ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt....

179

Transcript of ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt....

Page 1: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara
Page 2: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara
Marian MANESCU
Text Box
Page 3: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

ANEXA 1

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

Val suportata de CNAS/UT (RON)Legea nr. 95/2006 art 213 alin.1 lit. a) si f)

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BA02 RANITIDINUM ZANTAC 150 mg COMPR. FILM. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L 20 10.65 0.532500 0.258899 0.2330092 A02BA02 RANITIDINUM ULCORAN CAPS. 150mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 6.52 0.326000 0.258899 0.2330093 A02BA02 RANITIDINUM RANITIDIN ARENA 150mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 6.64 0.332000 0.258899 0.2330094 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. 150mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.92 0.346000 0.258899 0.2330095 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. FILM. 150mg FILDAS TRADING SRL ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL-VMCH X 10 COMPR. FILM. P-6L 20 4.71 0.235500 0.235500 0.2119506 A02BA02 RANITIDINUM RANITIDIN 150 mg COMPR. FILM. 150mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 7.63 0.381500 0.258899 0.2330097 A02BA02 RANITIDINUM RANITIDIN COMPR. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.35 0.267500 0.258899 0.2330098 A02BA02 RANITIDINUM RANITIDINA LAROPHARM 150 mg COMPR. FILM. 150mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 6.06 0.303000 0.258899 0.2330099 A02BA02 RANITIDINUM RANITIDINA LPH 150 mg COMPR. FILM. 150mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 6.90 0.345000 0.258899 0.233009

10 A02BA02 RANITIDINUM RANITIDINA ATB 150 MG COMPR. FILM. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.90 0.345000 0.258899 0.23300911 A02BA02 RANITIDINUM RANITIDIN 300 mg COMPR. FILM. 300mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 6.46 0.646000 0.517799 0.46601912 A02BA02 RANITIDINUM RANITIDINA LPH 300 mg COMPR. FILM. 300mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 17.26 0.575333 0.517799 0.46601913 A02BA02 RANITIDINUM RANITIDINA ATB 300 mg COMPR. FILM. 300mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 6.46 0.646000 0.517799 0.46601914 A02BA02 RANITIDINUM RANITIDINA ATB 300 mg COMPR. FILM. 300mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 12.90 0.645000 0.517799 0.46601915 A02BA02 RANITIDINUM ARNETIN SOL. INJ. 25mg/ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE X 2 ML P-RF 5 12.63 2.526000 1.874097 1.68668716 A02BA02 RANITIDINUM ZANTAC SOLUTIE INJECTABILA SOL. INJ. 25mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 14.90 2.980000 1.874097 1.68668717 A02BA03 FAMOTIDINUM FAMODIN 20 COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.86 0.295333 0.258899 0.23300918 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 20mg COMPR. FILM. 20mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.86 0.195333 0.195333 0.17579919 A02BA03 FAMOTIDINUM QUAMATEL 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 9.43 0.336785 0.258899 0.23300920 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 40 mg COMPR. FILM. 40mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 7.70 0.256666 0.256666 0.23099921 A02BA03 FAMOTIDINUM FAMODIN 40 COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 12.30 0.410000 0.410000 0.36900022 A02BA03 FAMOTIDINUM QUAMATEL 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 9.43 0.673571 0.517799 0.466019

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM

DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE

VALABILA INCEPAND CU 1 OCTOMBRIE 2010

Pagina 1 din 40

Page 4: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

23 A02BA03 FAMOTIDINUM QUAMATEL 20 mg PULB+SOLV. PT. SOL. INJ./PERF. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5 S/P-RF 5 24.58 4.916000 4.916000 4.42440024 A02BA04 NIZATIDINUM NIZATIDIN VIM SPECTRUM 150 mg CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 18.18 0.909000 0.258899 0.23300925 A02BC01 OMEPRAZOLUM ORTANOL S 10 mg CAPS. GASTROREZ. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 8.91 0.636428 0.338156 0.30434026 A02BC01 OMEPRAZOLUM LOSEC MUPS 10 mg COMPR. FILM. GASTROREZ. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L 14 33.11 2.365000 0.338156 0.30434027 A02BC01 OMEPRAZOLUM OMEZ CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L 30 21.37 0.712333 0.676312 0.60868128 A02BC01 OMEPRAZOLUM ORTANOL (R) 20 mg CAPS. GASTROREZ. 20mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. AL/AL X 14 CAPS. GASTROREZ. P-6L 14 8.06 0.575714 0.575714 0.51814229 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 28 CAPS. GASTROREZ. P-6L 28 20.51 0.732500 0.676312 0.60868130 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 14 CAPS. GASTROREZ. P-6L 14 10.82 0.772857 0.676312 0.60868131 A02BC01 OMEPRAZOLUM RISEK CAPS. ENTER. 20mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. X 14 CAPS. ENTER. P-6L 14 14.42 1.030000 0.676312 0.60868132 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 14.42 1.030000 0.676312 0.60868133 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L 14 14.42 1.030000 0.676312 0.60868134 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 20 12.77 0.638500 0.638500 0.57465035 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 20.74 0.740714 0.676312 0.60868136 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L 14 10.03 0.716428 0.676312 0.60868137 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 28 23.05 0.823214 0.676312 0.60868138 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 14.22 1.015714 0.676312 0.60868139 A02BC01 OMEPRAZOLUM LOSEC MUPS 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L 7 24.90 3.557142 0.676312 0.60868140 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 22.63 0.754333 0.676312 0.60868141 A02BC01 OMEPRAZOLUM OMEPRAZOL TERAPIA 20 mg CAPS. GASTROREZ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 22.48 0.749333 0.676312 0.60868142 A02BC01 OMEPRAZOLUM OMEDAR (R) COMPR. FILM. GASTROREZ. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ. P-6L 14 14.42 1.030000 0.676312 0.60868143 A02BC01 OMEPRAZOLUM OMEPRAZOL ARENA 20 mg CAPS. GASTROREZ. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 21.96 0.732000 0.676312 0.60868144 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMEX 20 mg CAPS. GASTROREZ. 20mg FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 20.80 0.693333 0.676312 0.60868145 A02BC01 OMEPRAZOLUM OMEPRAZOL RPH 20 mg CAPS. GASTROREZ. 20mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 22.10 0.736666 0.676312 0.60868146 A02BC01 OMEPRAZOLUM NOVOGAST 20 mg CAPS. GASTROREZ. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L 20 15.01 0.750500 0.676312 0.60868147 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6L 10 6.47 0.647000 0.647000 0.58230048 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMAL 20 mg CAPS. GASTROREZ. 20mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 14 14.42 1.030000 0.676312 0.60868149 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMAL 20 mg CAPS. GASTROREZ. 20mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 28 28.84 1.030000 0.676312 0.60868150 A02BC01 OMEPRAZOLUM OMEPRAZOL OZONE 20 mg CAPS. GASTROREZ. 20mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ. P-6L 28 18.54 0.662142 0.662142 0.59592751 A02BC01 OMEPRAZOLUM OMEPRAZOL ROMPHARM 20 mg CAPS. GASTROREZ. 20mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 22.10 0.736666 0.676312 0.60868152 A02BC01 OMEPRAZOLUM ORTANOL 40 mg CAPS. GASTROREZ. 40mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 7 8.01 1.144285 1.144285 1.02985653 A02BC01 OMEPRAZOLUM OMERAN 40 CAPS. GASTROREZ. 40mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPSULE GASTROREZ. P-6L 14 26.10 1.864285 1.352624 1.21736254 A02BC03 LANSOPRAZOLUM LEVANT 15 mg CAPS. GASTROREZ. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 6.55 0.467857 0.338156 0.30434055 A02BC03 LANSOPRAZOLUM LANZUL CAPS. GASTROREZ. 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L 14 13.10 0.935714 0.676312 0.60868156 A02BC03 LANSOPRAZOLUM LEVANT 30 mg CAPS. GASTROREZ. 30mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 11.33 0.809285 0.676312 0.60868157 A02BC03 LANSOPRAZOLUM LANZAP 30mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 20 16.61 0.830500 0.676312 0.60868158 A03AA04 MEBEVERINUM COLOSPASMIN DRAJ. 100mg E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 9.01 0.450500 0.450500 0.40545059 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 27.70 0.923333 0.923333 0.83099960 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L 30 27.70 0.923333 0.923333 0.83099961 A03AA05 TRIMEBUTINUM PROMEBUTIN (R) 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.85 0.692500 0.230832 0.20774962 A03AA05 TRIMEBUTINUM DEBRIDAT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 17.09 0.569666 0.230832 0.20774963 A03AA05 TRIMEBUTINUM TRIMEBUTIN 100 COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.11 0.370333 0.230832 0.20774964 A03AA05 TRIMEBUTINUM COLPERIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 11.11 0.370333 0.230832 0.20774965 A03AA05 TRIMEBUTINUM DEBRIDAT GRAN. PT. SUSP. ORALA 24mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE P-6L 1 12.02 12.020000 12.020000 10.818000

66 A03AA05 TRIMEBUTINUM IBUTIN (R) 300 mg COMPR. FILM. ELIB. PREL. 300mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 35.94 1.797000 0.692500 0.62325067 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA LAROPHARM 100 mg COMPR. 100mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.159975 0.143977

Pagina 2 din 40

Page 5: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

68 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.159975 0.14397769 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.38 0.269000 0.269000 0.24210070 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 1.16 0.029000 0.029000 0.02610071 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1.36 0.034000 0.030600 0.02754072 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.28 0.107000 0.030600 0.02754073 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID ARENA 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 1.39 0.034750 0.030600 0.02754074 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID PIC. ORALE-SOL. 7mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR P-RF 1 2.85 2.850000 2.850000 2.56500075 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID BIOFARM 1mg/5ml SIROP 1mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE P-RF 1 8.66 8.660000 2.223321 2.00098976 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 8.67 1.734000 1.734000 1.56060077 A03FA03 DOMPERIDONUM MOTILIUM 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 12.30 1.230000 0.030600 0.02754078 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 54.05 0.900833 0.823320 0.74098879 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 123.98 1.239800 1.239800 1.11582080 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 71.32 1.426400 1.372200 1.23498081 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 68.61 1.372200 1.372200 1.23498082 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 35.80 1.790000 1.646641 1.48197783 A06AD11 LACTULOSUM LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 7.07 7.070000 6.996000 6.29640084 A06AD11 LACTULOSUM DUPHALAC (R) LICHID ORAL 66,7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 10.94 10.940000 7.070199 6.36317985 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 10.39 10.390000 10.335000 9.30150086 A06AD11 LACTULOSUM LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 17.20 17.200000 17.200000 15.480000

87 A06AD11 LACTULOSUM LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 33.27 33.270000 33.270000 29.943000

88 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3.45 3.450000 3.444999 3.10049989 A06AD11 LACTULOSUM LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 3.56 3.560000 3.551000 3.19590090 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 6.80 0.340000 0.340000 0.30600091 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 28.17 0.563400 0.563400 0.50706092 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 31.17 0.311700 0.311700 0.28053093 A07EC02 MESALAZINUM** SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 67.08 0.670800 0.389259 0.35033394 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 120.65 1.206500 0.778521 0.70066995 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 50 73.68 1.473600 0.778521 0.70066996 A07EC02 MESALAZINUM** PENTASA COMPR. ELIB. PREL. 500mg FERRING GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 155.01 1.550100 0.778521 0.70066997 A07EC02 MESALAZINUM** PENTASA SUPOZ. 1g FERRING GMBH GERMANIA CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI P-6L 28 173.39 6.192500 6.155190 5.53967198 A07EC02 MESALAZINUM** SALOFALK (R) 250 mg SUPOZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 31.90 3.190000 1.538793 1.38491399 A07EC02 MESALAZINUM** SALOFALK 4 g/ 60 ml SUSP. RECTALA 4g/60ml DR. FALK PHARMA GMBH GERMANIA CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA P-6L 7 169.22 24.174285 24.174285 21.756856

100 A07EC02 MESALAZINUM** SALOFALK (R) 500 mg SUPOZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 50.89 5.089000 3.077595 2.769835101 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.52 0.217333 0.180895 0.162806102 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.75 0.337500 0.337500 0.303750

103 B01AC05 TICLOPIDINUM1 TICLODIN COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 35.44 1.772000 1.160115 1.044104

104 B01AC05 TICLOPIDINUM1 IPATON COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF 20 33.30 1.665000 1.160115 1.044104

105 B01AC05 TICLOPIDINUM1 TICLID (R) 250 mg COMPR. FILM. 250mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST PVC TRANSPARENT/AL X 10 COMPR. FILM. P-RF 20 12.79 0.639500 0.639500 0.575550106 B02BA01 PHYTOMENADIONUM FITOMENADION 10 mg/ml SOL. INJ. 10mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF 5 10.20 2.040000 2.040000 1.836000107 B03AA07 FERROSI SULFAS FERROGRADUMET (R) COMPR. ELIB. PREL. 105mg TEOFARMA SRL ITALIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 8.55 0.285000 0.268388 0.241549108 B03AA07 FERROSI SULFAS FERRO-GRADUMET COMPR.FILM.ELIB.PREL 329,724mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 7.80 0.260000 0.260000 0.234000109 B03AA07 FERROSI SULFAS TARDYFERON 80 mg DRAJ. ELIB. PREL. 80mg LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 12.05 0.401666 0.204486 0.184037

Pagina 3 din 40

Page 6: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

110 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 50 ML P-6L 1 13.65 13.650000 13.650000 12.285000

111 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 30 ML P-6L 1 11.76 11.760000 8.572500 7.715250

112 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM 50mg/5ml SIROP 50mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML P-6L 1 10.03 10.030000 5.715000 5.143500

113 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT MALTOFER COMPR. MAST. 100mg VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L 30 21.45 0.715000 0.568017 0.511216

114 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) SIROP 10mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE P-6L 1 15.35 15.350000 8.572500 7.715250

115 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) PICATURI ORALE-SOL. 50mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML P-6L 1 13.50 13.500000 8.572500 7.715250

116 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE P-6L 1 8.78 8.780000 8.572500 7.715250

117 B03AEN1

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM) SORBIFER DURULES COMPR. FILM. FARA CONCENTRATIE EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM. P-6L 50 14.82 0.296400 0.296400 0.266760

118 B03BB01 ACIDUM FOLICUM ACIFOL 5 mg COMPR. FILM. 5mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L 30 7.37 0.245666 0.245666 0.221099119 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 2.79 0.111600 0.111600 0.100440120 C01AA05 DIGOXINUM LANOXIN SOLUTIE ORALA SOL. ORALA 0,05mg/ml THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML P-RF 1 11.06 11.060000 11.060000 9.954000121 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0,5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 6.63 1.326000 1.326000 1.193400122 C01BA01 CHINIDINI SULFAS CHINIDINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF 20 12.36 0.618000 0.618000 0.556200123 C01BC03 PROPAFENONUM RYTMONORM (R) COMPR. FILM. 150mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 31.96 0.639200 0.361600 0.325440124 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-RF 50 18.66 0.373200 0.361600 0.325440125 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-RF 20 7.47 0.373500 0.361600 0.325440126 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-RF 100 34.86 0.348600 0.348600 0.313740127 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.01 0.400500 0.361600 0.325440128 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 36.16 0.361600 0.361600 0.325440129 C01BC03 PROPAFENONUM PROPAFENON SANDOZ 150 mg COMPR. FILM. 150mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF 50 18.04 0.360800 0.360800 0.324720130 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF 20 49.86 2.493000 0.361600 0.325440131 C01BC03 PROPAFENONUM PROPANORM 300 mg COMPR. FILM. 300mg PRO. MED. CS PRAHA CEHIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 40.20 0.804000 0.723200 0.650880132 C01BC03 PROPAFENONUM RYTMONORM SOL. INJ. 70mg/20ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF 5 36.70 7.340000 7.340000 6.606000133 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 13.82 0.691000 0.368082 0.331274

Pagina 4 din 40

Page 7: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

134 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 28.55 0.571000 0.368082 0.331274135 C01BD01 AMIODARONUM CORDARONE 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 16.86 0.562000 0.368082 0.331274136 C01BD01 AMIODARONUM AMIODARONA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.97 0.365666 0.365666 0.329099137 C01BD01 AMIODARONUM DARITMIN (R) 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.97 0.365666 0.365666 0.329099138 C01BD01 AMIODARONUM AMIODARONA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 11.26 0.375333 0.368082 0.331274139 C01DA02 NITROGLYCERINUM NITROMINT 2,6 mg COMPR. ELIB. PREL. 2,6mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L 60 9.85 0.164166 0.150814 0.135733140 C01DA02 NITROGLYCERINUM NITROGLICERINA 0,5 mg COMPR. SUBLING. 0,5mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L 20 3.85 0.192500 0.114796 0.103317141 C01DA02 NITROGLYCERINUM NITROMINT SPRAY SUBLINGUAL 0,4mg/doza EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL P-6L 1 15.25 15.250000 15.250000 13.725000

142 C01DA02 NITROGLYCERINUM NITRODERM (R) TTS 5 SIST. TERAP. TRANSDERM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L 10 18.43 1.843000 1.843000 1.658700143 C01DA08 ISOSORBIDI DINITRAS ISOSORBIDE DINITRATE 10 mg COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-6L 60 2.13 0.035500 0.035500 0.031950144 C01DA08 ISOSORBIDI DINITRAS DINITER SR 20 mg CAPS. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 5.44 0.272000 0.096675 0.087008145 C01DA08 ISOSORBIDI DINITRAS ISODINIT(R) RETARD COMPR. ELIB. PREL. 20mg PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L 60 3.93 0.065500 0.065500 0.058950146 C01DA08 ISOSORBIDI DINITRAS DINITER SR 40 mg CAPS. ELIB. PREL. 40mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 9.01 0.450500 0.193351 0.174016147 C01DA14 ISOSORBIDI MONONITRAS OLICARD 40 mg RETARD CAPS. ELIB. PREL. 40mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L 20 11.99 0.599500 0.290028 0.261025148 C01DA14 ISOSORBIDI MONONITRAS OLICARD 60 mg RETARD CAPS. ELIB. PREL. 60mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 19.12 0.956000 0.435042 0.391537149 C01DA14 ISOSORBIDI MONONITRAS MONONITRON (R) EP 60 mg COMPR. FILM. ELIB. PREL. 60mg ZENTIVA S.A ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 36.32 0.908000 0.435042 0.391537150 C01EA01 ALPROSTADILUM*** VASAPROSTAN 20 LIOF. PT. SOL. PERF. 20mcg SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S/P-RF 10 520.05 52.005000 52.005000 46.804500

151 C01EA01 ALPROSTADILUM*** PRIDAX 20mcg CONC. PT. SOL. PERF. 20mcg GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF 5 328.17 65.634000 55.412250 49.871025

152 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA 20 mg DRAJ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 14.44 0.481333 0.253333 0.227999153 C01EB15 TRIMETAZIDINUM MODUXIN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 7.60 0.253333 0.253333 0.227999154 C01EB15 TRIMETAZIDINUM DILATAN 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 30 14.58 0.486000 0.253333 0.227999155 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 60 15.19 0.253166 0.253166 0.227849156 C01EB15 TRIMETAZIDINUM TRIMETAZIDIN VIM SPECTRUM 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L 30 7.60 0.253333 0.253333 0.227999157 C01EB15 TRIMETAZIDINUM PREDUCTAL 20 mg COMPR. FILM. 20mg LES LABORATOIRES SERVIER FRANTA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P-6L 60 23.37 0.389500 0.253333 0.227999158 C01EB15 TRIMETAZIDINUM PREDUCTAL MR 35 mg COMPR. FILM. ELIB. MODIF. 35mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF. P-6L 60 49.62 0.827000 0.443332 0.398999159 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 35 mg COMPR. FILM. ELIB. MODIF. 35mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. MODIF. P-6L 60 33.31 0.555166 0.443332 0.398999160 C01EB15 TRIMETAZIDINUM MODUXIN MR 35 mg COMPR. FILM. ELIB. PREL. 35mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.67 0.555666 0.443332 0.398999161 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 12.63 0.252600 0.252600 0.227340162 C02AC01 CLONIDINUM CLONIDINA SINTOFARM 0,15 mg COMPR. 0,15mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.02 0.200400 0.200400 0.180360163 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 12.33 0.246600 0.216106 0.194496164 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 3.47 0.138800 0.138800 0.124920165 C03BA11 INDAPAMIDUM TERTENSIF (R) SR COMPR. FILM. ELIB. PREL. 1,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 15 COMPR. FILM. ELIB. PREL. P-6L 30 21.00 0.700000 0.350887 0.315798166 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.65 0.455000 0.350887 0.315798167 C03BA11 INDAPAMIDUM INDAPAMID SR 1,5 mg LAROPHARM COMPR. FILM. ELIB. PREL. 1,5 mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 9.09 0.454500 0.350887 0.315798168 C03BA11 INDAPAMIDUM INDATER SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.ELIB. PREL. P-6L 30 13.27 0.442333 0.350887 0.315798169 C03BA11 INDAPAMIDUM RAWEL SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 11.68 0.389333 0.350887 0.315798170 C03BA11 INDAPAMIDUM INDAPAMID MCC 1,5 mg COMPR. ELIB. PREL. 1,5mg MAGISTRA C&C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 13.65 0.455000 0.350887 0.315798171 C03BA11 INDAPAMIDUM IMPAMID SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. ELIB. PREL. P-6L 30 13.13 0.437666 0.350887 0.315798172 C03BA11 INDAPAMIDUM INDAPAMID SR OZONE 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg OZONE LABORATORIES BV OLANDA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 7.83 0.391500 0.350887 0.315798173 C03BA11 INDAPAMIDUM REDITENS SR 1.5 mg COMPR. FILM. ELIB. PREL. 1,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.65 0.455000 0.350887 0.315798174 C03BA11 INDAPAMIDUM INDAPAMIDA ACTAVIS 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA P-6L 30 13.65 0.455000 0.350887 0.315798175 C03BA11 INDAPAMIDUM IDUREN SR 1,5 mg COMPR. ELIB. PREL. 1,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ELIB. PREL. P-6L 30 10.63 0.354333 0.350887 0.315798176 C03BA11 INDAPAMIDUM DIUREMID SR 1,5 mg COMPR. ELIB. PREL. 1,5mg GLENMARK PHARMACEUTICALS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 30 13.65 0.455000 0.350887 0.315798177 C03BA11 INDAPAMIDUM INDAPAMIDA TEVA 1,5 mg COMPR. ELIB. PREL. 1,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L 30 13.28 0.442666 0.350887 0.315798178 C03BA11 INDAPAMIDUM IZEPOX 1,5mg COMPR. ELIB. PREL. 1,5mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 30 13.65 0.455000 0.350887 0.315798

Pagina 5 din 40

Page 8: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

179 C03BA11 INDAPAMIDUM INDAPAMIDA MYLAN 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. ELIB. PRELUNG. P-6L 30 12.57 0.419000 0.350887 0.315798180 C03BA11 INDAPAMIDUM IMPAMID (R) 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 15.13 0.504333 0.504333 0.453899181 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 2,5 mg COMPR. FILM. 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 15.04 0.501333 0.501333 0.451199182 C03BA11 INDAPAMIDUM INDATER (R) 2,5 mg COMPR. FILM. 2,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 14.87 0.495666 0.495666 0.446099183 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.02 0.151000 0.081000 0.072900184 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.113500 0.081000 0.072900185 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.62 0.081000 0.081000 0.072900186 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 6.01 0.300500 0.081000 0.072900187 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.04 0.152000 0.081000 0.072900188 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.60 0.080000 0.080000 0.072000189 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6.06 1.212000 1.212000 1.090800190 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28.43 0.947666 0.861600 0.775440191 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16.18 0.323600 0.215400 0.193860192 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.30 0.215000 0.215000 0.193500193 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.30 0.215000 0.215000 0.193500194 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.77 0.215400 0.215400 0.193860195 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.77 0.215400 0.215400 0.193860196 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 16.04 0.320800 0.215400 0.193860197 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13.71 0.685500 0.430800 0.387720198 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16.67 0.555666 0.430800 0.387720199 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16.21 0.540333 0.430800 0.387720

200 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 21.11 1.055500 1.055500 0.949950

201 C04AD03 PENTOXIFYLLINUM ANGIOPENT 400 mg COMPR. FILM. ELIB. PREL. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.12 0.306000 0.306000 0.275400202 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 22.37 0.559250 0.306900 0.276210203 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 20 17.16 0.858000 0.306900 0.276210204 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 10.22 0.511000 0.306900 0.276210205 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 15.36 0.307200 0.306900 0.276210206 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100 30.69 0.306900 0.306900 0.276210207 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 6.12 0.306000 0.306000 0.275400208 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 60 18.35 0.305833 0.305833 0.275249209 C04AD03 PENTOXIFYLLINUM ANGIOPENT 600 mg COMPR. FILM. ELIB. PREL. 600mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 16.41 0.820500 0.460350 0.414315210 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 13.94 0.697000 0.460350 0.414315211 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 26.10 0.522000 0.460350 0.414315212 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100 50.49 0.504900 0.460350 0.414315213 C04AD03 PENTOXIFYLLINUM VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L 50 33.56 0.671200 0.460350 0.414315214 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 10mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 25 COMPR. P-6L 50 3.25 0.065000 0.028243 0.025418215 C07AA05 PROPRANOLOLUM N - PROPRANOLOL 10 mg COMPR. 10mg SC MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 3.22 0.064400 0.028243 0.025418216 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.00 0.060000 0.028243 0.025418217 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.72 0.072000 0.028243 0.025418218 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.91 0.058200 0.028243 0.025418219 C07AA05 PROPRANOLOLUM PROPRANOLOL EEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.25 0.065000 0.065000 0.058500220 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.62 0.092400 0.092400 0.083160

