMPR. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 17.10 12.65 0.855000 0.855000 0.855000C2 W13972001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 17.18 12.71 0.859000 0.859000 0.859000C2 W41451001 CLOVIRAL 200 mg ACICLOVIRUM COMPR. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 16.39 12.13 0.819500 0.819500 0.819500C2 W06667003 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 13.76 10.18 0.688000 0.688000 0.688000C2 W53225001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 12.97 9.60 0.648500 0.648500 0.648500C2 W06668003 ACICLOVIR 400 mg ACICLOVIRUM COMPR. 400mg 10 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 19.18 14.19 1.918000 1.918000 1.918000C2 W08894001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500C2 W08177003 LOVIR 200 mg ACICLOVIRUM COMPR. DISP. 200mg 10 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 3.73 2.76 0.373000 0.373000 0.373000C2 W55183001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500C2 W51494001 ACIKLOVIR ACICLOVIRUM COMPR. FILM. 400mg 35 9.6 Transplant pulmonar 1J05ABO V 05-07-2010 57.04 43.61 1.629714 1.629714 1.629714C2 W00058001 VIROLEX ACICLOVIRUM PULB. PT. SOL. INJ./PERF. 250mg 5 9.6 Transplant pulmonar 9J05AB01P V 05-07-2010 282.31 231.25 56.462000 56.462000 56.462000C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 9.6 Transplant pulmonar MSP 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000C2 W04406001 CELLCEPT 250mg MYCOPHENOLATUM CAPS. 250mg 100 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 530.69 451.87 5.306900 5.306900 5.306900C2 W04407001 CELLCEPT 500mg MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 530.69 451.87 10.613800 10.613800 10.613800

C2 W54137001MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 356.71 292.19 7.134200 7.134200 7.134200

C2 W42264003 MYFORTIC 180 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 180mg 120 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 644.64 556.41 5.372000 5.372000 5.372000C2 W42265003 MYFORTIC 360 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 360mg 120 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 1,171.26 1,039.55 9.760500 9.760500 9.760500C2 W52877001 MYFENAX 250mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 366.89 301.60 3.668900 3.668900 3.668900

C2 W54699001MYCOPHENOLATE MOFETIL ACCORD 250 mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 356.71 292.19 3.567100 3.567100 3.567100

C2 W52876001 MYFENAX 500mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W54225001MYCOFENOLAT MOFETIL ACTAVIS 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 363.84 298.03 7.276800 7.276800 7.276800

C2 W54939001MICOFENOLAT MOFETIL DR. REDDY'S 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.6 Transplant pulmonar MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W13098001 SIMULECT 20 mg BASILIXIMABUMLIOF. + SOLV. PT. SOL. INJ./PERF. 20mg 1 9.6 Transplant pulmonar MSP 9L04AC02P V 05-07-2010 4,678.85 4,257.52 4,678.850000 4,678.850000 4,678.850000

C2 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400C2 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 2.740000 2.740000C2 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000C2 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 2.743200 2.743200C2 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 5.829400 5.829400C2 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000C2 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 6.089600 6.089600C2 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 9.6 Transplant pulmonar 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000C2 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 9.6 Transplant pulmonar 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200C2 W05977002 TRAMAL (R) TRAMADOLUM CAPS. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 11.79 8.72 0.589500 0.589500 0.589500C2 W42813002 TRALGIT 50 TRAMADOLUM CAPS. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 7.89 5.84 0.394500 0.394500 0.394500C2 W12691002 TRAMADOL TRAMADOLUM CAPS. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 5.82 4.31 0.291000 0.291000 0.291000C2 W07472002 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 11.49 8.50 0.383000 0.383000 0.383000C2 W07472001 TRAMADOL AL 50 TRAMADOLUM CAPS. 50mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.384000 0.384000C2 W05960001 MABRON 50 mg TRAMADOLUM CAPS. 50mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 4.98 3.68 0.498000 0.498000 0.498000C2 W41593001 K-ALMA (R) TRAMADOLUM CAPS. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W42576001 TRAMACALM TRAMADOLUM CAPS. 50mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 3.84 2.84 0.384000 0.384000 0.384000C2 W13570001 TRAMADOL LPH 50 mg TRAMADOLUM CAPS. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W08476001 URGENDOL TRAMADOLUM CAPS. 50mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 3.81 2.82 0.381000 0.381000 0.381000C2 W52049001 TRAMADOL ARENA TRAMADOLUM CAPS. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 8.97 6.64 0.448500 0.448500 0.448500C2 W53128005 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 17.35 12.84 1.735000 1.735000 1.735000C2 W53128006 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 33.41 24.72 1.670500 1.670500 1.670500C2 W53128007 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 47.28 36.15 1.576000 1.576000 1.576000C2 W53128008 TRAMAL UNO 100 mg TRAMADOLUM CAPS. ELIB. PREL. 100mg 50 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 71.47 56.52 1.429400 1.429400 1.429400C2 W53129005 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 26.02 19.25 2.602000 2.602000 2.602000C2 W53129006 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 48.48 37.06 2.424000 2.424000 2.424000C2 W53129007 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 68.55 54.22 2.285000 2.285000 2.285000C2 W53129008 TRAMAL UNO 150 mg TRAMADOLUM CAPS. ELIB. PREL. 150mg 50 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 107.20 84.78 2.144000 2.144000 2.144000C2 W53130005 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 32.48 24.03 3.248000 3.248000 3.248000C2 W53130006 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 58.30 44.57 2.915000 2.915000 2.915000C2 W53130007 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 77.94 61.64 2.598000 2.598000 2.598000C2 W53130008 TRAMAL UNO 200 mg TRAMADOLUM CAPS. ELIB. PREL. 200mg 50 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 121.12 95.79 2.422400 2.422400 2.422400C2 W42440001 TRAMAG 50 TRAMADOLUM COMPR. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W42957001 TRAMADOL EEL TRAMADOLUM COMPR. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 7.66 5.67 0.383000 0.383000 0.383000C2 W42178001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.497000 0.497000C2 W55077001 TRAMADOL 50 mg TRAMADOLUM COMPR. 50mg 20 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 9.94 7.35 0.497000 0.497000 0.497000C2 W13507001 TRAMADOLOR (R) 100 ID TRAMADOLUM COMPR. ELIB. MODIF. 100mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 6.29 4.65 0.629000 0.629000 0.629000C2 W12750001 TRAMADOL (R) RETARD TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 18.88 13.97 0.629333 0.629333 0.629333C2 W41922003 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 50 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 48.37 36.98 0.967400 0.967400 0.967400C2 W41922001 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 9.85 7.29 0.985000 0.985000 0.985000C2 W41922002 TRALGIT SR 100 TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 27.23 20.15 0.907666 0.907666 0.907666C2 W53489001 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 5 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 7.40 5.47 1.480000 1.480000 1.480000C2 W53489005 NOAX UNO 100 mg TRAMADOLUM COMPR. ELIB. PREL. 100mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 39.43 30.15 1.314333 1.314333 1.314333C2 W41923002 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 33.48 24.77 1.116000 1.116000 1.116000C2 W41923001 TRALGIT SR 150 TRAMADOLUM COMPR. ELIB. PREL. 150mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 21.00 15.54 2.100000 2.100000 2.100000C2 W41924001 TRALGIT SR 200 TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 27.44 20.30 2.744000 2.744000 2.744000C2 W53488002 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 20.05 14.83 2.005000 2.005000 2.005000C2 W53488005 NOAX UNO 200 mg TRAMADOLUM COMPR. ELIB. PREL. 200mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 51.71 39.53 1.723666 1.723666 1.723666C2 W53487002 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 27.86 20.61 2.786000 2.786000 2.786000C2 W53487012 NOAX UNO 300 mg TRAMADOLUM COMPR. ELIB. PREL. 300mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 76.29 60.34 2.543000 2.543000 2.543000C2 W07784001 TRADOLAN 50 mg TRAMADOLUM COMPR. FILM. 50mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 10.62 7.86 0.354000 0.354000 0.354000C2 W07473001 TRAMAL RETARD 100 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 100mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 9.68 7.16 0.968000 0.968000 0.968000C2 W05978001 TRAMAL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 21.97 16.25 2.197000 2.197000 2.197000C2 W43360001 TRAMADOL RETARD 150 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 150mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 62.30 47.63 2.076666 2.076666 2.076666

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W05979001 TRAMAL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 10 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 28.12 20.80 2.812000 2.812000 2.812000C2 W43361001 TRAMADOL RETARD 200 mg TRAMADOLUM COMPR. FILM. ELIB. PREL. 200mg 30 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 74.39 58.83 2.479666 2.479666 2.479666C2 W43913002 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 100.21 79.25 100.210000 100.210000 100.210000C2 W43913001 TRALGIT TRAMADOLUM PIC. ORALE, SOL. 100mg/ml 1 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 12.57 9.30 12.570000 12.570000 12.570000C2 W07470002 TRAMADOL AL PICATURI TRAMADOLUM PIC. ORALE, SOL. FARA CONCENT1 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 5.02 3.71 5.020000 5.020000 5.020000C2 W05982001 TRAMAL (R) TRAMADOLUM PICATURI ORALE-SOL. 100mg/ml 1 9.6 Transplant pulmonar 9N02AX02O V 05-07-2010 7.73 5.72 7.730000 7.730000 7.730000C2 W05961002 MABRON TRAMADOLUM SOL. INJ. 100mg 100 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 136.67 111.95 1.366700 1.366700 1.366700C2 W43912001 TRALGIT 100 TRAMADOLUM SOL. INJ. 100mg/2ml 5 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 12.25 9.06 2.450000 2.450000 2.450000C2 W05980001 TRAMAL (R) 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 7.55 5.59 1.510000 1.510000 1.510000C2 W05967001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 13.07 9.67 2.614000 2.614000 2.614000C2 W05966001 TRAMADOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 10.69 7.91 2.138000 2.138000 2.138000C2 W43914001 TRALGIT 50 TRAMADOLUM SOL. INJ. 50mg/ml 5 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 11.46 8.48 2.292000 2.292000 2.292000C2 W08477001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 4.88 3.61 0.976000 0.976000 0.976000C2 W08478001 URGENDOL TRAMADOLUM SOL. INJ. 50mg/ml 5 9.6 Transplant pulmonar 9N02AX02P V 05-07-2010 7.66 5.67 1.532000 1.532000 1.532000C2 W05969001 TRAMADOL TRAMADOLUM SUPOZ. 100mg 5 9.6 Transplant pulmonar 9N02AX02R V 05-07-2010 5.56 4.11 1.112000 1.112000 1.112000C2 W07530001 ZOMACTON SOMATROPINUM LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) 1 6.7 Sindrom Prader Willi MSP 9H01AC01P K 05-07-2010 465.54 392.10 465.540000 465.540000 465.540000C2 W05539002 GENOTROPIN (R) 16 ui (5,3 mg) SOMATROPINUM PULB. + SOLV. PT. SOL. INJ. 5,3mg/ml (16ui) 1 6.7 Sindrom Prader Willi MSP 9H01AC01P K 05-07-2010 554.49 473.71 554.490000 554.490000 554.490000C2 W52345001 OMNITROPE 3,3mg/ml SOMATROPINUM SOL. INJ. 3,3mg/ml 1 6.7 Sindrom Prader Willi MSP 9H01AC01P K 05-07-2010 483.15 408.26 483.150000 483.150000 483.150000C2 W52346001 OMNITROPE 6,7mg/ml SOMATROPINUM SOL. INJ. 6,7mg/ml 1 6.7 Sindrom Prader Willi MSP 9H01AC01P K 05-07-2010 764.10 666.01 764.100000 764.100000 764.100000C2 W54046001 NORDITROPIN SIMPLEXx 10 mg/1,5ml SOMATROPINUM SOL. INJ. IN CARTUS 10mg/1,5ml 1 6.7 Sindrom Prader Willi MSP 9H01AC01P K 05-07-2010 1,317.79 1,173.98 1,317.790000 1,317.790000 1,317.790000

C2 W55238001 NORDITROPIN FLEXPRO 10 mg/1,5 ml SOMATROPINUMSOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 10mg/1,5 ml 1 6.7 Sindrom Prader Willi MSP 9H01AC01P K 05-07-2010 1,722.75 1,545.50 1,722.750000 1,722.750000 1,722.750000

C2 W55237001 NORDITROPIN FLEXPRO 5 mg/1,5 ml SOMATROPINUMSOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 5mg/1,5 ml 1 6.7 Sindrom Prader Willi MSP 9H01AC01P K 05-07-2010 896.80 787.75 896.800000 896.800000 896.800000

C2 W00187002 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 100 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9A05AA02O V 05-07-2010 123.98 98.05 1.239800 1.239800 1.239800

C2 W00187001 URSOFALK (R) ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9A05AA02O V 05-07-2010 71.32 56.41 1.426400 1.426400 1.426400

C2 W00188001 URSOSAN ACIDUM URSODEOXYCHOLICUM CAPS. 250mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9A05AA02O V 05-07-2010 68.61 54.26 1.372200 1.372200 1.372200

C2 W53024004 URSOCHOL 150 mg ACIDUM URSODEOXYCHOLICUM COMPR. 150mg 60 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9A05AA02O V 05-07-2010 54.05 41.32 0.900833 0.900833 0.900833

C2 W53025002 URSOCHOL 300 mg ACIDUM URSODEOXYCHOLICUM COMPR. 300mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9A05AA02O V 05-07-2010 35.80 27.37 1.790000 1.790000 1.790000

C2 W51301001 EPOPHAR 2000 U.I. EPOETINUM ALFA SOL. INJ. 2000UI 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 331.02 271.15 33.102000 33.102000 33.102000

C2 W44143001 EPREX (R) 3000 UI EPOETINUM ALFA SOL. INJ. 3000ui/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 757.39 659.85 126.231666 126.231666 126.231666

C2 W44140001 EPREX (R) 40 000 UI EPOETINUM ALFA SOL. INJ. 40 000UI 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 1,350.47 1,203.96 1,350.470000 1,350.470000 1,350.470000

C2 W51299001 EPOPHAR 4000 U.I. EPOETINUM ALFA SOL. INJ. 4000UI 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 608.23 523.01 60.823000 60.823000 60.823000

C2 W52289002 BINOCRIT 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 1,724.65 1,547.25 287.441666 287.441666 287.441666

C2 W52297002 ABSEAMED 10000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 1,834.63 1,648.14 305.771666 305.771666 305.771666

C2 W52282002 BINOCRIT 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 217.91 178.50 36.318333 36.318333 36.318333

C2 W52290002 ABSEAMED 1000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 238.11 195.04 39.685000 39.685000 39.685000

C2 W52283002 BINOCRIT 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 425.00 354.91 70.833333 70.833333 70.833333

C2 W52291002 ABSEAMED 2000UI/1,0ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 457.85 385.05 76.308333 76.308333 76.308333

C2 W55046001 BINOCRIT 30000UI/0,75ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 786.55 686.60 786.550000 786.550000 786.550000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W52284002 BINOCRIT 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 602.48 517.73 100.413333 100.413333 100.413333

C2 W52292002 ABSEAMED 3000UI/0,3ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 651.86 563.04 108.643333 108.643333 108.643333

C2 W55048001 BINOCRIT 40000 UI/1 ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 992.26 875.33 992.260000 992.260000 992.260000

C2 W52285002 BINOCRIT 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 779.91 680.51 129.985000 129.985000 129.985000

C2 W52293002 ABSEAMED 4000UI/0,4ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 840.17 735.80 140.028333 140.028333 140.028333

C2 W52286002 BINOCRIT 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 957.28 843.24 159.546666 159.546666 159.546666

C2 W52294002 ABSEAMED 5000UI/0,5ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 1,039.51 918.68 173.251666 173.251666 173.251666

C2 W52295002 ABSEAMED 6000UI/0,6ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 1,233.28 1,096.45 205.546666 205.546666 205.546666

C2 W52296002 ABSEAMED 8000UI/0,8ml EPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 0B03XAP V 05-07-2010 1,620.80 1,451.97 270.133333 270.133333 270.133333

C2 W07740002 NEORECORMON 10000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 2,341.24 2,112.92 390.206666 390.206666 390.206666

C2 W07739002 NEORECORMON 1000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 279.25 228.74 46.541666 46.541666 46.541666

C2 W07741002 NEORECORMON 2000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 525.21 446.84 87.535000 87.535000 87.535000

C2 W42097001 NEORECORMON 30000UI/0,6ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 1,171.95 1,040.18 1,171.950000 1,171.950000 1,171.950000

C2 W07742002 NEORECORMON 4000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 978.92 863.09 163.153333 163.153333 163.153333

C2 W07744002 NEORECORMON 5000UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 1,205.63 1,071.08 200.938333 200.938333 200.938333

C2 W07743002 NEORECORMON 500UI/0,3ml EPOETINUM BETASOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml 6 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 143.59 117.62 23.931666 23.931666 23.931666

C2 W41530002 ARANESP 100mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 3,165.73 2,869.34 791.432500 791.432500 791.432500

C2 W41522002 ARANESP 10mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 390.73 323.47 97.682500 97.682500 97.682500

C2 W41531002 ARANESP 150mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 4,697.46 4,274.59 1,174.365000 1,174.365000 1,174.365000

C2 W41523002 ARANESP 15mcg/0,375ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 546.33 466.22 136.582500 136.582500 136.582500

C2 W41524002 ARANESP 20mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 701.15 608.26 175.287500 175.287500 175.287500

C2 W41532001 ARANESP 300mcg/0,6ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 2,203.60 1,986.65 2,203.600000 2,203.600000 2,203.600000

C2 W41525002 ARANESP 30mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 1,007.27 889.10 251.817500 251.817500 251.817500

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W41526002 ARANESP 40mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 1,316.02 1,172.36 329.005000 329.005000 329.005000

C2 W41533001 ARANESP 500mcg/ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 3,625.44 3,291.09 3,625.440000 3,625.440000 3,625.440000

C2 W41527002 ARANESP 50mcg/0,5ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 1,623.11 1,454.09 405.777500 405.777500 405.777500

C2 W41528002 ARANESP 60mcg/0,3ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 1,932.79 1,738.20 483.197500 483.197500 483.197500

C2 W41529002 ARANESP 80mcg/0,4ml DARBEPOETINUM ALFASOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 0B03XAP V 05-07-2010 2,550.12 2,304.56 637.530000 637.530000 637.530000

C2 W04224001 MEDROL A 16 METHYLPREDNISOLONUM COMPR. 16mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB04O V 05-07-2010 32.54 24.08 0.650800 0.650800 0.650800

C2 W04222001 MEDROL 32 METHYLPREDNISOLONUM COMPR. 32mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB04O V 05-07-2010 29.57 21.88 1.478500 1.478500 1.478500

C2 W04223002 MEDROL 4 mg METHYLPREDNISOLONUM COMPR. 4mg 30 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB04O V 05-07-2010 6.52 4.82 0.217333 0.217333 0.217333

C2 W08307001 LEMOD SOLU 125 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 125mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB04P V 05-07-2010 8.78 6.50 8.780000 8.780000 8.780000

C2 W08310001 LEMOD SOLU 500 mg METHYLPREDNISOLONUM LIOF. PT. SOL. INJ. 500mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB04P V 05-07-2010 30.94 22.89 30.940000 30.940000 30.940000

C2 W04237001 SOLU - MEDROL ACT-O-VIAL METHYLPREDNISOLONUM LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB04P V 05-07-2010 20.42 15.11 20.420000 20.420000 20.420000

C2 W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.100000 0.100000

C2 W12565003 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 1000 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB07O V 05-07-2010 57.99 44.33 0.057990 0.057990 0.057990

C2 W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.087333 0.087333

C2 W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.082333

C2 W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.084333 0.084333

C2 W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.128500 0.128500

C2 W05741001 TAGREMINSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 0J01EEO V 05-07-2010 7.70 5.70 0.385000 0.385000 0.385000

C2 W05738001 SUMETROLIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 0J01EEO V 05-07-2010 4.13 3.06 0.206500 0.206500 0.206500

C2 W12479001 CO - TRIM ELLSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 0J01EEO V 05-07-2010 3.54 2.62 0.177000 0.177000 0.177000

C2 W53671001 BITRIM 400mg/80mgSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 0J01EEO V 05-07-2010 3.34 2.47 0.167000 0.167000 0.167000

C2 W05739001 SUMETROLIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM SIROP 25mg/5mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 0J01EEO K 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000

C2 W44046001 EPITRIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUSP. ORALA 200mg/40mg /5m 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 0J01EEO K 05-07-2010 4.75 3.51 4.750000 4.750000 4.750000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W08955001 DIFLAZON 100 mg FLUCONAZOLUM CAPS. 100mg 28 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 235.85 193.19 8.423214 8.423214 8.423214

C2 W08372001 FLUCOVIM 100 FLUCONAZOLUM CAPS. 100mg 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 25.55 18.90 6.387500 6.387500 6.387500

C2 W44099001 FLUCORIC 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 43.26 33.07 6.180000 6.180000 6.180000

C2 W42371002 FUNGOLON 100 mg FLUCONAZOLUM CAPS. 100mg 16 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 82.46 65.22 5.153750 5.153750 5.153750

C2 W43597001 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 2 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.41 6.96 4.705000 4.705000 4.705000

C2 W43597002 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 31.43 23.25 4.490000 4.490000 4.490000

C2 W08956001 DIFLAZON 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 22.47 16.62 22.470000 22.470000 22.470000

C2 W08970003 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 4 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 78.44 62.04 19.610000 19.610000 19.610000

C2 W08970002 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 2 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 43.15 32.99 21.575000 21.575000 21.575000

C2 W08373001 FLUCOVIM 150 FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W03156001 DIFLUCAN 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 25.02 18.51 25.020000 25.020000 25.020000

C2 W44089001 FLUCORIC 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 18.83 13.93 18.830000 18.830000 18.830000

C2 W43288001 FLUCONAZOL SANDOZ (R) 150 FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 14.55 10.77 14.550000 14.550000 14.550000

C2 W42174001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W42741001 FLUCONAZOL TERAPIA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.18 6.79 9.180000 9.180000 9.180000

C2 W42192002 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 3 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 31.93 23.62 10.643333 10.643333 10.643333

C2 W42192001 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 12.50 9.25 12.500000 12.500000 12.500000

C2 W43598001 FLUCONAZOLE TEVA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000

C2 W42693001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.66 7.15 9.660000 9.660000 9.660000

C2 W51994001 FLUCONAZOL MEDOCHEMIE 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000

C2 W52224001 FLUCONAZOL BIOGALENICA 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000

C2 W52335001 FLUCONAZOL MEDICO UNO 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000

C2 W53943002 FLUCONAZOL ARENA 150 MG FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55071001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W43599002 FLUCONAZOLE TEVA 200 mg FLUCONAZOLUM CAPS. 200mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 39.28 30.03 5.611428 5.611428 5.611428

C2 W08958001 DIFLAZON 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 61.57 47.07 8.795714 8.795714 8.795714

C2 W08374001 FLUCOVIM 50 FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714

C2 W03157001 DIFLUCAN 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 56.41 43.13 8.058571 8.058571 8.058571

C2 W44098001 FLUCORIC 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 29.54 21.86 4.220000 4.220000 4.220000

C2 W43287001 FLUCONAZOL SANDOZ (R) 50 FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 41.83 31.98 5.975714 5.975714 5.975714

C2 W42172001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714

C2 W42370002 FUNGOLON 50 mg FLUCONAZOLUM CAPS. 50mg 8 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 19.00 14.06 2.375000 2.375000 2.375000

C2 W43225001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 25.47 18.84 2.547000 2.547000 2.547000