Pagina 6 din 40

Page 9: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

221 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.79 0.079000 0.079000 0.071100222 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.25 0.065000 0.065000 0.058500223 C07AA05 PROPRANOLOLUM PROPRANOLOL ARENA 40 mg COMPR. 40mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.96 0.099200 0.099200 0.089280224 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 11.59 0.579500 0.451890 0.406701225 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 58.30 0.583000 0.451890 0.406701226 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.14 0.557000 0.451890 0.406701227 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 26.86 0.537200 0.451890 0.406701228 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 54.50 0.545000 0.451890 0.406701229 C07AA07 SOTALOLUM DAROB (R) 80 mg COMPR. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PP/AL X 10 COMPR. P-6L 20 10.03 0.501500 0.225945 0.203350230 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 39.23 0.392300 0.225945 0.203350231 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 8.58 0.429000 0.225945 0.203350232 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 36.44 0.364400 0.225945 0.203350233 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 17.49 0.349800 0.225945 0.203350234 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L 30 14.02 0.467333 0.283949 0.255554235 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.92 0.364000 0.283949 0.255554236 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 6.55 0.327500 0.283949 0.255554237 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.10 0.236666 0.236666 0.212999238 C07AB02 METOPROLOLUM BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 25.64 0.854666 0.283949 0.255554239 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 9.11 0.303666 0.283949 0.255554240 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100 19.71 0.197100 0.197100 0.177390241 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 12.97 0.259400 0.259400 0.233460242 C07AB02 METOPROLOLUM EMZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.66 0.555333 0.283949 0.255554243 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.48 0.316000 0.283949 0.255554244 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 11.11 0.555500 0.283949 0.255554245 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.07 0.502333 0.283949 0.255554246 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.00 0.233333 0.233333 0.209999247 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.35 0.367500 0.283949 0.255554248 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.00 0.233333 0.233333 0.209999249 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.07 0.403500 0.283949 0.255554250 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 22.67 0.755666 0.539503 0.485553251 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL. 190mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 21.16 0.755714 0.539503 0.485553252 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 23,75 mg COMPR. FILM. ELIB. PREL. 23,75mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 2.76 0.098571 0.067437 0.060694253 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 1.90 0.095000 0.070987 0.063888254 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1.90 0.095000 0.070987 0.063888255 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.095000 0.070987 0.063888256 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 25 mg COMPR. 25mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.095000 0.070987 0.063888257 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.095000 0.070987 0.063888258 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 8.12 0.270666 0.134875 0.121388259 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL. 47,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 9.49 0.338928 0.134875 0.121388260 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.25 0.175000 0.141974 0.127777261 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 3.50 0.175000 0.141974 0.127777262 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.73 0.157666 0.141974 0.127777263 C07AB02 METOPROLOLUM BETALOC (R) ZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 15.65 0.521666 0.141974 0.127777264 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.25 0.175000 0.141974 0.127777265 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 8.38 0.083800 0.083800 0.075420

Pagina 7 din 40

Page 10: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

266 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 7.07 0.141400 0.141400 0.127260267 C07AB02 METOPROLOLUM EMZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 10.18 0.339333 0.141974 0.127777268 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.25 0.175000 0.141974 0.127777269 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.04 0.234666 0.141974 0.127777270 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.25 0.175000 0.141974 0.127777271 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.44 0.172000 0.141974 0.127777272 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.25 0.175000 0.141974 0.127777273 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.50 0.175000 0.141974 0.127777274 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 13.56 0.452000 0.269751 0.242776275 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL. 95mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 15.55 0.555357 0.269751 0.242776276 C07AB03 ATENOLOLUM ATENOCOR 100 mg COMPR. 100mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.82 0.360666 0.360666 0.324599277 C07AB03 ATENOLOLUM ATENOLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.03 0.351500 0.351500 0.316350278 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.24 0.312000 0.312000 0.280800279 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.86 0.343000 0.343000 0.308700280 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 10.88 0.362666 0.362666 0.326399281 C07AB03 ATENOLOLUM ATENOLOL 100 mg MEDO COMPR. FILM. 100mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.59 0.229500 0.229500 0.206550282 C07AB03 ATENOLOLUM ATENOLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.24 0.312000 0.312000 0.280800283 C07AB03 ATENOLOLUM ATENOLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.91 0.195500 0.195500 0.175950284 C07AB03 ATENOLOLUM ATENOLOL MEDUMAN 50mg COMPR. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 3.68 0.184000 0.184000 0.165600285 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.50 0.225000 0.225000 0.202500286 C07AB03 ATENOLOLUM ATENOCOR 50 mg COMPR. 50mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.33 0.177666 0.177666 0.159899287 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 11.62 0.232400 0.232400 0.209160288 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 6.64 0.221333 0.221333 0.199199289 C07AB03 ATENOLOLUM ATENOLOL ARENA 50 MG COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.54 0.177000 0.177000 0.159300290 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 22.77 0.813214 0.425924 0.383331291 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 28 14.81 0.528928 0.425924 0.383331292 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 15.86 0.528666 0.425924 0.383331293 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.57 0.528500 0.425924 0.383331294 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 14 7.40 0.528571 0.425924 0.383331295 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 31.76 1.058666 0.425924 0.383331296 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 49.31 0.493100 0.425924 0.383331297 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 29.88 0.597600 0.425924 0.383331298 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 18.07 0.602333 0.425924 0.383331299 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 33.73 1.124333 0.425924 0.383331300 C07AB07 BISOPROLOLUM BISOTENS 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 18.07 0.602333 0.425924 0.383331301 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.50 0.550000 0.425924 0.383331302 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 14.73 0.491000 0.106481 0.095832303 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 16.30 0.543333 0.212962 0.191665304 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-6L 50 13.99 0.279800 0.212962 0.191665305 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 8.52 0.284000 0.212962 0.191665306 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-6L 100 24.95 0.249500 0.212962 0.191665307 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22.26 0.742000 0.212962 0.191665308 C07AB07 BISOPROLOLUM BISOTENS 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.52 0.284000 0.212962 0.191665309 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.53 0.251000 0.212962 0.191665310 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 29.86 1.066428 0.353399 0.318059

Pagina 8 din 40

Page 11: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

311 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 12.45 0.444642 0.353399 0.318059312 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 13.27 0.442333 0.353399 0.318059313 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 13.88 0.462666 0.353399 0.318059314 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 12.84 0.428000 0.353399 0.318059315 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.69 0.434500 0.353399 0.318059316 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.71 0.290333 0.290333 0.261299317 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.33 0.444333 0.353399 0.318059318 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12,5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.64 0.288000 0.288000 0.259200319 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.70 0.335000 0.335000 0.301500320 C07AG02 CARVEDILOLUM GLADYCOR 12,5 mg COMPR. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 13.07 0.435666 0.353399 0.318059321 C07AG02 CARVEDILOLUM MIOCARVIL 12,5 mg COMPR. 12,5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 13.33 0.444333 0.353399 0.318059322 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 33.37 1.191785 0.706799 0.636119323 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 21.99 0.785357 0.706799 0.636119324 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 23.56 0.785333 0.706799 0.636119325 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 24.24 0.808000 0.706799 0.636119326 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.52 0.650666 0.650666 0.585599327 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.69 0.784500 0.706799 0.636119328 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.17 0.305666 0.305666 0.275099329 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.56 0.785333 0.706799 0.636119330 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.04 0.301333 0.301333 0.271199331 C07AG02 CARVEDILOLUM GLADYCOR 25 mg COMPR. 25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 22.94 0.764666 0.706799 0.636119332 C07AG02 CARVEDILOLUM MIOCARVIL 25 mg COMPR. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 23.56 0.785333 0.706799 0.636119333 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 16.41 0.586071 0.176699 0.159029334 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6,25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.43 0.229642 0.176699 0.159029335 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 6.87 0.229000 0.176699 0.159029336 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6,25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 9.04 0.301333 0.176699 0.159029337 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.43 0.214333 0.176699 0.159029338 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.87 0.229000 0.176699 0.159029339 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 6.87 0.229000 0.176699 0.159029340 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6,25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.02 0.200666 0.176699 0.159029341 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.56 0.228000 0.176699 0.159029342 C07AG02 CARVEDILOLUM GLADYCOR 6,25 mg COMPR. 6,25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.69 0.223000 0.176699 0.159029343 C07AG02 CARVEDILOLUM MIOCARVIL 6,25 mg COMPR. 6,25mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 6.87 0.229000 0.176699 0.159029344 C08CA01 AMLODIPINUM NORVASC 10 mg COMPR. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 29.60 0.986666 0.576900 0.519210345 C08CA01 AMLODIPINUM AMLOHEXAL 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210346 C08CA01 AMLODIPINUM TENOX (R) 10 COMPR. 10mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 19.21 0.640333 0.576900 0.519210347 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR P-6L 30 5.12 0.170666 0.170666 0.153599348 C08CA01 AMLODIPINUM ALOZUR 10 mg COMPR. 10mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210349 C08CA01 AMLODIPINUM STAMLO M 10 mg COMPR. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 14.64 0.522857 0.522857 0.470571350 C08CA01 AMLODIPINUM VASOREX 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210351 C08CA01 AMLODIPINUM CARDILOPIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210352 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 10 mg COMPR. 10mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210353 C08CA01 AMLODIPINUM AMLODIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PVDC/AL X 100 COMPR. P-6L/S 100 17.03 0.170300 0.170300 0.153270354 C08CA01 AMLODIPINUM ALMACOR 10 mg COMPR. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210355 C08CA01 AMLODIPINUM EPLODIN 10 mg COMPR. 10mg EXTRACTUMPHARMA UNGARIA CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L 30 19.21 0.640333 0.576900 0.519210

Pagina 9 din 40

Page 12: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

356 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L 20 12.82 0.641000 0.576900 0.519210357 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 12.82 0.641000 0.576900 0.519210358 C08CA01 AMLODIPINUM TARDIP 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 19.26 0.642000 0.576900 0.519210359 C08CA01 AMLODIPINUM TARDIP 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 19.26 0.642000 0.576900 0.519210360 C08CA01 AMLODIPINUM AGEN 10 COMPR. 10mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210361 C08CA01 AMLODIPINUM ALOZUR 10 mg COMPR. 10mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210362 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 10 mg COMPR. 10mg ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 17.87 0.595666 0.576900 0.519210363 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 10 mg COMPR. 10mg ICN POLFA RZESZOW POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 32.06 0.641200 0.576900 0.519210364 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 10 mg COMPR. 10mg ICN POLFA RZESZOW POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S 100 62.06 0.620600 0.576900 0.519210365 C08CA01 AMLODIPINUM AMLODIPINA LPH 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 19.23 0.641000 0.576900 0.519210366 C08CA01 AMLODIPINUM NORVASC 5 mg COMPR. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 19.89 0.663000 0.288450 0.259605367 C08CA01 AMLODIPINUM AMLOHEXAL 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 11.34 0.378000 0.288450 0.259605368 C08CA01 AMLODIPINUM TENOX (R) 5 COMPR. 5mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 11.37 0.379000 0.288450 0.259605369 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST PVC-PVDC/AL X 10 COMPR. P-6L 30 2.56 0.085333 0.085333 0.076799370 C08CA01 AMLODIPINUM ALOZUR 5 mg COMPR. 5mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 11.00 0.366666 0.288450 0.259605371 C08CA01 AMLODIPINUM STAMLO M 5 mg COMPR. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 8.72 0.311428 0.288450 0.259605372 C08CA01 AMLODIPINUM VASOREX 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.34 0.378000 0.288450 0.259605373 C08CA01 AMLODIPINUM CARDILOPIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 11.34 0.378000 0.288450 0.259605374 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 5 mg COMPR. 5mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.87 0.262333 0.262333 0.236099375 C08CA01 AMLODIPINUM AMLODIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100COMPR. P-6L/S 100 8.52 0.085200 0.085200 0.076680376 C08CA01 AMLODIPINUM ALMACOR 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11.33 0.377666 0.288450 0.259605377 C08CA01 AMLODIPINUM EPLODIN 5 mg COMPR. 5mg EXTRACTUMPHARMA UNGARIA CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L 30 11.34 0.378000 0.288450 0.259605378 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L 20 7.57 0.378500 0.288450 0.259605379 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 7.43 0.371500 0.288450 0.259605380 C08CA01 AMLODIPINUM TARDIP 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.80 0.360000 0.288450 0.259605381 C08CA01 AMLODIPINUM TARDIP 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.80 0.360000 0.288450 0.259605382 C08CA01 AMLODIPINUM AGEN 5 COMPR. 5mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 11.22 0.374000 0.288450 0.259605383 C08CA01 AMLODIPINUM ALOZUR 5 mg COMPR. 5mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 11.00 0.366666 0.288450 0.259605384 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 5 mg COMPR. 5mg ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 9.61 0.320333 0.288450 0.259605385 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 5 mg COMPR. 5mg ICN POLFA RZESZOW POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 18.91 0.378200 0.288450 0.259605386 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 5 mg COMPR. 5mg ICN POLFA RZESZOW POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S 100 36.59 0.365900 0.288450 0.259605387 C08CA01 AMLODIPINUM AMLODIPINA LPH 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.34 0.378000 0.288450 0.259605388 C08CA02 FELODIPINUM AURONAL 10 mg COMPR. FILM. ELIB. PREL. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 42.47 1.415666 0.576900 0.519210389 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 50.09 1.669666 0.576900 0.519210390 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 45.63 1.521000 0.576900 0.519210391 C08CA02 FELODIPINUM PRESID (R) 10 mg COMPR. FILM. ELIB. PREL. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 33.47 1.115666 0.576900 0.519210392 C08CA02 FELODIPINUM SISTAR 10 mg COMPR. FILM. ELIB. MODIF. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 30.35 1.011666 0.576900 0.519210393 C08CA02 FELODIPINUM FELODIPIN SANDOZ 10 mg COMPR. FILM. ELIB. PREL. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 30.46 1.015333 0.576900 0.519210394 C08CA02 FELODIPINUM AURONAL 2,5 mg COMPR. FILM. ELIB. PREL. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 16.43 0.547666 0.144225 0.129802395 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 2,5mg ASTRAZENECA AB SUEDIA CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 22.22 0.740666 0.144225 0.129802396 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2,5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 20.63 0.687666 0.144225 0.129802397 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2,5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 33.27 0.665400 0.144225 0.129802398 C08CA02 FELODIPINUM PRESID (R) 2,5 mg COMPR. FILM. ELIB. PREL. 2,5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 8.58 0.286000 0.144225 0.129802399 C08CA02 FELODIPINUM SISTAR 2,5 mg COMPR. FILM. ELIB. MODIF. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 14.44 0.481333 0.144225 0.129802400 C08CA02 FELODIPINUM AURONAL 5 mg COMPR. FILM. ELIB. PREL. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 26.59 0.886333 0.288450 0.259605

Pagina 10 din 40

Page 13: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

401 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 28.29 0.943000 0.288450 0.259605402 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 29.48 0.982666 0.288450 0.259605403 C08CA02 FELODIPINUM PRESID (R) 5 mg COMPR. FILM. ELIB. PREL. 5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 17.16 0.572000 0.288450 0.259605404 C08CA02 FELODIPINUM SISTAR 5 mg COMPR. FILM. ELIB. MODIF. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 18.38 0.612666 0.288450 0.259605405 C08CA02 FELODIPINUM FELODIPIN SANDOZ 5 mg COMPR. FILM. ELIB. PREL. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.65 0.521666 0.288450 0.259605406 C08CA05 NIFEDIPINUM NIFEDIPIN RETARD TERAPIA 20 mg COMPR. FILM. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 8.38 0.167600 0.167600 0.150840407 C08CA05 NIFEDIPINUM EPILAT RETARD DRAJ. RET. 20mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ. P-6L 20 4.79 0.239500 0.192299 0.173069408 C08CA05 NIFEDIPINUM ADALAT CR 30 COMPR. ELIB. MODIF. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L 28 29.80 1.064285 0.288450 0.259605409 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 10.69 1.069000 0.676800 0.609120410 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 22.56 0.752000 0.676800 0.609120411 C08DA01 VERAPAMILUM ISOPTIN RR COMPR. FILM. ELIB. PREL. 240mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 19.86 0.993000 0.676800 0.609120412 C08DA01 VERAPAMILUM ISOPTIN (R) 40 mg COMPR. FILM. 40mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 100 17.04 0.170400 0.112799 0.101519413 C08DA01 VERAPAMILUM VERAPAMIL 40 mg DRAJ. 40mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 11.79 0.235800 0.112799 0.101519414 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 20.97 0.209700 0.209700 0.188730415 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 10.48 0.209600 0.209600 0.188640416 C08DA01 VERAPAMILUM ISOPTIN (R) 80 mg COMPR. FILM. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 15.25 0.305000 0.225599 0.203039417 C08DA01 VERAPAMILUM VERAPAMIL 80 mg DRAJ. 80mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 17.29 0.345800 0.225599 0.203039418 C08DB01 DILTIAZEMUM CORZEM 120 COMPR. FILM. 120mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 12.80 1.280000 0.538000 0.484200419 C08DB01 DILTIAZEMUM DILZEM 60 mg COMPR. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.39 0.413000 0.269000 0.242100420 C08DB01 DILTIAZEMUM DILTIAZEM EIPICO 60 mg COMPR. 60mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.38 0.269000 0.269000 0.242100421 C08DB01 DILTIAZEMUM DILTIAZEM LPH 60 mg COMPR. 60mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.38 0.269000 0.269000 0.242100422 C08DB01 DILTIAZEMUM DILTIAZEM ARENA 60 mg COMPR. 60mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR. P-6L 50 13.34 0.266800 0.266800 0.240120423 C08DB01 DILTIAZEMUM DILZEM 90 mg RETARD COMPR. FILM. ELIB. PREL. 90mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.33 0.511000 0.403500 0.363150424 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.94 0.098000 0.050085 0.045076425 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.94 0.098000 0.050085 0.045076426 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 3.41 0.113666 0.100170 0.090153427 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.10 0.136666 0.100170 0.090153428 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.02 0.151000 0.100170 0.090153429 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.113500 0.100170 0.090153430 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.41 0.113666 0.100170 0.090153431 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.41 0.113666 0.100170 0.090153432 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.62 0.154000 0.100170 0.090153433 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.113500 0.100170 0.090153434 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 20 4.44 0.222000 0.200340 0.180306435 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.66 0.222000 0.200340 0.180306436 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.85 0.192500 0.192500 0.173250437 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.67 0.133500 0.133500 0.120150438 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.50 0.150000 0.150000 0.135000439 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.91 0.130333 0.130333 0.117299440 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.67 0.133500 0.133500 0.120150441 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.39 0.219500 0.200340 0.180306442 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.39 0.219500 0.200340 0.180306443 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.94 0.197000 0.197000 0.177300444 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.39 0.219500 0.200340 0.180306445 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 4.39 0.219500 0.200340 0.180306

Pagina 11 din 40

Page 14: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

446 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 4.39 0.219500 0.200340 0.180306447 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.39 0.219500 0.200340 0.180306448 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 4.39 0.219500 0.200340 0.180306449 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 6.58 0.219333 0.200340 0.180306450 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10.49 0.374642 0.200340 0.180306451 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7.27 0.363500 0.200340 0.180306452 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.86 0.228666 0.200340 0.180306453 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.22 0.224400 0.200340 0.180306454 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 21.96 0.219600 0.200340 0.180306455 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 11.25 0.562500 0.200340 0.180306456 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 4.10 0.205000 0.200340 0.180306457 C09AA02 ENALAPRILUM EDNYT 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.17 0.339000 0.200340 0.180306458 C09AA02 ENALAPRILUM EDNYT 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 8.23 0.274333 0.050085 0.045076459 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.92 0.396000 0.396000 0.356400460 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10.15 0.507500 0.400680 0.360612461 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 17.57 0.585666 0.400680 0.360612462 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 8.72 0.436000 0.400680 0.360612463 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7.92 0.396000 0.396000 0.356400464 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.10 0.355000 0.355000 0.319500465 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 11.59 0.386333 0.386333 0.347699466 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 17.07 0.609642 0.400680 0.360612467 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 11.09 0.554500 0.400680 0.360612468 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11.11 0.370333 0.370333 0.333299469 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 16.38 0.327600 0.327600 0.294840470 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.65 0.182500 0.100170 0.090153471 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.65 0.182500 0.100170 0.090153472 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.65 0.182500 0.100170 0.090153473 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 8.23 0.274333 0.100170 0.090153474 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 5.24 0.174666 0.100170 0.090153475 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 3.65 0.182500 0.100170 0.090153476 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.86 0.280714 0.100170 0.090153477 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 3.82 0.191000 0.100170 0.090153478 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3.91 0.195500 0.100170 0.090153479 C09AA02 ENALAPRILUM INVORIL 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 5.50 0.183333 0.100170 0.090153480 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.56 0.185333 0.100170 0.090153481 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.64 0.182000 0.100170 0.090153482 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 15.41 3.082000 3.082000 2.773800483 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.95 0.498333 0.200340 0.180306484 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.72 0.536000 0.200340 0.180306485 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.28 0.342666 0.200340 0.180306486 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 16.12 0.537333 0.200340 0.180306487 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.41 0.480333 0.200340 0.180306488 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12.84 0.428000 0.200340 0.180306489 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.26 0.313000 0.200340 0.180306490 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.71 0.323666 0.200340 0.180306

Pagina 12 din 40

Page 15: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

491 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 15.42 0.550714 0.200340 0.180306492 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.72 0.311428 0.050085 0.045076493 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 23.05 0.768333 0.400680 0.360612494 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 15.62 0.781000 0.400680 0.360612495 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.02 0.500666 0.400680 0.360612496 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 28.47 0.949000 0.400680 0.360612497 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.41 0.720500 0.400680 0.360612498 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 23.31 0.777000 0.400680 0.360612499 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 7.41 0.741000 0.400680 0.360612500 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.42 0.780666 0.400680 0.360612501 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 22.85 0.816071 0.400680 0.360612502 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 13.76 1.376000 0.801360 0.721224503 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 39.22 1.307333 0.801360 0.721224504 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.63 0.254333 0.100170 0.090153505 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.13 0.237666 0.100170 0.090153506 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 10.09 0.336333 0.100170 0.090153507 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.64 0.288000 0.100170 0.090153508 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 7.33 0.244333 0.100170 0.090153509 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 9.26 0.330714 0.100170 0.090153510 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1,25mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 6.87 0.229000 0.100170 0.090153511 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 32.92 1.097333 0.801360 0.721224512 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 23.22 0.829285 0.801360 0.721224513 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 24.88 0.829333 0.801360 0.721224514 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 24.87 0.829000 0.801360 0.721224515 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 23.22 0.829285 0.801360 0.721224516 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 23.22 0.829285 0.801360 0.721224517 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 23.22 0.829285 0.801360 0.721224518 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S 100 38.02 0.380200 0.380200 0.342180519 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 10.48 0.524000 0.524000 0.471600520 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 34.56 1.234285 0.801360 0.721224521 C09AA05 RAMIPRILUM VIVOKAR 10 mg CAPS. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-6L 30 24.88 0.829333 0.801360 0.721224522 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 9.35 0.333928 0.200340 0.180306523 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2,5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 11.20 0.373333 0.200340 0.180306524 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.02 0.334000 0.200340 0.180306525 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 9.98 0.332666 0.200340 0.180306526 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9.35 0.333928 0.200340 0.180306527 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9.35 0.333928 0.200340 0.180306528 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 7.44 0.265714 0.200340 0.180306529 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.38 0.513571 0.200340 0.180306530 C09AA05 RAMIPRILUM VIVOKAR 2,5 mg CAPS. 2,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-6L 30 10.00 0.333333 0.200340 0.180306531 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 20.45 0.681666 0.400680 0.360612532 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10.14 0.362142 0.362142 0.325927533 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.82 0.360666 0.360666 0.324599534 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.83 0.361000 0.361000 0.324900535 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 10.14 0.362142 0.362142 0.325927

Pagina 13 din 40

Page 16: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

536 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10.14 0.362142 0.362142 0.325927537 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 10.12 0.361428 0.361428 0.325285538 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR. P-6L/S 100 25.81 0.258100 0.258100 0.232290539 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L 20 7.07 0.353500 0.353500 0.318150540 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 15.59 0.556785 0.400680 0.360612541 C09AA05 RAMIPRILUM VIVOKAR 5 mg CAPS. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-6L 30 15.01 0.500333 0.400680 0.360612542 C09AA06 QUINAPRILUM AQUIRIL 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 7.58 0.252666 0.133559 0.120203543 C09AA06 QUINAPRILUM ACCUPRO 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L 30 11.66 0.388666 0.133559 0.120203544 C09AA06 QUINAPRILUM QUINARAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 7.58 0.252666 0.133559 0.120203545 C09AA06 QUINAPRILUM ACCUPRO (R) 20 COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 16.70 0.556666 0.267119 0.240407546 C09AA06 QUINAPRILUM QUINARAN 20 mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 15.02 0.500666 0.267119 0.240407547 C09AA06 QUINAPRILUM QUINARAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 43.99 1.466333 0.534239 0.480815548 C09AA06 QUINAPRILUM ACCUPRO (R) 5 COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 8.18 0.272666 0.066779 0.060101549 C09AA06 QUINAPRILUM QUINARAN 5 mg COMPR. FILM. 5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 7.60 0.253333 0.066779 0.060101550 C09AA09 FOSINOPRILUM MONOPRIL 10 mg COMPR. 10mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 20.79 0.742500 0.133559 0.120203551 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 14.73 0.491000 0.133559 0.120203552 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 14.73 0.491000 0.133559 0.120203553 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.44 0.772000 0.133559 0.120203554 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 28.51 1.018214 0.267119 0.240407555 C09AA09 FOSINOPRILUM FOSINOPRIL TEVA 20 mg COMPR. 20mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 18.86 0.628666 0.267119 0.240407556 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 25.55 0.851666 0.267119 0.240407557 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 25.55 0.851666 0.267119 0.240407558 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 20.68 1.034000 0.267119 0.240407

559 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP HL COMPR. 10mg+12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 8.86 0.443000 0.397574 0.357817

560 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL HL COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 8.84 0.294666 0.294666 0.265199

561 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP H COMPR. 10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 9.80 0.490000 0.397574 0.357817

562 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL H COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 11.79 0.393000 0.393000 0.353700

563 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 10 mg/25 mg COMPR. 10mg/25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 12.00 0.400000 0.397574 0.357817

564 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP (R) HL 20 mg/12,5 mg COMPR. 20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 7.94 0.397000 0.397000 0.357300

Pagina 14 din 40

Page 17: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

565 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 20 mg/12,5 mg COMPR. 20mg/12,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 16.70 0.556666 0.397574 0.357817

566 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL HCT 2,5 mg/12,5mg COMPR. 2,5mg/12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 23.16 0.827142 0.397574 0.357817

567 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 2,5mg/12,5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 13.24 0.441333 0.397574 0.357817

568 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 2,5mg/12,5mg COMPR. 2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 8.55 0.285000 0.285000 0.256500

569 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) EMREN HCT 2,5mg/12,5mg COMPR. 2,5mg/12,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 13.13 0.437666 0.397574 0.357817

570 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TRITACE 2,5 PLUS COMPR. 2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 24.53 0.876071 0.397574 0.357817

571 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL HCT 5 mg/25mg COMPR. 5mg/25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 29.38 1.049285 0.397574 0.357817

572 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 5mg/25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 22.67 0.755666 0.397574 0.357817

573 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 5mg/25mg COMPR. 5mg/25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 18.17 0.605666 0.397574 0.357817

574 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) EMREN HCT 5mg/25mg COMPR. 5mg/25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 23.37 0.779000 0.397574 0.357817

575 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TRITACE 5 PLUS COMPR. 5mg/25mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 28.89 1.031785 0.397574 0.357817

576 C09CA01 LOSARTANUM LOZAP 100 COMPR. FILM. 100mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 37.52 1.250666 1.072198 0.964978577 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 33.33 1.111000 1.072198 0.964978578 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 33.33 1.111000 1.072198 0.964978579 C09CA01 LOSARTANUM LORISTA 100 mg COMPR. FILM. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 32.68 1.167142 1.072198 0.964978580 C09CA01 LOSARTANUM TALOSAN 12,5 mg COMPR. FILM. 12,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 4.25 0.141666 0.134024 0.120622581 C09CA01 LOSARTANUM TALOSAN 12,5 mg COMPR. FILM. 12,5mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 4.25 0.141666 0.134024 0.120622

Pagina 15 din 40

Page 18: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

582 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 7.80 0.260000 0.260000 0.234000583 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 7.80 0.260000 0.260000 0.234000584 C09CA01 LOSARTANUM COZAAR COMPR. FILM. 50mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPACE AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 64.40 2.300000 0.536099 0.482489585 C09CA01 LOSARTANUM LORISTA COMPR. FILM. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 17.95 0.641071 0.536099 0.482489586 C09CA01 LOSARTANUM LOZAP 50 COMPR. FILM. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 19.58 0.652666 0.536099 0.482489587 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 17.87 0.595666 0.536099 0.482489588 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 17.87 0.595666 0.536099 0.482489589 C09CA01 LOSARTANUM LOSARTAN FARMAL 50 mg COMPR. FILM. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM. P-6L 28 17.84 0.637142 0.536099 0.482489590 C10AA01 SIMVASTATINUM SIMVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 8.46 0.302142 0.240749 0.216674591 C10AA01 SIMVASTATINUM SIMVACARD (R) 10 COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 8.71 0.311071 0.240749 0.216674592 C10AA01 SIMVASTATINUM SIMGAL (R) 10 mg COMPR. FILM. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 8.72 0.311428 0.240749 0.216674593 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 9.35 0.311666 0.240749 0.216674594 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 4.38 0.312857 0.240749 0.216674595 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 8.72 0.311428 0.240749 0.216674596 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 14 6.72 0.480000 0.240749 0.216674597 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 13.42 0.479285 0.240749 0.216674598 C10AA01 SIMVASTATINUM SINTENAL 10 mg COMPR. FILM. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 9.34 0.311333 0.240749 0.216674599 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 9.35 0.311666 0.240749 0.216674600 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 31.17 0.311700 0.240749 0.216674601 C10AA01 SIMVASTATINUM VASILIP 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 8.71 0.311071 0.240749 0.216674602 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 9.35 0.311666 0.240749 0.216674603 C10AA01 SIMVASTATINUM VABADIN 10 mg COMPR. FILM. 10mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 22.93 0.818928 0.240749 0.216674604 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 8.72 0.311428 0.240749 0.216674605 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 9.34 0.311333 0.240749 0.216674606 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 9.24 0.308000 0.240749 0.216674607 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 9.20 0.306666 0.240749 0.216674608 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 10 mg COMPR. FILM. 10mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 3.16 0.112857 0.112857 0.101571609 C10AA01 SIMVASTATINUM RANVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 4.24 0.302857 0.240749 0.216674610 C10AA01 SIMVASTATINUM RANVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 8.46 0.302142 0.240749 0.216674611 C10AA01 SIMVASTATINUM ZAREDIL 10 mg COMPR. FILM. 10mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 8.72 0.311428 0.240749 0.216674612 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM. 10 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 8.72 0.311428 0.240749 0.216674613 C10AA01 SIMVASTATINUM SIMVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 15.76 0.562857 0.481499 0.433349614 C10AA01 SIMVASTATINUM SIMVACARD (R) 20 COMPR. FILM. 20mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 16.50 0.589285 0.481499 0.433349615 C10AA01 SIMVASTATINUM SIMGAL (R) 20 mg COMPR. FILM. 20mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 16.50 0.589285 0.481499 0.433349616 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 17.70 0.590000 0.481499 0.433349617 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 16.52 0.590000 0.481499 0.433349618 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 8.26 0.590000 0.481499 0.433349619 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 12.71 0.907857 0.481499 0.433349620 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 25.41 0.907500 0.481499 0.433349621 C10AA01 SIMVASTATINUM SINTENAL 20 mg COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 17.66 0.588666 0.481499 0.433349622 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 57.08 0.570800 0.481499 0.433349623 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 17.70 0.590000 0.481499 0.433349624 C10AA01 SIMVASTATINUM VASILIP 20 mg COMPR. FILM. 20mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 16.50 0.589285 0.481499 0.433349625 C10AA01 SIMVASTATINUM SIMCOR 20 mg COMPR. FILM. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 17.69 0.589666 0.481499 0.433349626 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 17.69 0.589666 0.481499 0.433349

Pagina 16 din 40

Page 19: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

627 C10AA01 SIMVASTATINUM VABADIN 20 mg COMPR. FILM. 20mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 44.36 1.584285 0.481499 0.433349628 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM P-6L 28 16.50 0.589285 0.481499 0.433349629 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 14.02 0.467333 0.467333 0.420599630 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 17.69 0.589666 0.481499 0.433349631 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 17.43 0.581000 0.481499 0.433349632 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 20 mg COMPR. FILM. 20mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 13.57 0.484642 0.481499 0.433349633 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 20 mg COMPR. FILM. 20mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 14.55 0.485000 0.481499 0.433349634 C10AA01 SIMVASTATINUM RANVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 7.89 0.563571 0.481499 0.433349635 C10AA01 SIMVASTATINUM RANVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 15.76 0.562857 0.481499 0.433349636 C10AA01 SIMVASTATINUM ZAREDIL 20 mg COMPR. FILM. 20mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 16.52 0.590000 0.481499 0.433349637 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 20 mg COMPR. FILM. 20 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 16.50 0.589285 0.481499 0.433349638 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 30 mg COMPR. FILM. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 21.05 0.701666 0.701666 0.631499639 C10AA01 SIMVASTATINUM SIMVOR 40 mg COMPR. FILM. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 14.98 1.070000 0.963000 0.866700640 C10AA01 SIMVASTATINUM VASILIP (R) 40 mg COMPR. FILM. 40mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L 28 29.78 1.063571 0.963000 0.866700641 C10AA01 SIMVASTATINUM SIMVACARD (R) 40 COMPR. FILM. 40mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 29.95 1.069642 0.963000 0.866700642 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 44.36 1.584285 0.963000 0.866700643 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 22.93 1.637857 0.963000 0.866700644 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 29.80 1.064285 0.963000 0.866700645 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 14.90 1.064285 0.963000 0.866700646 C10AA01 SIMVASTATINUM SIMGAL (R) 40 mg COMPR. FILM. 40mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 29.80 1.064285 0.963000 0.866700647 C10AA01 SIMVASTATINUM SINTENAL 40 mg COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.93 1.064333 0.963000 0.866700648 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.93 1.064333 0.963000 0.866700649 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 97.80 0.978000 0.963000 0.866700650 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 31.93 1.064333 0.963000 0.866700651 C10AA01 SIMVASTATINUM SIMCOR 40 mg COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 10.65 1.065000 0.963000 0.866700652 C10AA01 SIMVASTATINUM SIMCOR 40 mg COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.93 1.064333 0.963000 0.866700653 C10AA01 SIMVASTATINUM VABADIN 40 mg COMPR. FILM. 40mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 67.39 2.406785 0.963000 0.866700654 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 40 mg COMPR. FILM. 40mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.93 1.064333 0.963000 0.866700655 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 40 mg COMPR. FILM. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 29.80 1.064285 0.963000 0.866700656 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 40 mg COMPR. FILM. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 23.05 0.768333 0.768333 0.691499657 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 40 mg COMPR. FILM. 40mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 31.93 1.064333 0.963000 0.866700658 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 40 mg COMPR. FILM. 40mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 31.43 1.047666 0.963000 0.866700659 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 14 14.98 1.070000 0.963000 0.866700660 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 29.95 1.069642 0.963000 0.866700661 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 18.49 0.616333 0.616333 0.554699662 C10AA01 SIMVASTATINUM RANVOR 40 mg COMPR. FILM. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 14.98 1.070000 0.963000 0.866700663 C10AA01 SIMVASTATINUM ZAREDIL 40 mg COMPR. FILM. 40mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 18.34 0.655000 0.655000 0.589500664 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 40 mg COMPR. FILM. 40 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 29.80 1.064285 0.963000 0.866700665 C10AA01 SIMVASTATINUM RANVOR 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 2.43 0.173571 0.120374 0.108337666 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 80 mg COMPR. FILM. 80mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 54.19 1.806333 1.806333 1.625699667 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 80 mg COMPR. FILM. 80mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 56.04 1.868000 1.868000 1.681200668 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 67.43 0.674300 0.320999 0.288899669 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 14.41 1.441000 0.320999 0.288899670 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 20.74 0.691333 0.320999 0.288899671 C10AA02 LOVASTATINUM LOVASTATINA BIOGALENICA 20 mg COMPR. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 25.81 0.860333 0.320999 0.288899

Pagina 17 din 40

Page 20: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

672 C10AA02 LOVASTATINUM MEDOSTATIN 40 mg COMPR. 40mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 47.54 1.584666 0.641999 0.577799673 C10AA03 PRAVASTATINUM PRAVATOR 10 mg COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 17.16 0.612857 0.240749 0.216674674 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 22.40 0.800000 0.481499 0.433349675 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L 28 35.43 1.265357 0.963000 0.866700676 C10AB05 FENOFIBRATUM LIPANTHYL (R) 100 CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS. P-6L 48 20.69 0.431041 0.393477 0.354130677 C10AB05 FENOFIBRATUM LIPANTIL NANO 145 mg COMPR. FILM. 145mg LAB. FOURNIER S.A. FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 34.67 1.155666 0.570543 0.513488678 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 10 13.76 1.376000 0.629564 0.566608679 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 30 39.93 1.331000 0.629564 0.566608680 C10AB05 FENOFIBRATUM LIPOFIB 160 mg CAPS. 160mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 50.38 1.679333 0.629564 0.566608681 C10AB05 FENOFIBRATUM FENOFIBRAT TEVA 160 mg COMPR. FILM. 160mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 26.83 0.894333 0.629564 0.566608682 C10AB05 FENOFIBRATUM TRIGLIPO 160 mg COMPR. 160mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 26.81 0.893666 0.629564 0.566608683 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. 200mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-6L 10 13.53 1.353000 0.786955 0.708260684 C10AB05 FENOFIBRATUM FENOFIBRAT LPH 200 mg CAPS. PULB. MICRONIZATA 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 17.57 0.878500 0.786955 0.708260685 C10AB05 FENOFIBRATUM LIPIVIM CAPS. PULB. MICRONIZATA 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.36 0.878666 0.786955 0.708260686 C10AB05 FENOFIBRATUM LIPOFIB 200 mg CAPS. 200mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 27.77 0.925666 0.786955 0.708260687 C10AB05 FENOFIBRATUM FENOFIBRAT TERAPIA 200 mg CAPS. 200mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 25.75 0.858333 0.786955 0.708260688 C10AB05 FENOFIBRATUM LIPOFIB 267 mg CAPS. 267mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 33.46 1.115333 1.050586 0.945527689 C10AB05 FENOFIBRATUM LIPOFIB 67 mg CAPS. 67mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 12.19 0.406333 0.263630 0.237267690 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 6.81 6.810000 6.322500 5.690250691 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 8.54 8.540000 8.540000 7.686000692 D01AC02 MICONAZOLUM MICONAL ECOBI CREMA 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 9.49 9.490000 9.483750 8.535375693 D01AC10 BIFONAZOLUM BIAZOL 10 mg/g CREMA 10mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 9.45 9.450000 4.741875 4.267687694 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA P-RF 1 8.84 8.840000 4.206000 3.785400695 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 6.38 6.380000 5.047200 4.542480696 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 7.58 7.580000 6.309000 5.678100697 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 7.30 7.300000 6.309000 5.678100698 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 6.72 6.720000 6.309000 5.678100699 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 4.68 4.680000 4.680000 4.212000700 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF 1 6.70 6.700000 6.309000 5.678100701 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 21.02 21.020000 2.103000 1.892700702 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 5.90 5.900000 2.103000 1.892700703 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 4.96 4.960000 2.103000 1.892700704 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G P-RF 1 4.19 4.190000 3.154500 2.839050705 D07AA02 HYDROCORTISONUM HIDROCORTIZON 1% UNGUENT 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 7.37 7.370000 5.656428 5.090785706 D07AA02 HYDROCORTISONUM HIDROCORTIZON FITERMAN 10 mg/g UNGUENT 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 20 G UNGUENT P-RF 1 5.65 5.650000 5.650000 5.085000707 D07AA02 HYDROCORTISONUM HIDROCORTIZON FITERMAN 10 mg/g UNGUENT 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 35 G UNGUENT P-RF 1 9.91 9.910000 9.898750 8.908875708 D07AC01 BETAMETHASONUM BETADERM UNGUENT 0,1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.95 5.950000 1.857000 1.671300709 D07AC01 BETAMETHASONUM BETAMETAZONA FITERMAN 0,5 mg/g CREMA 0,5mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G CREMA P-RF 1 5.95 5.950000 5.950000 5.355000710 D07AC01 BETAMETHASONUM BETADERM CREMA 0,1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.95 5.950000 1.857000 1.671300711 D07AC01 BETAMETHASONUM BELODERM CREMA CREMA 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 8.84 8.840000 6.963750 6.267375712 D07AC01 BETAMETHASONUM BELODERM UNGUENT UNGUENT 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 8.84 8.840000 6.963750 6.267375713 D07AC01 BETAMETHASONUM EKARZIN 0,5MG/G CREMA 0,5mg/g ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 7.37 7.370000 6.963750 6.267375714 G01AF04 MICONAZOLUM MICONAL ECOBI SOL. VAGINALA 2mg/ml FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE P-RF 5 17.95 3.590000 2.136418 1.922776715 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 19.32 19.320000 11.109373 9.998436716 G01AF04 MICONAZOLUM MICONAL ECOBI CREMA VAG. 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA P-RF 1 13.88 13.880000 11.109373 9.998436

Pagina 18 din 40

Page 21: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

717 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 5.95 0.991666 0.991666 0.892499718 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 5.70 1.900000 1.900000 1.710000719 G01AF04 MICONAZOLUM MICONAL ECOBI OVULE 50mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE P-RF 15 8.97 0.598000 0.356069 0.320462720 G02AB03 ERGOMETRINUM MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ. 0,2mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE P-RF 5 5.93 1.186000 1.186000 1.067400721 G03BA03 TESTOSTERONUM* UNDESTOR TESTOCAPS 40 mg CAPS. MOI 40mg N.V. ORGANON OLANDA CUTIE X 6 PLICURI DIN PES-AL-PE X 1 BLIST. AL/PVC X 10 CAPS. MOI P-RF 60 47.22 0.787000 0.787000 0.708300722 G03BA03 TESTOSTERONUM* NEBIDO 1000 mg/4 ml SOL. INJ. 1000mg/4ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ. S/P-RF 1 483.56 483.560000 483.560000 435.204000

723 G03BA03 TESTOSTERONUM* ANDROGEL 50 mg GEL 50mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GEL P-RF 30 222.82 7.427333 7.427333 6.684599724 G03CA03 ESTRADIOLUM* OESTROGEL (R) GEL 0,06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G P-6L 1 16.56 16.560000 9.814500 8.833050725 G03CA03 ESTRADIOLUM* ESTREVA (R) GEL 0,1% LAB. THERAMEX MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G P-6L 1 29.34 29.340000 10.223437 9.201093726 G03CA03 ESTRADIOLUM* CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 33.25 8.312500 8.312500 7.481250727 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 10.15 0.338333 0.249318 0.224386728 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 10.79 0.770714 0.249318 0.224386729 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 10.15 0.338333 0.249318 0.224386730 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 10.79 0.770714 0.249318 0.224386731 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 17.03 0.567666 0.498637 0.448773732 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 12.51 0.893571 0.498637 0.448773733 G04CAN1 DOXAZOSINUM ANIPROSIN 2 mg (vezi C02CA04) COMPR. 2 mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 13.10 0.436666 0.398416 0.358574734 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 17.03 0.567666 0.498637 0.448773735 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 12.51 0.893571 0.498637 0.448773736 G04CAN1 DOXAZOSINUM ANIPROSIN 2 mg (vezi C02CA04) COMPR. 2 mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 13.10 0.436666 0.398416 0.358574737 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL. P-6L 28 46.37 1.656071 0.997274 0.897546738 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 30.79 1.026333 0.997274 0.897546739 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 37.26 1.242000 0.997274 0.897546740 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 17.33 1.237857 0.997274 0.897546741 G04CAN1 DOXAZOSINUM ANIPROSIN 4 mg (vezi C02CA04) COMPR. 4mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 23.14 0.771333 0.771333 0.694199742 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL. P-6L 28 46.37 1.656071 0.997274 0.897546743 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 30.79 1.026333 0.997274 0.897546744 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 37.26 1.242000 0.997274 0.897546745 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 17.33 1.237857 0.997274 0.897546746 G04CAN1 DOXAZOSINUM ANIPROSIN 4 mg (vezi C02CA04) COMPR. 4mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 23.14 0.771333 0.771333 0.694199747 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.78 8.780000 8.257500 7.431750748 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 20.42 20.420000 16.515000 14.863500

749 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 30.94 30.940000 30.940000 27.846000

750 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.00 0.100000 0.082833 0.074549751 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.62 0.087333 0.082833 0.074549752 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.47 0.082333 0.082333 0.074099753 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.70 0.123333 0.082833 0.074549754 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 2.57 0.128500 0.082833 0.074549755 H02AB09 HYDROCORTISONUM* HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. X 25 13.56 0.542400 0.542400 0.488160756 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. P-RF 1 3.90 3.900000 3.167099 2.850389757 H02AB09 HYDROCORTISONUM* HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 3.90 3.900000 3.167099 2.850389758 H02AB09 HYDROCORTISONUM* HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B S/P-RF 5 21.28 4.256000 0.791774 0.712597759 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. P-RF 1 11.88 11.880000 11.880000 10.692000

760 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.98 0.349000 0.349000 0.314100761 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.57 0.357000 0.357000 0.321300

Pagina 19 din 40

Page 22: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

762 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 9.57 0.957000 0.398646 0.358781763 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.59 0.359000 0.359000 0.323100764 J01AA02 DOXYCYCLINUM VIBRAMYCIN D COMPR. DISP. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 10 COMPR. DISP. P-RF 10 10.48 1.048000 0.398646 0.358781765 J01CA04 AMOXICILLINUM OSPAMOX 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 12 11.60 0.966666 0.945000 0.850500766 J01CA04 AMOXICILLINUM DUOMOX 1000 mg COMPR. PT. DISPERSIE ORALA 1000mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 23.71 1.185500 0.945000 0.850500767 J01CA04 AMOXICILLINUM REBOXIL 1g COMPR. PT. DISP. ORALA 1g TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA P-RF 21 19.37 0.922380 0.922380 0.830142768 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 5.73 5.730000 1.655100 1.489590769 J01CA04 AMOXICILLINUM OSPAMOX (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 4.55 4.550000 1.655100 1.489590770 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 125mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 7.53 7.530000 2.758500 2.482650771 J01CA04 AMOXICILLINUM RANOXIL 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 20 G PULB. PT. 100 ML SUSP. ORALA + MASURA DOZATOARE MARCATA PT. 2,5 ML, 5 ML P-RF 1 6.87 6.870000 2.758500 2.482650772 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.93 0.296500 0.275850 0.248265773 J01CA04 AMOXICILLINUM DUOMOX 250 mg COMPR. PT. DISPERSIE ORALA 250mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 10.09 0.504500 0.275850 0.248265774 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.22 0.311000 0.275850 0.248265775 J01CA04 AMOXICILLINUM OSPAMOX 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS. P-RF/S 12 4.44 0.370000 0.275850 0.248265776 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.13 0.306500 0.275850 0.248265777 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 4.85 0.242500 0.242500 0.218250778 J01CA04 AMOXICILLINUM AMOXICILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.24 0.262000 0.262000 0.235800779 J01CA04 AMOXICILLINUM RANOXIL 250 mg CAPS. 250mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 20 6.13 0.306500 0.275850 0.248265780 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 4.85 0.242500 0.242500 0.218250781 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE, CU GRADATII PT. 1,25 P-RF 1 4.87 4.870000 3.310200 2.979180782 J01CA04 AMOXICILLINUM E - MOX PULB. PT. SUSP. ORALA 250mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 60 ML SUSP. P-RF 1 4.87 4.870000 3.310200 2.979180783 J01CA04 AMOXICILLINUM OSPAMOX 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 6,6 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 4.87 4.870000 3.310200 2.979180784 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 250mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 8.18 8.180000 5.517000 4.965300785 J01CA04 AMOXICILLINUM RANOXIL 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 20 G PULB. PT. 100 ML SUSP. ORALA + MASURA DOZATOARE MARCATA PT. 2,5 ML, 5 ML P-RF 1 8.01 8.010000 5.517000 4.965300786 J01CA04 AMOXICILLINUM EPHAMOX 500 mg CAPS. 500mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 6 CAPS. P-RF 12 6.53 0.544166 0.472500 0.425250787 J01CA04 AMOXICILLINUM DUOMOX 500 mg COMPR. PT. DISPERSIE ORALA 500mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 14.73 0.736500 0.472500 0.425250788 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.41 0.541000 0.472500 0.425250789 J01CA04 AMOXICILLINUM E - MOX CAPS. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 8 CAPS. P-RF 8 7.52 0.940000 0.472500 0.425250790 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.90 0.590000 0.472500 0.425250791 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 8.78 0.439000 0.439000 0.395100792 J01CA04 AMOXICILLINUM OSPAMOX 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 5.67 0.472500 0.472500 0.425250793 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS. P-RF 10 5.67 0.567000 0.472500 0.425250794 J01CA04 AMOXICILLINUM MOXILEN CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 7.21 0.450625 0.450625 0.405562795 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 500 mg CAPSULE CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.90 0.490000 0.472500 0.425250796 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.85 0.485000 0.472500 0.425250797 J01CA04 AMOXICILLINUM RANOXIL 500 mg CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 20 9.26 0.463000 0.463000 0.416700798 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.85 0.485000 0.472500 0.425250799 J01CA04 AMOXICILLINUM DUOMOX 750 mg COMPR. PT. DISPERSIE ORALA 750mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 19.71 0.985500 0.708750 0.637875800 J01CE02 PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.09 0.454500 0.304500 0.274050801 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 3.45 0.287500 0.287500 0.258750802 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 6.09 0.507500 0.456750 0.411075803 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 9.49 9.490000 0.203000 0.182700804 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.62 0.218333 0.152250 0.137025805 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI PULB. PT. SUSP. INJ. 1200000UI ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. P-RF 1 3.61 3.610000 3.276451 2.948806806 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.39 1.390000 1.390000 1.251000

Pagina 20 din 40

Page 23: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

807 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.09 0.354500 0.296807 0.267126808 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.53 0.376500 0.296807 0.267126809 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF 12 6.09 0.507500 0.296807 0.267126810 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.69 0.384500 0.296807 0.267126811 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 5.67 0.283500 0.283500 0.255150812 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.02 0.301000 0.296807 0.267126813 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.72 0.336000 0.296807 0.267126814 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.02 0.301000 0.296807 0.267126815 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 6.87 0.687000 0.593615 0.534253816 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 6.18 0.618000 0.593615 0.534253817 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.14 0.557000 0.557000 0.501300818 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 7.03 0.703000 0.593615 0.534253819 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 6.18 0.618000 0.593615 0.534253820 J01CF04 OXACILLINUM OXACILINA FORTE LPH 500 mg CAPS. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 6.18 0.618000 0.593615 0.534253821 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 5.32 5.320000 5.320000 4.788000822 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 250 mg PULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 1.74 1.740000 1.343250 1.208925823 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 3.31 3.310000 2.686500 2.417850

824 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN™ SR COMPR. FILM. ELIB. PREL. 1062,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL. P-RF 28 67.52 2.411428 1.931510 1.738359

825 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 156,25 mg/5 ml PULB. PT. SUSP. ORALA 125mg+31,25/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 14.87 14.870000 7.987500 7.188750