C2 W43596001 FLUCONAZOLE TEVA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 16.64 12.31 2.377142 2.377142 2.377142

C2 W42414001 FLUCONAZOL TERAPIA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 19.65 14.54 2.807142 2.807142 2.807142

C2 W42321001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 19.54 14.46 2.791428 2.791428 2.791428

C2 W51993001 FLUCONAZOL MEDOCHEMIE 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 16.12 11.93 2.302857 2.302857 2.302857

C2 W52225001 FLUCONAZOL BIOGALENICA 50 mg FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 15.73 11.64 2.247142 2.247142 2.247142

C2 W53942002 FLUCONAZOL ARENA 50 MG FLUCONAZOLUM CAPS. 50mg 7 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 19.08 14.12 2.725714 2.725714 2.725714

C2 W03159001 DIFLUCAN (R) 50 mg/5 ml FLUCONAZOLUM PULB. PT. SUSP. ORALA 50mg/5ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACO V 05-07-2010 56.41 43.13 56.410000 56.410000 56.410000

C2 W03160004 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 162.21 132.87 162.210000 162.210000 162.210000

C2 W03160002 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 40.44 30.92 40.440000 40.440000 40.440000

C2 W12072001 DIFLAZON 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 45.72 34.95 45.720000 45.720000 45.720000

C2 W42083003 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 39.86 30.47 39.860000 39.860000 39.860000

C2 W42083001 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 55.66 42.55 55.660000 55.660000 55.660000

C2 W42083002 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 167.39 137.11 167.390000 167.390000 167.390000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W52223003 FLUCONAZOL BIOGALENICA 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 53.01 40.53 53.010000 53.010000 53.010000

C2 W53987001 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 222.76 182.47 22.276000 22.276000 22.276000

C2 W53987002 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 432.48 361.77 21.624000 21.624000 21.624000

C2 W53987004 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 532.57 453.60 53.257000 53.257000 53.257000

C2 W53987005 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 904.25 794.59 45.212500 45.212500 45.212500

C2 W53987007 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J02ACP V 05-07-2010 876.27 768.92 87.627000 87.627000 87.627000

C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428

C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214

C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000

C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000

C2 W51607001 NOXAFIL SP 40mg/ml POSACONAZOLUM SUSP. ORALA 40mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 2J02ACO V 05-07-2010 2,974.83 2,694.20 2,974.830000 2,974.830000 2,974.830000

C2 W42857001 ACICLOVIR 200 mg ACICLOVIRUM CAPS. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 20.18 14.93 1.009000 1.009000 1.009000

C2 W53675001 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 21.37 15.81 1.068500 1.068500 1.068500

C2 W53675003 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 1000 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 803.94 702.56 0.803940 0.803940 0.803940

C2 W53676001 ACICLOVIR ARENA 400 mg ACICLOVIRUM CAPS. 400mg 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 19.43 14.38 1.943000 1.943000 1.943000

C2 W00044001 ACICLOVIR TERAPIA 200 mg ACICLOVIRUM COMPR. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 17.10 12.65 0.855000 0.855000 0.855000

C2 W13972001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 17.18 12.71 0.859000 0.859000 0.859000

C2 W41451001 CLOVIRAL 200 mg ACICLOVIRUM COMPR. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 16.39 12.13 0.819500 0.819500 0.819500

C2 W06667003 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 13.76 10.18 0.688000 0.688000 0.688000

C2 W53225001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 12.97 9.60 0.648500 0.648500 0.648500

C2 W06668003 ACICLOVIR 400 mg ACICLOVIRUM COMPR. 400mg 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 19.18 14.19 1.918000 1.918000 1.918000

C2 W08894001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500

C2 W08177003 LOVIR 200 mg ACICLOVIRUM COMPR. DISP. 200mg 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 3.73 2.76 0.373000 0.373000 0.373000

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entiu

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55183001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500

C2 W51494001 ACIKLOVIR ACICLOVIRUM COMPR. FILM. 400mg 35 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 1J05ABO V 05-07-2010 57.04 43.61 1.629714 1.629714 1.629714

C2 W00058001 VIROLEX ACICLOVIRUM PULB. PT. SOL. INJ./PERF. 250mg 5 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9J05AB01P V 05-07-2010 282.31 231.25 56.462000 56.462000 56.462000

C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati ANT 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000

C2 W07518002 ZEFFIX 100 mg LAMIVUDINUM COMPR. FILM. 100mg 28 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9J05AF05O V 05-07-2010 278.07 227.78 9.931071 9.931071 9.931071

C2 W03923002 EPIVIR 150mg LAMIVUDINUM COMPR. FILM. 150mg 60 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9J05AF05O V 05-07-2010 397.36 329.55 6.622666 6.622666 6.622666

C2 W03924002 EPIVIR 10mg/ml LAMIVUDINUM SOL. ORALA 10mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9J05AF05O V 05-07-2010 113.11 89.46 113.110000 113.110000 113.110000

C2 W07520001 ZEFFIX 5 mg/ml LAMIVUDINUM SOL. ORALA 5mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9J05AF05O V 05-07-2010 126.68 103.77 126.680000 126.680000 126.680000

C2 W04406001 CELLCEPT 250mg MYCOPHENOLATUM CAPS. 250mg 100 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 530.69 451.87 5.306900 5.306900 5.306900

C2 W04407001 CELLCEPT 500mg MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 530.69 451.87 10.613800 10.613800 10.613800

C2 W54137001MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG MYCOPHENOLATUM COMPR. FILM. 500mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 356.71 292.19 7.134200 7.134200 7.134200

C2 W42264003 MYFORTIC 180 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 180mg 120 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 644.64 556.41 5.372000 5.372000 5.372000

C2 W42265003 MYFORTIC 360 mg MYCOPHENOLATUM COMPR. FILM. GASTROREZ. 360mg 120 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 1,171.26 1,039.55 9.760500 9.760500 9.760500

C2 W52877001 MYFENAX 250mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 366.89 301.60 3.668900 3.668900 3.668900

C2 W54699001MYCOPHENOLATE MOFETIL ACCORD 250 mg MYCOPHENOLATUM MOFETILUM CAPS. 250mg 100 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 356.71 292.19 3.567100 3.567100 3.567100

C2 W52876001 MYFENAX 500mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W54225001MYCOFENOLAT MOFETIL ACTAVIS 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 363.84 298.03 7.276800 7.276800 7.276800

C2 W54939001MICOFENOLAT MOFETIL DR. REDDY'S 500 mg MYCOPHENOLATUM MOFETILUM COMPR. FILM. 500mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 1L04AAO V 05-07-2010 366.89 301.60 7.337800 7.337800 7.337800

C2 W10576001 RAPAMUNE 1mg SIROLIMUS DRAJ. 1mg 30 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AA10O V 05-07-2010 570.30 488.21 19.010000 19.010000 19.010000

C2 W13970003 EQUORAL (R) 100 mg CICLOSPORINUM CAPS. MOI 100mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 470.37 396.53 9.407400 9.407400 9.407400

C2 W51399001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 25mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 137.00 112.22 2.740000 2.740000 2.740000

C2 W13968003 EQUORAL (R) 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 93.90 74.26 1.878000 1.878000 1.878000

C2 W41697001 CICLORAL 25 mg CICLOSPORINUM CAPS. MOI 25mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 137.16 112.35 2.743200 2.743200 2.743200

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W51398001 SANDIMMUN NEORAL (R) CICLOSPORINUM CAPS. MOI 50mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 291.47 238.75 5.829400 5.829400 5.829400

C2 W13969003 EQUORAL (R) 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 189.45 155.18 3.789000 3.789000 3.789000

C2 W41701001 CICLORAL 50 mg CICLOSPORINUM CAPS. MOI 50mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 304.48 249.41 6.089600 6.089600 6.089600

C2 W13980001 EQUORAL (R) CICLOSPORINUM SOL. ORALA 100mg/ml 1 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 9L04AD01O V 05-07-2010 427.55 357.25 427.550000 427.550000 427.550000

C2 W53729001 PROGRAF (R) 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 250.15 204.91 5.003000 5.003000 5.003000

C2 W55262007 TACROLIMUS SANDOZ 0,5 mg TACROLIMUSUM CAPS. 0,5mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 162.60 133.19 3.252000 3.252000 3.252000

C2 W53730001 PROGRAF (R) 1 mg TACROLIMUSUM CAPS. 1mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 433.77 362.95 8.675400 8.675400 8.675400

C2 W55263007 TACROLIMUS SANDOZ 1 mg TACROLIMUSUM CAPS. 1mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 290.63 238.06 5.812600 5.812600 5.812600

C2 W53731001 PROGRAF (R) 5 mg TACROLIMUSUM CAPS. 5mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 1,903.38 1,711.22 38.067600 38.067600 38.067600

C2 W51974002 ADVAGRAF 0,5mg TACROLIMUSUM CAPS. ELIB. PREL. 0,5mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 249.57 204.43 4.991400 4.991400 4.991400

C2 W51975002 ADVAGRAF 1mg TACROLIMUSUM CAPS. ELIB. PREL. 1mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 475.96 401.66 9.519200 9.519200 9.519200

C2 W51976002 ADVAGRAF 5mg TACROLIMUSUM CAPS. ELIB. PREL. 5mg 50 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02O V 05-07-2010 2,066.95 1,861.28 41.339000 41.339000 41.339000

C2 W53732001 PROGRAF (R) 5 mg/ml TACROLIMUSUM CONC. PT. SOL. PERF. 5mg/ml 10 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati MSP 9L04AD02P V 05-07-2010 1,718.54 1,541.64 171.854000 171.854000 171.854000

C2 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 9.7

Tratamentul starii posttransplant in ambulatoriu al pacientilor transplantati 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C2 W08961001 FABRAZYME 35 mg AGALSIDASUM BETAPULB. PT. CONC. PT. SOL. PERF. 35mg 1 6.8 Boala Fabry MSP 9A16AB04P V 05-07-2010 15,041.97 13,764.95 15,041.970000 15,041.970000 15,041.970000

C2 W51536001 MYOZYME 50mg ALGLUCOSIDASUM ALPHAPULB. PT. CONC. PT. SOL. PERF. 50mg 1 6.9 Boala Pompe MSP 9A16AB07P V 05-07-2010 2,500.97 2,259.46 2,500.970000 2,500.970000 2,500.970000

C2 W51629001 ORFADIN 10mg NITISINONUM CAPS. 10mg 60 6.10 Tirozinemie 9A16AX04O V 05-07-2010 13,960.67 12,772.94 232.677833 232.677833 232.677833C2 W51622001 ORFADIN 2mg NITISINONUM CAPS. 2mg 60 6.10 Tirozinemie 9A16AX04O V 05-07-2010 3,868.26 3,513.86 64.471000 64.471000 64.471000C2 W51627001 ORFADIN 5mg NITISINONUM CAPS. 5mg 60 6.10 Tirozinemie 9A16AX04O V 05-07-2010 7,665.68 6,997.72 127.761333 127.761333 127.761333

C2 W12624001 XIGRIS 5mg DROTRECOGINUM ALFA PULB. PT. SOL. PERF. 5mg 1 6.11Subprogramul de tratament al sepsisului sever MSP 9B01AD10P V 05-07-2010 776.17 677.08 776.170000 776.170000 776.170000

C2 W05444001 NORMIX 200 mg RIFAXIMINUM COMPR. FILM. 200mg 12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9A07AA11O V 05-07-2010 36.53 27.93 3.044166 3.044166 3.044166

C2 W05445001 NORMIX 100mg/5ml RIFAXIMINUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9A07AA11O V 05-07-2010 19.06 14.10 19.060000 19.060000 19.060000

C2 W04306001 MEDACTER MICONAZOLUM CREMA 2% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1D01ACTD V 05-07-2010 8.54 6.32 8.540000 8.540000 8.540000

C2 W13742001 MICONAZOL NITRAT 2% MICONAZOLUM CREMA 2% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1D01ACTD V 05-07-2010 6.81 5.04 6.810000 6.810000 6.810000

C2 W04314001 MICONAL ECOBI MICONAZOLUM CREMA 20mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1D01ACTD V 05-07-2010 9.49 7.02 9.490000 9.490000 9.490000

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entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W42008001 CLOVIRAL (R) 5% ACICLOVIRUM CREMA 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 6.38 4.72 6.380000 6.380000 6.380000

C2 W00040001 ZOVIRAX ACICLOVIRUM CREMA 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 21.02 15.55 21.020000 21.020000 21.020000

C2 W00030001 ACICLOVIR 5% ACICLOVIRUM CREMA 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 4.96 3.67 4.960000 4.960000 4.960000

C2 W00030002 ACICLOVIR 5% ACICLOVIRUM CREMA 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 7.58 5.61 7.580000 7.580000 7.580000

C2 W52926001 ACICLOVIR MK ACICLOVIRUM CREMA 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 4.19 3.10 4.190000 4.190000 4.190000

C2 W52926002 ACICLOVIR MK ACICLOVIRUM CREMA 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 6.72 4.97 6.720000 6.720000 6.720000

C2 W51497001 ACIKLOVIR CREMA ACICLOVIRUM CREMA 50mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 5.90 4.37 5.900000 5.900000 5.900000

C2 W51497002 ACIKLOVIR CREMA ACICLOVIRUM CREMA 50mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 8.84 6.54 8.840000 8.840000 8.840000

C2 W52146002 ACICLOVIR HYPERION ACICLOVIRUM CREMA 50mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 7.30 5.40 7.300000 7.300000 7.300000

C2 W53041001 ACICLOVIR TIS 50mg/g ACICLOVIRUM CREMA 50mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 4.68 3.46 4.680000 4.680000 4.680000

C2 W55128001 ACICLOVIR SLAVIA 50 mg/g ACICLOVIRUM CREMA 50mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9D06BB03TD V 05-07-2010 6.70 4.96 6.700000 6.700000 6.700000

C2 W51339001 GYNOZOL 200 MICONAZOLUM CAPS. VAG. 200mg 6 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1G01AFV V 05-07-2010 5.95 4.40 0.991666 0.991666 0.991666

C2 W51340001 GYNOZOL 400 MICONAZOLUM CAPS. VAG. 400mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1G01AFV V 05-07-2010 5.70 4.22 1.900000 1.900000 1.900000

C2 W08391001 MEDACTER MICONAZOLUM CREMA VAG. 2% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1G01AFV V 05-07-2010 19.32 14.29 19.320000 19.320000 19.320000

C2 W04315001 MICONAL ECOBI MICONAZOLUM CREMA VAG. 20mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1G01AFV V 05-07-2010 13.88 10.27 13.880000 13.880000 13.880000

C2 W04316001 MICONAL ECOBI MICONAZOLUM OVULE 50mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1G01AFV V 05-07-2010 8.97 6.64 0.598000 0.598000 0.598000

C2 W04317001 MICONAL ECOBI MICONAZOLUM SOL. VAGINALA 2mg/ml 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1G01AFV V 05-07-2010 17.95 13.28 3.590000 3.590000 3.590000

C2 W04675002 OXACILINA ARENA 250 mg OXACILLINUM CAPS. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 7.09 5.25 0.354500 0.354500 0.354500

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W04675003 OXACILINA ARENA 250 mg OXACILLINUM CAPS. 250mg 1000 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 295.41 241.98 0.295410 0.295410 0.295410

C2 W11729001 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 7.53 5.57 0.376500 0.376500 0.376500

C2 W11729002 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 1000 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 313.87 257.10 0.313870 0.313870 0.313870

C2 W08782001 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.09 4.51 0.507500 0.507500 0.507500

C2 W43090001 OXACILINA SANDOZ 250 mg OXACILLINUM CAPS. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 7.69 5.69 0.384500 0.384500 0.384500

C2 W04680001 OXACILINA OXACILLINUM CAPS. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 5.67 4.20 0.283500 0.283500 0.283500

C2 W12722004 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.02 4.45 0.301000 0.301000 0.301000

C2 W52056001 OXACILINA FARMEX 250 mg OXACILLINUM CAPS. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.72 4.97 0.336000 0.336000 0.336000

C2 W55171004 OXACILINA 250 mg OXACILLINUM CAPS. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.02 4.45 0.301000 0.301000 0.301000

C2 W07274002 OXACILINA 500 mg OXACILLINUM CAPS. 500mg 1000 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 360.83 295.57 0.360830 0.360830 0.360830

C2 W07274001 OXACILINA 500 mg OXACILLINUM CAPS. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.87 5.08 0.687000 0.687000 0.687000

C2 W13743001 OXACILINA ARENA 500 mg OXACILLINUM CAPS. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.18 4.57 0.618000 0.618000 0.618000

C2 W12910002 OXACILINA FORTE 500 mg OXACILLINUM CAPS. 500mg 500 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 237.62 194.64 0.475240 0.475240 0.475240

C2 W12910001 OXACILINA FORTE 500 mg OXACILLINUM CAPS. 500mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 11.14 8.24 0.557000 0.557000 0.557000

C2 W43092001 OXACILINA SANDOZ 500 mg OXACILLINUM CAPS. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 7.03 5.20 0.703000 0.703000 0.703000

C2 W13752001 OXACILINA FORTE 500 mg OXACILLINUM CAPS. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.18 4.57 0.618000 0.618000 0.618000

C2 W55172001 OXACILINA FORTE 500 mg OXACILLINUM CAPS. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04O V 05-07-2010 6.18 4.57 0.618000 0.618000 0.618000

C2 W04684004 OXACILINA ANTIBIOTICE 500 mg OXACILLINUMPULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04P V 05-07-2010 3.31 2.45 3.310000 3.310000 3.310000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W04682003 OXACILINA ANTIBIOTICE 1 g OXACILLINUMPULB. PT. SOL. INJ./PERF.I.M./I.V. 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04P V 05-07-2010 5.32 3.94 5.320000 5.320000 5.320000

C2 W04683004 OXACILINA ANTIBIOTICE 250 mg OXACILLINUMPULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CF04P V 05-07-2010 1.74 1.29 1.740000 1.740000 1.740000

C2 W14112001 AMPIPLUS (R) 1,5 g AMPICILLINUM + SULBACTAM PULB. PT. SOL. INJ. 1g+500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR01P V 05-07-2010 25.19 18.64 25.190000 25.190000 25.190000

C2 W14112002 AMPIPLUS (R) 1,5 g AMPICILLINUM + SULBACTAM PULB. PT. SOL. INJ. 1g+500mg 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR01P V 05-07-2010 727.41 632.35 14.548200 14.548200 14.548200

C2 W00400003 AMOKSIKLAV 2 x 1000 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 1000mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 39.04 29.85 2.788571 2.788571 2.788571

C2 W43757001 MEDOCLAV 1000 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 1000mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 40.62 31.06 2.901428 2.901428 2.901428

C2 W10621001 MEDOCLAV 375 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 250mg+125mg 16 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 22.59 16.71 1.411875 1.411875 1.411875

C2 W54453002 AMOXIPLUS 500/125 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 500/125mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 10.82 8.01 0.772857 0.772857 0.772857

C2 W12801002 AUGMENTIN 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 500mg+125mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 16.64 12.31 1.188571 1.188571 1.188571

C2 W12424001 MEDOCLAV 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 500mg+125mg 16 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 29.68 21.96 1.855000 1.855000 1.855000

C2 W00401004 AMOKSIKLAV 2 x 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 625mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 28.00 20.72 2.000000 2.000000 2.000000

C2 W43139002 ENHANCIN 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 625mg 28 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 32.99 24.41 1.178214 1.178214 1.178214

C2 W55401002 AMOXIPLUS 875 mg/125 mgAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 875mg/125mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 18.94 14.01 1.352857 1.352857 1.352857

C2 W12800001 AUGMENTIN 1 gAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. 875mg+125mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 29.12 21.54 2.080000 2.080000 2.080000

C2 W41860004 AUGMENTIN™ SRAMOXICILLINUM + ACIDUM CLAVULANICUM COMPR. FILM. ELIB. PREL. 1062,5mg 28 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 67.52 53.40 2.411428 2.411428 2.411428

C2 W51992004 AMOKSIKLAV QUICKTAB 1000 mgAMOXICILLINUM + ACIDUM CLAVULANICUM

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 63.37 48.45 4.526428 4.526428 4.526428

C2 W51991002 AMOKSIKLAV QUICKTAB 625 mgAMOXICILLINUM + ACIDUM CLAVULANICUM

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O V 05-07-2010 35.18 26.90 2.512857 2.512857 2.512857

C2 W42938003 AMOXIPLUS 1,2 gAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 1,2g 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 557.26 476.25 5.572600 5.572600 5.572600

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W42938002 AMOXIPLUS 1,2 gAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 1,2g 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 299.64 245.45 5.992800 5.992800 5.992800

C2 W42938001 AMOXIPLUS 1,2 gAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 1,2g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 6.87 5.08 6.870000 6.870000 6.870000

C2 W07856002 AUGMENTIN INTRAVENOS 1,2gAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 1000mg+200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 67.52 53.40 6.752000 6.752000 6.752000

C2 W42937001 AMOXIPLUS 600 mgAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 600mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 6.73 4.98 6.730000 6.730000 6.730000

C2 W42937003 AMOXIPLUS 600 mgAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 600mg 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 520.86 442.85 5.208600 5.208600 5.208600

C2 W42937002 AMOXIPLUS 600 mgAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. INJ./PERF. 600mg 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 280.25 229.56 5.605000 5.605000 5.605000

C2 W07857001 AUGMENTIN INTRAVENOS 2,2gAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SOL. PERF. 2000mg+200mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02P V 05-07-2010 19.60 14.50 19.600000 19.600000 19.600000

C2 W10678001 MEDOCLAV 156,25 mg/5 mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 125mg+31,25/5m1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 14.87 11.00 14.870000 14.870000 14.870000

C2 W00399001 AMOKSIKLAV 156,25mg/5mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 156,25mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 11.66 8.63 11.660000 11.660000 11.660000

C2 W10679001 MEDOCLAV FORTE 312,5mg/5mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 250mg+62,5mg/51 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 22.05 16.31 22.050000 22.050000 22.050000

C2 W00410004 AUGMENTIN BISAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 400mg+57mg/5m1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 9.94 7.35 9.940000 9.940000 9.940000

C2 W00410002 AUGMENTIN BISAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 400mg+57mg/5m1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 19.88 14.71 19.880000 19.880000 19.880000

C2 W00410001 AUGMENTIN BISAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 400mg+57mg/5m1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 9.94 7.35 9.940000 9.940000 9.940000

C2 W42113003 AUGMENTIN (R) ESAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT. SUSP. ORALA 642,90mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 34.22 26.16 34.220000 34.220000 34.220000

C2 W00402001 AMOKSIKLAV 312,5mg/5mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT.SUSP. ORALA 312,5mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 23.98 17.74 23.980000 23.980000 23.980000

C2 W43140001 ENHANCIN 312,5 mg/5 mlAMOXICILLINUM + ACIDUM CLAVULANICUM PULB. PT.SUSP. ORALA 312,5mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR02O K 05-07-2010 22.67 16.77 22.670000 22.670000 22.670000

C2 W13057003 TAZOCIN 4,5 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 791.71 691.34 65.975833 65.975833 65.975833

C2 W41794002 TAZOCIN 2,25 PIPERACILLINUM + TAZOBACTAMUM LIOF. PT. SOL. INJ. FARA CONCENT12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 474.43 400.26 39.535833 39.535833 39.535833

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53595001PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 27.41 20.28 27.410000 27.410000 27.410000

C2 W53595002PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 125.94 99.60 25.188000 25.188000 25.188000

C2 W53595003PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 238.84 195.64 23.884000 23.884000 23.884000