826 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 11.66 11.660000 7.987500 7.188750

827 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 375 mg COMPR. FILM. 250mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 22.59 1.411875 0.482877 0.434589

828 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml PULB. PT. SUSP. ORALA 250mg+62,5mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF 1 22.05 22.050000 15.975000 14.377500

829 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 23.98 23.980000 15.975000 14.377500

830 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 312,5 mg/5 ml PULB. PT.SUSP. ORALA 312,5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE P-RF 1 22.67 22.670000 15.975000 14.377500

831 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 9.94 9.940000 8.946000 8.051400Pagina 21 din 40

Page 24: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

832 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 19.88 19.880000 17.892000 16.102800

833 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA P-RF 1 9.94 9.940000 8.946000 8.051400

834 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 625 mg COMPR. FILM. 500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 16.64 1.188571 0.965755 0.869179

835 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 625 mg COMPR. FILM. 625mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM. P-RF 14 28.00 2.000000 0.965755 0.869179

836 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 625 mg COMPR. FILM. 500mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 29.68 1.855000 0.965755 0.869179

837 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 16.49 1.177857 0.965755 0.869179

838 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 32.99 1.178214 0.965755 0.869179

839 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500/125 mg COMPR. FILM. 500/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 10.82 0.772857 0.772857 0.695571

840 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 642,90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 34.22 34.220000 34.220000 30.798000

841 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 34.22 34.220000 34.220000 30.798000

842 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 1 g COMPR. FILM. 875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 26.29 1.877857 1.690071 1.521064

843 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 39.04 2.788571 1.690071 1.521064

Pagina 22 din 40

Page 25: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

844 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF 14 40.62 2.901428 1.690071 1.521064

845 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 25.01 1.786428 1.690071 1.521064

846 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 18.94 1.352857 1.352857 1.217571

847 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO P-RF 14 26.29 1.877857 1.690071 1.521064

848 J01DB01 CEFALEXINUM OSPEXIN 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 15.76 1.313333 1.313333 1.181999849 J01DB01 CEFALEXINUM KEFLEX (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 6.18 6.180000 5.122500 4.610250850 J01DB01 CEFALEXINUM KEFLEX (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 10.45 10.450000 10.245000 9.220500851 J01DB01 CEFALEXINUM OSPEXIN (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP P-RF 1 7.60 7.600000 5.122500 4.610250852 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 6.92 6.920000 5.122500 4.610250853 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 9.63 9.630000 9.630000 8.667000854 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML P-RF 1 9.61 9.610000 9.610000 8.649000855 J01DB01 CEFALEXINUM CEFALEXINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.88 0.594000 0.434137 0.390723856 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 11.79 0.589500 0.434137 0.390723857 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 12 7.13 0.594166 0.434137 0.390723858 J01DB01 CEFALEXINUM CEFALEXIN 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 4.85 0.485000 0.434137 0.390723859 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 5.96 0.596000 0.434137 0.390723860 J01DB01 CEFALEXINUM SPORIDEX 250 mg CAPS. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 5.90 0.590000 0.434137 0.390723861 J01DB01 CEFALEXINUM CEFALEXIN LPH 250 mg CAPS. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 4.85 0.485000 0.434137 0.390723862 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 9.83 0.983000 0.868275 0.781447863 J01DB01 CEFALEXINUM OSPEXIN 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR.FILM. P-RF 12 11.85 0.987500 0.868275 0.781447864 J01DB01 CEFALEXINUM CEFALEXINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 8.97 0.897000 0.868275 0.781447865 J01DB01 CEFALEXINUM CEFALEXIN 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 8.31 0.831000 0.831000 0.747900866 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 9.89 0.989000 0.868275 0.781447867 J01DB01 CEFALEXINUM SPORIDEX 500 mg CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 10.48 1.048000 0.868275 0.781447868 J01DB01 CEFALEXINUM CEFALEXIN LPH 500 mg CAPS. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 8.31 0.831000 0.831000 0.747900869 J01DB05 CEFADROXILUM CEXYL 1000 mg COMPR. FILM. 1000mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF 10 26.09 2.609000 1.736550 1.562895870 J01DB05 CEFADROXILUM CEXYL 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 12.02 12.020000 5.122500 4.610250871 J01DB05 CEFADROXILUM CEXYL 250 mg CAPS. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 18.51 1.851000 0.434137 0.390723872 J01DB05 CEFADROXILUM CEXYL 250 mg/5 ml GRAN. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 22.37 22.370000 10.245000 9.220500873 J01DB05 CEFADROXILUM CEFORAN (R) 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 12.99 1.299000 0.868275 0.781447874 J01DB05 CEFADROXILUM CEXYL 500 mg CAPS. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 13.42 1.342000 0.868275 0.781447875 J01DB05 CEFADROXILUM CEFADROXIL TERAPIA CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 9.49 0.949000 0.868275 0.781447876 J01DC02 CEFUROXIMUM ZINNAT GRAN. PT. SUSP. ORALA 125mg/5ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT P-RF 1 19.37 19.370000 13.347000 12.012300

877 J01DC02 CEFUROXIMUM ZINNAT (R) 125 mg COMPR. FILM. 125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 15.08 1.508000 1.334700 1.201230878 J01DC02 CEFUROXIMUM AXYCEF (R) 125 COMPR. ACOPERITE 125mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 9.80 0.980000 0.980000 0.882000

Pagina 23 din 40

Page 26: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

879 J01DC02 CEFUROXIMUM AXYCEF (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 17.63 17.630000 17.630000 15.867000

880 J01DC02 CEFUROXIMUM CEROXIM 125mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 39.04 39.040000 26.694000 24.024600

881 J01DC02 CEFUROXIMUM ZINNAT (R) 250 mg COMPR. FILM. 250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 16.56 1.656000 1.352250 1.217025882 J01DC02 CEFUROXIMUM AXYCEF (R) 250 COMPR. ACOPERITE 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 11.79 1.179000 1.179000 1.061100883 J01DC02 CEFUROXIMUM CEROXIM 250 mg COMPR. 250mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 14.35 1.435000 1.352250 1.217025884 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 14.25 1.425000 1.352250 1.217025885 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 14.25 1.425000 1.352250 1.217025886 J01DC02 CEFUROXIMUM CEROXIM 250mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 58.56 58.560000 53.388000 48.049200

887 J01DC02 CEFUROXIMUM ZINNAT (R) 500 mg COMPR. FILM. 500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 27.58 2.758000 2.704500 2.434050888 J01DC02 CEFUROXIMUM AXYCEF (R) 500 COMPR. ACOPERITE 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 20.17 2.017000 2.017000 1.815300889 J01DC02 CEFUROXIMUM CEROXIM 500 mg COMPR. 500mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 30.12 3.012000 2.704500 2.434050890 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 30.05 3.005000 2.704500 2.434050891 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 30.05 3.005000 2.704500 2.434050892 J01DC04 CEFACLORUM CEFAKLOR 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 9.08 9.080000 8.008200 7.207380893 J01DC04 CEFACLORUM CECLODYNE 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 16.96 16.960000 8.008200 7.207380894 J01DC04 CEFACLORUM CECLOR (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 16.69 16.690000 10.010250 9.009225895 J01DC04 CEFACLORUM CEFACLOR 125 mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 16.16 16.160000 10.010250 9.009225896 J01DC04 CEFACLORUM CLORACEF (R) 125 PULB. PT. SUSP. ORALA 125mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF 1 11.86 11.860000 10.010250 9.009225897 J01DC04 CEFACLORUM VERCEF 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF 1 12.37 12.370000 10.010250 9.009225898 J01DC04 CEFACLORUM CEFACLOR 125 mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml LABORMED PHARMA S.A. ROMANIA CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 16.16 16.160000 10.010250 9.009225899 J01DC04 CEFACLORUM CEFACLOR OZONE 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 13.90 0.926666 0.676125 0.608512900 J01DC04 CEFACLORUM CECLODYNE 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 16.04 1.604000 0.676125 0.608512901 J01DC04 CEFACLORUM CEFACLOR ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 15.12 1.512000 0.676125 0.608512902 J01DC04 CEFACLORUM MEDOCLOR 250 CAPS. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 24.93 1.558125 0.676125 0.608512903 J01DC04 CEFACLORUM VERCEF 250 mg CAPS. 250mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC/PVDC-AL X 3 CAPS. P-RF 15 13.76 0.917333 0.676125 0.608512904 J01DC04 CEFACLORUM CLORACEF (R) 250 CAPS. 250mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 21.36 1.335000 0.676125 0.608512905 J01DC04 CEFACLORUM CECLOZONE 250 mg CAPS. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 13.90 0.926666 0.676125 0.608512906 J01DC04 CEFACLORUM CEFAKLOR 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 16.49 16.490000 16.016400 14.414760

907 J01DC04 CEFACLORUM CECLODYNE 250 mg/ 5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 29.48 29.480000 16.016400 14.414760

908 J01DC04 CEFACLORUM CECLOR (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 33.08 33.080000 20.020500 18.018450

909 J01DC04 CEFACLORUM CEFACLOR 250 mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 29.66 29.660000 20.020500 18.018450

910 J01DC04 CEFACLORUM CLORACEF (R) 250 PULB. PT. SUSP. ORALA 250mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF 1 21.36 21.360000 20.020500 18.018450

911 J01DC04 CEFACLORUM VERCEF 250 mg/5 ml GRAN. PT. SUSP. ORALA 250 mg/5 ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA P-RF 1 22.25 22.250000 20.020500 18.018450

912 J01DC04 CEFACLORUM CEFACLOR 250 mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml LABORMED PHARMA S.A. ROMANIA CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 29.66 29.660000 20.020500 18.018450

913 J01DC04 CEFACLORUM CECLOZONE MR 375 mg COMPR. ELIB. PREL. 375mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 32.74 3.274000 1.014187 0.912768914 J01DC04 CEFACLORUM CECLODYNE (R) MR 375 mg COMPR. FILM. ELIB. MODIF. 375mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 35.40 3.540000 1.014187 0.912768915 J01DC04 CEFACLORUM VERCEF 250 mg/5 ml GRAN. PT. SUSP. ORALA 250 mg/5 ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA P-RF 1 29.66 29.660000 26.694000 24.024600

916 J01DC04 CEFACLORUM VERCEF 500 mg CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. X 3 CAPS. P-RF 15 32.59 2.172666 1.352250 1.217025917 J01DC04 CEFACLORUM CEFACLOR OZONE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 29.48 1.965333 1.352250 1.217025918 J01DC04 CEFACLORUM CECLODYNE (R) MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 46.79 4.679000 1.352250 1.217025919 J01DC04 CEFACLORUM MEDOCLOR 500 CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 45.99 2.874375 1.352250 1.217025920 J01DC04 CEFACLORUM CECLODYNE FORTE 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 29.48 2.948000 1.352250 1.217025921 J01DC04 CEFACLORUM CLORACEF (R) FORTE 500 CAPS. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 28.47 1.779375 1.352250 1.217025922 J01DC04 CEFACLORUM CEFACLOR ARENA 500 mg CAPS. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 27.83 2.783000 1.352250 1.217025923 J01DC04 CEFACLORUM CECLOZONE 500 mg CAPS. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 29.48 1.965333 1.352250 1.217025

Pagina 24 din 40

Page 27: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

924 J01DC04 CEFACLORUM CECLOZONE MR 750 mg COMPR. ELIB. PREL. 750mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 55.45 5.545000 2.028375 1.825537925 J01DC04 CEFACLORUM CECLODYNE (R) MR 750 mg COMPR. FILM. ELIB. MODIF. 750mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 66.42 6.642000 2.028375 1.825537926 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 34.70 3.470000 3.470000 3.123000

927 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 8.18 8.180000 3.844406 3.459965

928 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.70 0.385000 0.174500 0.157050

929 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.13 0.206500 0.174500 0.157050

930 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.54 0.177000 0.174500 0.157050

931 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.34 0.167000 0.167000 0.150300

932 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 4.75 4.750000 4.750000 4.275000

933 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.07 0.353500 0.353500 0.318150934 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.58 0.479000 0.418371 0.376534935 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.43 0.421500 0.418371 0.376534936 J01FA01 ERYTHROMYCINUM ERITROMICINA EUROPHARM 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 10.09 0.504500 0.418371 0.376534937 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 11.43 11.430000 11.430000 10.287000

938 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 39.05 39.050000 28.365000 25.528500

939 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 24.42 24.420000 17.019000 15.317100

940 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF 1 23.24 23.240000 17.019000 15.317100

941 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 26.15 26.150000 17.019000 15.317100

942 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 31.53 31.530000 28.365000 25.528500

943 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 18.91 18.910000 17.019000 15.317100

944 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 28.49 2.035000 1.045928 0.941335945 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 32.16 2.297142 1.045928 0.941335946 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 22.93 1.146500 1.045928 0.941335947 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 16.64 1.188571 1.045928 0.941335948 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 14.64 1.045714 1.045714 0.941142949 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 14.64 1.045714 1.045714 0.941142950 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 16.64 1.188571 1.045928 0.941335951 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 14.64 1.045714 1.045714 0.941142952 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 61.39 61.390000 56.730000 51.057000

953 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 44.75 44.750000 34.038000 30.634200Pagina 25 din 40

Page 28: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

954 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 50.97 50.970000 50.970000 45.873000

955 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 31.60 31.600000 31.600000 28.440000

956 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 37.86 2.704285 2.091856 1.882670957 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 36.34 7.268000 2.091856 1.882670958 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 32.54 2.324285 2.091856 1.882670959 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 32.02 2.287142 2.091856 1.882670960 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF 5 18.34 3.668000 2.091856 1.882670961 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF 7 25.67 3.667142 2.091856 1.882670962 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 28.03 4.004285 2.091856 1.882670963 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 44.26 2.213000 2.091856 1.882670964 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 32.02 2.287142 2.091856 1.882670965 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 35.12 5.017142 2.091856 1.882670966 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 32.54 2.324285 2.091856 1.882670967 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 43.24 2.162000 2.091856 1.882670968 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 32.02 2.287142 2.091856 1.882670969 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF 1 53.67 53.670000 22.968225 0.000000970 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 48.34 4.834000 1.038825 0.934942971 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 19.97 1.997000 1.038825 0.934942972 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 11.33 1.133000 1.038825 0.934942973 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 5 27.38 5.476000 2.077650 1.869885974 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 10 50.38 5.038000 2.077650 1.869885975 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 84.50 12.071428 2.077650 1.869885976 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 37.23 3.723000 0.207765 0.186988977 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 65.47 3.273500 0.207765 0.186988978 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.81 0.681000 0.519412 0.467471979 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.81 0.681000 0.519412 0.467471980 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 8.01 0.667500 0.519412 0.467471981 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.81 0.681000 0.519412 0.467471982 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.81 0.681000 0.519412 0.467471983 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.26 0.613000 0.519412 0.467471984 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 7.86 0.786000 0.519412 0.467471985 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 6.92 0.692000 0.519412 0.467471986 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.09 0.609000 0.519412 0.467471987 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.75 0.475000 0.475000 0.427500988 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.55 0.655000 0.519412 0.467471989 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.28 0.614000 0.519412 0.467471990 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA OZONE 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 5.29 0.529000 0.519412 0.467471991 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 13.19 1.319000 1.038825 0.934942992 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 13.19 1.319000 1.038825 0.934942993 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.19 1.319000 1.038825 0.934942994 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.19 1.319000 1.038825 0.934942995 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 8.44 0.844000 0.844000 0.759600996 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 15.07 1.507000 1.038825 0.934942997 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 8.75 0.875000 0.875000 0.787500998 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.19 1.319000 1.038825 0.934942

Pagina 26 din 40

Page 29: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

999 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 27.57 9.190000 1.038825 0.9349421000 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 13.19 1.319000 1.038825 0.9349421001 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 9.21 0.921000 0.921000 0.8289001002 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.47 0.647000 0.647000 0.5823001003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.21 0.921000 0.921000 0.8289001004 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 16.38 0.819000 0.819000 0.7371001005 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA LPH 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 8.44 0.844000 0.844000 0.7596001006 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 38.41 3.841000 1.558237 1.4024131007 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 37.23 3.723000 1.558237 1.4024131008 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 27.80 2.780000 1.038825 0.9349421009 J01MA06 NORFLOXACINUM H - NORFLOXACIN 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 17.57 0.878500 0.579000 0.5211001010 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 15.70 0.785000 0.579000 0.5211001011 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 6.18 0.618000 0.579000 0.5211001012 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 17.57 0.878500 0.579000 0.5211001013 J01MA06 NORFLOXACINUM EPINOR COMPR. FILM. 400mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 7.69 0.549285 0.549285 0.4943561014 J01MA06 NORFLOXACINUM NORFLOXACINA TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA SA ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN AL-PEJD X 10 COMPR. FILM. P-RF 10 5.82 0.582000 0.579000 0.5211001015 J01MA06 NORFLOXACINUM NOR QUIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S 20 17.57 0.878500 0.579000 0.5211001016 J01MA06 NORFLOXACINUM NORFLOXACIN OZONE 400 mg COMPR. FILM. 400mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.70 0.570000 0.570000 0.5130001017 J01MB02 ACIDUM NALIDIXICUM NALIXID 500 mg CAPS. 500mg ZENTIVA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 24.35 0.811666 0.811666 0.7304991018 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.94 7.940000 7.940000 7.1460001019 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.94 7.940000 7.940000 7.1460001020 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 8.38 0.419000 0.340574 0.3065171021 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.70 0.256666 0.256666 0.2309991022 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 8.38 0.419000 0.340574 0.3065171023 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.70 0.256666 0.256666 0.2309991024 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 100.01 8.334166 7.746374 0.0000001025 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 9.09 9.090000 7.746374 0.0000001026 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 98.07 8.172500 7.746374 0.0000001027 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 8.88 8.880000 7.746374 0.0000001028 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 10 48.80 4.880000 3.873187 0.0000001029 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 10 48.25 4.825000 3.873187 0.0000001030 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 277.83 13.891500 3.873187 0.0000001031 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 20.42 2.042000 0.714750 0.6432751032 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 8.01 0.801000 0.714750 0.6432751033 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.86 0.686000 0.686000 0.6174001034 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 12.59 1.259000 0.714750 0.6432751035 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.86 0.686000 0.686000 0.6174001036 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 9.15 0.915000 0.714750 0.6432751037 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 235.85 8.423214 4.212160 3.7909441038 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 25.55 6.387500 4.212160 3.7909441039 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 43.26 6.180000 4.212160 3.7909441040 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 82.46 5.153750 4.212160 3.7909441041 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 9.41 4.705000 4.212160 3.7909441042 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 31.43 4.490000 4.212160 3.7909441043 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 22.47 22.470000 6.318240 5.686416

Pagina 27 din 40

Page 30: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1044 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 62.96 15.740000 6.318240 5.6864161045 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 32.53 16.265000 6.318240 5.6864161046 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 9.91 9.910000 6.318240 5.6864161047 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 25.02 25.020000 6.318240 5.6864161048 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 18.83 18.830000 6.318240 5.6864161049 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 14.55 14.550000 6.318240 5.6864161050 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 9.18 9.180000 6.318240 5.6864161051 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 31.93 10.643333 6.318240 5.6864161052 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 12.50 12.500000 6.318240 5.6864161053 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.58 6.580000 6.318240 5.6864161054 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.66 9.660000 6.318240 5.6864161055 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.18 8.180000 6.318240 5.6864161056 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.58 6.580000 6.318240 5.6864161057 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 9.01 9.010000 6.318240 5.6864161058 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.01 9.010000 6.318240 5.6864161059 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 9.91 9.910000 6.318240 5.6864161060 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 9.91 9.910000 6.318240 5.6864161061 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 39.28 5.611428 5.611428 5.0502851062 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 56.41 56.410000 14.742562 13.268306

1063 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 61.57 8.795714 2.106080 1.8954721064 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 22.51 3.215714 2.106080 1.8954721065 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 56.41 8.058571 2.106080 1.8954721066 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 29.54 4.220000 2.106080 1.8954721067 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 41.83 5.975714 2.106080 1.8954721068 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 19.00 2.375000 2.106080 1.8954721069 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 25.47 2.547000 2.106080 1.8954721070 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.64 2.377142 2.106080 1.8954721071 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 19.65 2.807142 2.106080 1.8954721072 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 19.54 2.791428 2.106080 1.8954721073 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 16.12 2.302857 2.106080 1.8954721074 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 15.73 2.247142 2.106080 1.8954721075 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 19.08 2.725714 2.106080 1.8954721076 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 22.51 3.215714 2.106080 1.8954721077 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 40.44 40.440000 20.271318 0.0000001078 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 45.72 45.720000 40.542637 0.0000001079 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 162.21 162.210000 81.085275 0.0000001080 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 17.10 0.855000 0.601425 0.5412821081 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 7.23 0.361500 0.361500 0.3253501082 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 17.18 0.859000 0.601425 0.5412821083 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 16.39 0.819500 0.601425 0.5412821084 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 13.76 0.688000 0.601425 0.5412821085 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 3.73 0.373000 0.373000 0.3357001086 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 20.18 1.009000 0.601425 0.5412821087 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 21.37 1.068500 0.601425 0.5412821088 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 12.97 0.648500 0.601425 0.541282

Pagina 28 din 40

Page 31: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1089 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 7.23 0.361500 0.361500 0.3253501090 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 19.18 1.918000 1.202850 1.0825651091 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 57.04 1.629714 1.202850 1.0825651092 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 19.43 1.943000 1.202850 1.0825651093 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 282.31 56.462000 56.462000 50.815800

1094 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 151.03 3.775750 3.775750 3.3981751095 M01AB01 INDOMETACINUM INDOMETACIN LAROPHARM 25 mg CAPS. 25mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-6L 20 1.62 0.081000 0.080662 0.0725961096 M01AB01 INDOMETACINUM INDOMETACIN ARENA 25 MG CAPS. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 2.13 0.071000 0.071000 0.0639001097 M01AB01 INDOMETACINUM INDOMETACIN ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 3.51 0.175500 0.161325 0.1451921098 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 4.13 0.688333 0.287468 0.2587211099 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.93 0.493000 0.287468 0.2587211100 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 3.88 0.388000 0.287468 0.2587211101 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 6.55 0.655000 0.322650 0.2903851102 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.52 0.426000 0.322650 0.2903851103 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 8.20 0.410000 0.322650 0.2903851104 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 47.60 2.380000 0.483975 0.4355771105 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 5.70 0.190000 0.080662 0.0725961106 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 4.50 0.150000 0.080662 0.0725961107 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.70 0.190000 0.080662 0.0725961108 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 6.38 0.212666 0.161325 0.1451921109 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 6.55 0.327500 0.161325 0.1451921110 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 4.25 0.212500 0.161325 0.1451921111 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.54 0.127000 0.127000 0.1143001112 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 2.33 0.233000 0.161325 0.1451921113 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.45 0.122500 0.122500 0.1102501114 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.25 0.112500 0.112500 0.1012501115 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.81 0.190500 0.161325 0.1451921116 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.65 0.132500 0.132500 0.1192501117 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.91 0.391000 0.241987 0.2177881118 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 20.43 0.681000 0.241987 0.2177881119 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 14.21 2.842000 1.315440 1.1838961120 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 9.38 1.876000 1.096200 0.9865801121 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 6.09 1.218000 1.096200 0.9865801122 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 9.89 0.989000 0.989000 0.8901001123 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 6.09 1.218000 1.096200 0.9865801124 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 6.09 1.218000 1.096200 0.9865801125 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 12.19 1.219000 1.096200 0.9865801126 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 6.09 1.218000 1.096200 0.9865801127 M01AB05 DICLOFENACUM REFEN 75 mg SOL. INJ./PERF. 25mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF 5 4.04 0.808000 0.808000 0.7272001128 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 3.93 0.655000 0.574937 0.5174431129 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.45 1.090000 0.574937 0.5174431130 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 5.24 0.524000 0.524000 0.4716001131 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 3.70 0.370000 0.370000 0.3330001132 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 3.54 0.708000 0.574937 0.5174431133 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 5.02 0.502000 0.502000 0.451800

Pagina 29 din 40

Page 32: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1134 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 4.25 0.708333 0.689924 0.6209321135 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.43 0.943000 0.287468 0.2587211136 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 3.68 0.613333 0.344962 0.3104661137 M01AB15 KETOROLACUM TROMETHAMIN KETOROL COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 6.73 0.336500 0.107549 0.0967941138 M01AB15 KETOROLACUM TROMETHAMIN KETANOV 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 20 6.73 0.336500 0.107549 0.0967941139 M01AB15 KETOROLACUM TROMETHAMIN KETOROL SOL. INJ. 30mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-RF 10 19.57 1.957000 1.461600 1.3154401140 M01AB15 KETOROLACUM TROMETHAMIN KETANOV SOL. INJ. 30mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 24.68 2.468000 1.461600 1.3154401141 M01AB16 ACECLOFENACUM AFLAMIL COMPR. FILM. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR. P-6L 20 22.67 1.133500 0.161325 0.1451921142 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) COMPR. FILM. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 6.33 0.633000 0.450000 0.4050001143 M01AC02 TENOXICAMUM TILCOTIL COMPR. FILM. 20mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 9.75 0.975000 0.450000 0.4050001144 M01AC02 TENOXICAMUM TENOXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.08 0.704000 0.450000 0.4050001145 M01AC02 TENOXICAMUM TENOXICAM LPH 20 mg CAPS. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.42 0.571000 0.450000 0.4050001146 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) LIOF. + SOLV. PT. SOL. INJ. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. P-RF 1 5.42 5.420000 2.113200 1.9018801147 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 15.39 0.769500 0.450000 0.4050001148 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 7.69 0.769000 0.450000 0.4050001149 M01AC06 MELOXICAMUM MELOXICAM LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10.00 0.500000 0.450000 0.4050001150 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 15 mg COMPR. 15mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.95 0.497500 0.450000 0.4050001151 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 30.32 1.010666 0.450000 0.4050001152 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 10.57 1.057000 0.450000 0.4050001153 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 14.08 0.704000 0.450000 0.4050001154 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 8.72 0.872000 0.450000 0.4050001155 M01AC06 MELOXICAMUM MELARTRIN 15 mg COMPR. 15mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 32.14 1.607000 0.450000 0.4050001156 M01AC06 MELOXICAMUM MOXCIPAM 15 mg COMPR. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 4.92 0.492000 0.450000 0.4050001157 M01AC06 MELOXICAMUM MOXCIPAM 15 mg COMPR. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. P-6L 14 6.87 0.490714 0.450000 0.4050001158 M01AC06 MELOXICAMUM MOXCIPAM 15 mg COMPR. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. P-6L 7 3.44 0.491428 0.450000 0.4050001159 M01AC06 MELOXICAMUM MOXCIPAM 15 mg COMPR. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.83 0.491500 0.450000 0.4050001160 M01AC06 MELOXICAMUM MOXCIPAM 15 mg COMPR. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. P-6L 28 13.76 0.491428 0.450000 0.4050001161 M01AC06 MELOXICAMUM MOXCIPAM 15 mg COMPR. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 14.73 0.491000 0.450000 0.4050001162 M01AC06 MELOXICAMUM MELOXICAM MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.00 0.500000 0.450000 0.4050001163 M01AC06 MELOXICAMUM CELOMIX COMPR. 15mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 16.12 0.537333 0.450000 0.4050001164 M01AC06 MELOXICAMUM VALZER 15 mg COMPR. 15mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 10.00 0.500000 0.450000 0.4050001165 M01AC06 MELOXICAMUM ANTREND 15 mg COMPR. 15mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 14.87 0.495666 0.450000 0.4050001166 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 15 mg COMPR. 15mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.00 0.500000 0.450000 0.4050001167 M01AC06 MELOXICAMUM ASPIFLEX 15 mg COMPR. 15mg BMF PHARM S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-6L 10 5.01 0.501000 0.450000 0.4050001168 M01AC06 MELOXICAMUM ASPIFLEX 15 mg COMPR. 15mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.00 0.500000 0.450000 0.4050001169 M01AC06 MELOXICAMUM ASPIFLEX 15 mg COMPR. 15mg BMF PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 15.01 0.500333 0.450000 0.4050001170 M01AC06 MELOXICAMUM ANTREND 15 mg COMPR. 15mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 14.87 0.495666 0.450000 0.4050001171 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7,5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 7.40 0.740000 0.225000 0.2025001172 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7,5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 14.81 0.740500 0.225000 0.2025001173 M01AC06 MELOXICAMUM MELOXICAM LPH 7,5 mg COMPR. 7,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.63 0.481500 0.225000 0.2025001174 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 7,5 mg COMPR. 7,5mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.63 0.481500 0.225000 0.2025001175 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7,5 mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 9.60 0.960000 0.225000 0.2025001176 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7,5 mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 25.59 0.853000 0.225000 0.2025001177 M01AC06 MELOXICAMUM MOXCIPAM 7,5 mg COMPR. 7,5mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. P-6L 14 6.43 0.459285 0.225000 0.2025001178 M01AC06 MELOXICAMUM MOXCIPAM 7,5 mg COMPR. 7,5mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 13.76 0.458666 0.225000 0.202500

Pagina 30 din 40

Page 33: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1179 M01AC06 MELOXICAMUM MOXCIPAM 7,5 mg COMPR. 7,5mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.17 0.458500 0.225000 0.2025001180 M01AC06 MELOXICAMUM MOXCIPAM 7,5 mg COMPR. 7,5mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 4.59 0.459000 0.225000 0.2025001181 M01AC06 MELOXICAMUM MOXCIPAM 7,5 mg COMPR. 7,5mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. P-6L 28 12.84 0.458571 0.225000 0.2025001182 M01AC06 MELOXICAMUM MOXCIPAM 7,5 mg COMPR. 7,5mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. P-6L 7 3.20 0.457142 0.225000 0.2025001183 M01AC06 MELOXICAMUM MELOXICAM MCC 7,5 mg COMPR. 7,5mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIAT. AL/PVC X 10 COMPR. P-6L 20 9.63 0.481500 0.225000 0.2025001184 M01AC06 MELOXICAMUM VALZER 7,5mg COMPR. 7,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.63 0.481500 0.225000 0.2025001185 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 7,5 mg COMPR. 7,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.63 0.481500 0.225000 0.2025001186 M01AC06 MELOXICAMUM ASPIFLEX 7,5 mg COMPR. 7,5mg BMF PHARM S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-6L 10 4.81 0.481000 0.225000 0.2025001187 M01AC06 MELOXICAMUM ASPIFLEX 7,5 mg COMPR. 7,5mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 9.63 0.481500 0.225000 0.2025001188 M01AC06 MELOXICAMUM ASPIFLEX 7,5 mg COMPR. 7,5mg BMF PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 14.44 0.481333 0.225000 0.2025001189 M01AC06 MELOXICAMUM MOVALIS 15mg/1,5ml SOL. INJ. 15mg/1,5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF 5 15.07 3.014000 2.113200 1.9018801190 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg SUPOZ. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FOLIE TERMOSUDATA AL/PE X 6 SUPOZ. P-6L 6 13.36 2.226666 0.256500 0.2308501191 M01AC06 MELOXICAMUM MELOXICAM 15 mg SUPOZ. 15mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 8.52 1.420000 0.256500 0.2308501192 M01AC06 MELOXICAMUM MELOXICAM 7,5 mg SUPOZ. 7,5mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 8.14 1.356666 0.128250 0.1154251193 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 18.21 0.607000 0.492599 0.4433391194 M01AE03 KETOPROFENUM KETONAL FORTE 100 mg COMPR. FILM. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 11.59 0.579500 0.492599 0.4433391195 M01AE03 KETOPROFENUM RUBIFEN 100 mg COMPR. FILM. 100 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 9.00 0.450000 0.450000 0.4050001196 M01AE03 KETOPROFENUM KETOPROXIN 100 mg COMPR. FILM. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 7.87 0.393500 0.393500 0.3541501197 M01AE03 KETOPROFENUM KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 11.90 1.190000 0.492599 0.4433391198 M01AE03 KETOPROFENUM KETONAL RETARD COMPR. ELIB. PREL. 150mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L 20 14.99 0.749500 0.738900 0.6650101199 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 16.44 0.822000 0.738900 0.6650101200 M01AE03 KETOPROFENUM PROFENID (R) LP 200 mg COMPR. FILM. ELIB. PREL. 200mg LAB. AVENTIS FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL. P-6L 14 16.24 1.160000 0.985199 0.8866791201 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 26.26 1.313000 0.985199 0.8866791202 M01AE03 KETOPROFENUM KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 15.08 1.508000 0.985199 0.8866791203 M01AE03 KETOPROFENUM KETARD 200 mg CAPS. ELIB. PREL. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 10 7.55 0.755000 0.755000 0.6795001204 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 7.13 0.356500 0.246299 0.2216691205 M01AE03 KETOPROFENUM PROFENID (R) 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg LAB. AVENTIS FRANTA CUTIE X 6 FLAC. LIOF. + 6 FIOLE X 5 ML SOLV. P-6L 6 8.64 1.440000 1.440000 1.2960001206 M01AE03 KETOPROFENUM KETONAL 100 mg/ 2 ml SOL. INJ. 100mg/2ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF 10 11.33 1.133000 0.810675 0.7296071207 M01AE03 KETOPROFENUM KETOPROFEN TERAPIA 100MG/2ML SOL. INJ./CONC. SOL. PERF. 100mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML P-RF 5 9.61 1.922000 1.621350 1.4592151208 M01AE03 KETOPROFENUM KETONAL 100 mg SUPOZ. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L 12 8.18 0.681666 0.666000 0.5994001209 M01AE03 KETOPROFENUM RUBIFEN (R) 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ. P-6L 6 4.08 0.680000 0.666000 0.5994001210 M01AE03 KETOPROFENUM KETOMAG SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L 10 6.52 0.652000 0.652000 0.5868001211 M03BX07 TETRAZEPAMUM MYOLASTAN 50 mg COMPR. FILM. 50mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 9.51 0.475500 0.475500 0.4279501212 M04AA01 ALLOPURINOLUM* MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 6.02 0.120400 0.116766 0.1050891213 M04AA01 ALLOPURINOLUM* MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 10.40 0.346666 0.346666 0.3119991214 M04AC01 COLCHICINUM COLCHICINA COMPR. 1mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 COMPR. P-RF 40 5.76 0.144000 0.082012 0.0738111215 M04AC01 COLCHICINUM COLCHICINA FABIOL COMPR. 1mg FABIOL SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-RF 40 2.94 0.073500 0.073500 0.0661501216 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. X 100 COMPR. P-RF/S 100 76.36 0.763600 0.763600 0.6872401217 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC X 20 COMPR. P-RF 20 18.52 0.926000 0.804200 0.7237801218 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. P-RF 10 14.67 1.467000 1.365600 1.2290401219 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE X 1 ML SOL. INJ. P-RF/S 50 66.59 1.331800 1.331800 1.1986201220 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 18.88 0.629333 0.629333 0.5663991221 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 6.29 0.629000 0.629000 0.5661001222 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 32.48 0.649600 0.649600 0.5846401223 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 6.29 0.629000 0.629000 0.566100

Pagina 31 din 40

Page 34: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1224 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 18.86 0.628666 0.628666 0.5657991225 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 9.68 0.968000 0.689402 0.6204611226 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 7.40 1.480000 0.689402 0.6204611227 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 39.43 1.314333 0.689402 0.6204611228 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 17.35 1.735000 0.689402 0.6204611229 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 33.41 1.670500 0.689402 0.6204611230 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 47.28 1.576000 0.689402 0.6204611231 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 71.47 1.429400 0.689402 0.6204611232 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 7.73 7.730000 6.894026 6.2046241233 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 5.02 5.020000 5.020000 4.5180001234 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 100.21 100.210000 66.182664 59.564398

1235 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 12.57 12.570000 6.894026 6.2046241236 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 21.97 2.197000 1.034104 0.9306931237 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 33.48 1.116000 1.034104 0.9306931238 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 21.00 2.100000 1.034104 0.9306931239 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 41.47 1.382333 1.034104 0.9306931240 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 26.02 2.602000 1.034104 0.9306931241 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 48.48 2.424000 1.034104 0.9306931242 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 68.55 2.285000 1.034104 0.9306931243 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 107.20 2.144000 1.034104 0.9306931244 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 28.12 2.812000 1.378804 1.2409231245 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 27.44 2.744000 1.378804 1.2409231246 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 53.07 1.769000 1.378804 1.2409231247 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 20.05 2.005000 1.378804 1.2409231248 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 51.71 1.723666 1.378804 1.2409231249 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 32.48 3.248000 1.378804 1.2409231250 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 58.30 2.915000 1.378804 1.2409231251 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 77.94 2.598000 1.378804 1.2409231252 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 121.12 2.422400 1.378804 1.2409231253 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 27.86 2.786000 2.068208 1.8613871254 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 76.29 2.543000 2.068208 1.8613871255 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.79 0.589500 0.344700 0.3102301256 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.82 0.291000 0.291000 0.2619001257 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.82 0.291000 0.291000 0.2619001258 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 11.49 0.383000 0.344700 0.3102301259 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.84 0.384000 0.344700 0.3102301260 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.84 0.384000 0.344700 0.3102301261 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.66 0.383000 0.344700 0.3102301262 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.66 0.383000 0.344700 0.3102301263 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 3.84 0.384000 0.344700 0.3102301264 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 10.62 0.354000 0.344700 0.3102301265 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.66 0.383000 0.344700 0.3102301266 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.66 0.383000 0.344700 0.3102301267 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.66 0.383000 0.344700 0.3102301268 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.81 0.381000 0.344700 0.310230

Pagina 32 din 40

Page 35: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1269 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.97 0.448500 0.344700 0.3102301270 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.66 0.383000 0.344700 0.3102301271 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 13.07 2.614000 1.756805 1.5811241272 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 9.82 1.964000 1.756805 1.5811241273 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 136.67 1.366700 1.366700 1.2300301274 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 12.25 2.450000 1.756805 1.5811241275 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.66 1.532000 1.532000 1.3788001276 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.55 1.510000 0.878400 0.7905601277 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.92 0.984000 0.878400 0.7905601278 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 11.46 2.292000 0.878400 0.7905601279 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.88 0.976000 0.878400 0.7905601280 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 5.56 1.112000 1.112000 1.0008001281 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 100 COMPR. FILM. 100mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 42.30 21.150000 9.515999 8.5643991282 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 27.04 13.520000 9.515999 8.5643991283 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 74.57 12.428333 9.515999 8.5643991284 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. P-RF 6 54.81 9.135000 9.135000 8.2215001285 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR. P-RF 12 104.14 8.678333 8.678333 7.8104991286 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 99.55 9.955000 9.515999 8.5643991287 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 57.99 9.665000 9.515999 8.5643991288 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 50 COMPR. FILM. 50mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 24.05 12.025000 4.757999 4.2821991289 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 55.51 9.251666 4.757999 4.2821991290 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 19.12 9.560000 4.757999 4.2821991291 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF 3 21.28 7.093333 4.757999 4.2821991292 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF 6 40.30 6.716666 4.757999 4.2821991293 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 66.62 6.662000 4.757999 4.2821991294 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 41.35 6.891666 4.757999 4.2821991295 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE P-6L 1 22.47 22.470000 22.470000 20.223000

1296 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 15.12 0.302400 0.152280 0.1370521297 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 11.28 0.225600 0.203040 0.1827361298 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 17.35 0.347000 0.203040 0.1827361299 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 50 19.12 0.382400 0.203040 0.1827361300 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.28 0.225600 0.203040 0.1827361301 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.28 0.225600 0.203040 0.1827361302 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 11.28 0.225600 0.203040 0.1827361303 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 7.21 0.144200 0.144200 0.1297801304 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.203040 0.1827361305 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.50 0.225000 0.203040 0.1827361306 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 11.28 0.225600 0.203040 0.1827361307 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 12.42 0.248400 0.203040 0.1827361308 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.95 0.247500 0.203040 0.1827361309 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.50 0.225000 0.203040 0.1827361310 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 4.51 0.225500 0.203040 0.1827361311 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 20.57 0.411400 0.304560 0.2741041312 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL P-6L 50 20.63 0.412600 0.304560 0.2741041313 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 25.28 0.842666 0.406080 0.365472

Pagina 33 din 40

Page 36: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1314 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26.19 0.523800 0.406080 0.3654721315 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 400mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 27.04 0.540800 0.406080 0.3654721316 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 400 mg COMPR. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.48 0.524000 0.406080 0.3654721317 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 36.44 0.728800 0.609120 0.5482081318 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L 50 36.50 0.730000 0.609120 0.5482081319 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 60.46 0.604600 0.369202 0.3322821320 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 30.97 0.619400 0.619400 0.5574601321 N03AX12 GABAPENTINUM GABALEPT 100 mg CAPS. 100mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 57.04 0.570400 0.369202 0.3322821322 N03AX12 GABAPENTINUM GRIMODIN 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 33.27 0.554500 0.369202 0.3322821323 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 71.98 1.439600 1.107615 0.9968531324 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 33.13 1.656500 1.107615 0.9968531325 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 133.24 1.332400 1.107615 0.9968531326 N03AX12 GABAPENTINUM GABARAN 300 mg CAPS. 300mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 65.80 1.316000 1.107615 0.9968531327 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 132.78 1.327800 1.107615 0.9968531328 N03AX12 GABAPENTINUM GRIMODIN 300 mg CAPS. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 63.47 1.057833 1.057833 0.9520491329 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 94.31 1.886200 1.476824 1.3291421330 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 42.90 2.145000 1.476824 1.3291421331 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 174.76 1.747600 1.476824 1.3291421332 N03AX12 GABAPENTINUM GABARAN 400 mg CAPS. 400mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 72.55 1.451000 1.451000 1.3059001333 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 168.76 1.687600 1.476824 1.3291421334 N03AX12 GABAPENTINUM GRIMODIN 400 mg CAPS. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 85.76 1.429333 1.429333 1.2863991335 N03AX12 GABAPENTINUM GABARAN 600 mg COMPR. FILM. 600mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 65.06 2.168666 2.168666 1.9517991336 N03AX12 GABAPENTINUM GABAGAMMA 600 mg COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 43.36 2.168000 2.168000 1.9512001337 N03AX12 GABAPENTINUM GABAGAMMA 600 mg COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 195.28 1.952800 1.952800 1.7575201338 N03AX12 GABAPENTINUM GRIMODIN 600 mg COMPR. FILM. 600mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 123.39 2.056500 2.056500 1.8508501339 N03AX12 GABAPENTINUM GABARAN 800 mg COMPR. FILM. 800mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 104.00 3.466666 2.953649 2.6582841340 N03AX12 GABAPENTINUM GABAGAMMA 800 mg COMPR. FILM. 800mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 70.57 3.528500 2.953649 2.6582841341 N03AX12 GABAPENTINUM GABAGAMMA 800 mg COMPR. FILM. 800mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 328.74 3.287400 2.953649 2.6582841342 N03AX12 GABAPENTINUM GRIMODIN 800 mg COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 196.91 3.281833 2.953649 2.6582841343 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.24 0.162000 0.087018 0.0783161344 N05AD01 HALOPERIDOLUM HALOPERIDOL 1 mg COMPR. 1mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.70 0.256666 0.174037 0.1566331345 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF 1 6.64 6.640000 3.480745 3.1326701346 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 4.68 4.680000 3.480745 3.1326701347 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg COMPR. 2mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.79 0.359666 0.348074 0.3132671348 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 17.89 0.715600 0.715600 0.6440401349 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 44.42 8.884000 8.884000 7.9956001350 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 5 12.45 2.490000 1.159919 1.0439271351 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.97 0.098500 0.098500 0.0886501352 N05BA01 DIAZEPAMUM DIAZEPAM COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.14 0.104666 0.104666 0.0941991353 N05BA01 DIAZEPAMUM DIAZEPAM LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.05 0.052500 0.052500 0.0472501354 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 8.32 1.664000 0.850005 0.7650041355 N05BA01 DIAZEPAMUM CALMPOSE SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 2 ML S/P-RF 100 70.46 0.704600 0.704600 0.6341401356 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg SOL. RECTALA 10mg/2,5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 32.54 6.508000 6.508000 5.8572001357 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg SOL. RECTALA 5mg/2,5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 25.93 5.186000 5.186000 4.6674001358 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR. P-RF 20 2.23 0.111500 0.111500 0.100350

Pagina 34 din 40

Page 37: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1359 N05BA03 MEDAZEPAMUM* ANSILAN 10 mg CAPS. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS. P-RF 25 3.81 0.152400 0.135900 0.1223101360 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.43 0.121500 0.121500 0.1093501361 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 5.59 0.111800 0.111800 0.1006201362 N05BA03 MEDAZEPAMUM* RUDOTEL COMPR. 10mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 8.60 0.172000 0.135900 0.1223101363 N05BA03 MEDAZEPAMUM* MEDAZEPAM LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.45 0.122500 0.122500 0.1102501364 N05BA06 LORAZEPAMUM* ANXIAR (R) 1 mg COMPR. 1 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 6.69 0.133800 0.108720 0.0978481365 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 1,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR. P-RF 10 3.08 0.308000 0.040770 0.0366931366 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 1,5 mg COMPR. 1,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.13 0.106500 0.040770 0.0366931367 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 3mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 1.56 0.156000 0.081540 0.0733861368 N05BA08 BROMAZEPAMUM* LEXOTAN COMPR. 3mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.15 0.238333 0.081540 0.0733861369 N05BA08 BROMAZEPAMUM* LEXOTANIL COMPR. 3mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 1.56 0.156000 0.081540 0.0733861370 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.10 0.155000 0.081540 0.0733861371 N05BA08 BROMAZEPAMUM* BROMAZEPAM SLAVIA 3 mg COMPR. 3mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.19 0.219000 0.081540 0.0733861372 N05BA08 BROMAZEPAMUM* BROMAZEPAM ARENA 3 mg COMPR. 3mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. P-RF 10 1.54 0.154000 0.081540 0.0733861373 N05BA12 ALPRAZOLAMUM* XANAX 0,25 mg COMPR. 0,25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.64 0.188000 0.067950 0.0611551374 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,25 mg COMPR. 0,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.68 0.134000 0.067950 0.0611551375 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,25 mg COMPR. 0,25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 4.35 0.145000 0.067950 0.0611551376 N05BA12 ALPRAZOLAMUM* FRONTIN 0,25 mg COMPR. 0,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 4.92 0.164000 0.067950 0.0611551377 N05BA12 ALPRAZOLAMUM* XANAX 0,5 mg COMPR. 0,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.91 0.297000 0.135900 0.1223101378 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,5 mg COMPR. 0,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 4.24 0.212000 0.135900 0.1223101379 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 0,5 COMPR. ELIB. PREL. 0,5mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 7.21 0.240333 0.135900 0.1223101380 N05BA12 ALPRAZOLAMUM* FRONTIN 0,5 mg COMPR. 0,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 7.44 0.248000 0.135900 0.1223101381 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,5 mg COMPR. 0,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.79 0.193000 0.135900 0.1223101382 N05BA12 ALPRAZOLAMUM* XANAX 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 12.67 0.422333 0.271800 0.2446201383 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.04 0.302000 0.271800 0.2446201384 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 8.23 0.274333 0.271800 0.2446201385 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 1 COMPR. ELIB. PREL. 1mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 11.33 0.377666 0.271800 0.2446201386 N05BA12 ALPRAZOLAMUM* FRONTIN 1mg COMPR. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 12.57 0.419000 0.271800 0.2446201387 N05BA12 ALPRAZOLAMUM* XANAX 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 31.05 1.035000 0.543600 0.4892401388 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 2 COMPR. ELIB. PREL. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 28.60 0.953333 0.543600 0.4892401389 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 2,5 mg COMPR. 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.37 0.068500 0.055743 0.0501691390 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.57 0.078500 0.078500 0.0706501391 N05CD02 NITRAZEPAMUM NITRAZEPAM 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.39 0.119500 0.111487 0.1003381392 N05CF01 ZOPICLONUM* IMOVANE 7,5 mg COMPR. FILM. 7,5mg SANOFI AVENTIS FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-RF 20 15.45 0.772500 0.772500 0.6952501393 N05CF02 ZOLPIDEMUM* HYPNOGEN 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 15 COMPR. FILM. P-RF 15 6.92 0.461333 0.420892 0.3788031394 N05CF02 ZOLPIDEMUM* HYPNOGEN 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 2.97 0.424285 0.420892 0.3788031395 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.13 0.413000 0.413000 0.3717001396 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 8.26 0.413000 0.413000 0.3717001397 N05CF02 ZOLPIDEMUM* ZOLPIDEM 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.25 0.425000 0.420892 0.3788031398 N05CF02 ZOLPIDEMUM* BUNAPTE COMPR. FILM. 10mg BMF PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 4.25 0.425000 0.420892 0.3788031399 N05CF02 ZOLPIDEMUM* BUNAPTE COMPR. FILM. 10mg BMF PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 20 8.35 0.417500 0.417500 0.3757501400 N05CF02 ZOLPIDEMUM* ZOLPIDEM ATB 10 MG COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.25 0.425000 0.420892 0.3788031401 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 6.55 0.655000 0.420892 0.3788031402 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 14.19 0.709500 0.420892 0.3788031403 N05CF02 ZOLPIDEMUM* ZOLSANA 5 mg COMPR. FILM. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 13.53 0.676500 0.210446 0.189401

Pagina 35 din 40

Page 38: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1404 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 10 mg DRAJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 7.21 0.240333 0.123297 0.1109671405 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 25 mg DRAJ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 14.28 0.476000 0.308242 0.2774181406 N06AA09 AMITRIPTYLINUM* AMITRIPTILIN 25 R. DESITIN CAPS. RET. 25mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 CAPS.RET. P-RF 50 22.51 0.450200 0.410989 0.3698901407 N06AA09 AMITRIPTYLINUM* AMITRIPTILINA ARENA 25 mg COMPR. FILM. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 50 14.98 0.299600 0.299600 0.2696401408 N06AA12 DOXEPINUM* DOXEPIN 25 mg DRAJ. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 18.26 0.608666 0.308242 0.2774181409 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS. P-RF 14 11.25 0.803571 0.563249 0.5069241410 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS. P-RF 28 22.00 0.785714 0.563249 0.5069241411 N06AB03 FLUOXETINUM* FLURAN CAPS. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 16.44 0.548000 0.548000 0.4932001412 N06AB03 FLUOXETINUM* MAGRILAN 20 mg CAPS. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 17.60 0.586666 0.563249 0.5069241413 N06AB03 FLUOXETINUM* PROZAC 20 mg COMPR. DISP. 20mg ELI LILLY SA SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP. P-RF 28 36.73 1.311785 0.563249 0.5069241414 N06AB03 FLUOXETINUM* ROFLUXIN 20 mg CAPS. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.07 0.753500 0.563249 0.5069241415 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 7.37 0.263214 0.263214 0.2368921416 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 7.10 0.236666 0.236666 0.2129991417 N06AB04 CITALOPRAMUM** DALSAN 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 7.37 0.263214 0.263214 0.2368921418 N06AB04 CITALOPRAMUM** CITALOPRAM MYLAN 10 mg COMPR. FILM. 10mg GENERICS LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR DIN PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 7.37 0.263214 0.263214 0.2368921419 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 10.71 0.382500 0.382500 0.3442501420 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 39.46 1.315333 0.563249 0.5069241421 N06AB04 CITALOPRAMUM** DALSAN 20 mg COMPR. FILM. 20mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 10.71 0.382500 0.382500 0.3442501422 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 33.50 1.196428 1.126499 1.0138491423 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 32.30 1.076666 1.076666 0.9689991424 N06AB04 CITALOPRAMUM** DALSAN 40 mg COMPR. FILM. 40mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 33.50 1.196428 1.126499 1.0138491425 N06AB05 PAROXETINUM* SEROXAT 20 mg COMPR. FILM. 20mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 34.22 1.140666 0.563249 0.5069241426 N06AB05 PAROXETINUM* ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 22.99 0.766333 0.563249 0.5069241427 N06AB05 PAROXETINUM* PALUXETIL 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 22.99 0.766333 0.563249 0.5069241428 N06AB05 PAROXETINUM* PAXETIN 20 mg COMPR. FILM. 20mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF 30 22.99 0.766333 0.563249 0.5069241429 N06AB05 PAROXETINUM* PAROXETIN TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 22.99 0.766333 0.563249 0.5069241430 N06AB05 PAROXETINUM* REXETIN COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 46.06 1.535333 0.563249 0.5069241431 N06AB05 PAROXETINUM* PALUXETIL 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 61.55 2.051666 1.126499 1.0138491432 N06AB06 SERTRALINUM* ZOLOFT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 68.35 2.441071 1.126499 1.0138491433 N06AB06 SERTRALINUM* SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 35.19 1.256785 1.126499 1.0138491434 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 40.75 1.455357 1.126499 1.0138491435 N06AB06 SERTRALINUM* STIMULOTON (R) 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 35.19 1.256785 1.126499 1.0138491436 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 100 mg COMPR. FILM. 100mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 37.71 1.257000 1.126499 1.0138491437 N06AB06 SERTRALINUM* SERTRALINA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 37.55 1.251666 1.126499 1.0138491438 N06AB06 SERTRALINUM* SETALOFT 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 34.00 1.214285 1.126499 1.0138491439 N06AB06 SERTRALINUM* ASERTIN 100 mg COMPR. FILM. 100mg BMF PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 37.55 1.251666 1.126499 1.0138491440 N06AB06 SERTRALINUM* SERTRALINA BIOGALENICA 100 mg COMPR. FILM. 100mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 35.19 1.256785 1.126499 1.0138491441 N06AB06 SERTRALINUM* XIMPROVE 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 35.19 1.256785 1.126499 1.0138491442 N06AB06 SERTRALINUM* SERTRALIN 100 mg COMPR. FILM. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 43.24 1.544285 1.126499 1.0138491443 N06AB06 SERTRALINUM* ZOLOFT (R) CONC. PT. SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA+ 1 PIPETA P-RF 1 65.47 65.470000 13.517992 12.166193