C2 W53595004PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 53.04 40.55 53.040000 53.040000 53.040000

C2 W53595005PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 238.84 195.64 47.768000 47.768000 47.768000

C2 W53595006PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 458.60 385.73 45.860000 45.860000 45.860000

C2 W54763001PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55423001 PERASIN 2g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55369001 BACTACIN 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 30.91 22.87 30.910000 30.910000 30.910000

C2 W55116002PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 2g/0,25g 12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 323.10 264.66 26.925000 26.925000 26.925000

C2 W53596001PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W53596002PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 240.48 196.99 48.096000 48.096000 48.096000

C2 W53596003PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 461.26 388.17 46.126000 46.126000 46.126000

C2 W54765001PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 53.43 40.85 53.430000 53.430000 53.430000

C2 W55424001 PERASIN 4g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55370001 BACTACIN 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 53.41 40.83 53.410000 53.410000 53.410000

C2 W55117002PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PIPERACILLINUM + TAZOBACTAMUM PULB. PT. SOL. INJ./PERF. 4g/0,5g 12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR05P V 05-07-2010 539.33 459.80 44.944166 44.944166 44.944166

C2 W12804001 SULPERAZON (R) 2 gCOMBINATII (CEFOPERAZONUM+SULBACTAMUM) PULB. PT. SOL. INJ. FARA CONCENT1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01CR50P V 05-07-2010 37.49 28.66 37.490000 37.490000 37.490000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53273001 NOVOSEF 500 mg i.m. CEFTRIAXONUM PULB. + SOLV. PT. SOL. INJ. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 6.02 4.45 6.020000 6.020000 6.020000

C2 W51695002 OFRAMAX 1 g CEFTRIAXONUM PULB. PT. SOL. INJ. I.M./I.V. 1g 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 534.10 455.00 10.682000 10.682000 10.682000

C2 W51696001 OFRAMAX 250 mg CEFTRIAXONUM PULB. PT. SOL. INJ. I.M./I.V. 250mg 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 299.64 245.45 5.992800 5.992800 5.992800

C2 W53274001 NOVOSEF 500mg i.v. CEFTRIAXONUM PULB. PT. SOL. INJ. I.V./PERF. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 6.02 4.45 6.020000 6.020000 6.020000

C2 W13949003 CEFORT 1 g CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 1g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 163.00 133.52 16.300000 16.300000 16.300000

C2 W53779001 SEFTRION 1 g CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 13.90 10.28 13.900000 13.900000 13.900000

C2 W13948002 CEFORT 250 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 250mg 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 319.61 261.80 6.392200 6.392200 6.392200

C2 W13948003 CEFORT 250 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 250mg 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 587.38 503.88 5.873800 5.873800 5.873800

C2 W13948001 CEFORT 250 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 250mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 7.40 5.47 7.400000 7.400000 7.400000

C2 W13948004 CEFORT 250 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 68.91 54.50 6.891000 6.891000 6.891000

C2 W42544001 MEDAXONE 2 g CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 2g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 336.10 275.31 33.610000 33.610000 33.610000

C2 W13891004 CEFORT 2 g CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 2g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 278.23 227.91 27.823000 27.823000 27.823000

C2 W13890002 CEFORT 500 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 500mg 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 486.62 411.44 9.732400 9.732400 9.732400

C2 W13890003 CEFORT 500 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 500mg 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 900.07 790.75 9.000700 9.000700 9.000700

C2 W13890001 CEFORT 500 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 11.79 8.72 11.790000 11.790000 11.790000

C2 W53778001 SEFTRION 500 mg CEFTRIAXONUM PULB. PT. SOL. INJ./PERF. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 10.43 7.72 10.430000 10.430000 10.430000

C2 W51335001 ROCEPHIN (R) CEFTRIAXONUM PULB. PT. SOL. PERF. 2g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 57.42 43.90 57.420000 57.420000 57.420000

C2 W53276001 NOVOSEF 1 g i.m. CEFTRIAXONUM PULB.+SOLV. PT. SOL. INJ. 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 8.12 6.01 8.120000 8.120000 8.120000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53275002 NOVOSEF 1 g i.v. CEFTRIAXONUMPULB.+SOLV. PT. SOL. INJ./PERF. 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 8.12 6.01 8.120000 8.120000 8.120000

C2 W13701001 EFICEF (R) 200 mg CEFIXIMUM CAPS. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDO V 05-07-2010 34.70 26.53 3.470000 3.470000 3.470000

C2 W13701002 EFICEF (R) 200 mg CEFIXIMUM CAPS. 200mg 1000 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDO V 05-07-2010 2,423.10 2,188.02 2.423100 2.423100 2.423100

C2 W13676001 MEDOCEF 1 g CEFOPERAZONUM PULB. PT. SOL. INJ. 1g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 188.16 154.13 18.816000 18.816000 18.816000

C2 W13677001 MEDOCEF 2 g CEFOPERAZONUM PULB. PT. SOL. INJ. 2g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 313.62 256.90 31.362000 31.362000 31.362000

C2 W51970001 LYZONE 2 g CEFOPERAZONUM PULB. PT. SOL. INJ. 2g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 27.06 20.02 27.060000 27.060000 27.060000

C2 W44045001 CEFOZON 500 mg CEFOPERAZONUM PULB. PT. SOL. INJ. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 5.22 3.86 5.220000 5.220000 5.220000

C2 W52795001 CEFOZON 2 g CEFOPERAZONUMPULB. PT. SOL. INJ./PERF. I.M./I.V. 2g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 15.65 11.58 15.650000 15.650000 15.650000

C2 W44061001 CEFOZON 1 g CEFOPERAZONUMPULB. PT. SOL. INJ./PERF.I.M./I.V. 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DDP V 05-07-2010 9.49 7.02 9.490000 9.490000 9.490000

C2 W13605001 CEFROM (R) 1 g CEFPIROMUM PULB. PT. SOL. INJ./PERF. 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01DE02P V 05-07-2010 75.59 59.78 75.590000 75.590000 75.590000

C2 W13606001 CEFROM (R) 2 g CEFPIROMUM PULB. PT. SOL. INJ./PERF. 2g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01DE02P V 05-07-2010 126.97 104.01 126.970000 126.970000 126.970000

C2 W04120001 MERONEM IV 1 g MEROPENEMUM PULB. PT. SOL. INJ. I.V./PERF. 1g 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 1,159.03 1,028.33 115.903000 115.903000 115.903000

C2 W04121001 MERONEM IV 500 mg MEROPENEMUM PULB. PT. SOL. INJ. I.V./PERF. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 625.02 538.41 62.502000 62.502000 62.502000

C2 W54471002 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 178.13 145.91 35.626000 35.626000 35.626000

C2 W54471003 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000

C2 W54471005 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 178.13 145.91 35.626000 35.626000 35.626000

C2 W54471006 CILOPEN 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. INJ. 500mg/500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000

C2 W51274002 TIENAM I.V. IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 522.63 444.48 52.263000 52.263000 52.263000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W51274003 TIENAM I.V. IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 25 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 1,200.31 1,066.20 48.012400 48.012400 48.012400

C2 W54532001IMIPENEM/CILASTATIN KABI 500mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SOL. PERF. 500mg/500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 361.69 296.27 36.169000 36.169000 36.169000

C2 W54533003IMIPENEM/CILASTAN TEVA 250 mg/250mg IMIPENEMUM + CILASTATINUM PULB. PT. SUSP. PERF. 250mg/250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 178.13 145.91 17.813000 17.813000 17.813000

C2 W54534003IMIPENEM/CILASTAN TEVA 500 mg/500mg IMIPENEMUM + CILASTATINUM PULB. PT. SUSP. PERF. 500mg/500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01DHP V 05-07-2010 356.28 291.84 35.628000 35.628000 35.628000

C2 W05741001 TAGREMINSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01EEO V 05-07-2010 7.70 5.70 0.385000 0.385000 0.385000

C2 W05738001 SUMETROLIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01EEO V 05-07-2010 4.13 3.06 0.206500 0.206500 0.206500

C2 W12479001 CO - TRIM ELLSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01EEO V 05-07-2010 3.54 2.62 0.177000 0.177000 0.177000

C2 W53671001 BITRIM 400mg/80mgSULFAMETHOXAZOLUM + TRIMETHOPRIMUM COMPR. 400mg/80mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01EEO V 05-07-2010 3.34 2.47 0.167000 0.167000 0.167000

C2 W05739001 SUMETROLIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM SIROP 25mg/5mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01EEO K 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000

C2 W44046001 EPITRIMSULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUSP. ORALA 200mg/40mg /5m 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01EEO K 05-07-2010 4.75 3.51 4.750000 4.750000 4.750000

C2 W05561001 ROVAMYCINE (R) 1,5 Mil. UI SPIRAMYCINUM COMPR. FILM. 1,5 M ui 16 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 9.83 7.27 0.614375 0.614375 0.614375

C2 W13604002 ROVAMYCINE (R) 3 Mil. UI SPIRAMYCINUM COMPR. FILM. 3M ui 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 27.81 20.58 2.781000 2.781000 2.781000

C2 W52022001 ROXAMED (R) 150 ROXITHROMYCINUM COMPR. FILM. 150mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 15.19 11.24 1.519000 1.519000 1.519000

C2 W01326002 KLACID (R) CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 28.49 21.08 2.035000 2.035000 2.035000

C2 W12279002 LEKOKLAR (R) 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 32.16 23.79 2.297142 2.297142 2.297142

C2 W51965001 CLAR 250 CLARITHROMYCINUM COMPR. FILM. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 22.93 16.97 1.146500 1.146500 1.146500

C2 W14043001 KLERIMED (R) 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.188571 1.188571

C2 W44093001 KLABAX 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W42303001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714

C2 W08490001 FROMILID 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.188571 1.188571

C2 W55181001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714

C2 W12280001 LEKOKLAR (R) 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 37.86 28.94 2.704285 2.704285 2.704285

C2 W14044001 KLERIMED (R) 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.324285 2.324285

C2 W44087001 KLABAX 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142

C2 W51964001 CLAR 500 CLARITHROMYCINUM COMPR. FILM. 500mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 44.26 33.84 2.213000 2.213000 2.213000

C2 W42304001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142

C2 W08491001 FROMILID 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.324285 2.324285

C2 W54044001 ROCLARIN 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 50.70 38.76 2.535000 2.535000 2.535000

C2 W55182001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142

C2 W41606001 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 18.34 13.57 3.668000 3.668000 3.668000

C2 W41606002 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 25.67 18.99 3.667142 3.667142 3.667142

C2 W44088001 KLABAX MR 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 35.12 26.85 5.017142 5.017142 5.017142

C2 W13607002 KLACID SR CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 36.34 27.78 7.268000 7.268000 7.268000

C2 W41838002 FROMILID (R) UNO CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 28.03 20.74 4.004285 4.004285 4.004285

C2 W01327001 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 39.05 29.85 39.050000 39.050000 39.050000

C2 W01327002 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 24.42 18.07 24.420000 24.420000 24.420000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W06981001 FROMILID (R) 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 23.24 17.19 23.240000 23.240000 23.240000

C2 W42258001 LEKOKLAR 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 26.15 19.35 26.150000 26.150000 26.150000

C2 W44092002 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 31.53 23.33 31.530000 31.530000 31.530000

C2 W44092001 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 18.91 13.99 18.910000 18.910000 18.910000

C2 W42259002 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 61.39 46.93 61.390000 61.390000 61.390000

C2 W42259001 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 44.75 34.21 44.750000 44.750000 44.750000

C2 W44091002 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 50.97 38.97 50.970000 50.970000 50.970000

C2 W44091001 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 31.60 23.38 31.600000 31.600000 31.600000

C2 W01329001 KLACID I.V. CLARITHROMYCINUM LIOF. PT. SOL. PERF. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAP V 05-07-2010 53.67 41.03 53.670000 53.670000 53.670000

C2 W42271001 AZATRIL 250 mg AZITHROMYCINUM CAPS. 250mg 6 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 25.45 18.83 4.241666 4.241666 4.241666

C2 W00517001 SUMAMED 250 mg AZITHROMYCINUM CAPS. 250mg 6 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 37.90 28.98 6.316666 6.316666 6.316666

C2 W00518001 SUMAMED 125 mg AZITHROMYCINUM COMPR. FILM. 125mg 6 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 25.30 18.72 4.216666 4.216666 4.216666

C2 W42879004AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE AZITHROMYCINUM COMPR. FILM. 250mg 6 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 48.70 37.23 8.116666 8.116666 8.116666

C2 W52838001 AZITROMICINA TERAPIA 250 mg AZITHROMYCINUM COMPR. FILM. 250mg 6 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 44.36 33.91 7.393333 7.393333 7.393333

C2 W52838002 AZITROMICINA TERAPIA 250 mg AZITHROMYCINUM COMPR. FILM. 250mg 6 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 44.36 33.91 7.393333 7.393333 7.393333

C2 W00519001 SUMAMED 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 38.08 29.11 12.693333 12.693333 12.693333

C2 W42252001 AZITROX (R) 500 AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 25.58 18.93 8.526666 8.526666 8.526666

C2 W42878001AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 48.70 37.23 16.233333 16.233333 16.233333

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W43486001 AZIBIOT 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 25.59 18.93 8.530000 8.530000 8.530000

C2 W43952001 ZITROCIN 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 25.59 18.93 8.530000 8.530000 8.530000

C2 W52840001 AZITROMICINA TERAPIA 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 37.07 28.34 12.356666 12.356666 12.356666

C2 W52840002 AZITROMICINA TERAPIA 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 37.07 28.34 12.356666 12.356666 12.356666

C2 W55169001 ZITROCIN 500 mg AZITHROMYCINUM COMPR. FILM. 500mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 25.59 18.93 8.530000 8.530000 8.530000

C2 W52841001 AZITROMICINA TERAPIA 600 mg AZITHROMYCINUM COMPR. FILM. 600mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 44.51 34.03 14.836666 14.836666 14.836666

C2 W52841002 AZITROMICINA TERAPIA 600 mg AZITHROMYCINUM COMPR. FILM. 600mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 44.51 34.03 14.836666 14.836666 14.836666

C2 W43050001 ZMAX 2 g AZITHROMYCINUMGRAN. ELIB. PREL. PT. SUSP. ORALA 2g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO V 05-07-2010 63.37 48.45 63.370000 63.370000 63.370000

C2 W44152001 SUMAMED (R) AZITHROMYCINUM LIOF. PT. SOL. PERF. 500mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAP V 05-07-2010 161.37 132.18 32.274000 32.274000 32.274000

C2 W53281001 AZITROX 200 mg/5 ml AZITHROMYCINUM PULB. + SOLV. SUSP. ORALA 200mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 16.33 12.08 16.330000 16.330000 16.330000

C2 W42901001 AZITROMICINA SANDOZ 100 mg/5 ml AZITHROMYCINUM PULB. PT. SUSP. ORALA 100mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 22.40 16.57 22.400000 22.400000 22.400000

C2 W42877002 AZITROMICINA SANDOZ 200 mg/5 ml AZITHROMYCINUM PULB. PT. SUSP. ORALA 200 mg/5 ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 34.28 26.21 34.280000 34.280000 34.280000

C2 W00520002 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 25.12 18.59 25.120000 25.120000 25.120000

C2 W00520001 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 48.48 37.06 48.480000 48.480000 48.480000

C2 W00520003 SUMAMED FORTE AZITHROMYCINUM PULB. PT. SUSP. ORALA 200mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01FAO K 05-07-2010 60.21 46.03 60.210000 60.210000 60.210000

C2 W03308001 GENTAMICIN KRKA GENTAMICINUM SOL. INJ. 40mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 7.12 5.27 0.712000 0.712000 0.712000

C2 W03309002 GENTAMICIN KRKA GENTAMICINUM SOL. INJ. 80mg/2ml 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 41.38 31.64 0.827600 0.827600 0.827600

C2 W03309001 GENTAMICIN KRKA GENTAMICINUM SOL. INJ. 80mg/2ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 9.57 7.08 0.957000 0.957000 0.957000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W08121001 PAN - GENTAMICINE GENTAMICINUM SOL.INJ. 80mg/2ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 6.75 4.99 0.675000 0.675000 0.675000

C2 W53278002 AMIKOZIT (R) 100 mg/2 ml AMIKACINUM SOL. INJ. 100mg/2ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 3.54 2.62 3.540000 3.540000 3.540000

C2 W54314001 BIODACYNA AMIKACINUM SOL. INJ. 1g/4ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 12.77 9.45 12.770000 12.770000 12.770000

C2 W54618001 ORLOBIN AMIKACINUM SOL. INJ. 1g/4ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 12.45 9.21 12.450000 12.450000 12.450000

C2 W53277001 AMIKOZIT (R) 500 mg/2 ml AMIKACINUM SOL. INJ. 500mg/2ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 6.95 5.14 6.950000 6.950000 6.950000

C2 W04510001 NETROMYCINE (R) NETILMICINUM SOL. INJ. 150mg/1,5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 19.11 14.14 19.110000 19.110000 19.110000

C2 W04509001 NETROMYCINE (R) NETILMICINUM SOL. INJ. 200mg/2ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 24.21 17.91 24.210000 24.210000 24.210000

C2 W04511001 NETROMYCINE (R) NETILMICINUM SOL. INJ. 50mg/2ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01GBP V 05-07-2010 7.58 5.61 7.580000 7.580000 7.580000

C2 W12904002 OFLOXACIN 200 mg OFLOXACINUM COMPR. FILM. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 48.34 36.96 4.834000 4.834000 4.834000

C2 W12404001 OFLOXIN 200 OFLOXACINUM COMPR. FILM. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 19.97 14.78 1.997000 1.997000 1.997000

C2 W07914001 ZANOCIN OFLOXACINUM COMPR. FILM. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 11.33 8.38 1.133000 1.133000 1.133000

C2 W13598001 ZANOCIN (R) OD 400 OFLOXACINUM COMPR. FILM. ELIB. PREL. 400mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 27.38 20.26 5.476000 5.476000 5.476000

C2 W13598002 ZANOCIN (R) OD 400 OFLOXACINUM COMPR. FILM. ELIB. PREL. 400mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 50.38 38.52 5.038000 5.038000 5.038000

C2 W13553001 OFLOXIN (R) INF OFLOXACINUM SOL. PERF. 200mg/100ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 20.23 14.97 20.230000 20.230000 20.230000

C2 W01291001 EUCIPRIN CIPROFLOXACINUM CAPS. 250mg 12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 8.01 5.93 0.667500 0.667500 0.667500

C2 W54038001 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.55 4.85 0.655000 0.655000 0.655000

C2 W54038002 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 12.28 9.09 0.614000 0.614000 0.614000

C2 W54037001 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 37.23 28.46 3.723000 3.723000 3.723000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W54037002 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 65.47 51.78 3.273500 3.273500 3.273500

C2 W44077004 CIPROCIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01273001 CIPRINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01288001 CIPROLEN (R) 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01271002 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01271001 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 12.26 9.07 0.613000 0.613000 0.613000

C2 W51913001 CIPROFLOXACINA ALKALOID 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 7.86 5.82 0.786000 0.786000 0.786000

C2 W07862001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.92 5.12 0.692000 0.692000 0.692000

C2 W51979001 CIPROLET 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 4.75 3.51 0.475000 0.475000 0.475000

C2 W53066001 EUCIPRIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.09 4.51 0.609000 0.609000 0.609000

C2 W53288001 ALVEBAR 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 4.75 3.51 0.475000 0.475000 0.475000

C2 W55179001 CIPROFLOXACINA OZONE 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 5.29 3.91 0.529000 0.529000 0.529000

C2 W01274001 CIPRINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W44076001 CIPROCIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W01289001 CIPROLEN (R) 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W01272001 CUMINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W13734001 CIPROZONE FORTE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.844000 0.844000

C2 W51912001 CIPROFLOXACINA ALKALOID 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 15.07 11.15 1.507000 1.507000 1.507000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W07863001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 8.75 6.47 0.875000 0.875000 0.875000

C2 W12545001 CIPRO QUIN (R) CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W51980001 CIPROLET 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.647000

C2 W52031001 CIPRODAR CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W53067001 EUCIPRIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.921000 0.921000

C2 W53287001 ALVEBAR 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.647000

C2 W54039001 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.921000 0.921000

C2 W54039002 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 16.38 12.12 0.819000 0.819000 0.819000

C2 W55180001 CIPROFLOXACINA OZONE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.844000 0.844000

C2 W42772001 CIPRINOL 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 38.41 29.37 3.841000 3.841000 3.841000

C2 W54040001 CIPROFLOXACINA ARENA 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 37.23 28.46 3.723000 3.723000 3.723000

C2 W43891001 CIPROBAY XR 1000 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 1000 mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 84.50 66.83 12.071428 12.071428 12.071428

C2 W43890001 CIPROBAY XR 500 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 500 mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 27.57 20.40 9.190000 9.190000 9.190000

C2 W01275002 CIPRINOL (R) CIPROFLOXACINUM CONC. PT. SOL. PERF. 100mg/10ml 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 136.24 111.60 2.724800 2.724800 2.724800

C2 W01275001 CIPRINOL (R) CIPROFLOXACINUM CONC. PT. SOL. PERF. 100mg/10ml 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 16.75 12.39 3.350000 3.350000 3.350000

C2 W08223001 CIPRINOL CIPROFLOXACINUM SOL. PERF. 100mg/50ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 4.78 3.54 4.780000 4.780000 4.780000

C2 W08224001 CIPRINOL CIPROFLOXACINUM SOL. PERF. 200mg/100ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 9.57 7.08 9.570000 9.570000 9.570000

C2 W13653002 CIPROBAY (R) 400 CIPROFLOXACINUM SOL. PERF. 2mg/ml 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 702.27 609.28 140.454000 140.454000 140.454000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W07480002 UFEXIL 2 mg/ ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 162.21 132.87 16.221000 16.221000 16.221000

C2 W53353002 CIPROFLOXACINA INFOMED 2 mg/ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 87.28 69.03 8.728000 8.728000 8.728000

C2 W53353003 CIPROFLOXACINA INFOMED 2 mg/ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 156.96 128.57 15.696000 15.696000 15.696000

C2 W42193001 CIPRINOL (R) CIPROFLOXACINUM SOL. PERF. 400mg/200ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 19.26 14.25 19.260000 19.260000 19.260000

C2 W52445001 PEFLOXACIN LAROPHARM PEFLOXACINUM COMPR. FILM. 400mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 27.80 20.57 2.780000 2.780000 2.780000

C2 W04612001 H - NORFLOXACIN 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 17.57 13.00 0.878500 0.878500 0.878500

C2 W41800001 NORFLOXACINA LPH 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 15.70 11.62 0.785000 0.785000 0.785000

C2 W51610001 NORFLOX - 400 NORFLOXACINUM COMPR. FILM. 400mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 6.18 4.57 0.618000 0.618000 0.618000

C2 W07984001 NOLICIN 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 17.57 13.00 0.878500 0.878500 0.878500

C2 W44067001 EPINOR NORFLOXACINUM COMPR. FILM. 400mg 14 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 7.69 5.69 0.549285 0.549285 0.549285

C2 W52912001 NORFLOXACINA TERAPIA 400 mg NORFLOXACINUM COMPR. FILM. 400mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 5.82 4.31 0.582000 0.582000 0.582000

C2 W54101001 NOR QUIN 400 mg NORFLOXACINUM COMPR. FILM. 400mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 17.57 13.00 0.878500 0.878500 0.878500

C2 W55059001 NORFLOXACIN OZONE 400 mg NORFLOXACINUM COMPR. FILM. 400mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01MA06O V 05-07-2010 5.70 4.22 0.570000 0.570000 0.570000

C2 W52786004 LEVOFLOXACINA ACTAVIS 250 mg LEVOFLOXACINUM COMPR. FILM. 250mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 31.43 23.25 4.490000 4.490000 4.490000

C2 W52787004 LEVOFLOXACINA ACTAVIS 500 mg LEVOFLOXACINUM COMPR. FILM. 500mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 33.77 25.82 4.824285 4.824285 4.824285

C2 W54301002 TAVANIC 500 mg LEVOFLOXACINUM COMPR. FILM. 500mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 51.97 39.73 7.424285 7.424285 7.424285

C2 W12047001 TAVANIC I.V. 500 mg LEVOFLOXACINUM SOL. PERF. 5mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 136.64 111.93 136.640000 136.640000 136.640000

C2 W54108001 LEVOFLOXACIN KABI 5 mg/ml LEVOFLOXACINUM SOL. PERF. 5mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 49.31 37.70 49.310000 49.310000 49.310000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W54108002 LEVOFLOXACIN KABI 5 mg/ml LEVOFLOXACINUM SOL. PERF. 5mg/ml 25 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 971.88 856.63 38.875200 38.875200 38.875200

C2 W54108003 LEVOFLOXACIN KABI 5 mg/ml LEVOFLOXACINUM SOL. PERF. 5mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 93.65 74.07 93.650000 93.650000 93.650000

C2 W54108004 LEVOFLOXACIN KABI 5 mg/ml LEVOFLOXACINUM SOL. PERF. 5mg/ml 25 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 1,872.89 1,683.25 74.915600 74.915600 74.915600

C2 W55456001 EVOLOX 5 mg/ml LEVOFLOXACINUM SOL. PERF. 5mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 49.31 37.70 49.310000 49.310000 49.310000

C2 W55456003 EVOLOX 5 mg/ml LEVOFLOXACINUM SOL. PERF. 5mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 93.65 74.07 93.650000 93.650000 93.650000

C2 W42166002 AVELOX (R) 400 mg MOXIFLOXACINUM COMPR. FILM. 400mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAO V 05-07-2010 83.21 65.81 16.642000 16.642000 16.642000

C2 W42098004 AVELOX (R) 400 mg/250 ml MOXIFLOXACINUM SOL. PERF. 400mg/250ml 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J01MAP V 05-07-2010 712.16 618.36 142.432000 142.432000 142.432000

C2 W43348001 VANCOMYCIN TEVA VANCOMYCINUM LIOF. PT. SOL. PERF. 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XA01P V 05-07-2010 63.37 48.45 63.370000 63.370000 63.370000

C2 W43347001 VANCOMYCIN TEVA VANCOMYCINUM LIOF. PT. SOL. PERF. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XA01P V 05-07-2010 32.74 24.22 32.740000 32.740000 32.740000

C2 W06052001 EDICIN VANCOMYCINUM LIOF. PT. SOL. PERF./INJ. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XA01P V 05-07-2010 51.26 39.19 51.260000 51.260000 51.260000

C2 W06051001 EDICIN VANCOMYCINUM PULB.LIOF.PT.SOL.PERF./INJ 1g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XA01P V 05-07-2010 71.77 56.76 71.770000 71.770000 71.770000

C2 W13105001 TARGOCID (R) 400 mg TEICOPLANINUM LIOF. + SOLV. PT. SOL. INJ. 400mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XA02P V 05-07-2010 143.92 117.89 143.920000 143.920000 143.920000

C2 W52501001 COLISTINA ANTIBIOTICE 1000000 UI COLISTINUM PULB. PT. SOL. INJ./PERF. 1000000ui 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XB01P V 05-07-2010 1,785.06 1,602.67 17.850600 17.850600 17.850600

C2 W52501002 COLISTINA ANTIBIOTICE 1000000 UI COLISTINUM PULB. PT. SOL. INJ./PERF. 1000000ui 50 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XB01P V 05-07-2010 927.96 816.34 18.559200 18.559200 18.559200

C2 W53689002METRONIDAZOL ARENA 250 mg (J01XD01) METRONIDAZOLUM COMPR. 250mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDO V 05-07-2010 7.70 5.70 0.256666 0.256666 0.256666

C2 W08257001 FLAGYL ( vezi J01XD01) METRONIDAZOLUM COMPR. FILM. 250mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDO V 05-07-2010 8.38 6.20 0.419000 0.419000 0.419000

C2 W42139002 METRONIDAZOL A 5 g/l METRONIDAZOLUM SOL. PERF. 5g/l 12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDP V 05-07-2010 100.01 79.10 8.334166 8.334166 8.334166

C2 W42139001 METRONIDAZOL A 5 g/l METRONIDAZOLUM SOL. PERF. 5g/l 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDP V 05-07-2010 9.09 6.73 9.090000 9.090000 9.090000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W42138002 METRONIDAZOL B 5 g/l METRONIDAZOLUM SOL. PERF. 5g/l 12 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDP V 05-07-2010 98.07 77.56 8.172500 8.172500 8.172500

C2 W42138001 METRONIDAZOL B 5 g/l METRONIDAZOLUM SOL. PERF. 5g/l 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDP V 05-07-2010 8.88 6.57 8.880000 8.880000 8.880000

C2 W08927001 METRONIDAZOL BRAUN 5mg/ml METRONIDAZOLUM SOL. PERF. 5mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDP V 05-07-2010 48.80 37.31 4.880000 4.880000 4.880000

C2 W08927002 METRONIDAZOL BRAUN 5mg/ml METRONIDAZOLUM SOL. PERF. 5mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDP V 05-07-2010 48.25 36.89 4.825000 4.825000 4.825000

C2 W08927003 METRONIDAZOL BRAUN 5mg/ml METRONIDAZOLUM SOL. PERF. 5mg/ml 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDP V 05-07-2010 277.83 227.58 13.891500 13.891500 13.891500

C2 W13543001 FLAGYL 4 % (J01XD01) METRONIDAZOLUM SUSP. ORALA 4% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 0J01XDO K 05-07-2010 7.94 5.87 7.940000 7.940000 7.940000

C2 W52799001 ZYVOXID (R) LINEZOLIDUM COMPR. FILM. 600mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XX08O V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000

C2 W52800001 ZYVOXID (R) LINEZOLIDUM GRAN. PT. SUSP. ORALA 100mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XX08O V 05-07-2010 994.48 877.37 994.480000 994.480000 994.480000

C2 W52801001 ZYVOXID (R) LINEZOLIDUM SOL. PERF. 2mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J01XX08P V 05-07-2010 1,781.68 1,599.57 178.168000 178.168000 178.168000

C2 W54619001 FUNGIZONE AMPHOTERICINUM B PULB. LIOFILIZ. PT. SOL. INJ. 50mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MS 9J02AA01P V 05-07-2010 41.20 31.50 41.200000 41.200000 41.200000

C2 W03875001 NIZORAL 200 mg KETOCONAZOLUM COMPR. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J02AB02O V 05-07-2010 20.42 15.11 2.042000 2.042000 2.042000

C2 W12109001 KETOCONAZOL 200 mg KETOCONAZOLUM COMPR. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J02AB02O V 05-07-2010 8.01 5.93 0.801000 0.801000 0.801000

C2 W08175002 KETOCONAZOL 200 mg KETOCONAZOLUM COMPR. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J02AB02O V 05-07-2010 6.86 5.08 0.686000 0.686000 0.686000

C2 W12122001 KETOSTIN 200 mg KETOCONAZOLUM COMPR. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J02AB02O V 05-07-2010 12.59 9.31 1.259000 1.259000 1.259000

C2 W41983001 KEFUNGIN KETOCONAZOLUM COMPR. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J02AB02O V 05-07-2010 6.86 5.08 0.686000 0.686000 0.686000

C2 W54365002 KETOCONAZOL ARENA 200 mg KETOCONAZOLUM COMPR. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J02AB02O V 05-07-2010 9.15 6.77 0.915000 0.915000 0.915000

C2 W08955001 DIFLAZON 100 mg FLUCONAZOLUM CAPS. 100mg 28 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 235.85 193.19 8.423214 8.423214 8.423214

C2 W08372001 FLUCOVIM 100 FLUCONAZOLUM CAPS. 100mg 4 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 25.55 18.90 6.387500 6.387500 6.387500

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W44099001 FLUCORIC 100 mg FLUCONAZOLUM CAPS. 100mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 43.26 33.07 6.180000 6.180000 6.180000

C2 W42371002 FUNGOLON 100 mg FLUCONAZOLUM CAPS. 100mg 16 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 82.46 65.22 5.153750 5.153750 5.153750

C2 W43597001 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 2 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.41 6.96 4.705000 4.705000 4.705000

C2 W43597002 FLUCONAZOLE TEVA 100 mg FLUCONAZOLUM CAPS. 100mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 31.43 23.25 4.490000 4.490000 4.490000

C2 W08956001 DIFLAZON 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 22.47 16.62 22.470000 22.470000 22.470000

C2 W08970003 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 4 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 78.44 62.04 19.610000 19.610000 19.610000

C2 W08970002 MYCOSYST 150 mg FLUCONAZOLUM CAPS. 150mg 2 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 43.15 32.99 21.575000 21.575000 21.575000

C2 W08373001 FLUCOVIM 150 FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W03156001 DIFLUCAN 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 25.02 18.51 25.020000 25.020000 25.020000

C2 W44089001 FLUCORIC 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 18.83 13.93 18.830000 18.830000 18.830000

C2 W43288001 FLUCONAZOL SANDOZ (R) 150 FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 14.55 10.77 14.550000 14.550000 14.550000

C2 W42174001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W42741001 FLUCONAZOL TERAPIA 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.18 6.79 9.180000 9.180000 9.180000

C2 W42192002 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 3 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 31.93 23.62 10.643333 10.643333 10.643333

C2 W42192001 MYCOMAX 150 FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 12.50 9.25 12.500000 12.500000 12.500000

C2 W43598001 FLUCONAZOLE TEVA 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000

C2 W42693001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.66 7.15 9.660000 9.660000 9.660000

C2 W51994001 FLUCONAZOL MEDOCHEMIE 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W52224001 FLUCONAZOL BIOGALENICA 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 6.58 4.87 6.580000 6.580000 6.580000

C2 W52335001 FLUCONAZOL MEDICO UNO 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000

C2 W53943002 FLUCONAZOL ARENA 150 MG FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.01 6.67 9.010000 9.010000 9.010000

C2 W55071001 FLUCONAZOL 150 mg FLUCONAZOLUM CAPS. 150mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 9.91 7.33 9.910000 9.910000 9.910000

C2 W43599002 FLUCONAZOLE TEVA 200 mg FLUCONAZOLUM CAPS. 200mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 39.28 30.03 5.611428 5.611428 5.611428

C2 W08958001 DIFLAZON 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 61.57 47.07 8.795714 8.795714 8.795714

C2 W08374001 FLUCOVIM 50 FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714

C2 W03157001 DIFLUCAN 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 56.41 43.13 8.058571 8.058571 8.058571

C2 W44098001 FLUCORIC 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 29.54 21.86 4.220000 4.220000 4.220000

C2 W43287001 FLUCONAZOL SANDOZ (R) 50 FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 41.83 31.98 5.975714 5.975714 5.975714

C2 W42172001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 22.51 16.65 3.215714 3.215714 3.215714

C2 W42370002 FUNGOLON 50 mg FLUCONAZOLUM CAPS. 50mg 8 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 19.00 14.06 2.375000 2.375000 2.375000

C2 W43225001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 25.47 18.84 2.547000 2.547000 2.547000

C2 W43596001 FLUCONAZOLE TEVA 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 16.64 12.31 2.377142 2.377142 2.377142

C2 W42414001 FLUCONAZOL TERAPIA 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 19.65 14.54 2.807142 2.807142 2.807142

C2 W42321001 FLUCONAZOL 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 19.54 14.46 2.791428 2.791428 2.791428

C2 W51993001 FLUCONAZOL MEDOCHEMIE 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 16.12 11.93 2.302857 2.302857 2.302857

C2 W52225001 FLUCONAZOL BIOGALENICA 50 mg FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 15.73 11.64 2.247142 2.247142 2.247142

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W53942002 FLUCONAZOL ARENA 50 MG FLUCONAZOLUM CAPS. 50mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 19.08 14.12 2.725714 2.725714 2.725714

C2 W03159001 DIFLUCAN (R) 50 mg/5 ml FLUCONAZOLUM PULB. PT. SUSP. ORALA 50mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 56.41 43.13 56.410000 56.410000 56.410000

C2 W03160004 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 162.21 132.87 162.210000 162.210000 162.210000

C2 W03160002 DIFLUCAN (R) FLUCONAZOLUM SOL. PERF. 2mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 40.44 30.92 40.440000 40.440000 40.440000

C2 W12072001 DIFLAZON 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 45.72 34.95 45.720000 45.720000 45.720000

C2 W42083003 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 39.86 30.47 39.860000 39.860000 39.860000

C2 W42083001 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 55.66 42.55 55.660000 55.660000 55.660000

C2 W42083002 MYCOMAX (R) INF FLUCONAZOLUM SOL. PERF. 2mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 167.39 137.11 167.390000 167.390000 167.390000

C2 W52223003 FLUCONAZOL BIOGALENICA 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 53.01 40.53 53.010000 53.010000 53.010000

C2 W53987001 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 222.76 182.47 22.276000 22.276000 22.276000

C2 W53987002 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 432.48 361.77 21.624000 21.624000 21.624000

C2 W53987004 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 532.57 453.60 53.257000 53.257000 53.257000

C2 W53987005 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 904.25 794.59 45.212500 45.212500 45.212500

C2 W53987007 FLUCONAZOL B. BRAUN 2mg/ml FLUCONAZOLUM SOL. PERF. 2mg/ml 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACP V 05-07-2010 876.27 768.92 87.627000 87.627000 87.627000

C2 W03837002 ORUNGAL ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 76.74 60.69 5.116000 5.116000 5.116000

C2 W43051001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W51942001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 124.00 98.07 8.266666 8.266666 8.266666

C2 W51946001 ITRACONAZOL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W52343006 OMICRAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W52249002 SPORILIN 100 mg ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W53957001 ITRACONAZOL LPH 100 mg ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 52.44 40.09 3.496000 3.496000 3.496000

C2 W53958001 MICOGAL 100 mg ITRACONAZOLUM CAPS. 100mg 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J02ACO V 05-07-2010 52.43 40.08 3.495333 3.495333 3.495333

C2 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428

C2 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214

C2 W10489001 VFEND 200mg VORICONAZOLUM PULB. PT. SOL. PERF. 200mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 2J02ACP V 05-07-2010 536.36 457.07 536.360000 536.360000 536.360000

C2 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000

C2 W51607001 NOXAFIL SP 40mg/ml POSACONAZOLUM SUSP. ORALA 40mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 2J02ACO V 05-07-2010 2,974.83 2,694.20 2,974.830000 2,974.830000 2,974.830000

C2 W06665001 CANCIDAS 50 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 50mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J02AX04P V 05-07-2010 1,345.76 1,199.64 1,345.760000 1,345.760000 1,345.760000

C2 W06670001 CANCIDAS 70 mg CASPOFUNGINUMPULB. PT. CONC. PT. SOL. PERF. 70mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J02AX04P V 05-07-2010 1,734.79 1,556.55 1,734.790000 1,734.790000 1,734.790000

C2 W52364001 ECALTA 100mg ANIDULAFUNGINUMPULB. + SOLV. PT. CONC. PT. SOL. PERF. 100mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J02AX06P V 05-07-2010 1,692.26 1,517.53 1,692.260000 1,692.260000 1,692.260000

C2 W05430001 MYCOBUTIN 150 mg RIFABUTINUM CAPS. 150mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AB04O V 05-07-2010 370.64 305.04 12.354666 12.354666 12.354666

C2 W12816001 ISONIAZIDA 100 mg ISONIAZIDUM COMPR. 100mg 1500 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AC01O V 05-07-2010 113.56 89.81 0.075706 0.075706 0.075706

C2 W07180002 IZONIAZIDA ANTIBIOTICE 300 mg ISONIAZIDUM COMPR. 300mg 1500 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AC01O V 05-07-2010 329.29 269.73 0.219526 0.219526 0.219526

C2 W08112002 IZONIAZIDA 500 mg ISONIAZIDUM SOL. INJ. 500mg/10ml 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AC01P V 05-07-2010 82.96 65.61 0.829600 0.829600 0.829600

C2 W07316002 PIRAZINAMIDA ANTIBIOTICE 500 mg PYRAZINAMIDUM COMPR. 500mg 1500 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AK01O V 05-07-2010 510.81 433.63 0.340540 0.340540 0.340540

C2 W07316001 PIRAZINAMIDA ANTIBIOTICE 500 mg PYRAZINAMIDUM COMPR. 500mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AK01O V 05-07-2010 9.11 6.74 0.455500 0.455500 0.455500

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W42943002 ETAMBUTOL 250 mg ETHAMBUTOLUM COMPR. FILM. 250mg 1500 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AK02O V 05-07-2010 308.02 252.31 0.205346 0.205346 0.205346

C2 W42861002 ETAMBUTOL 400 mg ETHAMBUTOLUM COMPR. FILM. 400mg 1500 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AK02O V 05-07-2010 467.93 394.29 0.311953 0.311953 0.311953

C2 W14071002 SINERDOL ISOCOMBINATII (RIFAMPICINUM+IZONIAZIDUM) CAPS. 300mg+150mg 1000 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J04AM02O V 05-07-2010 515.00 437.48 0.515000 0.515000 0.515000

C2 W42857001 ACICLOVIR 200 mg ACICLOVIRUM CAPS. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 20.18 14.93 1.009000 1.009000 1.009000

C2 W53675001 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 21.37 15.81 1.068500 1.068500 1.068500

C2 W53675003 ACICLOVIR ARENA 200 mg ACICLOVIRUM CAPS. 200mg 1000 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 803.94 702.56 0.803940 0.803940 0.803940

C2 W53676001 ACICLOVIR ARENA 400 mg ACICLOVIRUM CAPS. 400mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 19.43 14.38 1.943000 1.943000 1.943000

C2 W00044001 ACICLOVIR TERAPIA 200 mg ACICLOVIRUM COMPR. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 17.10 12.65 0.855000 0.855000 0.855000

C2 W13972001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 17.18 12.71 0.859000 0.859000 0.859000

C2 W41451001 CLOVIRAL 200 mg ACICLOVIRUM COMPR. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 16.39 12.13 0.819500 0.819500 0.819500

C2 W06667003 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 13.76 10.18 0.688000 0.688000 0.688000

C2 W53225001 ACICLOVIR 200 mg ACICLOVIRUM COMPR. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 12.97 9.60 0.648500 0.648500 0.648500

C2 W06668003 ACICLOVIR 400 mg ACICLOVIRUM COMPR. 400mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 19.18 14.19 1.918000 1.918000 1.918000

C2 W08894001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500

C2 W08177003 LOVIR 200 mg ACICLOVIRUM COMPR. DISP. 200mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 3.73 2.76 0.373000 0.373000 0.373000

C2 W55183001 ACICLOVIR OZONE 200 mg ACICLOVIRUM COMPR. DISP. 200mg 20 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 7.23 5.35 0.361500 0.361500 0.361500

C2 W51494001 ACIKLOVIR ACICLOVIRUM COMPR. FILM. 400mg 35 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 57.04 43.61 1.629714 1.629714 1.629714

C2 W00058001 VIROLEX ACICLOVIRUM PULB. PT. SOL. INJ./PERF. 250mg 5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AB01P V 05-07-2010 282.31 231.25 56.462000 56.462000 56.462000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W08062003 REBETOL 200 mg RIBAVIRINUM CAPS. 200mg 140 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AB04O V 05-07-2010 2,442.00 2,205.36 17.442857 17.442857 17.442857

C2 W53326004 COPEGUS 200mg RIBAVIRINUM COMPR. FILM. 200mg 168 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AB04O V 05-07-2010 2,655.02 2,400.79 15.803690 15.803690 15.803690

C2 W51337001 CYMEVENE GANCICLOVIRUM LIOF. PT. SOL. INJ. 500mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AB06P V 05-07-2010 117.06 92.58 117.060000 117.060000 117.060000

C2 W06049001 VALTREX 500 mg VALACYCLOVIRUM COMPR. FILM. 500mg 10 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1J05ABO V 05-07-2010 100.40 79.41 10.040000 10.040000 10.040000

C2 W51832001 VALCYTE (R) 450 mg VALGANCICLOVIRUM COMPR. FILM. 450mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AB14O V 05-07-2010 5,326.56 4,851.75 88.776000 88.776000 88.776000

C2 W12651002 BRIVAL 125mg BRIVUDINUM COMPR. 125mg 7 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AB15O V 05-07-2010 331.80 271.79 47.400000 47.400000 47.400000

C2 W05508001 INVIRASE 200mg SAQUINAVIRUM CAPS. 200mg 270 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AE01O V 05-07-2010 1,148.13 1,018.33 4.252333 4.252333 4.252333

C2 W42514001 INVIRASE 500 mg SAQUINAVIRUM COMPR. FILM. 500mg 120 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AE01O V 05-07-2010 1,140.78 1,011.59 9.506500 9.506500 9.506500

C2 W03593003 CRIXIVAN 200mg INDINAVIRUM CAPS. 200mg 360 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AE02O V 05-07-2010 204.08 167.17 0.566888 0.566888 0.566888

C2 W03594003 CRIXIVAN 400mg INDINAVIRUM CAPS. 400mg 180 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AE02O V 05-07-2010 204.08 167.17 1.133777 1.133777 1.133777

C2 W08690001 NORVIR 100 mg RITONAVIRUM CAPS. MOI 100mg 336 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE03O V 05-07-2010 1,234.74 1,097.79 3.674821 3.674821 3.674821

C2 W12175001 VIRACEPT 250 mg NELFINAVIRUM COMPR. FILM. 250mg 270 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AE04O V 05-07-2010 1,148.13 1,018.33 4.252333 4.252333 4.252333

C2 W43277001 KALETRA 200mg/50mg LOPINAVIRUM+RITONAVIRUM COMPR. FILM. 200mg/50mg 120 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE06O V 05-07-2010 1,739.62 1,560.98 14.496833 14.496833 14.496833

C2 W12825002 KALETRA 80mg/ml+20mg/ml LOPINAVIRUM+RITONAVIRUM SOL. ORALA 80mg/ml+20mg/m5 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE06O V 05-07-2010 1,656.19 1,484.44 331.238000 331.238000 331.238000

C2 W41772001 TELZIR 700mg FOSAMPRENAVIRUM COMPR. FILM. 700mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE07O V 05-07-2010 1,364.45 1,216.79 22.740833 22.740833 22.740833

C2 W41773001 TELZIR 50mg/ml FOSAMPRENAVIRUM SUSP. ORALA 50mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE07O V 05-07-2010 456.42 383.73 456.420000 456.420000 456.420000

C2 W14087002 REYATAZ 150 mg ATAZANAVIRUM CAPS. 150mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AE08O V 05-07-2010 1,756.25 1,576.24 29.270833 29.270833 29.270833

C2 W53181001 REYATAZ 300 mg ATAZANAVIRUM CAPS. 300mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AE08O V 05-07-2010 1,877.53 1,687.50 62.584333 62.584333 62.584333

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W51426001 APTIVUS 250mg TIPRANAVIRUM CAPS. MOI 250mg 120 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE09O V 05-07-2010 3,267.28 2,962.50 27.227333 27.227333 27.227333