1444 N06AB06 SERTRALINUM* ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 36.89 1.317500 0.563249 0.5069241445 N06AB06 SERTRALINUM* SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 19.49 0.696071 0.563249 0.5069241446 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 50mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 22.82 0.815000 0.563249 0.5069241447 N06AB06 SERTRALINUM* STIMULOTON (R) 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-RF 30 20.89 0.696333 0.563249 0.5069241448 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 50 mg COMPR. FILM. 50mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 20.77 0.692333 0.563249 0.506924

Pagina 36 din 40

Page 39: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1449 N06AB06 SERTRALINUM* SERTRALINA 50 mg COMPR. FILM. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 20.88 0.696000 0.563249 0.5069241450 N06AB06 SERTRALINUM* SETALOFT 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 18.69 0.667500 0.563249 0.5069241451 N06AB06 SERTRALINUM* ASERTIN 50 mg COMPR. FILM. 50mg BMF PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 21.12 0.704000 0.563249 0.5069241452 N06AB06 SERTRALINUM* SERTRALINA BIOGALENICA 50 mg COMPR. FILM. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 19.49 0.696071 0.563249 0.5069241453 N06AB06 SERTRALINUM* XIMPROVE 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 19.49 0.696071 0.563249 0.5069241454 N06AB06 SERTRALINUM* SERTRALIN 50 mg COMPR. FILM. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 23.11 0.825357 0.563249 0.5069241455 N06AB08 FLUVOXAMINUM* FEVARIN (R) 100 COMPR. FILM. 100mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 48.73 1.624333 0.563249 0.5069241456 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 32.73 1.091000 0.563249 0.5069241457 N06AB08 FLUVOXAMINUM* FEVARIN (R) 50 COMPR. FILM. 50mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 25.15 0.838333 0.281624 0.2534621458 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 16.33 0.544333 0.281624 0.2534621459 N06AX03 MIANSERINUM* MIANSERIN 10 COMPR. FILM. 10mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100 46.58 0.465800 0.308961 0.2780651460 N06AX03 MIANSERINUM* MIANSERIN 10 mg DRAJ. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 8.63 0.287666 0.287666 0.2588991461 N06AX03 MIANSERINUM* MIANSERIN 30 COMPR. FILM. 30mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 25.99 1.299500 0.926887 0.8341991462 N06AX03 MIANSERINUM* MIANSERIN 30 mg DRAJ. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 21.71 1.085500 0.926887 0.8341991463 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 15 mg COMPR. ORODISPERSABILE 15mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 24.56 0.818666 0.630416 0.5673741464 N06AX11 MIRTAZAPINUM* REMERON SOLTAB 30 mg COMPR. DISP. 30mg NV ORGANON OLANDA CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP. P-RF 30 81.95 2.731666 1.260833 1.1347491465 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 37.83 1.261000 1.260833 1.1347491466 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 30 COMPR. FILM. 30mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 37.83 1.261000 1.260833 1.1347491467 N06AX11 MIRTAZAPINUM* MIRTAZAPINE-TEVA 30 mg COMPR. FILM. 30mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 37.81 1.260333 1.260333 1.1342991468 N06AX11 MIRTAZAPINUM* PHARMATAZ 30 mg COMPR. FILM. 30mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 35.94 1.198000 1.198000 1.0782001469 N06AX11 MIRTAZAPINUM* MIRZATEN Q-TAB 30 mg COMPR. ORODISPERSABILE 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE P-RF 30 37.83 1.261000 1.260833 1.1347491470 N06AX11 MIRTAZAPINUM* MIRTAZAPINA BLUEFISH 30 mg COMPR. ORODISPERSABILE 30mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 37.83 1.261000 1.260833 1.1347491471 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 30 mg COMPR. ORODISPERSABILE 30mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 38.02 1.267333 1.260833 1.1347491472 N06AX11 MIRTAZAPINUM* ZULIN 30 mg COMPR. ORODISPERSABILE 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF 6 7.81 1.301666 1.260833 1.1347491473 N06AX11 MIRTAZAPINUM* ZULIN 30 mg COMPR. ORODISPERSABILE 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF 30 37.81 1.260333 1.260333 1.1342991474 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 45 mg COMPR. ORODISPERSABILE 45mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 63.37 2.112333 1.891249 1.7021241475 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 135.66 4.845000 2.446799 2.2021191476 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 91.33 3.261785 2.446799 2.2021191477 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 90.16 3.005333 2.446799 2.2021191478 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 75.14 2.504666 2.446799 2.2021191479 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 97.80 3.260000 2.446799 2.2021191480 N06AX16 VENLAFAXINUM** NOPEKAR 150 mg CAPS. ELIB. PREL. 150mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 91.33 3.261785 2.446799 2.2021191481 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 97.54 3.251333 2.446799 2.2021191482 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 97.85 3.261666 2.446799 2.2021191483 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 96.01 3.200333 2.446799 2.2021191484 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 303.48 3.034800 2.446799 2.2021191485 N06AX16 VENLAFAXINUM** JARVIS 150 mg CAPS. ELIB. PREL. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 97.85 3.261666 2.446799 2.2021191486 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 75.21 2.686071 2.446799 2.2021191487 N06AX16 VENLAFAXINUM** IVRYX 150mg CAPS. ELIB. PREL. 150 mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 91.33 3.261785 2.446799 2.2021191488 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL. 150mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 84.97 2.832333 2.446799 2.2021191489 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 29.21 0.973666 0.973666 0.8762991490 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF 30 29.21 0.973666 0.407799 0.3670191491 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 62.11 1.035166 0.611699 0.5505291492 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 58.00 1.035714 0.611699 0.5505291493 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 38.02 0.678928 0.611699 0.550529

Pagina 37 din 40

Page 40: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1494 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 35.49 1.183000 0.611699 0.5505291495 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 32.13 1.071000 0.611699 0.5505291496 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 32.13 1.071000 0.611699 0.5505291497 N06AX16 VENLAFAXINUM** NOPEKAR 37,5 mg CAPS. ELIB. PREL. 37,5mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 46.45 1.658928 0.611699 0.5505291498 N06AX16 VENLAFAXINUM** ADOXA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 41.57 1.385666 0.611699 0.5505291499 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 21.05 0.701666 0.611699 0.5505291500 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 65.64 0.656400 0.611699 0.5505291501 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 32.80 1.093333 0.611699 0.5505291502 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 37,5 mg COMPR. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 32.13 1.071000 0.611699 0.5505291503 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 38.41 1.280333 0.815599 0.7340391504 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 38.41 1.280333 0.815599 0.7340391505 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 38.41 1.280333 0.815599 0.7340391506 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 77.33 1.288833 1.223399 1.1010591507 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 72.29 1.290892 1.223399 1.1010591508 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 70.53 2.518928 1.223399 1.1010591509 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 47.42 1.693571 1.223399 1.1010591510 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 39.40 1.313333 1.223399 1.1010591511 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 32.83 1.094333 1.094333 0.9848991512 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 63.65 1.136607 1.136607 1.0229461513 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 50.77 1.692333 1.223399 1.1010591514 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 40.78 1.359333 1.223399 1.1010591515 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 40.78 1.359333 1.223399 1.1010591516 N06AX16 VENLAFAXINUM** NOPEKAR 75 mg CAPS. ELIB. PREL. 75mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 47.42 1.693571 1.223399 1.1010591517 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 50.65 1.688333 1.223399 1.1010591518 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 50.82 1.694000 1.223399 1.1010591519 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 35.26 1.175333 1.175333 1.0577991520 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 111.66 1.116600 1.116600 1.0049401521 N06AX16 VENLAFAXINUM** JARVIS 75 mg CAPS. ELIB. PREL. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 50.82 1.694000 1.223399 1.1010591522 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 47.61 1.700357 1.223399 1.1010591523 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 47.42 1.693571 1.223399 1.1010591524 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 47.61 1.587000 1.223399 1.1010591525 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 75 mg COMPR. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 40.78 1.359333 1.223399 1.1010591526 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 13.70 0.685000 0.685000 0.6165001527 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.68 0.920000 0.681149 0.6130341528 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.67 0.917500 0.681149 0.6130341529 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.68 0.920000 0.681149 0.6130341530 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.67 0.917500 0.681149 0.6130341531 P02CA03 ALBENDAZOLUM DUADOR 200 mg COMPR. FILM. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-RF 2 6.36 3.180000 3.180000 2.8620001532 P02CA03 ALBENDAZOLUM ZENTEL 200 mg COMPR. FILM. 200mg GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF 2 9.80 4.900000 3.187500 2.8687501533 P02CA03 ALBENDAZOLUM ALBENDAZOL COMPR.FILM 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 6.38 3.190000 3.187500 2.8687501534 P02CA03 ALBENDAZOLUM ALBENDAZOL LPH 200 mg COMPR.FILM 200 mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 6.38 3.190000 3.187500 2.8687501535 P02CA03 ALBENDAZOLUM ZENTEL 0,4 g/10 ml SUSP. ORALA 0,4g/10ml GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA P-RF 1 5.73 5.730000 3.807000 3.4263001536 P02CA03 ALBENDAZOLUM VERMIGAL NOVO 400 mg SUSP. ORALA 400mg/10ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF 1 3.73 3.730000 3.730000 3.3570001537 P02CE01 LEVAMISOLUM DECARIS 150 mg COMPR. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 COMPR. P-RF 1 3.41 3.410000 3.410000 3.0690001538 P02CE01 LEVAMISOLUM LEVAMISOL ARENA 150 mg COMPR. 150mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 COMPR. P-RF 1 3.41 3.410000 3.410000 3.069000

Pagina 38 din 40

Page 41: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1539 P02CE01 LEVAMISOLUM DECARIS 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF 2 3.02 1.510000 1.136655 1.0229891540 P02CE01 LEVAMISOLUM LEVAMISOL ARENA 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. P-RF 2 3.02 1.510000 1.136655 1.0229891541 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 20 ML SOL. DE INHAL. P-6L 1 15.10 15.100000 3.441600 3.0974401542 R03AC02 SALBUTAMOLUM VENTOLIN 100 INHALER CFC-FREE SUSP. INHAL. PRESURIZATA 100mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA P-RF 1 10.48 10.480000 8.604000 7.7436001543 R03AC02 SALBUTAMOLUM ASTHALIN INHALER SUSP. INHAL. PRESURIZATA 100mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA P-6L 1 6.80 6.800000 6.800000 6.1200001544 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L 1 8.89 8.890000 1.720800 1.5487201545 R03BA01 BECLOMETASONUM* RINOCLENIL 100 SPRAY NAZ.,SUSP. 100mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE P-RF 1 48.42 48.420000 38.698000 34.828200

1546 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 250 mcg CFC FREE AEROSOL SOL. INHAL. 250mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. DE TIP SPACER P-RF 1 91.77 91.770000 91.770000 82.593000

1547 R03BA01 BECLOMETASONUM* CLENIL (R) JET 250 mcg SOL. INHALAT PRESURIZATA 250mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP P-RF 1 101.72 101.720000 96.745000 87.070500

1548 R03BA02 BUDESONIDUM* PULMICORT TURBUHALER 200 mcg/doza PULB. INHAL. 200mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF 1 60.61 60.610000 40.700000 36.630000

1549 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 39.40 39.400000 39.400000 35.460000

1550 R03BA02 BUDESONIDUM* BUDIAIR 200 mcg SOL. DE INHALAT PRESURIZATA 200 mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA P-RF 1 74.81 74.810000 43.413332 39.071999

1551 R03BA02 BUDESONIDUM* BUDIAIR 200 mcg JET SOL. DE INHALAT PRESURIZATA 200mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION P-RF 1 74.81 74.810000 43.413332 39.071999

1552 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 74.83 74.830000 74.830000 67.347000

1553 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 84.00 84.000000 81.400000 73.260000

1554 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 171.96 171.960000 162.800000 146.520000

1555 R03BB01 IPRATROPII BROMIDUM* IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA P-6L 1 12.57 12.570000 12.570000 11.313000

1556 R03BB01 IPRATROPII BROMIDUM* IPRAXA 500mcg/2ml SOL. DE INHALAT PRIN NEBULIZ. 500mcg/2ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR P-6L 20 31.76 1.588000 1.575437 1.4178931557 R03CC02 SALBUTAMOLUM SALBUTAMOL T SOL. ORALA 0,04% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 2.67 2.670000 2.612500 2.3512501558 R03CC02 SALBUTAMOLUM SALBUTAMOL SOL. ORALA 2mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. ORALA + LINGURITA DOZATOARE P-6L 1 3.99 3.990000 2.612500 2.3512501559 R03CC02 SALBUTAMOLUM SALBUTAMOL EIPICO 2mg/5ml SIROP 2mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP P-6L 1 3.05 3.050000 3.050000 2.7450001560 R03CC02 SALBUTAMOLUM VENTOLIN 2mg/5ml SIROP 2mg/5ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA INCOLORA X 150 ML SIROP + LINGURITA DOZATOARE DUBLA X 2,5 ML, RESPECTIV P-6L 1 5.61 5.610000 3.918750 3.5268751561 R03CC02 SALBUTAMOLUM VENTOLIN (R) SOL. INJ. 0,5mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA X 1 ML P-6L 5 3.54 0.708000 0.708000 0.6372001562 R03DA04 THEOPHYLLINUM THEO SR 100 CAPS. ELIB. PREL. 100mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 20 5.70 0.285000 0.105300 0.0947701563 R03DA04 THEOPHYLLINUM TEOFILINA SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 2.85 0.285000 0.105300 0.0947701564 R03DA04 THEOPHYLLINUM TEOTARD (R) 200 CAPS. ELIB. PREL. 200mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 9.37 0.234250 0.210600 0.1895401565 R03DA04 THEOPHYLLINUM THEO SR 200 CAPS. ELIB. PREL. 200mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 10 4.27 0.427000 0.210600 0.1895401566 R03DA04 THEOPHYLLINUM TEOFILINA SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 2.34 0.234000 0.210600 0.1895401567 R03DA04 THEOPHYLLINUM THEO SR 300 CAPS. ELIB. PREL. 300mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL. P-RF 10 5.95 0.595000 0.315900 0.2843101568 R03DA04 THEOPHYLLINUM TEOFILINA SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 5.95 0.595000 0.315900 0.2843101569 R03DA04 THEOPHYLLINUM TEOTARD (R) 350 CAPS. ELIB. PREL. 350mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 13.94 0.348500 0.348500 0.3136501570 R03DA04 THEOPHYLLINUM TEOFILINA SR 50 mg CAPS. ELIB. PREL. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 3.61 0.361000 0.052650 0.0473851571 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.99 0.199666 0.150250 0.1352251572 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 5.12 0.204800 0.150250 0.1352251573 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.02 0.151000 0.150250 0.1352251574 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.96 0.148000 0.148000 0.1332001575 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.02 0.151000 0.150250 0.1352251576 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.19 0.159500 0.150250 0.1352251577 R05DA04 CODEINUM CODEINA FOSFAT MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.64 0.182000 0.150250 0.1352251578 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.96 0.148000 0.148000 0.1332001579 R06AB04 CHLORPHENAMINUM CLORFENIRAMIN COMPR. 4mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.30 0.115000 0.115000 0.1035001580 R06AE07 CETIRIZINUM LETIZEN (R) 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 13.50 0.675000 0.675000 0.6075001581 R06AE07 CETIRIZINUM CELERG COMPR. FILM. 10 mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 21.11 1.055500 0.959287 0.8633581582 R06AE07 CETIRIZINUM ZYRTEC 10 mg/ml PICATURI ORALE-SOL. 10mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE P-6L 1 22.93 22.930000 19.185750 17.267175

1583 R06AX17 KETOTIFENUM KETOTIFEN LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.30 0.165000 0.165000 0.148500Pagina 39 din 40

Page 42: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1584 R06AX17 KETOTIFENUM H - KETOTIFEN COMPR. 1mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.64 0.182000 0.172000 0.1548001585 R06AX17 KETOTIFENUM KETOTIFEN COMPR. 1mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.172000 0.1548001586 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 CAPS. P-6L 50 13.76 0.275200 0.172000 0.1548001587 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/PP X 10 CAPS. P-6L 20 5.24 0.262000 0.172000 0.1548001588 R06AX17 KETOTIFENUM KETOTIFEN LAROPHARM 1 mg COMPR. 1mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 3.44 0.172000 0.172000 0.1548001589 R06AX17 KETOTIFENUM KETOF 1 mg/5 ml SIROP 1mg/5ml HEXAL AG GERMANIA CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L 1 11.40 11.400000 11.400000 10.260000

1590 S01AX13 CIPROFLOXACINUM CIPLOX (vezi S01AX13) UNG. OFT. 0,3% CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT. P-RF 1 4.27 4.270000 4.270000 3.8430001591 S01BC03 DICLOFENACUM UNICLOPHEN (R) 0,1% PICATURI OFT.-SOL. 0,1% UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR P-6L 1 11.20 11.200000 10.910000 9.8190001592 S01BC03 DICLOFENACUM DICLOGESIC 0,1% PICATURI OFTALMICE, SOLUTIE PICATURI OFT.-SOL. 0,1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR PE X 5 ML P-6L 1 10.68 10.680000 5.455000 4.9095001593 S01BC03 DICLOFENACUM DICLOFENAC RPH PIC. OFT.-SOL. 1mg/ml ROMPHARM COMPANY SRL ROMANIA FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L 1 5.02 5.020000 5.020000 4.5180001594 S01CA05 COMBINATII OPHTAMESONE - N SOL. OFT. FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.50 4.500000 4.500000 4.050000

1595 S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL UNG. OFT. 0,2g+0,5g/100g FARMILA FARMACEUTICI ITALIA CUTIE X 1 TUB AL X 5 G P-RF 1 15.41 15.410000 7.051500 6.346350

1596 S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL PICATURI OFT.SUSP. 0,2g+0,5g/100ml FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE P-RF 1 13.42 13.420000 7.051500 6.346350

NOTĂ:

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice și cu aprobarea comisiilor de la nivelul Caselor Județene de Asigurări de Sănătate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacienții cu intoleranță la acidum acetylsalicylicum.

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice;

Pagina 40 din 40

Page 43: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

ANEXA2

Nr. crt cod_cOMERCIAL den_internationala denumire formaF

concentratie Firma detinatoare tara forma ambalare prescriere

cant/am

balaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

Val suportata de CNAS/UT (RON)Legea nr. 95/2006 art 213 alin.1

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BC02 PANTOPRAZOLUM SELTRAZ 20 mg COMPR. FILM. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE P-6L 28 22.00 0.785714 0.676312 0.3381562 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. FILM. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 30 34.76 1.158666 0.676312 0.3381563 A02BC02 PANTOPRAZOLUM PANTEXEL 20 mg COMPR. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ P-6L 28 22.00 0.785714 0.676312 0.3381564 A02BC02 PANTOPRAZOLUM ZIPANTOLA 20 mg COMPR. GASTROREZ. 20mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ. P-6L 28 22.00 0.785714 0.676312 0.3381565 A02BC02 PANTOPRAZOLUM PACID 20 mg COMPR. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 10 3.56 0.356000 0.356000 0.1780006 A02BC02 PANTOPRAZOLUM PACID 20 mg COMPR. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 10.68 0.356000 0.356000 0.1780007 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 10.82 0.772857 0.676312 0.3381568 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 21.68 0.774285 0.676312 0.3381569 A02BC02 PANTOPRAZOLUM DYSPEX 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 10.74 0.767142 0.676312 0.33815610 A02BC02 PANTOPRAZOLUM DYSPEX 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 21.51 0.768214 0.676312 0.33815611 A02BC02 PANTOPRAZOLUM PANTOSAL 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 10.92 0.780000 0.676312 0.33815612 A02BC02 PANTOPRAZOLUM PANTOSAL 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 21.85 0.780357 0.676312 0.33815613 A02BC02 PANTOPRAZOLUM NOLPAZA 20 mg COMPR. GASTROREZ. 20mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L 30 21.82 0.727333 0.676312 0.33815614 A02BC02 PANTOPRAZOLUM AZATOL 20 mg COMPR. GASTROREZ. 20mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P-6L 28 22.53 0.804642 0.676312 0.33815615 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. FILM. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 28 32.77 1.170357 0.676312 0.33815616 A02BC02 PANTOPRAZOLUM SELTRAZ 40 mg COMPR. FILM. GASTROREZ. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE P-6L 28 31.54 1.126428 1.126428 0.56321417 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 14 35.67 2.547857 1.352624 0.67631218 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 28 51.85 1.851785 1.352624 0.67631219 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 3 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 15 38.22 2.548000 1.352624 0.67631220 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 30 55.54 1.851333 1.352624 0.67631221 A02BC02 PANTOPRAZOLUM PANTEXEL 40 mg COMPR. GASTROREZ. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ P-6L 28 31.54 1.126428 1.126428 0.56321422 A02BC02 PANTOPRAZOLUM ZIPANTOLA 40 mg COMPR. GASTROREZ. 40mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ. P-6L 28 31.54 1.126428 1.126428 0.56321423 A02BC02 PANTOPRAZOLUM PACID 40 mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 10 6.50 0.650000 0.650000 0.32500024 A02BC02 PANTOPRAZOLUM PACID 40 mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 19.52 0.650666 0.650666 0.32533325 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 15.52 1.108571 1.108571 0.55428526 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 31.06 1.109285 1.109285 0.55464227 A02BC02 PANTOPRAZOLUM PANTOSAL 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 15.64 1.117142 1.117142 0.55857128 A02BC02 PANTOPRAZOLUM PANTOSAL 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 31.31 1.118214 1.118214 0.559107

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM

DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU

1 OCTOMBRIE 2010

Pagina 1 din 22

Page 44: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

29 A02BC02 PANTOPRAZOLUM DYSPEX 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 15.41 1.100714 1.100714 0.55035730 A02BC02 PANTOPRAZOLUM DYSPEX 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 30.82 1.100714 1.100714 0.55035731 A02BC02 PANTOPRAZOLUM NOLPAZA 40mg COMPR. GASTROREZ. 40mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L 30 32.70 1.090000 1.090000 0.54500032 A02BC02 PANTOPRAZOLUM AZATOL 40 mg COMPR. GASTROREZ. 40mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P-6L 28 33.71 1.203928 1.203928 0.60196433 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 1 21.79 21.790000 19.293000 9.64650034 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 5 ( 5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 5 100.15 20.030000 19.293000 9.64650035 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 20 377.32 18.866000 18.866000 9.43300036 A02BC02 PANTOPRAZOLUM DYSPEX I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 1 21.45 21.450000 19.293000 9.64650037 A02BC02 PANTOPRAZOLUM DYSPEX I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 5 98.60 19.720000 19.293000 9.64650038 A02BC02 PANTOPRAZOLUM DYSPEX I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 20 372.10 18.605000 18.605000 9.30250039 A02BC02 PANTOPRAZOLUM PANTOSAL I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 1 21.62 21.620000 19.293000 9.64650040 A02BC02 PANTOPRAZOLUM PANTOSAL I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 5 99.37 19.874000 19.293000 9.64650041 A02BC02 PANTOPRAZOLUM PANTOSAL I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 20 374.71 18.735500 18.735500 9.36775042 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA LIOF. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF 1 33.53 33.530000 19.293000 9.64650043 A02BC05 ESOMEPRAZOLUM NEXIUM 10 mg GRAN. GASTROREZ. PT. SUSP.ORALA 10mg ASTRAZENECA AB SUEDIA CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA P-6L 28 173.85 6.208928 6.208928 3.10446444 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 1 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 7 20.31 2.901428 0.901748 0.45087445 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 14 39.32 2.808571 0.901748 0.45087446 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SANDOZ 20 mg COMPR. GASTROREZ. 20mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L 14 30.09 2.149285 0.901748 0.45087447 A02BC05 ESOMEPRAZOLUM EMANERA 20 mg CAPS. GASTROREZ. 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ. P-6L 14 30.09 2.149285 0.901748 0.45087448 A02BC05 ESOMEPRAZOLUM EMANERA 20 mg CAPS. GASTROREZ. 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ. P-6L 28 58.24 2.080000 0.901748 0.45087449 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg COMPR. GASTROREZ. 40mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ. P-6L 14 59.42 4.244285 1.803499 0.90174950 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SANDOZ 40 mg COMPR. GASTROREZ. 40mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L 14 44.02 3.144285 1.803499 0.90174951 A02BC05 ESOMEPRAZOLUM EMANERA 40 mg CAPS. GASTROREZ. 40mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ. P-6L 14 44.02 3.144285 1.803499 0.90174952 A02BC05 ESOMEPRAZOLUM EMANERA 40 mg CAPS. GASTROREZ. 40mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ. P-6L 28 83.61 2.986071 1.803499 0.90174953 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg PULB. PT. SOL. INJ./PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF. S/P-RF 10 296.78 29.678000 25.723993 12.861996