C2 W51827001 PREZISTA 300mg DARUNAVIRUM COMPR. FILM. 300mg 120 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE10O V 05-07-2010 3,048.68 2,761.95 25.405666 25.405666 25.405666

C2 W53878001 PREZISTA 400mg DARUNAVIRUM COMPR. FILM. 400mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE10O V 05-07-2010 2,229.60 2,010.50 37.160000 37.160000 37.160000

C2 W53877001 PREZISTA 600mg DARUNAVIRUM COMPR. FILM. 600mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AE10O V 05-07-2010 3,128.30 2,835.00 52.138333 52.138333 52.138333

C2 W06151002 RETROVIR (R) ZIDOVUDINUM CAPS. 100mg 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF01O V 05-07-2010 82.76 65.45 0.827600 0.827600 0.827600

C2 W10722001 VIDEX EC 125 mg DIDANOSINUM CAPS. GASTROREZ. 125mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF02O V 05-07-2010 262.53 215.05 8.751000 8.751000 8.751000

C2 W10723001 VIDEX EC 200 mg DIDANOSINUM CAPS. GASTROREZ. 200mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF02O V 05-07-2010 411.80 342.80 13.726666 13.726666 13.726666

C2 W10724001 VIDEX EC 250 mg DIDANOSINUM CAPS. GASTROREZ. 250mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF02O V 05-07-2010 497.05 421.01 16.568333 16.568333 16.568333

C2 W10725001 VIDEX EC 400 mg DIDANOSINUM CAPS. GASTROREZ. 400mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF02O V 05-07-2010 752.76 655.60 25.092000 25.092000 25.092000

C2 W12059001 ZERIT 15 mg STAVUDINUM CAPS. 15mg 56 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF04O V 05-07-2010 529.23 450.53 9.450535 9.450535 9.450535

C2 W12058001 ZERIT 20 mg STAVUDINUM CAPS. 20mg 56 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF04O V 05-07-2010 546.32 466.21 9.755714 9.755714 9.755714

C2 W12057001 ZERIT 30 mg STAVUDINUM CAPS. 30mg 56 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF04O V 05-07-2010 568.27 486.35 10.147678 10.147678 10.147678

C2 W12056001 ZERIT 40 mg STAVUDINUM CAPS. 40mg 56 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF04O V 05-07-2010 584.87 501.58 10.444107 10.444107 10.444107

C2 W07518002 ZEFFIX 100 mg LAMIVUDINUM COMPR. FILM. 100mg 28 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF05O V 05-07-2010 278.07 227.78 9.931071 9.931071 9.931071

C2 W03923002 EPIVIR 150mg LAMIVUDINUM COMPR. FILM. 150mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF05O V 05-07-2010 397.36 329.55 6.622666 6.622666 6.622666

C2 W03924002 EPIVIR 10mg/ml LAMIVUDINUM SOL. ORALA 10mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF05O V 05-07-2010 113.11 89.46 113.110000 113.110000 113.110000

C2 W07520001 ZEFFIX 5 mg/ml LAMIVUDINUM SOL. ORALA 5mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF05O V 05-07-2010 126.68 103.77 126.680000 126.680000 126.680000

C2 W12820001 ZIAGEN 300 mg ABACAVIRUM COMPR. FILM. 300mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF06O V 05-07-2010 726.18 631.22 12.103000 12.103000 12.103000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W07524001 ZIAGEN 20 mg/ml ABACAVIRUM SOL. ORALA 20mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF06O V 05-07-2010 232.53 190.47 232.530000 232.530000 232.530000

C2 W51800001 VIREAD 245mgTENOFOVIRUM DISOPROXIL FUMARATE COMPR. FILM. 245mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF07O V 05-07-2010 1,231.17 1,094.51 41.039000 41.039000 41.039000

C2 W51482001 EMTRIVA 200mg EMTRICITABINUM CAPS. 200mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AF09O V 05-07-2010 751.83 654.75 25.061000 25.061000 25.061000

C2 W04513001 VIRAMUNE 200mg NEVIRAPINUM COMPR. 200mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AG01O V 05-07-2010 718.03 623.74 11.967166 11.967166 11.967166

C2 W13091001 VIRAMUNE 50mg/ml NEVIRAPINUM SUSP. ORALA 50mg/5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AG01O V 05-07-2010 227.58 186.42 227.580000 227.580000 227.580000

C2 W52677001 STOCRIN 50 mg EFAVIRENZUM COMPR. FILM. 50mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AG03O V 05-07-2010 16.24 12.02 0.541333 0.541333 0.541333

C2 W12025001 STOCRIN 600 mg EFAVIRENZUM COMPR. FILM. 600mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AG03O V 05-07-2010 85.08 67.29 2.836000 2.836000 2.836000

C2 W12025002 STOCRIN 600 mg EFAVIRENZUM COMPR. FILM. 600mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AG03O V 05-07-2010 85.08 67.29 2.836000 2.836000 2.836000

C2 W53549001 INTELENCE ETRAVIRINUM COMPR. 100mg 120 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AG04O V 05-07-2010 2,155.48 1,942.50 17.962333 17.962333 17.962333

C2 W02028001 COMBIVIR 150mg/300mg ZIDOVUDINUM+LAMIVUDINUM COMPR. FILM. 150mg/300mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AR01O V 05-07-2010 771.81 673.08 12.863500 12.863500 12.863500

C2 W42301001 KIVEXA 600mg/300mg ABACAVIRUM+LAMIVUDINUM COMPR. FILM. 600mg/300mg 30 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AR02O V 05-07-2010 1,483.20 1,325.73 49.440000 49.440000 49.440000

C2 W08336001 TRIZIVIR 300mg/150mg/300mgABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM COMPR. FILM. 300mg/150mg/30 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AR04O V 05-07-2010 1,381.51 1,232.44 23.025166 23.025166 23.025166

C2 W13961001 FUZEON 90mg/ml ENFUVIRTIDUM PULB. + SOLV. PT. SOL. INJ. 90mg/ml 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J05AX07P V 05-07-2010 6,661.60 6,076.55 111.026666 111.026666 111.026666

C2 W52764001 ISENTRESS 40mg RALTEGRAVIRUM COMPR. FILM. 400 mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AX08O V 05-07-2010 3,823.25 3,472.56 63.720833 63.720833 63.720833

C2 W52349003 CELSENTRI 150mg MARAVIROCUM COMPR. FILM. 150mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AX09O V 05-07-2010 3,684.27 3,345.06 61.404500 61.404500 61.404500

C2 W52350003 CELSENTRI 300mg MARAVIROCUM COMPR. FILM. 300mg 60 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9J05AX09O V 05-07-2010 3,684.27 3,345.06 61.404500 61.404500 61.404500

C2 W43357003 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 986.45 870.00 986.450000 986.450000 986.450000

C2 W43357004 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 1,902.05 1,710.00 1,902.050000 1,902.050000 1,902.050000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W43357002 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 528.65 450.00 528.650000 528.650000 528.650000

C2 W43357001 FLEBOGAMMA 5%IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 118.95 94.08 118.950000 118.950000 118.950000

C2 W51530002 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 544.52 464.56 544.520000 544.520000 544.520000

C2 W51530003 KIOVIG 100mg/mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 100mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 1,018.20 899.13 1,018.200000 1,018.200000 1,018.200000

C2 W43965001 IG VENA 10g/200mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 10g/200ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 2,265.63 2,043.56 2,265.630000 2,265.630000 2,265.630000

C2 W43962001 IG VENA 1g/20mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 1g/20ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 270.72 221.76 270.720000 270.720000 270.720000

C2 W43963001 IG VENA 2,5g/50mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 2,5g/50ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 619.82 533.64 619.820000 619.820000 619.820000

C2 W13462001 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 745.56 649.00 745.560000 745.560000 745.560000

C2 W13462003 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 2,508.09 2,266.00 2,508.090000 2,508.090000 2,508.090000

C2 W13462002 OCTAGAMIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 50mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 1,312.36 1,169.00 1,312.360000 1,312.360000 1,312.360000

C2 W43964001 IG VENA 5g/100mlIMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA SOL. PERF. 5g/100ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BA02P V 05-07-2010 1,168.26 1,036.80 1,168.260000 1,168.260000 1,168.260000

C2 W12216001 SYNAGIS 100 mg PALIVIZUMABUM PULB. + SOLV. PT. SOL. INJ. 100mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BB16P V 05-07-2010 3,843.33 3,490.99 3,843.330000 3,843.330000 3,843.330000

C2 W12215001 SYNAGIS 50 mg PALIVIZUMABUM PULB. + SOLV. PT. SOL. INJ. 50mg 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 9J06BB16P V 05-07-2010 2,342.54 2,114.12 2,342.540000 2,342.540000 2,342.540000

C2 W51424001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 30MU/0,5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 0L03AAP V 05-07-2010 325.26 266.43 325.260000 325.260000 325.260000

C2 W51423001 NEUPOGEN (R) FILGRASTIMUM (G-CSF) SOL. INJ. 48MU/0,5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 0L03AAP V 05-07-2010 512.98 435.62 512.980000 512.980000 512.980000

C2 W53520001 TEVAGRASTIM 30MUI/0,5ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 300mcg/0,5ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 0L03AAP V 05-07-2010 260.83 213.65 260.830000 260.830000 260.830000

C2 W53523001 TEVAGRASTIM 48MUI/0,8ml FILGRASTIMUM (G-CSF) SOL. INJ./PERF. 480mcg/0,8ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MSP 0L03AAP V 05-07-2010 425.24 355.13 425.240000 425.240000 425.240000

C2 W54015001 ELOQUINE 250 mg MEFLOQUINUM COMPR. 250mg 100 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere MS 9P01BC02O V 05-07-2010 171.22 140.25 1.712200 1.712200 1.712200

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Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W12757001 NETTACIN (R) NETILMICINUM PIC. OFT., SOL 0,3% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9S01AA23F V 05-07-2010 14.14 10.46 14.140000 14.140000 14.140000

C2 W41510001 NETTACIN (R) NETILMICINUM PICATURI OFT.-SOL. 0,3% 15 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9S01AA23F V 05-07-2010 28.88 21.37 1.925333 1.925333 1.925333

C2 W43512001 NETTAVISC 3mg/g NETILMICINUM UNG. OFT. 3mg/g 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9S01AA23F V 05-07-2010 32.42 23.99 32.420000 32.420000 32.420000

C2 W13215002 OKACIN LOMEFLOXACINUM PICATURI OFT.-SOL. 3mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9S01AX17F V 05-07-2010 14.67 10.85 14.670000 14.670000 14.670000

C2 W52997001 DEXAMETAZONA RPH 1mg/ml DEXAMETHASONUM PIC. OFT. SUSP. 1mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1S01BAF V 05-07-2010 7.52 5.56 7.520000 7.520000 7.520000

C2 W52997002 DEXAMETAZONA RPH 1mg/ml DEXAMETHASONUM PIC. OFT. SUSP. 1mg/ml 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1S01BAF V 05-07-2010 13.73 10.16 13.730000 13.730000 13.730000

C2 W02427001 MAXIDEX (R) DEXAMETHASONUM PICATURI OFT.-SUSP. 0,1% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 1S01BAF V 05-07-2010 8.52 6.30 8.520000 8.520000 8.520000

C2 W51513001 NORFLOX NORFLOXACINUM PICATURI OFT./AURIC.-SOL. 0,3% 1 1.A

Subprogramul de tratament si monitorizare a persoanelor cu infectie HIV/SIDA si trat. postexpunere 9S03AAN2F V 05-07-2010 4.75 3.51 4.750000 4.750000 4.750000

C2 W42822001 VITAMINA B6 250 mg PYRIDOXINUM COMPR. 250 mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9A11HA02O V 05-07-2010 1.85 1.37 0.092500 0.092500 0.092500

C2 W12536001 SICOVIT B6 250 mg PYRIDOXINUM COMPR. 250mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9A11HA02O V 05-07-2010 9.09 6.73 0.454500 0.454500 0.454500

C2 W42805001 SICOVIT B6 250 mg/5 ml PYRIDOXINUM SOL. INJ. 250mg/5ml 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9A11HA02P V 05-07-2010 10.31 7.63 2.062000 2.062000 2.062000

C2 W42806001 SICOVIT B6 50 mg/2ml PYRIDOXINUM SOL. INJ. 50mg/2ml 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9A11HA02P V 05-07-2010 6.96 5.15 1.392000 1.392000 1.392000

C2 W05242001 PREDNISON MCC 5 mg PREDNISONUM COMPR. 5mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9H02AB07O V 05-07-2010 2.00 1.48 0.100000 0.100000 0.100000

C2 W12565003 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 1000 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9H02AB07O V 05-07-2010 57.99 44.33 0.057990 0.057990 0.057990

C2 W12565002 PREDNISON ARENA 5 mg PREDNISONUM COMPR. 5mg 30 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9H02AB07O V 05-07-2010 2.62 1.94 0.087333 0.087333 0.087333

C2 W42180001 N - PREDNISON PREDNISONUM COMPR. 5mg 30 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9H02AB07O V 05-07-2010 2.47 1.83 0.082333 0.082333 0.082333

C2 W13686002 PREDNISON 5 mg PREDNISONUM COMPR. 5mg 30 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9H02AB07O V 05-07-2010 2.53 1.87 0.084333 0.084333 0.084333

C2 W53341001 PREDNISON - RICHTER 5 mg PREDNISONUM COMPR. 5mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9H02AB07O V 05-07-2010 2.57 1.90 0.128500 0.128500 0.128500

C2 W01326002 KLACID (R) CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 28.49 21.08 2.035000 2.035000 2.035000

C2 W12279002 LEKOKLAR (R) 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 32.16 23.79 2.297142 2.297142 2.297142

C2 W51965001 CLAR 250 CLARITHROMYCINUM COMPR. FILM. 250mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 22.93 16.97 1.146500 1.146500 1.146500

C2 W14043001 KLERIMED (R) 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.188571 1.188571

C2 W44093001 KLABAX 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714

C2 W42303001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714

C2 W08490001 FROMILID 250 CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 16.64 12.31 1.188571 1.188571 1.188571

C2 W55181001 CLARITROMICINA 250 mg CLARITHROMYCINUM COMPR. FILM. 250mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 14.64 10.83 1.045714 1.045714 1.045714

C2 W12280001 LEKOKLAR (R) 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 37.86 28.94 2.704285 2.704285 2.704285

C2 W14044001 KLERIMED (R) 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.324285 2.324285

C2 W44087001 KLABAX 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142

C2 W51964001 CLAR 500 CLARITHROMYCINUM COMPR. FILM. 500mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 44.26 33.84 2.213000 2.213000 2.213000

C2 W42304001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142

C2 W08491001 FROMILID 500 CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 32.54 24.08 2.324285 2.324285 2.324285

C2 W54044001 ROCLARIN 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 50.70 38.76 2.535000 2.535000 2.535000

C2 W55182001 CLARITROMICINA 500 mg CLARITHROMYCINUM COMPR. FILM. 500mg 14 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 32.02 23.69 2.287142 2.287142 2.287142

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entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W41606001 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 18.34 13.57 3.668000 3.668000 3.668000

C2 W41606002 LEKOKLAR XL 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 25.67 18.99 3.667142 3.667142 3.667142

C2 W44088001 KLABAX MR 500 mg CLARITHROMYCINUM COMPR. FILM. ELIB. MODIF. 500mg 7 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 35.12 26.85 5.017142 5.017142 5.017142

C2 W13607002 KLACID SR CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 36.34 27.78 7.268000 7.268000 7.268000

C2 W41838002 FROMILID (R) UNO CLARITHROMYCINUM COMPR. FILM. ELIB. PREL. 500mg 7 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO V 05-07-2010 28.03 20.74 4.004285 4.004285 4.004285

C2 W01327001 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 39.05 29.85 39.050000 39.050000 39.050000

C2 W01327002 KLACID (R) CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 24.42 18.07 24.420000 24.420000 24.420000

C2 W06981001 FROMILID (R) 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 23.24 17.19 23.240000 23.240000 23.240000

C2 W42258001 LEKOKLAR 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 26.15 19.35 26.150000 26.150000 26.150000

C2 W44092002 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 31.53 23.33 31.530000 31.530000 31.530000

C2 W44092001 KLABAX 125 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 125mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 18.91 13.99 18.910000 18.910000 18.910000

C2 W42259002 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 61.39 46.93 61.390000 61.390000 61.390000

C2 W42259001 LEKOKLAR 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 44.75 34.21 44.750000 44.750000 44.750000

C2 W44091002 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 50.97 38.97 50.970000 50.970000 50.970000

C2 W44091001 KLABAX 250 mg/5 ml CLARITHROMYCINUM GRAN. PT. SUSP. ORALA 250mg/5ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAO K 05-07-2010 31.60 23.38 31.600000 31.600000 31.600000

C2 W01329001 KLACID I.V. CLARITHROMYCINUM LIOF. PT. SOL. PERF. 500mg 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01FAP V 05-07-2010 53.67 41.03 53.670000 53.670000 53.670000

C2 W14119005 STREVITAL 1 g STREPTOMYCINUM PULB. PT. SOL. INJ. 1g 100 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J01GA01P V 05-07-2010 338.46 277.24 3.384600 3.384600 3.384600

C2 W14119004 STREVITAL 1 g STREPTOMYCINUM PULB. PT. SOL. INJ. 1g 50 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J01GA01P V 05-07-2010 170.17 139.39 3.403400 3.403400 3.403400

C2 W14119006 STREVITAL 1 g STREPTOMYCINUM PULB. PT. SOL. INJ. 1g 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J01GA01P V 05-07-2010 38.02 29.07 3.802000 3.802000 3.802000

C2 W55578001 STREPTOMYCIN SULPHATE 1g STREPTOMYCINUM PULB. PT. SOL. INJ. 1g 50 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J01GA01P V 05-07-2010 71.23 56.33 1.424600 1.424600 1.424600

C2 W08827001 PAN - KANAMYCINE KANAMYCINUM PULB. PT. SOL. INJ. 1g 50 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01GBP V 05-07-2010 102.32 80.92 2.046400 2.046400 2.046400

C2 W53278002 AMIKOZIT (R) 100 mg/2 ml AMIKACINUM SOL. INJ. 100mg/2ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01GBP V 05-07-2010 3.54 2.62 3.540000 3.540000 3.540000

C2 W54314001 BIODACYNA AMIKACINUM SOL. INJ. 1g/4ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01GBP V 05-07-2010 12.77 9.45 12.770000 12.770000 12.770000

C2 W54618001 ORLOBIN AMIKACINUM SOL. INJ. 1g/4ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01GBP V 05-07-2010 12.45 9.21 12.450000 12.450000 12.450000

C2 W53277001 AMIKOZIT (R) 500 mg/2 ml AMIKACINUM SOL. INJ. 500mg/2ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J01GBP V 05-07-2010 6.95 5.14 6.950000 6.950000 6.950000

C2 W12904002 OFLOXACIN 200 mg OFLOXACINUM COMPR. FILM. 200mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 48.34 36.96 4.834000 4.834000 4.834000

C2 W12404001 OFLOXIN 200 OFLOXACINUM COMPR. FILM. 200mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 19.97 14.78 1.997000 1.997000 1.997000

C2 W07914001 ZANOCIN OFLOXACINUM COMPR. FILM. 200mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 11.33 8.38 1.133000 1.133000 1.133000

C2 W13598001 ZANOCIN (R) OD 400 OFLOXACINUM COMPR. FILM. ELIB. PREL. 400mg 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 27.38 20.26 5.476000 5.476000 5.476000

C2 W13598002 ZANOCIN (R) OD 400 OFLOXACINUM COMPR. FILM. ELIB. PREL. 400mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 50.38 38.52 5.038000 5.038000 5.038000

C2 W13553001 OFLOXIN (R) INF OFLOXACINUM SOL. PERF. 200mg/100ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 20.23 14.97 20.230000 20.230000 20.230000

C2 W01291001 EUCIPRIN CIPROFLOXACINUM CAPS. 250mg 12 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 8.01 5.93 0.667500 0.667500 0.667500

C2 W54038001 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.55 4.85 0.655000 0.655000 0.655000

C2 W54038002 CIPROFLOXACINA ARENA 250 mg CIPROFLOXACINUM COMPR 250mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 12.28 9.09 0.614000 0.614000 0.614000

C2 W54037001 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 37.23 28.46 3.723000 3.723000 3.723000

C2 W54037002 CIPROFLOXACINA ARENA 100 mg CIPROFLOXACINUM COMPR. FILM. 100mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 65.47 51.78 3.273500 3.273500 3.273500

C2 W44077004 CIPROCIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01273001 CIPRINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01288001 CIPROLEN (R) 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01271002 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.81 5.04 0.681000 0.681000 0.681000

C2 W01271001 CUMINOL 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 12.26 9.07 0.613000 0.613000 0.613000

C2 W51913001 CIPROFLOXACINA ALKALOID 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 7.86 5.82 0.786000 0.786000 0.786000

C2 W07862001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.92 5.12 0.692000 0.692000 0.692000

C2 W51979001 CIPROLET 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 4.75 3.51 0.475000 0.475000 0.475000

C2 W53066001 EUCIPRIN 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.09 4.51 0.609000 0.609000 0.609000

C2 W53288001 ALVEBAR 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 4.75 3.51 0.475000 0.475000 0.475000

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entiu

ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C2 W55179001 CIPROFLOXACINA OZONE 250 mg CIPROFLOXACINUM COMPR. FILM. 250mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 5.29 3.91 0.529000 0.529000 0.529000

C2 W01274001 CIPRINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W44076001 CIPROCIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W01289001 CIPROLEN (R) 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W01272001 CUMINOL 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W13734001 CIPROZONE FORTE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.844000 0.844000

C2 W51912001 CIPROFLOXACINA ALKALOID 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 15.07 11.15 1.507000 1.507000 1.507000

C2 W07863001 CIFRAN CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 8.75 6.47 0.875000 0.875000 0.875000

C2 W12545001 CIPRO QUIN (R) CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W51980001 CIPROLET 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.647000

C2 W52031001 CIPRODAR CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 13.19 9.76 1.319000 1.319000 1.319000

C2 W53067001 EUCIPRIN 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.921000 0.921000

C2 W53287001 ALVEBAR 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.647000

C2 W54039001 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 9.21 6.81 0.921000 0.921000 0.921000

C2 W54039002 CIPROFLOXACINA ARENA 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 16.38 12.12 0.819000 0.819000 0.819000

C2 W55180001 CIPROFLOXACINA OZONE 500 mg CIPROFLOXACINUM COMPR. FILM. 500mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 8.44 6.24 0.844000 0.844000 0.844000

C2 W42772001 CIPRINOL 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 38.41 29.37 3.841000 3.841000 3.841000

C2 W54040001 CIPROFLOXACINA ARENA 750 mg CIPROFLOXACINUM COMPR. FILM. 750mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 37.23 28.46 3.723000 3.723000 3.723000

C2 W43891001 CIPROBAY XR 1000 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 1000 mg 7 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 84.50 66.83 12.071428 12.071428 12.071428

C2 W43890001 CIPROBAY XR 500 mg CIPROFLOXACINUM COMPR. FILM. ELIB. PREL. 500 mg 3 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 27.57 20.40 9.190000 9.190000 9.190000

C2 W01275002 CIPRINOL (R) CIPROFLOXACINUM CONC. PT. SOL. PERF. 100mg/10ml 50 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 136.24 111.60 2.724800 2.724800 2.724800

C2 W01275001 CIPRINOL (R) CIPROFLOXACINUM CONC. PT. SOL. PERF. 100mg/10ml 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 16.75 12.39 3.350000 3.350000 3.350000

C2 W08223001 CIPRINOL CIPROFLOXACINUM SOL. PERF. 100mg/50ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 4.78 3.54 4.780000 4.780000 4.780000

C2 W08224001 CIPRINOL CIPROFLOXACINUM SOL. PERF. 200mg/100ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 9.57 7.08 9.570000 9.570000 9.570000

C2 W13653002 CIPROBAY (R) 400 CIPROFLOXACINUM SOL. PERF. 2mg/ml 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 702.27 609.28 140.454000 140.454000 140.454000

C2 W07480002 UFEXIL 2 mg/ ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 162.21 132.87 16.221000 16.221000 16.221000

C2 W53353002 CIPROFLOXACINA INFOMED 2 mg/ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 87.28 69.03 8.728000 8.728000 8.728000

C2 W53353003 CIPROFLOXACINA INFOMED 2 mg/ml CIPROFLOXACINUM SOL. PERF. 2mg/ml 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 156.96 128.57 15.696000 15.696000 15.696000

C2 W42193001 CIPRINOL (R) CIPROFLOXACINUM SOL. PERF. 400mg/200ml 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 19.26 14.25 19.260000 19.260000 19.260000

C2 W42166002 AVELOX (R) 400 mg MOXIFLOXACINUM COMPR. FILM. 400mg 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAO V 05-07-2010 83.21 65.81 16.642000 16.642000 16.642000

C2 W42098004 AVELOX (R) 400 mg/250 ml MOXIFLOXACINUM SOL. PERF. 400mg/250ml 5 1.BSubprogramul de tratament al bolnavilor de tuberculoza 1J01MAP V 05-07-2010 712.16 618.36 142.432000 142.432000 142.432000

C2 W08238001 HELPOCERIN CICLOSERINUM CAPS. 250mg 50 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AB01O V 05-07-2010 231.86 189.92 4.637200 4.637200 4.637200

C2 W52079002 CICLOSERINA ANTIBIOTICE 250 mg CICLOSERINUM CAPS. 250mg 100 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AB01O V 05-07-2010 500.45 424.13 5.004500 5.004500 5.004500

C2 W52079001 CICLOSERINA ANTIBIOTICE 250 mg CICLOSERINUM CAPS. 250mg 50 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AB01O V 05-07-2010 267.33 218.98 5.346600 5.346600 5.346600

C2 W41998002 SINERDOL 150 mg RIFAMPICINUM CAPS. 150mg 1000 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J04ABO V 05-07-2010 199.16 163.14 0.199160 0.199160 0.199160

C2 W41998001 SINERDOL 150 mg RIFAMPICINUM CAPS. 150mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J04ABO V 05-07-2010 5.61 4.15 0.280500 0.280500 0.280500

C2 W41999002 SINERDOL 300 mg RIFAMPICINUM CAPS. 300mg 1000 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J04ABO V 05-07-2010 513.14 435.77 0.513140 0.513140 0.513140

C2 W41999001 SINERDOL 300 mg RIFAMPICINUM CAPS. 300mg 10 1.BSubprogramul de tratament al bolnavilor de tuberculoza 0J04ABO V 05-07-2010 6.47 4.79 0.647000 0.647000 0.647000

C2 W05430001 MYCOBUTIN 150 mg RIFABUTINUM CAPS. 150mg 30 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AB04O V 05-07-2010 370.64 305.04 12.354666 12.354666 12.354666

C2 W54313001 HELPOMYCIN CAPREOMYCINUM SOL. INJ. 1g 1 1.BSubprogramul de tratament al bolnavilor de tuberculoza MS 9J04AB30P V 05-07-2010 49.43 37.79 49.430000 49.430000 49.430000

C2 W12816001 ISONIAZIDA 100 mg ISONIAZIDUM COMPR. 100mg 1500 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AC01O V 05-07-2010 113.56 89.81 0.075706 0.075706 0.075706

C2 W07180002 IZONIAZIDA ANTIBIOTICE 300 mg ISONIAZIDUM COMPR. 300mg 1500 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AC01O V 05-07-2010 329.29 269.73 0.219526 0.219526 0.219526

C2 W08112002 IZONIAZIDA 500 mg ISONIAZIDUM SOL. INJ. 500mg/10ml 100 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AC01P V 05-07-2010 82.96 65.61 0.829600 0.829600 0.829600

C2 W43002001 PROTIONAMIDA 250 mg PROTIONAMIDUM COMPR. FILM. 250mg 50 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AD01O V 05-07-2010 39.98 30.57 0.799600 0.799600 0.799600

C2 W07316002 PIRAZINAMIDA ANTIBIOTICE 500 mg PYRAZINAMIDUM COMPR. 500mg 1500 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AK01O V 05-07-2010 510.81 433.63 0.340540 0.340540 0.340540

C2 W07316001 PIRAZINAMIDA ANTIBIOTICE 500 mg PYRAZINAMIDUM COMPR. 500mg 20 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AK01O V 05-07-2010 9.11 6.74 0.455500 0.455500 0.455500

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Grupa terapeutica RO Valabil de la

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C2 W42943002 ETAMBUTOL 250 mg ETHAMBUTOLUM COMPR. FILM. 250mg 1500 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AK02O V 05-07-2010 308.02 252.31 0.205346 0.205346 0.205346

C2 W42861002 ETAMBUTOL 400 mg ETHAMBUTOLUM COMPR. FILM. 400mg 1500 1.BSubprogramul de tratament al bolnavilor de tuberculoza 9J04AK02O V 05-07-2010 467.93 394.29 0.311953 0.311953 0.311953

C2 W14071002 SINERDOL ISOCOMBINATII (RIFAMPICINUM+IZONIAZIDUM) CAPS. 300mg+150mg 1000 1.B

Subprogramul de tratament al bolnavilor de tuberculoza 9J04AM02O V 05-07-2010 515.00 437.48 0.515000 0.515000 0.515000

C2 W08867001 RELENZA 5 mg ZANAMIVIRUM PULB. UNIDOZA DE INHALAT 5mg 5 1.C

Subprogramul de supraveghere si control al bolilor transmisibile prioritare prev-trat gripei 9J05AH01Inh V 05-07-2010 75.17 59.45 15.034000 15.034000 15.034000

C2 W52316001 TAMIFLU 30mg OSELTAMIVIRUM CAPS. 30mg 10 1.C

Subprogramul de supraveghere si control al bolilor transmisibile prioritare prev-trat gripei 9J05AH02O V 05-07-2010 49.51 37.85 4.951000 4.951000 4.951000

C2 W52317001 TAMIFLU 45mg OSELTAMIVIRUM CAPS. 45mg 10 1.C

Subprogramul de supraveghere si control al bolilor transmisibile prioritare prev-trat gripei 9J05AH02O V 05-07-2010 84.94 67.18 8.494000 8.494000 8.494000

C2 W13633001 TAMIFLU 75 mg OSELTAMIVIRUM CAPS. 75mg 10 1.C

Subprogramul de supraveghere si control al bolilor transmisibile prioritare prev-trat gripei 9J05AH02O V 05-07-2010 75.88 60.01 7.588000 7.588000 7.588000

C2 W13634001 TAMIFLU 12 mg/ml OSELTAMIVIRUM PULB. PT. SUSP. ORALA 12mg/ml 1 1.C

Subprogramul de supraveghere si control al bolilor transmisibile prioritare prev-trat gripei 9J05AH02O K 05-07-2010 75.88 60.01 75.880000 75.880000 75.880000

C2 W42705001 AVONEX 30 mcg BIO-SET INTERFERONUM BETA 1A PULB. + SOLV. PT. SOL. INJ. 30mcg (6 mil. UI) 4 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AB07P V 05-07-2010 3,393.24 3,078.06 848.310000 848.310000 848.310000

C2 W08472003 REBIF 22 micrograme INTERFERONUM BETA 1A SOL. INJ. 22mcg/0,5ml 12 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AB07P V 05-07-2010 2,571.68 2,324.34 214.306666 214.306666 214.306666

C2 W08472002 REBIF 22 micrograme INTERFERONUM BETA 1A SOL. INJ. 22mcg/0,5ml 3 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AB07P V 05-07-2010 702.28 609.29 234.093333 234.093333 234.093333

C2 W08472001 REBIF 22 micrograme INTERFERONUM BETA 1A SOL. INJ. 22mcg/0,5ml 1 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AB07P V 05-07-2010 260.68 213.53 260.680000 260.680000 260.680000

C2 W08473003 REBIF 44 micrograme INTERFERONUM BETA 1A SOL. INJ. 44mcg 12 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AB07P V 05-07-2010 4,587.54 4,173.75 382.295000 382.295000 382.295000

C2 W52752007 BETAFERON 250mcg/ml INTERFERONUM BETA 1-B PULB. + SOLV. PT. SOL. INJ. 250mcg/ml 15 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AB08P V 05-07-2010 3,628.04 3,293.47 241.869333 241.869333 241.869333

C2 W53186002 EXTAVIA 250 mcg/ ml INTERFERONUM BETA 1-B PULB+SOLV.PT.SOL.INJ 250mcg/ml 15 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AB08P V 05-07-2010 3,850.96 3,497.99 256.730666 256.730666 256.730666

C2 W44044001 COPAXONE GLATIRAMER ACETAT SOL. INJ. 20mg/ml 28 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L03AX13P V 05-07-2010 3,390.90 3,075.91 121.103571 121.103571 121.103571

C2 W51764001 TYSABRI 300mg NATALIZUMABUM CONC. PT. SOL. PERF. 20mg/ml 1 4.ASubprogramul de tratament al sclerozei multiple CNAS 9L04AA23P V 05-07-2010 7,598.06 6,935.69 7,598.060000 7,598.060000 7,598.060000

C2 W00513001 IMURAN (R) AZATHIOPRINUM COMPR. FILM. 50mg 100 4.ASubprogramul de tratament al sclerozei multiple 0L04AXO V 05-07-2010 80.72 63.84 0.807200 0.807200 0.807200

C3 W02902002 NO - SPA 40 mg/2 ml DROTAVERINUM SOL. INJ. 40mg/2ml 25 0A03ADP V 05-07-2010 24.44 18.08 0.977600 0.977600 0.977600

C3 W55031002 SULFAT DE ATROPINA ZENTIVA 1 mg/ml ATROPINUM SOL. INJ. 1mg/ml 5 9A03BA01P V 05-07-2010 2.99 2.21 0.598000 0.598000 0.598000C3 W42808001 SCOBUTIL 10 mg/ml BUTYLSCOPOLAMMONII BROMIDUM SOL. INJ. 10mg/ml 5 9A03BB01P V 05-07-2010 3.34 2.47 0.668000 0.668000 0.668000C3 W01509001 PIAFEN COMBINATII COMPR. FARA CONCENT20 9A03DA02O V 05-07-2010 3.54 2.62 0.177000 0.177000 0.177000C3 W43286001 ALGIFEN COMPRIMATE COMBINATII COMPR. FARA CONCENT20 9A03DA02O V 05-07-2010 6.01 4.45 0.300500 0.300500 0.300500C3 W43285001 ALGIFEN SOLUTIE INJECTABILA COMBINATII SOL. INJ. FARA CONCENT5 9A03DA02P V 05-07-2010 10.17 7.52 2.034000 2.034000 2.034000C3 W01512001 PIAFEN COMBINATII SUPOZ. FARA CONCENT6 9A03DA02R V 05-07-2010 2.23 1.65 0.371666 0.371666 0.371666C3 W01529001 ASPATOFORT (R) COMBINATII SOL. INJ. FARA CONCENT10 9A05BAN3P V 05-07-2010 20.23 14.97 2.023000 2.023000 2.023000C3 W12087001 FORTRANS (R) COMBINATII PULB. PT. SOL. ORALA FARA CONCENT4 0A06ADO V 05-07-2010 38.66 29.56 9.665000 7.636666 7.636666C3 W43272006 ENDOFALK COMBINATII PULB. PT. SOL. ORALA FARA CONCENT6 0A06ADO V 05-07-2010 45.82 35.03 7.636666 7.636666 7.636666C3 W04551001 ERCEFURYL (R) 200 mg NIFUROXAZIDUM CAPS. 200mg 28 9A07AX03O V 05-07-2010 11.37 8.41 0.406071 0.406071 0.406071C3 W05420003 VITAMIN A 50000 ui RETINOLUM CAPS. 50000ui 24 9A11CA01O V 05-07-2010 1.68 1.24 0.070000 0.070000 0.070000C3 W10017002 VITAMINA A FORTE RETINOLUM CAPS. MOI 50000ui 30 9A11CA01O V 05-07-2010 5.50 4.07 0.183333 0.070000 0.070000C3 W08876001 VITAMINA A BIOFARM 20mg/ml RETINOLUM PIC. ORALE, SOL. 20mg/ml 1 9A11CA01O V 05-07-2010 2.47 1.83 2.470000 2.470000 2.470000C3 W02559001 A.T. 10 (R) DIHYDROTACHYSTEROLUM PICATURI ORALE-SOL. 1mg/ml 1 1A11CCO K 05-07-2010 25.93 19.18 25.930000 25.930000 25.930000C3 W51334001 ROCALTROL CALCITRIOLUM CAPS. MOI 0,25mcg 100 1A11CCO V 05-07-2010 76.80 60.74 0.768000 0.768000 0.768000C3 W01433001 VIGANTOLETTEN 1000 COLECALCIFEROLUM COMPR. 1000UI 30 1A11CCO K 05-07-2010 8.26 6.11 0.275333 0.275333 0.275333C3 W01434001 VIGANTOLETTEN 500 COLECALCIFEROLUM COMPR. 500UI 30 1A11CCO K 05-07-2010 6.69 4.95 0.223000 0.223000 0.223000C3 W53793001 VITAMINA D3 BIOFARM 18000UI/ml COLECALCIFEROLUM PIC. ORALE, SOL. 0,45mg/ml 1 1A11CCO K 05-07-2010 5.04 3.73 5.040000 5.040000 5.040000C3 W01432001 VIGANTOL OIL COLECALCIFEROLUM PIC. ORALE, SOL. 0,5mg/ml 1 1A11CCO K 05-07-2010 6.35 4.70 6.350000 6.350000 6.350000C3 W01608001 FLUOR VIGANTOLETTEN 1000 COMBINATII COMPR. FARA CONCENT30 9A11CC20O V 05-07-2010 8.00 5.92 0.266666 0.266666 0.266666C3 W01609001 FLUOR VIGANTOLETTEN 500 COMBINATII COMPR. FARA CONCENT30 9A11CC20O V 05-07-2010 6.43 4.76 0.214333 0.214333 0.214333C3 W42804001 SICOVIT (R) B1 100 mg/2 ml THIAMINUM SOL. INJ. 100mg/2ml 5 0A11DAP V 05-07-2010 6.96 5.15 1.392000 1.392000 1.392000C3 W41932004 BENFOGAMMA BENFOTIAMINUM DRAJ. 50mg 50 0A11DAO V 05-07-2010 28.66 21.20 0.573200 0.520300 0.520300C3 W41932003 BENFOGAMMA BENFOTIAMINUM DRAJ. 50mg 100 0A11DAO V 05-07-2010 52.03 39.78 0.520300 0.520300 0.520300C3 W01610001 MILGAMMA (R) N COMBINATII CAPS. MOI FARA CONCENT20 9A11DBN1O V 05-07-2010 20.23 14.97 1.011500 0.841500 0.841500C3 W01610003 MILGAMMA (R) N COMBINATII CAPS. MOI FARA CONCENT100 9A11DBN1O V 05-07-2010 84.15 66.55 0.841500 0.841500 0.841500C3 W01610002 MILGAMMA (R) N COMBINATII CAPS. MOI FARA CONCENT50 9A11DBN1O V 05-07-2010 46.78 35.76 0.935600 0.841500 0.841500C3 W42092001 MILGAMMA (R) 100 COMBINATII DRAJ. FARA CONCENT30 9A11DBN1O V 05-07-2010 49.74 38.03 1.658000 1.387500 1.387500C3 W42092003 MILGAMMA (R) 100 COMBINATII DRAJ. FARA CONCENT100 9A11DBN1O V 05-07-2010 138.75 113.65 1.387500 1.387500 1.387500C3 W42092002 MILGAMMA (R) 100 COMBINATII DRAJ. FARA CONCENT60 9A11DBN1O V 05-07-2010 89.74 70.97 1.495666 1.387500 1.387500C3 W01611002 MILGAMMA (R) N COMBINATII SOL. INJ. FARA CONCENT25 9A11DBN1P V 05-07-2010 83.35 65.92 3.334000 3.334000 3.334000C3 W01611001 MILGAMMA (R) N COMBINATII SOL. INJ. FARA CONCENT5 9A11DBN1P V 05-07-2010 18.47 13.67 3.694000 3.334000 3.334000C3 W41647001 MILGAMMA (R) NA COMBINATII SOL. INJ. FARA CONCENT5 9A11DBN1P V 05-07-2010 20.49 15.16 4.098000 3.334000 3.334000C3 W12615001 NEUROMULTIVIT (R) COMBINATII COMPR. FILM. FARA CONCENT20 9A11DBN2O V 05-07-2010 11.14 8.24 0.557000 0.443600 0.443600C3 W12615002 NEUROMULTIVIT (R) COMBINATII COMPR. FILM. FARA CONCENT100 9A11DBN2O V 05-07-2010 44.36 33.91 0.443600 0.443600 0.443600C3 W52512001 VITAMINA C ARENA 750 mg ACIDUM ASCORBICUM SOL. INJ. 750mg 5 9A11GA01P V 05-07-2010 25.24 18.67 5.048000 5.048000 5.048000C3 W42822001 VITAMINA B6 250 mg PYRIDOXINUM COMPR. 250 mg 20 9A11HA02O V 05-07-2010 1.85 1.37 0.092500 0.092500 0.092500C3 W12536001 SICOVIT B6 250 mg PYRIDOXINUM COMPR. 250mg 20 9A11HA02O V 05-07-2010 9.09 6.73 0.454500 0.092500 0.092500C3 W42805001 SICOVIT B6 250 mg/5 ml PYRIDOXINUM SOL. INJ. 250mg/5ml 5 9A11HA02P V 05-07-2010 10.31 7.63 2.062000 2.062000 2.062000C3 W42806001 SICOVIT B6 50 mg/2ml PYRIDOXINUM SOL. INJ. 50mg/2ml 5 9A11HA02P V 05-07-2010 6.96 5.15 1.392000 1.392000 1.392000C3 W51342001 VITAMINA E 400 mg TOCOFEROLUM CAPS. MOI 400mg 24 9A11HA03O V 05-07-2010 9.34 6.91 0.389166 0.389166 0.389166C3 W43445001 GLUCONAT DE CALCIU 10% CALCII GLUCONAS SOL. INJ. 10% 20 9A12AA03P V 05-07-2010 16.83 12.45 0.841500 0.841500 0.841500C3 W42794003 GLUCONAT DE CALCIU CALCII GLUCONAS SOL. INJ. FARA CONCENT5 9A12AA03P V 05-07-2010 15.89 11.76 3.178000 0.841500 0.841500C3 W04160001 NAPOSIM 5 mg METANDIENONUM COMPR. 5mg 20 9A14AA03O V 05-07-2010 5.08 3.76 0.254000 0.254000 0.254000C3 W00874001 MIOCOR LEVOCARNITINUM SOL. ORALA 10% 10 9A16AA01O V 05-07-2010 18.27 13.52 1.827000 1.827000 1.827000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