54 A02BX02 SUCRALFATUM GASTROFAIT COMPR. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L 20 6.18 0.309000 0.309000 0.15450055 A02BX02 SUCRALFATUM VENTER COMPR. 1g KRKA D.D. SLOVENIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 15.92 0.318400 0.313700 0.15685056 A02BX05 BISMUTHI SUBCITRAS DE - NOL COMPR. FILM. 120mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L 40 39.86 0.996500 0.313700 0.15685057 A03AB06 OTILONIUM BROMIDUM SPASMOMEN (R) COMPR. FILM. 40mg A. MENARINI IND. FARM. RIUNITE SRL ITALIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 33.48 1.116000 1.116000 0.55800058 A07AA11 RIFAXIMINUM NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml ALFA WASSERMANN SPA ITALIA CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML P-RF 1 19.06 19.060000 6.343312 3.17165659 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 36.53 3.044166 3.044166 1.52208360 A07EA06 BUDESONIDUM** BUDENOFALK CAPS. GASTROREZ. 3mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ. P-RF 100 443.67 4.436700 4.436700 2.21835061 A07EA06 BUDESONIDUM** BUDENOFALK 2 mg/doza SPUMA RECTALA 2mg/doza DR. FALK PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL P-RF 1 418.29 418.290000 383.032500 191.516250

62 A07EA06 BUDESONIDUM** BUDENOFALK 2 mg/doza SPUMA RECTALA 2mg/doza DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU P-RF 2 742.56 371.280000 371.280000 185.640000

63 A07XA04 RACECADOTRILUM HIDRASEC 100 mg CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 20 43.48 2.174000 1.592550 0.79627564 A07XA04 RACECADOTRILUM HIDRASEC 10 mg PULB. PT. SOL. ORALA 10mg LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G P-RF 16 40.95 2.559375 1.592550 0.79627565 A07XA04 RACECADOTRILUM HIDRASEC 30 mg PULB. PT. SOL. ORALA 30mg LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3 P-RF 30 40.95 1.365000 1.365000 0.68250066 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 21 91.82 4.372380 3.781130 1.89056567 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 84 301.06 3.584047 3.584047 1.79202368 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 33.55 0.671000 0.407700 0.20385069 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 31.32 1.044000 0.815400 0.40770070 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 100 212.56 2.125600 2.125600 1.06280071 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 30 68.44 2.281333 2.154524 1.07726272 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 60 129.85 2.164166 2.154524 1.07726273 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi N07XN03) COMPR. FILM. 600mg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L 30 103.46 3.448666 2.154524 1.077262

Pagina 2 din 22

Page 45: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

74 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE X 20 ML S/P-RF 5 134.04 26.808000 25.443250 12.721625

75 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 20 FIOLE X 20 ML S/P-RF 20 490.10 24.505000 24.505000 12.252500

76 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi N07XN03) SOL. PERF. 12mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FLACOANE X 50 ML S/P-RF 10 257.56 25.756000 25.443250 12.721625

77 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID 600T (vezi N07XN03) SOL. INJ. 25mg/ml MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 5 FIOLE X 24 ML SOL.INJ. S/P-RF 5 136.87 27.374000 25.443250 12.721625

78 B01AB04 DALTEPARINUM**# FRAGMIN 10000 UI/0,4 ml SOL. INJ. 10000UI/0,4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF 5 125.68 25.136000 25.136000 12.568000

79 B01AB04 DALTEPARINUM**# FRAGMIN 10000 UI/ml SOL. INJ. 10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML S/P-RF 10 266.21 26.621000 26.621000 13.310500

80 B01AB04 DALTEPARINUM**# FRAGMIN 12500 UI/0,5 ml SOL. INJ. 12500 UI/0,5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF 5 170.47 34.094000 33.395520 16.697760

81 B01AB04 DALTEPARINUM**# FRAGMIN15000 UI/0,6 ml SOL. INJ. 15000ui/0,6ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. S/P-RF 5 206.39 41.278000 40.074625 20.037312

82 B01AB04 DALTEPARINUM**# FRAGMIN 18000 UI/0,72 ml SOL. INJ. 18000 UI/0,72ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF 5 234.71 46.942000 46.942000 23.471000

83 B01AB04 DALTEPARINUM**# FRAGMIN 2500 UI/0,2 ml SOL. INJ. 2500ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 77.41 7.741000 6.679104 3.33955284 B01AB04 DALTEPARINUM**# FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 141.82 14.182000 13.358208 6.67910485 B01AB04 DALTEPARINUM**# FRAGMIN 7500 UI/0,3 ml SOL. INJ. 7500ui/0,3ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML S/P-RF 10 202.52 20.252000 20.037312 10.018656

86 B01AB05 ENOXAPARINUM**# CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 72.76 7.276000 6.679104 3.33955287 B01AB05 ENOXAPARINUM**# CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 144.23 14.423000 13.358208 6.67910488 B01AB05 ENOXAPARINUM**# CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 187.44 18.744000 18.744000 9.37200089 B01AB05 ENOXAPARINUM**# CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 52.07 26.035000 26.035000 13.017500

90 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0,3ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,3 ML S/P-RF 10 75.24 7.524000 6.679104 3.33955291 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,4 ML S/P-RF 10 103.22 10.322000 8.905469 4.45273492 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,6 ML S/P-RF 10 132.15 13.215000 13.215000 6.60750093 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AXa/0,8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,8 ML S/P-RF 10 189.31 18.931000 17.810939 8.90546994 B01AB08 REVIPARINUM**# CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 84.26 8.426000 6.688441 3.34422095 B01AB08 REVIPARINUM**# CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 101.17 20.234000 16.048538 8.02426996 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA) S/P-RF 2 73.48 36.740000 19.083149 9.54157497 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA) S/P-RF 2 102.92 51.460000 26.716416 13.358208

98 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA) S/P-RF 2 126.78 63.390000 34.349677 17.174838

99 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) S/P-RF 10 534.94 53.494000 38.166304 19.083152

100 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF 2 26.07 13.035000 6.679104 3.339552101 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA) S/P-RF 10 1,110.78 111.078000 76.332616 38.166308

102 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF 2 35.03 17.515000 8.587417 4.293708103 B01AB11 SULODEXIDUM** VESSEL DUE F CAPS. MOI 250ULS ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF 50 109.68 2.193600 2.193600 1.096800104 B01AB11 SULODEXIDUM** VESSEL DUE F SOL. INJ. 600ULS/2ml ALFA WASSERMANN SPA ITALIA CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF 10 78.24 7.824000 7.824000 3.912000105 B01AC04 CLOPIDOGRELUM** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 779.14 25.971333 18.561855 9.280927106 B01AC04 CLOPIDOGRELUM** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 122.06 4.359285 4.359285 2.179642107 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 83.62 2.787333 2.787333 1.393666108 B01AC04 CLOPIDOGRELUM** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.33 2.833214 2.833214 1.416607109 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF 90 241.83 2.687000 2.687000 1.343500110 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 89.27 3.188214 3.188214 1.594107111 B01AC04 CLOPIDOGRELUM** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 90.28 3.224285 3.224285 1.612142112 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL MYLAN 75mg COMPR. FILM. 75mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF 28 84.40 3.014285 3.014285 1.507142113 B01AC04 CLOPIDOGRELUM** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 90.42 3.229285 3.229285 1.614642114 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 79.30 2.832142 2.832142 1.416071115 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 84.97 2.832333 2.832333 1.416166116 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 68.37 2.441785 2.441785 1.220892117 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 68.37 2.441785 2.441785 1.220892118 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 84 COMPR. FILM. P-RF 84 215.10 2.560714 2.560714 1.280357

Pagina 3 din 22

Page 46: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

119 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 84 COMPR. FILM. P-RF 84 215.10 2.560714 2.560714 1.280357120 B01AC04 CLOPIDOGRELUM** PLAVOCORIN 75 mg COMPR. FILM. 75mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 89.27 3.188214 3.188214 1.594107121 B01AC04 CLOPIDOGRELUM** TESSYRON 75 mg COMPR. FILM. 75mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF 30 85.00 2.833333 2.833333 1.416666122 B01AC04 CLOPIDOGRELUM** TUXEDON 75 mg COMPR. FILM. 75mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 96.30 3.439285 3.439285 1.719642123 B01AC04 CLOPIDOGRELUM** TUXEDON 75 mg COMPR. FILM. 75mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 84 COMPR. FILM. P-RF 84 273.95 3.261309 3.261309 1.630654124 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 79.30 2.832142 2.832142 1.416071125 B01AC04 CLOPIDOGRELUM** DEFROZYP 75 mg COMPR. FILM. 75mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.30 2.832142 2.832142 1.416071126 B01AC04 CLOPIDOGRELUM** TESSYRON 75 mg COMPR. FILM. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF 30 85.00 2.833333 2.833333 1.416666127 B01AC04 CLOPIDOGRELUM** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 68.32 2.440000 2.440000 1.220000128 B01AC04 CLOPIDOGRELUM** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF 28 68.32 2.440000 2.440000 1.220000129 B01AC04 CLOPIDOGRELUM** LOFRADYK 75 mg COMPR. FILM. 75mg ZAKLAD FARMACEUTYCZNY ADAMED PHARMA S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 68.05 2.430357 2.430357 1.215178130 B01AC04 CLOPIDOGRELUM** VATOUD 75 mg COMPR. FILM. 75mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 73.64 2.630000 2.630000 1.315000131 B01AC18 TRIFLUSALUM AFLEN (R) CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 84.73 1.694600 1.694600 0.847300

132 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)** AGGRENOX CAPS. ELIB. MODIF. 25mg/200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L 60 63.46 1.057666 1.057666 0.528833

133 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 2,5mg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 2,5mg/0,5ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 233.24 23.324000 22.128500 11.064250

134 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 7,5mg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 7,5mg/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 651.90 65.190000 65.190000 32.595000

135 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 149.42 29.884000 29.884000 14.942000

136 C01BB02 MEXILETINUM MEXITIL (R) 200 mg CAPS. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 58.62 0.586200 0.586200 0.293100137 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 159.86 5.709285 3.264910 1.632455138 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 239.70 4.280357 3.264910 1.632455139 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 259.74 4.638214 4.638214 2.319107140 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 159.86 5.709285 4.897365 2.448682141 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0,2mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 32.42 1.157857 0.864427 0.432213142 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0,2mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 32.42 1.157857 0.864427 0.432213143 C02AC05 MOXONIDINUM MOXOGAMMA 0,2 mg COMPR. FILM. 0,2mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 21.74 0.724666 0.724666 0.362333144 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,2 mg COMPR. FILM. 0,2mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 13.20 0.471428 0.471428 0.235714145 C02AC05 MOXONIDINUM MOXOGAMMA 0,3 mg COMPR. FILM. 0,3mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 25.81 0.860333 0.860333 0.430166146 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,3 mg COMPR. FILM. 0,3mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 20.17 0.720357 0.720357 0.360178147 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0,4mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.FILM. P-6L 28 46.72 1.668571 1.668571 0.834285148 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0,4mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 46.72 1.668571 1.668571 0.834285149 C02AC05 MOXONIDINUM MOXOGAMMA 0,4 mg COMPR. FILM. 0,4mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 33.07 1.102333 1.102333 0.551166150 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,4 mg COMPR. FILM. 0,4mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 26.52 0.947142 0.947142 0.473571151 C02AC06 RILMENIDINUM TENAXUM COMPR. 1mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 41.51 1.383666 1.296642 0.648321152 C02CA01 PRAZOSINUM MINIPRESS (R) 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.72 0.190666 0.147666 0.073833153 C02CA01 PRAZOSINUM MINIPRESS (R) 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.00 0.266666 0.266666 0.133333154 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 30 185.16 6.172000 3.255875 1.627937155 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 66.25 6.625000 3.255875 1.627937156 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 30 185.16 6.172000 6.172000 3.086000157 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 66.25 6.625000 6.511750 3.255875158 C04AE02 NICERGOLINUM NICERIUM (R) 10 DRAJ. 10mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ. P-6L 25 14.08 0.563200 0.382874 0.191437159 C04AE02 NICERGOLINUM SINERGOLIN 10 DRAJ. 10mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 9.06 0.453000 0.382874 0.191437160 C04AE02 NICERGOLINUM NICERGOLINA LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 13.42 0.447333 0.382874 0.191437161 C04AE02 NICERGOLINUM GRALIN 10 mg COMPR. FILM. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 13.42 0.447333 0.382874 0.191437

Pagina 4 din 22

Page 47: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

162 C04AE02 NICERGOLINUM NICERIUM (R) 15 CAPS. ELIB. MODIF. 15mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 27.83 0.927666 0.574312 0.287156163 C04AE02 NICERGOLINUM NICERIUM (R) 30 UNO CAPS. ELIB. MODIF. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 51.26 1.708666 1.148624 0.574312164 C04AE02 NICERGOLINUM SERMION COMPR. FILM. 30mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM P-6L 30 48.19 1.606333 1.148624 0.574312165 C04AE02 NICERGOLINUM NICERGOLINA LPH 30 mg COMPR. FILM. 30mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 32.37 1.079000 1.079000 0.539500166 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 32.31 1.077000 1.077000 0.538500167 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 21.54 1.077000 1.077000 0.538500168 C04AE02 NICERGOLINUM GRALIN 30 mg COMPR. FILM. 30mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 32.37 1.079000 1.079000 0.539500169 C04AE02 NICERGOLINUM NICERGOLINA LPH 5 mg COMPR. FILM. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 6.75 0.225000 0.191437 0.095718170 C04AE02 NICERGOLINUM GRALIN 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 6.75 0.225000 0.191437 0.095718171 C04AX07 VINCAMINUM VINCAMINA DRAJ. 10mg BIOFARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ. P-6L 20 6.09 0.304500 0.304500 0.152250172 C04AX07 VINCAMINUM OXYBRAL SR 30 mg CAPS. ELIB. PREL. 30mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL. P-6L 10 9.24 0.924000 0.916125 0.458062173 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (C04AXN1) PICATURI ORALE-SOL. 40mg/ml BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA P-6L 1 24.82 24.820000 24.820000 12.410000

174 C04AXN1 GINKGO BILOBA** GINGIUM 120mg (vezi N06DX02) COMPR. FILM. 120mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 33.65 1.121666 1.121666 0.560833175 C04AXN1 GINKGO BILOBA** BILOBIL INTENS 120 mg (vezi N06DX02) CAPS. 120mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 60 65.02 1.083666 1.083666 0.541833176 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 20 9.57 0.478500 0.398972 0.199486177 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 60 27.44 0.457333 0.398972 0.199486178 C04AXN1 GINKGO BILOBA** FLAVOTAN 40 mg (C04AXN1) COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 13.70 0.456666 0.398972 0.199486179 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (N06DX02) COMPR. FILM. 40mg IPSEN BIOTECH FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 25.15 0.838333 0.398972 0.199486180 C04AXN1 GINKGO BILOBA** GINGIUM 40mg (vezi N06DX02 ) COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 12.45 0.415000 0.398972 0.199486181 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 23.31 0.466200 0.398972 0.199486182 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.31 0.465500 0.398972 0.199486183 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 9.17 0.458500 0.398972 0.199486184 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 26.55 0.442500 0.398972 0.199486185 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 90 36.64 0.407111 0.398972 0.199486186 C04AXN1 GINKGO BILOBA** GINKO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 12.28 0.409333 0.398972 0.199486187 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (vezi C04AXN1) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L 60 45.18 0.753000 0.753000 0.376500188 C04AXN1 GINKGO BILOBA** GINGIUM 80mg (vezi N06DX02) COMPR. FILM. 80mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 23.45 0.781666 0.781666 0.390833189 C05CA53 DIOSMINUM (COMBINATII)** DETRALEX ( R ) COMPR. FILM. 500mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 26.33 0.877666 0.877666 0.438833190 C07AB12 NEBIVOLOLUM NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 54.26 1.937857 0.851848 0.425924191 C07AB12 NEBIVOLOLUM NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 27.30 0.910000 0.851848 0.425924192 C07AB12 NEBIVOLOLUM NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 25.47 0.909642 0.851848 0.425924193 C07AB12 NEBIVOLOLUM NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 27.30 0.910000 0.851848 0.425924194 C07AB12 NEBIVOLOLUM X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF 30 27.01 0.900333 0.851848 0.425924195 C07AB12 NEBIVOLOLUM NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L 30 26.81 0.893666 0.851848 0.425924196 C07AB12 NEBIVOLOLUM NEBLOTENSOL 5 mg COMPR. 5 mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 27.01 0.900333 0.851848 0.425924197 C07AB12 NEBIVOLOLUM NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L 28 22.76 0.812857 0.812857 0.406428198 C07AB12 NEBIVOLOLUM NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24.38 0.812666 0.812666 0.406333199 C07AB12 NEBIVOLOLUM VOXNEBIN 5 mg COMPR. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 13.79 0.492500 0.492500 0.246250200 C07AB12 NEBIVOLOLUM EZOCEM 5 mg COMPR 5mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L 28 25.49 0.910357 0.851848 0.425924201 C07AB12 NEBIVOLOLUM NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS SRL CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 27.18 0.906000 0.851848 0.425924

202 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 10 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 29.40 0.980000 0.927000 0.463500

203 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 2,5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 26.22 0.874000 0.874000 0.437000Pagina 5 din 22

Page 48: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

204 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 29.40 0.980000 0.927000 0.463500

205 C07EBN1

COMBINATII (METOPROLOLUL+FELODIPINUM) LOGIMAX (R) COMPR. ELIB. PREL. 50mg+5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. PVC X 30 COMPR. ELIB. PREL. P-6L 30 44.44 1.481333 1.481333 0.740666

206 C08CA09 LACIDIPINUM LACIPIL 4 mg COMPR. FILM. 4mg GLAXO OPERATIONS UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L 14 12.77 0.912142 0.576900 0.288450207 C08CA13 LERCANIDIPINUM LERIDIP COMPR. FILM. 10mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 63.82 2.279285 0.576900 0.288450208 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 41.48 1.481428 0.576900 0.288450209 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 23.25 0.775000 0.576900 0.288450210 C08CA13 LERCANIDIPINUM LERPIN 10 mg COMPR. FILM. 10mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 41.15 1.469642 0.576900 0.288450211 C08CA13 LERCANIDIPINUM LERPIN 10 mg COMPR. FILM. 10mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-6L 50 70.76 1.415200 0.576900 0.288450212 C08CA13 LERCANIDIPINUM LERPIN 10 mg COMPR. FILM. 10mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 98 COMPR. FILM. P-6L 98 130.99 1.336632 0.576900 0.288450213 C08CA13 LERCANIDIPINUM LERPIN 10 mg COMPR. FILM. 10mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 133.08 1.330800 0.576900 0.288450214 C08CA13 LERCANIDIPINUM LERIDIP 20 COMPR. FILM. 20mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 71.80 2.564285 1.153800 0.576900215 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 49.12 1.754285 1.153800 0.576900216 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 36.31 1.210333 1.153800 0.576900217 C08CA13 LERCANIDIPINUM LERPIN 20 mg COMPR. FILM. 20mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 48.45 1.730357 1.153800 0.576900218 C08CA13 LERCANIDIPINUM LERPIN 20 mg COMPR. FILM. 20mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-6L 50 81.85 1.637000 1.153800 0.576900219 C08CA13 LERCANIDIPINUM LERPIN 20 mg COMPR. FILM. 20mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 98 COMPR. FILM. P-6L 98 151.57 1.546632 1.153800 0.576900220 C08CA13 LERCANIDIPINUM LERPIN 20 mg COMPR. FILM. 20mg TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 154.10 1.541000 1.153800 0.576900221 C09AA04 PERINDOPRILUM PRESTARIUM 10 mg COMPR. FILM. 10 mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 63.45 2.115000 1.001700 0.500850222 C09AA04 PERINDOPRILUM PRENESSA 2 mg COMPR. 2mg KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 13.41 0.447000 0.200340 0.100170223 C09AA04 PERINDOPRILUM COVEREX (R) 4 mg COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 28.95 0.965000 0.400680 0.200340224 C09AA04 PERINDOPRILUM PERINDOPRIL TEVA 4 mg COMPR. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR. P-6L 30 32.88 1.096000 0.400680 0.200340225 C09AA04 PERINDOPRILUM VIDOTIN 4 mg COMPR. 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 33.37 1.112333 0.400680 0.200340226 C09AA04 PERINDOPRILUM PRINDEX 4 mg COMPR. 4mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 32.74 1.091333 0.400680 0.200340227 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 25.81 0.860333 0.400680 0.200340228 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 25.81 0.860333 0.400680 0.200340229 C09AA04 PERINDOPRILUM PRENESSA 4 mg COMPR. 4mg KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 26.81 0.893666 0.400680 0.200340230 C09AA04 PERINDOPRILUM PRINDEX 4 mg COMPR. 4mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 32.74 1.091333 0.400680 0.200340231 C09AA04 PERINDOPRILUM PRESTARIUM 5 mg COMPR. FILM. 5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 41.02 1.367333 0.500850 0.250425232 C09AA04 PERINDOPRILUM PERINDOPRIL TEVA 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR. P-6L 30 53.31 1.777000 0.801360 0.400680233 C09AA04 PERINDOPRILUM VIDOTIN 8 mg COMPR. 8mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 53.32 1.777333 0.801360 0.400680234 C09AA04 PERINDOPRILUM PRENESSA 8 mg COMPR. 8mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 49.33 1.644333 0.801360 0.400680235 C09AA04 PERINDOPRILUM PRINDEX 8 mg COMPR. 8mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 53.87 1.795666 0.801360 0.400680236 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 49.00 1.633333 0.801360 0.400680237 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 49.00 1.633333 0.801360 0.400680238 C09AA04 PERINDOPRILUM PRINDEX 8 mg COMPR. 8mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 53.87 1.795666 0.801360 0.400680239 C09AA07 BENAZEPRILUM CIBACEN (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 43.56 1.555714 0.534239 0.267119240 C09AA07 BENAZEPRILUM CIBACEN (R) 20 mg COMPR. FILM. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 57.17 2.041785 1.068479 0.534239241 C09AA07 BENAZEPRILUM CIBACEN (R) 5 mg COMPR. FILM. 5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 21.74 0.776428 0.267119 0.133559242 C09AA10 TRANDOLAPRILUM GOPTEN (R) 0,5 mg CAPS. 0,5mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 9.69 0.484500 0.100170 0.050085243 C09AA10 TRANDOLAPRILUM FEZZOR 0,5 mg CAPS. 0,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 7.92 0.282857 0.100170 0.050085244 C09AA10 TRANDOLAPRILUM FEZZOR 1 mg CAPS. 1mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 11.37 0.406071 0.200340 0.100170245 C09AA10 TRANDOLAPRILUM GOPTEN (R) 2 mg CAPS. 2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 28.03 1.001071 0.400680 0.200340Pagina 6 din 22

Page 49: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

246 C09AA10 TRANDOLAPRILUM TRANDOLAPRIL GALEX 2 mg CAPS. 2mg GALEX D.D SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L 28 18.21 0.650357 0.400680 0.200340247 C09AA10 TRANDOLAPRILUM FEZZOR 2 mg CAPS. 2mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 18.21 0.650357 0.400680 0.200340248 C09AA10 TRANDOLAPRILUM GOPTEN (R) 4 mg CAPS. 4mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 46.67 1.666785 0.801360 0.400680249 C09AA10 TRANDOLAPRILUM TRANDOLAPRIL GALEX 4 mg CAPS. 4mg GALEX D.D SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L 28 31.34 1.119285 0.801360 0.400680250 C09AA10 TRANDOLAPRILUM FEZZOR 4 mg CAPS. 4mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 31.34 1.119285 0.801360 0.400680251 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 44.36 1.584285 0.400680 0.200340252 C09AA15 ZOFENOPRILUM ZOMEN (R) 7,5 mg COMPR. FILM. 7,5mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 19.65 0.701785 0.100170 0.050085

253 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLITERAX 10 mg/2,5mg COMPR. FILM. 10mg/2,5mg LES LAB. SERVIER FRANTA CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM. P-6L 30 75.58 2.519333 0.795149 0.397574

254 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG 2,5mg/0,625mg COMPR. FILM. 2,5mg/0,625mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 57.04 1.901333 0.795149 0.397574

255 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 2mg/0,625 mg COMPR. 2mg/0,625mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 16.15 0.538333 0.538333 0.269166

256 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 4mg/1,25 mg COMPR. 4mg/1,25mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 29.35 0.978333 0.795149 0.397574

257 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG FORTE 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 61.48 2.049333 0.795149 0.397574

258 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRESTARIUM ARG PLUS 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 61.48 2.049333 0.795149 0.397574

259 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE COMPR. FILM. 10mg/12,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 21.62 0.720666 0.720666 0.360333

260 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE FORTE COMPR. FILM. 20mg/12,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 31.49 1.049666 0.795149 0.397574