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ni

Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C3 W00868001 CARNIL (R) LEVOCARNITINUM SOL. ORALA 100mg/ml 10 9A16AA01O V 05-07-2010 29.81 22.06 2.981000 1.827000 1.827000C3 W02623002 ACTOVEGIN (R) DIVERSE DRAJ. 200mg 50 9A16AXN1O V 05-07-2010 144.74 118.56 2.894800 2.894800 2.894800C3 W02626001 ACTOVEGIN (R) DIVERSE SOL. INJ. 200mg/5ml 5 9A16AXN1P V 05-07-2010 108.46 85.78 21.692000 21.692000 21.692000C3 W42869003 ETAMSILAT 250mg/2ml ETAMSYLATUM SOL. INJ. 250mg/2ml 5 9B02BX01P V 05-07-2010 6.72 4.97 1.344000 1.344000 1.344000C3 W00831001 ADRENOSTAZIN CARBAZOCHROMI SALICYLAS SOL. INJ. 0,3mg/ml 5 9B02BX02P V 05-07-2010 8.35 6.18 1.670000 1.670000 1.670000C3 W14063001 ASCOFER FERROSI GLUCONAS COMPR. FARA CONCENT20 3B03A5O V 05-07-2010 3.99 2.95 0.199500 0.199500 0.199500C3 W54472001 ALOFER 80,5 mg FERROSI GLUCONAS COMPR. EFF. 80,5mg 1 3B03A5O V 05-07-2010 20.96 15.51 20.960000 20.960000 20.960000C3 W07956001 FER-SOL FERROCHOLINATUM SOL. ORALA IN PICATURI 24mg Fe/ml 1 9B03ABN1O K 05-07-2010 3.33 2.46 3.330000 3.330000 3.330000C3 W01714004 FERRETAB (R) COMBINATII CAPS. ELIB. PREL. FARA CONCENT100 9B03AD02O V 05-07-2010 27.50 20.35 0.275000 0.275000 0.275000C3 W01714003 FERRETAB (R) COMBINATII CAPS. ELIB. PREL. FARA CONCENT30 9B03AD02O V 05-07-2010 10.68 7.90 0.356000 0.275000 0.275000C3 W43521001 FERRO SANOL GYN COMBINATII CAPS. FARA CONCENT50 9B03AD03O V 05-07-2010 37.14 28.39 0.742800 0.742800 0.742800C3 W01713001 TARDYFERON FOL (R) COMBINATII DRAJ. ELIB. PREL. FARA CONCENT30 9B03AD03O V 05-07-2010 14.99 11.09 0.499666 0.499666 0.499666C3 W51229001 MALTOFER FOL COMBINATII COMPR. MAST. FARA CONCENT30 9B03AD04O V 05-07-2010 17.83 13.19 0.594333 0.594333 0.594333C3 W12102003 FERRO - FOLGAMMA (R) COMBINATII CAPS. MOI FARA CONCENT100 9B03AE01O V 05-07-2010 43.09 32.94 0.430900 0.430900 0.430900C3 W12102002 FERRO - FOLGAMMA (R) COMBINATII CAPS. MOI FARA CONCENT50 9B03AE01O V 05-07-2010 24.24 17.93 0.484800 0.430900 0.430900C3 W12102001 FERRO - FOLGAMMA (R) COMBINATII CAPS. MOI FARA CONCENT20 9B03AE01O V 05-07-2010 10.48 7.75 0.524000 0.430900 0.430900C3 W13288001 TOT'HEMA COMBINATII SOL. ORALA FARA CONCENT20 9B03AE10O V 05-07-2010 17.69 13.09 0.884500 0.884500 0.884500C3 W42807001 SICOVIT B12 50mcg/ml CYANOCOBALAMINUM SOL. INJ. 50mcg/ml 5 9B03BA01P V 05-07-2010 6.96 5.15 1.392000 1.392000 1.392000C3 W01731003 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT100 9B03BA51O V 05-07-2010 84.15 66.55 0.841500 0.841500 0.841500C3 W01731001 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT20 9B03BA51O V 05-07-2010 20.23 14.97 1.011500 0.841500 0.841500C3 W01731002 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT50 9B03BA51O V 05-07-2010 46.78 35.76 0.935600 0.841500 0.841500C3 W01731003 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT100 9B03BA51O V 05-07-2010 84.15 66.55 0.841500 0.841500 0.841500C3 W01731001 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT20 9B03BA51O V 05-07-2010 20.23 14.97 1.011500 0.841500 0.841500C3 W01731002 MILGAMMA (R) (vezi B03BA51) COMBINATII DRAJ. FARA CONCENT50 9B03BA51O V 05-07-2010 46.78 35.76 0.935600 0.841500 0.841500C3 W53735001 ALPROSTADIL "PINT" 500 mcg ALPROSTADILUM CONC. PT. SOL. PERF. 500mcg 5 MSP 9C01EA01P K 05-07-2010 1,599.60 1,432.52 319.920000 319.920000 319.920000C3 W01424001 REDERGIN 1 mg/ml CODERGOCRINUM PICATURI ORALE-SOL. 0,1% 1 0C04AEO V 05-07-2010 11.79 8.72 11.790000 2.190000 2.190000C3 W42639001 CO-DERGOCRIN CODERGOCRINUM SOL. ORALA IN PICATURI 0,1% 1 0C04AEO V 05-07-2010 5.44 4.02 5.440000 2.190000 2.190000C3 W12093001 SECATOXIN CODERGOCRINUM SOL. ORALA IN PICATURI 1mg/ml 1 0C04AEO V 05-07-2010 2.19 1.62 2.190000 2.190000 2.190000C3 W01826001 HEMORZON COMBINATII UNGUENT FARA CONCENT1 9C05AA01R V 05-07-2010 8.18 6.05 8.180000 8.180000 8.180000C3 W42464001 ULTRAPROCT (R) COMBINATII SUPOZ. FARA CONCENT10 9C05AA08R V 05-07-2010 12.90 9.54 1.290000 1.290000 1.290000C3 W42463001 ULTRAPROCT (R) COMBINATII UNGUENT RECTAL FARA CONCENT1 9C05AA08R V 05-07-2010 14.55 10.77 14.550000 14.550000 14.550000C3 W51234001 DOXIPROCT PLUS COMBINATII UNGUENT RECTAL FARA CONCENT1 9C05AD01R V 05-07-2010 22.42 16.59 22.420000 22.260000 22.260000C3 W54548001 DOXIPROCT COMBINATII UNGUENT RECTAL FARA CONCENT1 9C05AD01R V 05-07-2010 22.26 16.47 22.260000 22.260000 22.260000C3 W00727001 DOXILEK CALCII DOBESILAS CAPS. 500mg 30 9C05BX01O V 05-07-2010 21.42 15.85 0.714000 0.714000 0.714000C3 W03326001 GINKOR FORT TROXERUTINUM (COMBINATII) CAPS. FARA CONCENT30 9C05CA54O V 05-07-2010 25.67 18.99 0.855666 0.855666 0.855666C3 W12740001 CELIPRES (R) CELIPROLOLUM COMPR. FILM. 100mg 10 0C07ABO V 05-07-2010 7.86 5.82 0.786000 0.786000 0.786000C3 W12741001 CELIPRES (R) CELIPROLOLUM COMPR. FILM. 200mg 10 0C07ABO V 05-07-2010 11.06 8.18 1.106000 1.106000 1.106000C3 W43183001 DISTONOVAL COMBINATII COMPR. FARA CONCENT20 9C07NAN1O V 05-07-2010 3.84 2.84 0.192000 0.192000 0.192000C3 W52430002 DISTONOCALM (R) COMBINATII COMPR. FILM. FARA CONCENT30 9C07NAN1O V 05-07-2010 5.90 4.37 0.196666 0.196666 0.196666C3 W04561002 NIMOTOP (R) NIMODIPINUM COMPR. FILM. 30mg 100 9C08CA06O V 05-07-2010 112.34 88.85 1.123400 1.123400 1.123400C3 W04562003 NIMOTOP (R) NIMODIPINUM SOL. PERF. 10mg/50ml 5 9C08CA06P V 05-07-2010 303.02 248.21 60.604000 60.604000 60.604000C3 W53490001 NIASPAN 1000 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 1000mg 14 0C10ADO V 05-07-2010 46.58 35.61 3.327142 2.945000 2.945000C3 W53490002 NIASPAN 1000 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 1000mg 28 0C10ADO V 05-07-2010 87.63 69.31 3.129642 2.945000 2.945000C3 W53490003 NIASPAN 1000 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 1000mg 56 0C10ADO V 05-07-2010 165.46 135.53 2.954642 2.945000 2.945000C3 W53490004 NIASPAN 1000 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 1000mg 98 0C10ADO V 05-07-2010 288.61 236.41 2.945000 2.945000 2.945000C3 W53491001 NIASPAN 375 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 375mg 14 0C10ADO V 05-07-2010 22.00 16.28 1.571428 1.278469 1.278469C3 W53491002 NIASPAN 375 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 375mg 28 0C10ADO V 05-07-2010 42.21 32.27 1.507500 1.278469 1.278469C3 W53491003 NIASPAN 375 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 375mg 56 0C10ADO V 05-07-2010 79.87 63.17 1.426250 1.278469 1.278469C3 W53491004 NIASPAN 375 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 375mg 98 0C10ADO V 05-07-2010 125.29 102.63 1.278469 1.278469 1.278469C3 W53492001 NIASPAN 500 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 500mg 14 0C10ADO V 05-07-2010 28.86 21.35 2.061428 1.769285 1.769285C3 W53492002 NIASPAN 500 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 500mg 28 0C10ADO V 05-07-2010 55.40 42.35 1.978571 1.769285 1.769285C3 W53492003 NIASPAN 500 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 500mg 56 0C10ADO V 05-07-2010 104.50 82.65 1.866071 1.769285 1.769285C3 W53492004 NIASPAN 500 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 500mg 98 0C10ADO V 05-07-2010 173.39 142.03 1.769285 1.769285 1.769285C3 W53493001 NIASPAN 750 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 750mg 14 0C10ADO V 05-07-2010 38.17 29.18 2.726428 2.362653 2.362653C3 W53493002 NIASPAN 750 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 750mg 28 0C10ADO V 05-07-2010 72.11 57.03 2.575357 2.362653 2.362653C3 W53493003 NIASPAN 750 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 750mg 56 0C10ADO V 05-07-2010 134.68 110.32 2.405000 2.362653 2.362653C3 W53493004 NIASPAN 750 mg ACIDUM NICOTINICUM COMPR. ELIB. PREL. 750mg 98 0C10ADO V 05-07-2010 231.54 189.66 2.362653 2.362653 2.362653C3 W42461003 TRAVOGEN ISOCONAZOLUM CREMA 10mg/1g 1 1D01ACTD V 05-07-2010 11.59 8.58 11.590000 11.590000 11.590000C3 W03866001 NIZORAL KETOCONAZOLUM CREMA 2% 1 1D01ACTD V 05-07-2010 9.11 6.74 9.110000 5.920000 5.920000C3 W41982001 KETOCONAZOL KETOCONAZOLUM CREMA 2% 1 1D01ACTD V 05-07-2010 8.23 6.09 8.230000 5.920000 5.920000C3 W52933001 KETOCONAZOL MK KETOCONAZOLUM CREMA 2% 1 1D01ACTD V 05-07-2010 7.67 5.67 7.670000 5.920000 5.920000C3 W43457002 KETOCONAZOL CREMA KETOCONAZOLUM CREMA 20mg/g 1 1D01ACTD V 05-07-2010 7.92 5.86 7.920000 5.920000 5.920000C3 W43713001 KEFUNGIN 2mg/100mg KETOCONAZOLUM CREMA 2mg/100mg 1 1D01ACTD V 05-07-2010 5.92 4.38 5.920000 5.920000 5.920000C3 W52019001 MYCOHEAL (R) HC COMBINATII CREMA FARA CONCENT1 9D01AC52TD V 05-07-2010 6.39 4.73 6.390000 6.390000 6.390000C3 W01868001 ASORIAN COMBINATII SOL. CUT. FARA CONCENT1 9D05AXN1TD V 05-07-2010 10.14 7.50 10.140000 10.140000 10.140000C3 W51495002 AFLODERM ALCLOMETAZONUM CREMA 0,5mg/g 1 9D07AB10TD V 05-07-2010 31.76 23.50 31.760000 20.630000 20.630000C3 W51495001 AFLODERM ALCLOMETAZONUM CREMA 0,5mg/g 1 9D07AB10TD V 05-07-2010 20.63 15.26 20.630000 20.630000 20.630000C3 W51498002 AFLODERM ALCLOMETAZONUM UNGUENT 0,5mg/g 1 9D07AB10TD V 05-07-2010 31.76 23.50 31.760000 20.630000 20.630000C3 W51498001 AFLODERM ALCLOMETAZONUM UNGUENT 0,5mg/g 1 9D07AB10TD V 05-07-2010 20.63 15.26 20.630000 20.630000 20.630000C3 W03176001 FLUOCINOLON ACETONID 0,025% FLUOCINOLONI ACETONIDUM UNGUENT 0,025% 1 9D07AC04TD V 05-07-2010 4.30 3.18 4.300000 4.300000 4.300000C3 W03181001 ULTRALAN CREMA FLUOCORTOLONUM CREMA 0,25% 1 9D07AC05TD V 05-07-2010 12.28 9.09 12.280000 12.280000 12.280000C3 W03182001 ULTRALAN UNGUENT FLUOCORTOLONUM UNGUENT 0,25% 1 9D07AC05TD V 05-07-2010 12.76 9.44 12.760000 12.760000 12.760000C3 W01894001 NIDOFLOR COMBINATII CREMA FARA CONCENT1 9D07CB01TD V 05-07-2010 7.37 5.45 7.370000 7.370000 7.370000C3 W51640001 PANDERM COMBINATII UNGUENT FARA CONCENT1 9D07CB01TD V 05-07-2010 7.64 5.65 7.640000 7.640000 7.640000C3 W52916001 FLUOCINOLON G MK COMBINATII CREMA FARA CONCENT1 9D07CC02TD V 05-07-2010 1.48 1.09 1.480000 1.480000 1.480000C3 W01911001 FLUOCINOLON N COMBINATII UNGUENT FARA CONCENT1 9D07CC02TD V 05-07-2010 7.37 5.45 7.370000 7.370000 7.370000C3 W13665001 TRIAMCINOLON S COMBINATII CREMA FARA CONCENT1 9D07XB02TD V 05-07-2010 7.37 5.45 7.370000 7.370000 7.370000C3 W01926001 DIPROSALIC COMBINATII SOL. CUT. FARA CONCENT1 9D07XC01TD V 05-07-2010 16.12 11.93 16.120000 16.120000 16.120000C3 W51492001 BELOSALIC COMBINATII SOL. CUT. FARA CONCENT1 9D07XC01TD V 05-07-2010 20.96 15.51 20.960000 16.120000 16.120000C3 W01927001 DIPROSALIC COMBINATII UNGUENT FARA CONCENT1 9D07XC01TD V 05-07-2010 10.74 7.95 10.740000 10.740000 10.740000C3 W51491001 BELOSALIC COMBINATII UNGUENT FARA CONCENT1 9D07XC01TD V 05-07-2010 12.90 9.54 12.900000 10.740000 10.740000C3 W52917001 FLUOCINOLON D MK COMBINATII CREMA FARA CONCENT1 9D07XDN1TD V 05-07-2010 3.88 2.87 3.880000 3.880000 3.880000C3 W44134001 RETIN - A (R) TRETINOINUM CREMA 0,05% 1 9D10AD01TD V 05-07-2010 13.98 10.34 13.980000 13.980000 13.980000C3 W02981002 ERYFLUID ERYTHROMYCINUM SOL. CUT. 4g/30ml 1 9D10AF02TD V 05-07-2010 20.97 15.51 20.970000 8.070000 8.070000C3 W02981001 ERYFLUID ERYTHROMYCINUM SOL. CUT. 4g/30ml 1 9D10AF02TD V 05-07-2010 8.07 5.97 8.070000 8.070000 8.070000C3 W08482001 ZINERYT COMBINATII PULB. + SOLV. SOL. CUT. 40mg/12mg/ml 1 9D10AF52TD V 05-07-2010 32.42 23.99 32.420000 32.420000 32.420000C3 W53127001 ELIDEL 1% PIMECROLIMUS CREMA 10mg 1 9D11AX15TD V 05-07-2010 82.76 65.45 82.760000 82.760000 82.760000C3 W08847001 FLAGYL METRONIDAZOLUM OVULE 500mg 10 9G01AF01V V 05-07-2010 8.54 6.32 0.854000 0.854000 0.854000C3 W51917002 DAFNEGIN CICLOPIROXUM CREMA VAG. 1% 1 9G01AX12V V 05-07-2010 38.02 29.07 38.020000 38.020000 38.020000C3 W51916001 DAFNEGIN CICLOPIROXUM OVULE 100mg 6 9G01AX12V V 05-07-2010 38.02 29.07 6.336666 6.336666 6.336666C3 W01959001 COLPOSEPTINE (R) COMBINATII COMPR. VAG. FARA CONCENT18 9G01AXN1V V 05-07-2010 17.61 13.03 0.978333 0.978333 0.978333C3 W01963001 TERGYNAN COMBINATII COMPR. VAG. FARA CONCENT10 9G01BDN1V V 05-07-2010 21.85 16.17 2.185000 2.185000 2.185000C3 W04096001 DEPO-PROVERA MEDROXYPROGESTERONUM SUSP. INJ. 150mg 1 0G03ACP V 05-07-2010 13.07 9.67 13.070000 13.070000 13.070000

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Cantitate UT/amb

Cod boli cronice Descriere categorie boli cronice Cod PNS Descriere PNS M

entiu

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Grupa terapeutica RO Valabil de la

Preţ maxim /amb

Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C3 W13158001 LUTENYL (R) NOMEGESTROLUM COMPR. 5mg 10 9G03DB04O V 05-07-2010 31.43 23.25 3.143000 3.143000 3.143000C3 W13497003 PREGNYL 5000 GONADOTROPHINUM CHORIONICUM LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml 3 9G03GA01P V 05-07-2010 42.66 32.61 14.220000 14.220000 14.220000C3 W53997001 MENOPUR MENOTROPINUM LIOF. + SOLV. PT. SOL. INJ. FARA CONCENT10 9G03GA02P V 05-07-2010 835.13 731.17 83.513000 83.513000 83.513000C3 W51620001 URALYT-U COMBINATII GRANULE FARA CONCENT1 9G04BCN1O V 05-07-2010 56.80 43.43 56.800000 56.800000 56.800000C3 W10690001 NOVOTHYRAL (R) 100 COMBINATII COMPR. 100mcg+20mcg 100 9H03AA03O V 05-07-2010 28.88 21.37 0.288800 0.288800 0.288800

C3 W12804001 SULPERAZON (R) 2 gCOMBINATII (CEFOPERAZONUM+SULBACTAMUM) PULB. PT. SOL. INJ. FARA CONCENT1 9J01CR50P V 05-07-2010 37.49 28.66 37.490000 37.490000 37.490000

C3 W51963001 LYZOLIN CEFAZOLINUM PULB. PT. SOL. INJ. 1g 1 0J01DBP V 05-07-2010 3.44 2.55 3.440000 3.440000 3.440000C3 W13605001 CEFROM (R) 1 g CEFPIROMUM PULB. PT. SOL. INJ./PERF. 1g 1 9J01DE02P V 05-07-2010 75.59 59.78 75.590000 75.590000 75.590000C3 W13606001 CEFROM (R) 2 g CEFPIROMUM PULB. PT. SOL. INJ./PERF. 2g 1 9J01DE02P V 05-07-2010 126.97 104.01 126.970000 126.970000 126.970000C3 W08487002 SULFAFURAZOL SULFAFURAZOLUM COMPR. 500mg 20 9J01EB05O V 05-07-2010 4.87 3.60 0.243500 0.243500 0.243500C3 W52022001 ROXAMED (R) 150 ROXITHROMYCINUM COMPR. FILM. 150mg 10 0J01FAO V 05-07-2010 15.19 11.24 1.519000 1.519000 1.519000C3 W03308001 GENTAMICIN KRKA GENTAMICINUM SOL. INJ. 40mg/ml 10 0J01GBP V 05-07-2010 7.12 5.27 0.712000 0.712000 0.712000C3 W03309002 GENTAMICIN KRKA GENTAMICINUM SOL. INJ. 80mg/2ml 50 0J01GBP V 05-07-2010 41.38 31.64 0.827600 0.675000 0.675000C3 W03309001 GENTAMICIN KRKA GENTAMICINUM SOL. INJ. 80mg/2ml 10 0J01GBP V 05-07-2010 9.57 7.08 0.957000 0.675000 0.675000C3 W08121001 PAN - GENTAMICINE GENTAMICINUM SOL.INJ. 80mg/2ml 10 0J01GBP V 05-07-2010 6.75 4.99 0.675000 0.675000 0.675000C3 W04510001 NETROMYCINE (R) NETILMICINUM SOL. INJ. 150mg/1,5ml 1 0J01GBP V 05-07-2010 19.11 14.14 19.110000 19.110000 19.110000C3 W04509001 NETROMYCINE (R) NETILMICINUM SOL. INJ. 200mg/2ml 1 0J01GBP V 05-07-2010 24.21 17.91 24.210000 24.210000 24.210000C3 W04511001 NETROMYCINE (R) NETILMICINUM SOL. INJ. 50mg/2ml 1 0J01GBP V 05-07-2010 7.58 5.61 7.580000 7.580000 7.580000C3 W52501001 COLISTINA ANTIBIOTICE 1000000 UI COLISTINUM PULB. PT. SOL. INJ./PERF. 1000000ui 100 9J01XB01P V 05-07-2010 1,785.06 1,602.67 17.850600 17.850600 17.850600C3 W52501002 COLISTINA ANTIBIOTICE 1000000 UI COLISTINUM PULB. PT. SOL. INJ./PERF. 1000000ui 50 9J01XB01P V 05-07-2010 927.96 816.34 18.559200 17.850600 17.850600C3 W08947008 VFEND 200mg VORICONAZOLUM COMPR. FILM. 200mg 28 MSP 2J02ACO V 05-07-2010 3,908.70 3,550.96 139.596428 139.596428 139.596428C3 W08946008 VFEND 50mg VORICONAZOLUM COMPR. FILM. 50mg 28 MSP 2J02ACO V 05-07-2010 1,030.07 910.02 36.788214 36.788214 36.788214C3 W41889001 VFEND 40 mg/ml VORICONAZOLUM PULB. PT. SUSP. ORALA 40mg/ml 1 MSP 2J02ACO V 05-07-2010 2,434.43 2,198.42 2,434.430000 2,434.430000 2,434.430000C3 W04988001 FENILBUTAZONA 250 mg PHENYLBUTAZONUM SUPOZ. 250mg 10 9M01AA01R V 05-07-2010 5.55 4.11 0.555000 0.555000 0.555000C3 W12859003 NEODOLPASSE COMBINATII SOL. PERF. FARA CONCENT10 9M01AB55P V 05-07-2010 218.59 179.05 21.859000 21.859000 21.859000C3 W14016001 ACECLOFEN COMBINATII SUPOZ. FARA CONCENT6 9M01AB55R V 05-07-2010 4.59 3.40 0.765000 0.765000 0.765000C3 W02034002 ARTHROTEC 75 DICLOFENACUM+MISOPROSTOLUM COMPR. GASTROREZ. 75mg+0,200mg 20 9M01AB55O V 05-07-2010 28.49 21.08 1.424500 1.424500 1.424500C3 W02034001 ARTHROTEC 75 DICLOFENACUM+MISOPROSTOLUM COMPR. GASTROREZ. 75mg+0,200mg 10 9M01AB55O V 05-07-2010 16.61 12.29 1.661000 1.424500 1.424500C3 W13106001 PADUDEN (R) SR 300 mg IBUPROFENUM CAPS. ELIB. PREL. 300mg 10 1M01A5O V 05-07-2010 13.98 10.34 1.398000 1.398000 1.398000C3 W51634001 PROFINAL IBUPROFENUM COMPR. FILM. 400mg 24 1M01A5O V 05-07-2010 6.06 4.48 0.252500 0.142500 0.142500C3 W12983001 REUPROFEN (R) 400 mg IBUPROFENUM COMPR. FILM. 400mg 30 1M01A5O V 05-07-2010 7.57 5.60 0.252333 0.142500 0.142500C3 W51502001 IBUPROFEN 400 IBUPROFENUM COMPR. FILM. 400mg 20 1M01A5O V 05-07-2010 2.85 2.11 0.142500 0.142500 0.142500C3 W55239001 BRUFEN 400 mg IBUPROFENUM COMPR. FILM. 400mg 20 1M01A5O V 05-07-2010 10.22 7.56 0.511000 0.142500 0.142500C3 W55239002 BRUFEN 400 mg IBUPROFENUM COMPR. FILM. 400mg 30 1M01A5O V 05-07-2010 9.17 6.78 0.305666 0.142500 0.142500C3 W55239003 BRUFEN 400 mg IBUPROFENUM COMPR. FILM. 400mg 60 1M01A5O V 05-07-2010 18.34 13.57 0.305666 0.142500 0.142500C3 W55239004 BRUFEN 400 mg IBUPROFENUM COMPR. FILM. 400mg 20 1M01A5O V 05-07-2010 10.22 7.56 0.511000 0.142500 0.142500C3 W55239005 BRUFEN 400 mg IBUPROFENUM COMPR. FILM. 400mg 30 1M01A5O V 05-07-2010 9.17 6.78 0.305666 0.142500 0.142500C3 W55239006 BRUFEN 400 mg IBUPROFENUM COMPR. FILM. 400mg 60 1M01A5O V 05-07-2010 18.34 13.57 0.305666 0.142500 0.142500C3 W55239007 BRUFEN 400 mg IBUPROFENUM COMPR. FILM. 400mg 100 1M01A5O V 05-07-2010 30.55 22.60 0.305500 0.142500 0.142500C3 W51633001 PROFINAL IBUPROFENUM COMPR. FILM. 600mg 20 1M01A5O V 05-07-2010 13.30 9.84 0.665000 0.245000 0.245000C3 W51503001 IBUPROFEN 600 IBUPROFENUM COMPR. FILM. 600mg 20 1M01A5O V 05-07-2010 4.90 3.63 0.245000 0.245000 0.245000C3 W53014005 FASPIC 600 IBUPROFENUM GRAN. PT. SOL. ORALA 600mg 30 1M01A5O V 05-07-2010 25.55 18.90 0.851666 0.851666 0.851666C3 W43126001 IBALGIN BABY IBUPROFENUM SUSP. ORALA 100mg/5ml 1 9M01AE01O K 05-07-2010 9.86 7.30 9.860000 9.860000 9.860000C3 W04449002 REUXEN 250 mg NAPROXENUM COMPR. 250mg 20 1M01A5O V 05-07-2010 9.26 6.85 0.463000 0.463000 0.463000C3 W04450002 REUXEN 500 mg NAPROXENUM COMPR. 500mg 20 1M01A5O V 05-07-2010 16.73 12.38 0.836500 0.836500 0.836500C3 W00167001 VIDAN ACIDUM MEFENAMICUM COMPR. FILM. 500mg 24 9M01AG01O V 05-07-2010 9.97 7.38 0.415416 0.415416 0.415416C3 W08960003 DYNASTAT 40mg PARECOXIBUM PULB. + SOLV. PT. SOL. INJ. 40mg 5 0M01AHP V 05-07-2010 146.88 120.31 29.376000 28.965000 28.965000C3 W41953001 DYNASTAT 40mg PARECOXIBUM PULB. PT. SOL. INJ. 40mg 10 0M01AHP V 05-07-2010 289.65 237.26 28.965000 28.965000 28.965000C3 W01212002 CLORZOXAZON 250 mg CHLORZOXAZONUM COMPR. 250mg 20 1M03B5O V 05-07-2010 4.42 3.27 0.221000 0.128333 0.128333C3 W06820002 CLORZOXAZONA 250 mg CHLORZOXAZONUM COMPR. 250mg 30 1M03B5O V 05-07-2010 3.85 2.85 0.128333 0.128333 0.128333C3 W54833001 MYDOCALM TOLPERISONUM COMPR. FILM. 150mg 30 1M03B5O V 05-07-2010 14.55 10.77 0.485000 0.485000 0.485000C3 W54832001 MYDOCALM TOLPERISONUM COMPR. FILM. 50mg 30 1M03B5O V 05-07-2010 7.27 5.38 0.242333 0.242333 0.242333C3 W42632002 TOLPERISON 50 mg TOLPERISONUM DRAJ. 50mg 30 1M03B5O V 05-07-2010 5.25 3.88 0.175000 0.175000 0.175000C3 W54834001 MYDOCALM TOLPERISONUM SOL. INJ. 100mg/ml 5 1M03B5P V 05-07-2010 6.87 5.08 1.374000 1.374000 1.374000C3 W13628001 HYALGAN (R) ACIDUM HIALURONICUM SOL. INJ. 20mg/2ml 1 9M09AX01P V 05-07-2010 143.08 117.20 143.080000 143.080000 143.080000C3 W51721001 PARADOREN 500mg/30mg COMBINATII COMPR. 30mg+500mg 20 9N02AA59O V 05-07-2010 12.71 9.40 0.635500 0.635500 0.635500C3 W51722001 PARADOREN 500mg/60mg COMBINATII COMPR. 60mg+500mg 20 9N02AA59O V 05-07-2010 19.78 14.63 0.989000 0.989000 0.989000C3 W13992001 FASCONAL P COMBINATII COMPR. FARA CONCENT20 9N02BA71O V 05-07-2010 4.62 3.42 0.231000 0.231000 0.231000C3 W41947003 FASCOREM COMBINATII COMPR. FARA CONCENT20 9N02BA71O V 05-07-2010 4.62 3.42 0.231000 0.231000 0.231000C3 W04151001 NEVRALGIN METAMIZOLUM NATRIUM PIC. ORALE, SOL. 500mg/ml 1 9N02BB02O K 05-07-2010 6.19 4.58 6.190000 6.190000 6.190000C3 W42787003 ALGOCALMIN (R) 1 g/2 ml METAMIZOLUM NATRIUM SOL. INJ. 1g/2ml 5 9N02BB02P V 05-07-2010 5.90 4.37 1.180000 1.180000 1.180000C3 W07474002 TRANXENE 10 mg CLORAZEPAT DIKALII CAPS. 10mg 30 0N05BAO V 05-07-2010 6.30 4.66 0.210000 0.210000 0.210000C3 W07477002 TRANXENE 5 mg CLORAZEPAT DIKALII CAPS. 5mg 30 0N05BAO V 05-07-2010 5.76 4.26 0.192000 0.192000 0.192000C3 W05938001 GRANDAXIN TOFISOPAMUM COMPR. 50mg 20 0N05BAO V 05-07-2010 5.35 3.96 0.267500 0.267500 0.267500C3 W51338001 DORMICUM (R) MIDAZOLAMUM COMPR. FILM. 7,5mg 10 0N05CDO V 05-07-2010 5.56 4.11 0.556000 0.556000 0.556000C3 W12208001 DORMICUM (R) 7,5 mg MIDAZOLAMUM COMPR. FILM. 7,5mg 10 0N05CDO V 05-07-2010 10.54 7.80 1.054000 0.556000 0.556000C3 W42678001 MIDAZOLAM TORREX 1 mg/ml MIDAZOLAMUM SOL. INJ. 1mg/ml 10 0N05CDP V 05-07-2010 23.84 17.64 2.384000 2.384000 2.384000C3 W51326001 DORMICUM (R) MIDAZOLAMUM SOL. INJ. 1mg/ml 10 0N05CDP V 05-07-2010 29.08 21.52 2.908000 2.908000 2.908000C3 W42678002 MIDAZOLAM TORREX 1 mg/ml MIDAZOLAMUM SOL. INJ. 1mg/ml 10 0N05CDP V 05-07-2010 32.98 25.21 3.298000 2.908000 2.908000C3 W42679002 MIDAZOLAM TORREX 5 mg/ml MIDAZOLAMUM SOL. INJ. 5mg/ml 10 0N05CDP V 05-07-2010 63.90 50.54 6.390000 6.390000 6.390000C3 W42671001 MIDAZOLAM 5 mg/ml MIDAZOLAMUM SOL. INJ. 5mg/ml 10 0N05CDP V 05-07-2010 32.77 25.05 3.277000 3.277000 3.277000C3 W42679001 MIDAZOLAM TORREX 5 mg/ml MIDAZOLAMUM SOL. INJ. 5mg/ml 10 0N05CDP V 05-07-2010 32.98 25.21 3.298000 3.277000 3.277000C3 W42679003 MIDAZOLAM TORREX 5 mg/ml MIDAZOLAMUM SOL. INJ. 5mg/ml 10 0N05CDP V 05-07-2010 195.59 160.21 19.559000 19.559000 19.559000C3 W12614002 GERODORM (R) CINOLAZEPAMUM COMPR. 40mg 30 0N05CDO V 05-07-2010 22.99 17.01 0.766333 0.766333 0.766333C3 W43107002 CONCERTA 18 mg METHYLFENIDATUM COMPR. FILM. ELIB. PREL. 18mg 30 CJAS 9N06BA04O V 05-07-2010 191.98 157.26 6.399333 6.399333 6.399333C3 W43108002 CONCERTA 36 mg METHYLFENIDATUM COMPR. FILM. ELIB. PREL. 36mg 30 CJAS 9N06BA04O V 05-07-2010 228.69 187.33 7.623000 7.623000 7.623000C3 W43109002 CONCERTA 54 mg METHYLFENIDATUM COMPR. FILM. ELIB. PREL. 54mg 30 CJAS 9N06BA04O V 05-07-2010 296.16 242.59 9.872000 9.872000 9.872000C3 W41829001 STRATTERA 10 mg ATOMOXETINUM CAPS. 10mg 7 CJAS 9N06BA09O V 05-07-2010 103.09 81.53 14.727142 14.727142 14.727142C3 W41830001 STRATTERA 18 mg ATOMOXETINUM CAPS. 18mg 7 CJAS 9N06BA09O V 05-07-2010 103.09 81.53 14.727142 14.727142 14.727142C3 W41831003 STRATTERA 25 mg ATOMOXETINUM CAPS. 25mg 28 CJAS 9N06BA09O V 05-07-2010 387.33 320.35 13.833214 13.833214 13.833214C3 W41832003 STRATTERA 40 mg ATOMOXETINUM CAPS. 40mg 28 CJAS 9N06BA09O V 05-07-2010 387.33 320.35 13.833214 13.833214 13.833214C3 W41833003 STRATTERA 60 mg ATOMOXETINUM CAPS. 60mg 28 CJAS 9N06BA09O V 05-07-2010 387.33 320.35 13.833214 13.833214 13.833214C3 W53076003 STRATTERA 80 mg ATOMOXETINUM CAPS. 80mg 28 CJAS 9N06BA09O V 05-07-2010 554.67 473.87 19.809642 19.809642 19.809642C3 W12633001 ENCEPHABOL (R) 100 mg PYRITINOLUM DRAJ. 100mg 50 9N06BX02O V 05-07-2010 33.27 24.62 0.665400 0.599000 0.599000C3 W52014001 PIRITINOL ARENA 100 mg PYRITINOLUM DRAJ. 100mg 30 9N06BX02O V 05-07-2010 17.97 13.30 0.599000 0.599000 0.599000C3 W12632001 ENCEPHABOL (R) FORTE PYRITINOLUM DRAJ. 200mg 50 9N06BX02O V 05-07-2010 60.52 46.27 1.210400 1.210400 1.210400C3 W12631001 ENCEPHABOL (R) SUSPENSIE PYRITINOLUM SUSP. ORALA 80,5mg/5ml 1 9N06BX02O K 05-07-2010 40.50 30.96 40.500000 40.500000 40.500000C3 W08612001 PIRACETAM 400 mg PIRACETAMUM COMPR. 400 mg 20 9N06BX03O V 05-07-2010 2.34 1.73 0.117000 0.097000 0.097000C3 W13995002 PIRACETAM 400 mg PIRACETAMUM COMPR. 400mg 20 9N06BX03O V 05-07-2010 2.34 1.73 0.117000 0.097000 0.097000C3 W05035001 N - PIRACETAM PIRACETAMUM COMPR. 400mg 40 9N06BX03O V 05-07-2010 4.02 2.97 0.100500 0.097000 0.097000C3 W42872003 MEMOTAL 400mg PIRACETAMUM COMPR. 400mg 20 9N06BX03O V 05-07-2010 8.32 6.16 0.416000 0.097000 0.097000

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Cod medicament Denumire medicament Substanţă activă Formă farmaceutică Concentraţie

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Grupa terapeutica RO Valabil de la

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Preţ cu ridicata /amb Preţ maxim /UT

Preţ de referinţă/UT

Valoare compensare/UT

C3 W05051001 PIRACETAM SLAVIA 400 mg PIRACETAMUM COMPR. 400mg 40 9N06BX03O V 05-07-2010 4.62 3.42 0.115500 0.097000 0.097000C3 W12318001 PIRACETAM LAROPHARM 400 mg PIRACETAMUM COMPR. 400mg 20 9N06BX03O V 05-07-2010 1.94 1.44 0.097000 0.097000 0.097000C3 W07315002 PIRACETAM PIRACETAMUM COMPR. 400mg 30 9N06BX03O V 05-07-2010 2.93 2.17 0.097666 0.097000 0.097000C3 W08467001 PIRACETAM FARMEX 400 mg PIRACETAMUM COMPR. 400mg 40 9N06BX03O V 05-07-2010 4.44 3.28 0.111000 0.097000 0.097000C3 W05045001 PIRACETAM MCC 400mg PIRACETAMUM COMPR. 400mg 20 9N06BX03O V 05-07-2010 2.34 1.73 0.117000 0.097000 0.097000C3 W54455001 PIRACETAM SINTOFARM 400 mg PIRACETAMUM COMPR. 400mg 20 9N06BX03O V 05-07-2010 2.34 1.73 0.117000 0.097000 0.097000C3 W54455002 PIRACETAM SINTOFARM 400 mg PIRACETAMUM COMPR. 400mg 40 9N06BX03O V 05-07-2010 4.56 3.37 0.114000 0.097000 0.097000C3 W10559001 LUCETAM (R) 1200 mg PIRACETAMUM COMPR. FILM. 1200mg 20 9N06BX03O V 05-07-2010 6.70 4.96 0.335000 0.335000 0.335000C3 W12197004 NOOTROPIL (R) 1200 mg PIRACETAMUM COMPR. FILM. 1200mg 100 9N06BX03O V 05-07-2010 49.88 38.13 0.498800 0.335000 0.335000C3 W14066001 PIRACETAM 400 mg PIRACETAMUM COMPR. FILM. 400mg 20 9N06BX03O V 05-07-2010 3.48 2.57 0.174000 0.105333 0.105333C3 W42248001 PIRACETAM LPH (R) 400 mg PIRACETAMUM COMPR. FILM. 400mg 60 9N06BX03O V 05-07-2010 6.32 4.68 0.105333 0.105333 0.105333C3 W10675001 LUCETAM PIRACETAMUM COMPR. FILM. 400mg 60 9N06BX03O V 05-07-2010 7.03 5.20 0.117166 0.105333 0.105333C3 W07791002 NEUROSTIM 400 mg PIRACETAMUM COMPR. FILM. 400mg 20 9N06BX03O V 05-07-2010 2.34 1.73 0.117000 0.105333 0.105333C3 W12196002 NOOTROPIL (R) 800 mg PIRACETAMUM COMPR. FILM. 800mg 90 9N06BX03O V 05-07-2010 33.19 24.56 0.368777 0.198333 0.198333C3 W14065001 PIRACETAM 800 mg PIRACETAMUM COMPR. FILM. 800mg 20 9N06BX03O V 05-07-2010 6.75 4.99 0.337500 0.198333 0.198333C3 W42451001 PIRACETAM LPH 800 mg PIRACETAMUM COMPR. FILM. 800mg 30 9N06BX03O V 05-07-2010 5.95 4.40 0.198333 0.198333 0.198333C3 W10676001 LUCETAM PIRACETAMUM COMPR. FILM. 800mg 30 9N06BX03O V 05-07-2010 6.61 4.89 0.220333 0.198333 0.198333C3 W07792001 NEUROSTIM 800 mg PIRACETAMUM COMPR. FILM. 800mg 20 9N06BX03O V 05-07-2010 4.41 3.26 0.220500 0.198333 0.198333C3 W05038001 NOOTROPIL PIRACETAMUM SOL. INJ. 1g 12 9N06BX03P V 05-07-2010 16.76 12.40 1.396666 1.396666 1.396666C3 W42904001 MEMOTAL1 g/5 ml PIRACETAMUM SOL. INJ. 1g/5ml 5 9N06BX03P V 05-07-2010 8.94 6.61 1.788000 1.396666 1.396666C3 W42296001 NOOTROPIL (R) PIRACETAMUM SOL. ORALA 20% 1 9N06BX03O V 05-07-2010 13.27 9.82 13.270000 13.270000 13.270000C3 W05040001 NOOTROPIL PIRACETAMUM SOL. PERF. 12g 1 9N06BX03P V 05-07-2010 16.76 12.40 16.760000 16.760000 16.760000C3 W08294002 CINARIZINA ARENA 25 mg CINNARIZINUM CAPS. 25mg 40 9N07CA02O V 05-07-2010 3.28 2.43 0.082000 0.082000 0.082000C3 W10590001 STUGERON 25 mg CINNARIZINUM COMPR. 25mg 40 9N07CA02O V 05-07-2010 7.03 5.20 0.175750 0.072500 0.072500C3 W13160002 CINARIZIN 25 mg CINNARIZINUM COMPR. 25mg 60 9N07CA02O V 05-07-2010 4.51 3.34 0.075166 0.072500 0.072500C3 W42400001 N-CINARIZINA CINNARIZINUM COMPR. 25mg 20 9N07CA02O V 05-07-2010 1.45 1.07 0.072500 0.072500 0.072500C3 W05792001 ATRICAN 250 mg TENONITROZOLUM CAPS. MOI GASTROREZ. 250mg 8 9P01AX08O V 05-07-2010 11.53 8.53 1.441250 1.441250 1.441250C3 W12742001 HELMINTOX (R) 125 mg PYRANTELUM COMPR. FILM. 125mg 6 9P02CC01O V 05-07-2010 3.45 2.55 0.575000 0.575000 0.575000C3 W13289001 HELMINTOX (R) 250 mg PYRANTELUM COMPR. FILM. 250mg 3 9P02CC01O V 05-07-2010 3.45 2.55 1.150000 1.150000 1.150000C3 W10556001 HELMINTOX (R) PYRANTELUM SUSP. ORALA 125mg/2,5ml 1 9P02CC01O V 05-07-2010 6.55 4.85 6.550000 6.550000 6.550000C3 W14064001 UNGUENT CU SULF 8% SULFUR UNGUENT 8% 1 9P03AAN1TD V 05-07-2010 1.91 1.41 1.910000 1.910000 1.910000C3 W52931001 BENZOAT DE BENZIL MK BENZYLUM BENZOICUM CREMA 25% 1 9P03AX01TD V 05-07-2010 3.82 2.83 3.820000 3.820000 3.820000C3 W52931002 BENZOAT DE BENZIL MK BENZYLUM BENZOICUM CREMA 25% 1 9P03AX01TD V 05-07-2010 5.47 4.05 5.470000 3.820000 3.820000C3 W05924001 PIVALONE 1% TIXOCORTOLUM SUSP. NAZALA 1% 1 9R01AD07N K 05-07-2010 10.45 7.73 10.450000 10.450000 10.450000C3 W02162001 BIORINIL COMBINATII SPRAY NAZ.,SUSP. FARA CONCENT1 9R01ADN1N V 05-07-2010 25.81 19.10 25.810000 25.810000 25.810000C3 W12751001 CLARINASE (R) COMBINATII COMPR. ELIB. MODIF. FARA CONCENT7 9R01BA52O V 05-07-2010 9.24 6.84 1.320000 1.320000 1.320000

C3 W07920002 BIOPAROX FUSAFUNGINUMSPRAY BUCOFARINGIAN SI NAZAL-SOL. 50mg/10ml 1 9R02AB03Inh V 05-07-2010 19.97 14.78 19.970000 19.970000 19.970000

C3 W02941002 EFEDRINA ARENA EPHEDRINI HYDROCHLORIDUM COMPR. 50mg 30 9R03CA02O V 05-07-2010 9.37 6.93 0.312333 0.312333 0.312333C3 W02944001 EFEDRINA 50 mg/ ml EPHEDRINI HYDROCHLORIDUM SOL. INJ. 50mg/ml 5 9R03CA02P V 05-07-2010 6.16 4.56 1.232000 1.232000 1.232000C3 W06666001 ACC INJECT 300mg/3ml ACETYLCYSTEINUM SOL. INJ. 300mg/3ml 5 1R05CBP V 05-07-2010 7.53 5.57 1.506000 1.506000 1.506000C3 W53020001 FLUIMUCIL 2% PEDIATRIC ACETYLCYSTEINUM SOL. ORALA 2% 1 1R05CBO K 05-07-2010 13.10 9.69 13.100000 13.100000 13.100000C3 W00851001 RHINATHIOL 2% pentru copii si sugari CARBOCISTEINUM SIROP 2% 1 1R05CBO K 05-07-2010 9.17 6.78 9.170000 8.000000 8.000000

C3 W08110001HUMEX EXPECTORANT PENTRU COPII SISUGARI CARBOCISTEINUM SIROP 100mg/5ml 1 1R05CBO K 05-07-2010 8.00 5.92 8.000000 8.000000 8.000000

C3 W00848001 MUCOTREIS CARBOCISTEINUM SIROP 20mg/ml 1 1R05CBO V 05-07-2010 8.78 6.50 8.780000 8.000000 8.000000C3 W07656001 FLUIDOL 100mg/5ml CARBOCISTEINUM SOL. ORALA 100mg/5ml 1 1R05CBO V 05-07-2010 3.51 2.60 3.510000 3.510000 3.510000C3 W51720001 PROMETAZINA ARENA 30 mg PROMETHAZINUM COMPR. FILM. 30mg 20 9R06AD02O V 05-07-2010 14.98 11.08 0.749000 0.749000 0.749000C3 W52326001 ROMERGAN PROMETHAZINUM SIROP 5mg/5ml 1 9R06AD02O K 05-07-2010 2.33 1.72 2.330000 2.330000 2.330000C3 W07330002 PRIMALAN (R) 10 mg MEQUITAZINUM COMPR. 10mg 14 9R06AD07O V 05-07-2010 16.04 11.87 1.145714 1.145714 1.145714C3 W13788001 EMETOSTOP MECLOZINUM COMPR. 30mg 10 9R06AE05O V 05-07-2010 3.57 2.64 0.357000 0.357000 0.357000C3 W02375001 PERITOL CYPROHEPTADINUM COMPR. 4mg 20 0R06AXO V 05-07-2010 3.25 2.40 0.162500 0.162500 0.162500C3 W12613002 CIPROHEPTADINA 4 mg CYPROHEPTADINUM COMPR. 4mg 30 0R06AXO V 05-07-2010 4.88 3.61 0.162666 0.162500 0.162500C3 W02376001 PERITOL CYPROHEPTADINUM SIROP 2mg/5ml 1 0R06AXO K 05-07-2010 5.56 4.11 5.560000 5.560000 5.560000C3 W52322001 BIOHEPT CYPROHEPTADINUM SIROP 2mg/5ml 1 0R06AXO K 05-07-2010 5.79 4.28 5.790000 5.560000 5.560000C3 W13141002 SYMPHORAL (R) 1 mg/ml LORATADINUM SIROP 1mg/ml 1 0R06AXO K 05-07-2010 17.16 12.70 17.160000 7.070000 7.070000C3 W04030002 CLARITINE LORATADINUM SIROP 1mg/ml 1 0R06AXO K 05-07-2010 9.01 6.67 9.010000 7.070000 7.070000C3 W04030001 CLARITINE LORATADINUM SIROP 1mg/ml 1 0R06AXO K 05-07-2010 18.04 13.35 18.040000 7.070000 7.070000C3 W52861001 LORATADINA BIOFARM 5mg/5ml LORATADINUM SIROP 5mg/5ml 1 0R06AXO K 05-07-2010 7.07 5.23 7.070000 7.070000 7.070000C3 W07959001 FLONIDAN LORATADINUM SUSP. ORALA 5mg/5ml 1 0R06AXO K 05-07-2010 11.97 8.86 11.970000 11.970000 11.970000

C3 W13143001 SIFICETINA CHLORAMPHENICOLUM PULB. + SOLV. PT. SOL. OFT. 0,4% 1 9S01AA01F V 05-07-2010 12.60 9.32 12.600000 12.600000 12.600000C3 W10664001 FUCITHALMIC 10mg/g ACIDUM FUSIDICUM GEL OFT. 10mg/g 1 9S01AA13F V 05-07-2010 14.93 11.05 14.930000 14.930000 14.930000C3 W41624001 KANAMICINA SULFAT 1% KANAMYCINUM UNG. OFT. 1% 1 9S01AA24F V 05-07-2010 6.38 4.72 6.380000 6.380000 6.380000C3 W14015001 ANTIBIOPTAL COMBINATII PICATURI OFT.-SOL. FARA CONCENT1 9S01AA30F V 05-07-2010 13.10 9.69 13.100000 13.100000 13.100000

C3 W02211001 COLBIOCIN COMBINATII PULB. + SOLV. PT. SOL. OFT. FARA CONCENT1 9S01AA30F V 05-07-2010 14.05 10.40 14.050000 14.050000 14.050000C3 W03187001 FLUMETOL S FLUOROMETHOLONUM PICATURI OFT.SUSP. 2mg/ml 1 1S01BAF V 05-07-2010 31.96 23.65 31.960000 31.960000 31.960000C3 W03186001 FLUMETOL S UNGUENT OFTALMIC FLUOROMETHOLONUM UNG. OFT. 1mg/g 1 1S01BAF V 05-07-2010 10.09 7.47 10.090000 10.090000 10.090000C3 W02417001 PRENACID DESONIDUM PICATURI OFT.-SOL. 0,25% 1 9S01BA11F V 05-07-2010 6.75 4.99 6.750000 6.750000 6.750000C3 W03615001 INDOCOLLYRE (R) 0,1% INDOMETACINUM PICATURI OFT.-SOL. 0,1% 1 1S01BCF V 05-07-2010 14.47 10.71 14.470000 14.470000 14.470000C3 W06816001 BRUXICAM 0,5% PIROXICAMUM PIC. OFT., SOL. 0,5% 1 9S01BC06F V 05-07-2010 16.70 12.36 16.700000 16.700000 16.700000

C3 W10587001SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON COMBINATII SOL. AURICULARA FARA CONCENT1 9S02CA05F V 05-07-2010 2.84 2.10 2.840000 2.840000 2.840000

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