261 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) EDOLFIX H 20mg/12,5mg COMPR. FILM. 20mg/12,5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.43 1.047666 0.795149 0.397574

262 C09BB02

COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 20mg+10mg GALENICA S.A. GRECIA CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 30 96.30 3.210000 3.210000 1.605000

263 C09BB10

COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA COMPR.FILM.ELIB.MODIF. 180mg/2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL. P-6L 28 52.71 1.882500 1.882500 0.941250

264 C09CA03 VALSARTANUM DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 116.32 4.154285 2.144397 1.072198265 C09CA03 VALSARTANUM DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 71.74 2.562142 0.536099 0.268049266 C09CA03 VALSARTANUM DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 91.67 3.273928 1.072198 0.536099267 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 79.54 2.840714 1.072198 0.536099268 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 107.50 3.839285 2.144397 1.072198269 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 66.58 2.377857 2.144397 1.072198270 C09CA06 CANDESARTANUM CILEXETIL ATACAND 32 mg COMPR. 32mg ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L 28 117.13 4.183214 4.183214 2.091607271 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 55.96 1.998571 1.072198 0.536099272 C09CA07 TELMISARTANUM MICARDIS 40 mg COMPR. 40mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L 28 60.55 2.162500 1.072198 0.536099

Pagina 7 din 22

Page 50: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

273 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 63.96 2.284285 1.072198 0.536099274 C09CA07 TELMISARTANUM TOLURA 40 mg COMPR. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L 28 39.37 1.406071 1.072198 0.536099275 C09CA07 TELMISARTANUM TEZEO 40 mg COMPR. 40mg ZENTIVA, K.S. REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 42.17 1.405666 1.072198 0.536099276 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 77.24 2.758571 2.144397 1.072198277 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 77.24 2.758571 2.144397 1.072198278 C09CA07 TELMISARTANUM TOLURA 80 mg COMPR. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L 28 52.86 1.887857 1.887857 0.943928279 C09CA07 TELMISARTANUM TEZEO 80 mg COMPR. 80mg ZENTIVA, K.S. REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 56.63 1.887666 1.887666 0.943833

280 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) HYZAAR (R) 50 mg/12,5 mg COMPR. FILM. 50mg+12,5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 79.27 2.831071 2.499026 1.249513

281 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) LOSARTAN HCT FARMAL 50mg/12,5mg COMPR. FILM. 50mg/12,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM. P-6L 28 29.98 1.070714 1.070714 0.535357

282 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) LORISTA H COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 21.02 0.750714 0.750714 0.375357

283 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. 150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 82.99 2.963928 2.499026 1.249513

284 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. 300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 112.04 4.001428 2.499026 1.249513

285 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 112.10 4.003571 2.499026 1.249513

286 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/12,5mg COMPR. 80/12,5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 77.24 2.758571 2.499026 1.249513

287 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/25mg COMPR. 80/25mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL) P-6L 28 104.61 3.736071 2.499026 1.249513

288 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS 80mg/12,5mg COMPR. 80mg/12,5mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE) P-6L 28 79.39 2.835357 2.499026 1.249513

289 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS 80mg/25mg COMPR. 80mg/25mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA) P-6L 28 104.61 3.736071 2.499026 1.249513

290 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 252.15 4.502678 4.152187 2.076093

291 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 28 128.36 4.584285 4.152187 2.076093

292 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 252.15 4.502678 4.152187 2.076093

293 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 28 128.36 4.584285 4.152187 2.076093

Pagina 8 din 22

Page 51: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

294 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 56 214.30 3.826785 3.826785 1.913392

295 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/PVDC ) P-6L 28 112.99 4.035357 4.035357 2.017678

296 C10AA04 FLUVASTATINUM LESCOL 20 mg CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 15.95 0.569642 0.481499 0.240749297 C10AA04 FLUVASTATINUM LUVINSTA 20 mg CAPS. 20mg ACTAVIS GROUP EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. P-6L 30 11.09 0.369666 0.369666 0.184833298 C10AA04 FLUVASTATINUM LESCOL 40 mg CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 29.03 1.036785 0.962999 0.481499299 C10AA04 FLUVASTATINUM LUVINSTA 40 mg CAPS. 40mg ACTAVIS GROUP EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. P-6L 30 20.20 0.673333 0.673333 0.336666300 C10AA04 FLUVASTATINUM LESCOL XL 80 mg COMPR. ELIB. PREL. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL. P-6L 28 46.14 1.647857 1.647857 0.823928301 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 79.02 2.634000 0.722250 0.361125302 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 122.15 4.071666 1.444500 0.722250303 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 54.71 3.907857 2.889000 1.444500304 C10AA05 ATORVASTATINUM SORTIS 80 mg COMPR. FILM. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 85.72 6.122857 5.778001 2.889000305 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 104.78 3.742142 1.444500 0.722250306 C10AA07 ROSUVASTATINUM ROSUCARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 63.27 2.109000 1.444500 0.722250307 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 72.97 2.432333 1.444500 0.722250308 C10AA07 ROSUVASTATINUM ROXARDIO 10 mg COMPR. FILM. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 69.33 2.476071 1.444500 0.722250309 C10AA07 ROSUVASTATINUM ROSTAT 10 mg COMPR. FILM. 10mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 72.97 2.432333 1.444500 0.722250310 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 149.02 5.322142 2.889000 1.444500311 C10AA07 ROSUVASTATINUM ROSUCARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 99.34 3.311333 2.889000 1.444500312 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 109.45 3.648333 2.889000 1.444500313 C10AA07 ROSUVASTATINUM ROXARDIO 20 mg COMPR. FILM. 20mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 102.15 3.648214 2.889000 1.444500314 C10AA07 ROSUVASTATINUM ROSTAT 20 mg COMPR. FILM. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 109.45 3.648333 2.889000 1.444500315 C10AA07 ROSUVASTATINUM ROSUCARD 40 mg COMPR. FILM. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 109.45 3.648333 3.648333 1.824166316 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 40 mg COMPR. FILM. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 109.45 3.648333 3.648333 1.824166317 C10AA07 ROSUVASTATINUM ROSTAT 40 mg COMPR. FILM. 40mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 109.45 3.648333 3.648333 1.824166318 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 91.16 3.255714 0.722250 0.361125319 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 5 mg COMPR. FILM. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 64.62 2.154000 0.722250 0.361125320 C10AA07 ROSUVASTATINUM ROXARDIO 5 mg COMPR. FILM. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 62.39 2.228214 0.722250 0.361125321 C10AA07 ROSUVASTATINUM ROSTAT 5 mg COMPR. FILM. 5mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 64.62 2.154000 0.722250 0.361125322 C10AB02 BEZAFIBRATUM REGADRIN (R) B DRAJ. 200mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 28.47 0.569400 0.524636 0.262318323 C10AB08 CIPROFIBRATUM LIPANOR (R) 100 mg CAPS. 100mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. X 10 CAPS. P-6L 30 25.61 0.853666 0.853666 0.426833324 C10AX06 ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R) CAPS. MOI 1000mg PRONOVA BIOPHARMA NORGE A.S. NORVEGIA FALC. DIN PEID X 28 CAPS. MOI P-RF 28 99.79 3.563928 3.563928 1.781964325 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 14 95.22 6.801428 6.537320 3.268660326 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 28 180.58 6.449285 6.449285 3.224642327 C10BX03 COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 10mg/10mg COMPR. FILM. 10mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 81.26 2.708666 2.456416 1.228208328 C10BX03 COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 5mg/10mg COMPR. FILM. 5mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 71.17 2.372333 2.372333 1.186166329 D01AA02 NATAMYCINUM PIMAFUCIN CREMA 20mg/g ASTELLAS EUROPE B.V. OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 12.45 12.450000 12.450000 6.225000330 D01BA02 TERBINAFINUM EXIFINE 125 mg COMPR. 125mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 51.47 1.838214 0.534053 0.267026331 D01BA02 TERBINAFINUM EXIFINE 125 mg COMPR. 125mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 26.96 1.925714 0.534053 0.267026332 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 87.69 6.263571 1.068106 0.534053333 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 234.40 7.813333 1.068106 0.534053334 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF 28 107.19 3.828214 1.068106 0.534053335 D01BA02 TERBINAFINUM EXIFINE 250 mg COMPR. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 33.24 1.187142 1.068106 0.534053Pagina 9 din 22

Page 52: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

336 D01BA02 TERBINAFINUM EXIFINE 250 mg COMPR. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 16.61 1.186428 1.068106 0.534053337 D01BA02 TERBINAFINUM TERBINAFINE 250 mg COMPR. 250mg ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 29.66 1.059285 1.059285 0.529642338 D01BA02 TERBINAFINUM TERBINAFINA SLAVIA 250mg COMPR. 250mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR. P-RF 14 18.17 1.297857 1.068106 0.534053339 D01BA02 TERBINAFINUM TERBISIL (R) 250 mg COMPR. 250mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. X 14 COMPR. P-RF 28 108.52 3.875714 1.068106 0.534053340 D01BA02 TERBINAFINUM TERBINAFINA BIOGALENICA 250 mg COMPR. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-RF 28 31.93 1.140357 1.068106 0.534053341 D05AX02 CALCIPOTRIOLUM* DAIVONEX SOLUTIE CUTANATA PENTRU SCALP SOL. CUT. 50mcg/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUTANATA PENTRU SCALP P-6L 1 47.54 47.540000 39.855000 19.927500

342 D05AX02 CALCIPOTRIOLUM* DAIVONEX UNGUENT UNGUENT 50mcg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-6L 1 36.56 36.560000 36.560000 18.280000

343 D05AX02 CALCIPOTRIOLUM* DAIVONEX CREMA 50mcg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA P-6L 1 43.15 43.150000 39.855000 19.927500

344 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET (R) UNGUENT UNGUENT FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 62.11 62.110000 62.110000 31.055000

345 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* XAMIOL 50 micrograme/ 0,5 mg/g GEL 0,5 mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE CU 1 FLAC. PEID X 15 G GEL P-RF 1 81.53 81.530000 66.965000 33.482500

346 D05BB02 ACITRETINUM** NEOTIGASON 10 mg CAPS. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 30 74.57 2.485666 2.485666 1.242833347 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 15.15 15.150000 15.150000 7.575000348 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 15.15 15.150000 15.150000 7.575000349 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA BORCAN X 500 G CREMA X 1 169.44 169.440000 169.440000 84.720000

350 D06BB04 PODOPHYLLOTOXINUM* CONDYLINE SOL. CUT. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE P-RF 1 75.78 75.780000 63.753750 31.876875

351 D06BB04 PODOPHYLLOTOXINUM* WARTEC 1,5 mg/g CREMA 1,5 mg/g STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB X 5 G CREMA P-RF 1 85.35 85.350000 85.350000 42.675000

352 D06BB10 IMIQUIMODUM* ALDARA 5% CREMA 5% MEDA AB SUEDIA CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA P-RF 12 264.82 22.068333 22.068333 11.034166

353 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) SOL. CUT. 0,1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF 1 11.20 11.200000 11.200000 5.600000354 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) crema 0,1% CREMA 0,1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 12.90 12.900000 12.377500 6.188750355 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) LIPOCREAM 0,1% CREMA 0,1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 13.36 13.360000 12.377500 6.188750356 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID CRELO (R) 0,1% EMULSIE CUT. 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON X 30 G P-RF 1 12.77 12.770000 12.377500 6.188750357 D07AC13 MOMETASONUM ELOCOM CREMA 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 15.65 15.650000 14.852500 7.426250358 D07AC13 MOMETASONUM ELOCOM UNGUENT 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 15.65 15.650000 14.852500 7.426250359 D07AC13 MOMETASONUM ELOCOM SOL. CUT. 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA P-RF 1 18.74 18.740000 18.740000 9.370000360 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN (R) MILK EMULSIE CUT. 0,1% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 20 G P-RF 1 19.57 19.570000 17.653333 8.826666361 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 13.24 13.240000 13.240000 6.620000362 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 13.24 13.240000 13.240000 6.620000363 D07AC17 FLUTICASONUM PROPIONAT CUTIVATE UNGUENT 0,005% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.28 10.280000 10.280000 5.140000364 D07AC17 FLUTICASONUM PROPIONAT CUTIVATE CREMA 0,05% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 10.28 10.280000 10.280000 5.140000365 D07AD01 CLOBETASOLUM* DERMOVATE (R) SOL. CUT. 0,05% GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF 1 5.19 5.190000 5.190000 2.595000366 D07AD01 CLOBETASOLUM* DERMOVATE UNGUENT 0,05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.88 8.880000 6.858000 3.429000367 D07AD01 CLOBETASOLUM* DERMIONE UNGUENT 0,05% OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 20 G P-RF 1 5.76 5.760000 5.486400 2.743200368 D07AD01 CLOBETASOLUM* CLOBETASOL MK UNGUENT 0,05% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 8.18 8.180000 5.486400 2.743200369 D07AD01 CLOBETASOLUM* DERMOVATE CREMA 0,05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 12.05 12.050000 6.858000 3.429000370 D07AD01 CLOBETASOLUM* DERMOVATE 0,5 mg/g CREMA 0,5mg/g GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE CU 1 TUB AL X 25 G CREMA P-RF 1 12.05 12.050000 6.858000 3.429000371 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 21.68 21.680000 21.680000 10.840000

372 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 23.77 23.770000 21.880000 10.940000

373 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT 1mg+5mg/gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 20.57 20.570000 19.815000 9.907500374 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT 1mg+5mg/gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 45 G P-RF 1 58.69 58.690000 58.690000 29.345000

375 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM) ISOTREXIN GEL GEL 0,05%/0,2% STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 30 G GEL P-RF 1 36.13 36.130000 36.130000 18.065000

376 D10AX03 ACIDUM AZELAICUM SKINOREN (R) 15% GEL 15% INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 30 G GEL P-RF 1 44.36 44.360000 36.597500 18.298750

377 D10AX03 ACIDUM AZELAICUM SKINOREN CREMA 200mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 34.01 34.010000 34.010000 17.005000

378 D10BA01 ISOTRETINOINUM** ROACCUTANE 10 mg CAPS. MOI 10mg ROCHE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF 30 53.17 1.772333 1.084499 0.542249379 D10BA01 ISOTRETINOINUM** SOTRET 10 mg CAPS. MOI 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 33.01 1.100333 1.084499 0.542249380 D10BA01 ISOTRETINOINUM** SOTRET 20 mg CAPS. MOI 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 64.12 2.137333 2.137333 1.068666

Pagina 10 din 22

Page 53: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

381 G01AA02 NATAMYCINUM PIMAFUCIN (R) OVULE 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FOLIE X 3 OVULE P-RF 3 11.06 3.686666 3.686666 1.843333382 G01AA51 COMBINATII MACMIROR COMPLEX CREMA VAG. 10g/400000UI POLICHEM SA LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR P-RF 1 35.38 35.380000 35.380000 17.690000

383 G01AA51 COMBINATII MACMIROR COMPLEX CAPS. MOI VAG. 500mg/200000UI POLICHEM SA LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF 12 38.02 3.168333 1.837950 0.918975384 G01AA51 COMBINATII POLYGYNAX CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF 6 17.43 2.905000 1.837950 0.918975385 G01AF12 FENTICONAZOLUM LOMEXIN 600 mg CAPS. MOI VAG. 600mg RECORDATI SPA ITALIA CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE P-RF 1 20.05 20.050000 8.545672 4.272836386 G01AF15 BUTOCONAZOLUM GYNOFORT 2% CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG. P-RF 1 40.19 40.190000 1.424278 0.712139387 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON® CREMA FARA CONCENTRATIE ALFA WASSERMANN SPA ITALIA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.61 9.610000 9.610000 4.805000388 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON SOL. VAGINALA FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE P-RF 5 21.93 4.386000 0.848250 0.424125389 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON OVULE FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 2 FOLII PVC-PE X 5 OVULE P-RF 10 11.14 1.114000 0.848250 0.424125390 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLODIN COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG. P-RF 10 14.98 1.498000 0.848250 0.424125391 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON CREMA VAG. FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA P-RF 1 12.84 12.840000 12.840000 6.420000392 G01AX05 NIFURATELUM MACMIROR DRAJ. 200mg POLICHEM SA LUXEMBURG CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 19.52 0.976000 0.976000 0.488000393 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 43.48 21.740000 8.242750 4.121375394 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 123.44 15.430000 8.242750 4.121375395 G03AC03 LEVONORGESTRELUM***# MIRENA 20 mcg/24 h DISPOZITIV INTRAUTERIN 52mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR P-RF 1 512.49 512.490000 512.490000 256.245000

396 G03CA04 ESTRIOLUM* OVESTIN OVULE 0,5mg ORGANON NV OLANDA CUTIE X 3 FOLII X 5 OVULE P-RF 15 20.57 1.371333 1.036124 0.518062397 G03CA04 ESTRIOLUM* OVESTIN CREMA VAG. 0.1% ORGANON NV OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR P-RF 1 14.73 14.730000 14.730000 7.365000398 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CAPS. MOI VAG. 10mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF 10 12.05 1.205000 0.414449 0.207224399 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CREMA VAG. 1% LAB. THERAMEX MONACO CUTIE X 1 TUB X 15 G P-RF 1 13.82 13.820000 6.216748 3.108374400 G03DA04 PROGESTERONUM* UTROGESTAN (R) 100 mg CAPS. MOI 100mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI P-6L 30 29.92 0.997333 0.643124 0.321562401 G03DA04 PROGESTERONUM* AREFAM 100 mg CAPS. MOI 100mg LADEE PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L 30 19.45 0.648333 0.643124 0.321562402 G03DA04 PROGESTERONUM* UTROGESTAN (R) 200 mg CAPS. MOI 200mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI P-6L 14 29.92 2.137142 1.286249 0.643124403 G03DA04 PROGESTERONUM* AREFAM 200 mg CAPS. MOI 200mg LADEE PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI P-6L 30 37.65 1.255000 1.255000 0.627500404 G03DA04 PROGESTERONUM* MASTOPROFEN 1% GEL 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB DIN AL X 40 G P-6L 1 5.82 5.820000 5.820000 2.910000405 G03DA04 PROGESTERONUM* PROGESTOGEL GEL 1% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L 1 17.95 17.950000 7.967250 3.983625406 G03DB01 DYDROGESTERONUM* DUPHASTON (R) COMPR. FILM. 10mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 14.35 0.717500 0.717500 0.358750407 G03DC03 LYNESTRENOLUM* ORGAMETRIL COMPR. 5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 9.11 0.303666 0.303666 0.151833408 G03DC05 TIBOLONUM** LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 72.65 2.594642 2.341725 1.170862409 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 28 71.02 2.536428 2.341725 1.170862410 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 84 180.35 2.147023 2.147023 1.073511411 G03FA14 COMBINATII** FEMOSTON (R) conti 1/5 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 28 COMPR. FILM. P-RF 28 31.57 1.127500 1.127500 0.563750412 G03FA15 ESTRADIOLUMVALERAT+DIENOGEST** KLIMODIEN DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. P-RF 28 34.12 1.218571 1.173035 0.586517413 G03FA17 COMBINATII** ANGELIQ COMPR. FILM. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P-RF 28 68.22 2.436428 1.173035 0.586517414 G03FB01 COMBINATII** CYCLO PROGINOVA (R) DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF 21 8.06 0.383809 0.383809 0.191904415 G03FB08 COMBINATII** FEMOSTON 2/10 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL P-RF 28 31.57 1.127500 0.512758 0.256379416 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 150 UI PULB. + SOLV. PT. SOL. INJ. 150UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FIOLA DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.+ 1 FIOLA X 1 ML SOLV. P-RF/R 1 184.95 184.950000 184.950000 92.475000

417 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 300UI/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM. P-RF/R 1 526.69 526.690000 431.553000 215.776500

418 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 450UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA P-RF/R 1 754.65 754.650000 647.329500 323.664750

419 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 900UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA P-RF/R 1 1,438.51 1438.510000 1294.659000 647.329500

420 G03GA06 FOLLITROPINUM BETA****# PUREGON 100UI/0,5ml SOL. INJ. 100UI/0,5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ. P-RF 1 200.41 200.410000 143.850964 71.925482

421 G03GA06 FOLLITROPINUM BETA****# PUREGON 300UI/0,36 ml SOL. INJ. 300UI/0,36ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS + 6 ACE P-RF 1 516.27 516.270000 431.380378 215.690189

422 G03GA06 FOLLITROPINUM BETA****# PUREGON 50UI/0,5ml SOL. INJ. 50UI/0,5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA INCOLORA X 0,5 ML SOL. INJ. P-RF 1 106.10 106.100000 71.925428 35.962714

423 G03GA06 FOLLITROPINUM BETA****# PUREGON 600UI/0,72 ml SOL. INJ. 600UI/0,72ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOL. INJ + 6 ACE P-RF/R 1 961.69 961.690000 862.760757 431.380378

424 G03GA06 FOLLITROPINUM BETA****# PUREGON 900UI/1,08 ml SOL. INJ. 900UI/1,08ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE P-RF 1 1,407.68 1407.680000 1294.141136 647.070568

425 G03GA07 LUTROPINUM ALFA****# LUVERIS 75UI PULB+SOLV.PT.SOL.INJ 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ.+ 10 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R 10 2,086.02 208.602000 159.746400 79.873200Pagina 11 din 22

Page 54: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

426 G03GA07 LUTROPINUM ALFA****# LUVERIS 75UI PULB+SOLV.PT.SOL.INJ 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R 1 146.39 146.390000 146.390000 73.195000

427 G03GA07 LUTROPINUM ALFA****# LUVERIS 75UI PULB+SOLV.PT.SOL.INJ 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 3 FLAC. CU PULB. PT. SOL. INJ.+ 3 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R 3 742.57 247.523333 159.746400 79.873200

428 G03GB02 CLOMIFENUM CLOSTILBEGYT COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF 10 14.28 1.428000 1.350000 0.675000429 G03GB02 CLOMIFENUM OVA - MIT COMPR. 50mg REMEDICA LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 13.24 1.324000 1.324000 0.662000430 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 124.68 4.452857 4.452857 2.226428431 G04BD04 OXYBUTYNINUM DRIPTANE ( R ) 5 mg COMPR. 5mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. P-6L 60 26.56 0.442666 0.442666 0.221333432 G04BD07 TOLTERODINUM**# UROFLOW 1 COMPR. FILM. 1mg ZENTIVA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 27.24 0.972857 0.702630 0.351315433 G04BD07 TOLTERODINUM**# TOLTERODINA ACCORD 1 mg COMPR. FILM. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 14 12.50 0.892857 0.702630 0.351315434 G04BD07 TOLTERODINUM**# TOLTERODINA ACCORD 1 mg COMPR. FILM. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 24.98 0.892142 0.702630 0.351315435 G04BD07 TOLTERODINUM**# UROFLOW 2 COMPR. FILM. 2mg ZENTIVA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 52.73 1.883214 1.405260 0.702630436 G04BD07 TOLTERODINUM**# TOLTERODINA ACCORD 2 mg COMPR. FILM. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 14 24.98 1.784285 1.405260 0.702630437 G04BD07 TOLTERODINUM**# TOLTERODINA ACCORD 2 mg COMPR. FILM. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 48.36 1.727142 1.405260 0.702630438 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L 28 174.18 6.220714 2.810520 1.405260439 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 7 CAPS. ELIB. PREL. P-6L 7 48.36 6.908571 2.810520 1.405260440 G04BD08 SOLIFENACINUM SUCCINATE**# VESICARE 10 mg COMPR. FILM. 10mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 226.58 7.552666 5.621040 2.810520441 G04BD08 SOLIFENACINUM SUCCINATE**# VESICARE 5 mg COMPR. FILM. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 182.91 6.097000 2.810520 1.405260442 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 28.89 1.444500 1.053945 0.526972443 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 58.56 1.171200 1.053945 0.526972444 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 38.02 1.267333 1.053945 0.526972445 G04BD09 TROSPIUM SPASMOLYT 20 mg DRAJ. 20mg MADAUS GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 29.68 0.989333 0.989333 0.494666446 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 92.69 1.853800 1.853800 0.926900447 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 63.37 2.112333 2.107890 1.053945448 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 46.84 2.342000 2.107890 1.053945449 G04CA01 ALFUZOSINUM ALFURAN MR 10 mg COMPR. ELIB. PREL. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL. P-6L 30 35.97 1.199000 1.199000 0.599500450 G04CA01 ALFUZOSINUM XATRAL SR 10 mg COMPR. ELIB. PREL. 10mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L 30 58.74 1.958000 1.958000 0.979000451 G04CA01 ALFUZOSINUM XATRAL LP 5 mg COMPR. FILM. ELIB. PREL. 5mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL. P-6L 28 33.67 1.202500 1.202500 0.601250452 G04CA02 TAMSULOSINUM OMNIC TOCAS (R) 0,4 COMPR. FILM. ELIB. PREL. 0,4mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 63.84 2.128000 1.994548 0.997274453 G04CA02 TAMSULOSINUM TAMSOL 0,4 mg CAPS. ELIB. MODIF. 0,4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-6L 30 36.25 1.208333 1.208333 0.604166454 G04CA02 TAMSULOSINUM FOKUSIN CAPS. ELIB. MODIF. 0,4mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 34.79 1.159666 1.159666 0.579833455 G04CA02 TAMSULOSINUM CONTIFLO MR CAPS. ELIB. PREL. 0,4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 26.86 0.895333 0.895333 0.447666456 G04CA02 TAMSULOSINUM TANYZ CAPS. ELIB. PREL. 0,4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 30.45 1.015000 1.015000 0.507500457 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 14 33.19 2.370714 1.171791 0.585895458 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 28 64.21 2.293214 1.171791 0.585895459 G04CB01 FINASTERIDUM* TAREDOX 5 mg COMPR. FILM. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 32.83 1.172500 1.171791 0.585895460 G04CB01 FINASTERIDUM* FINASTERIDA BIOGALENICA 5 mg COMPR. FILM. 5mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 32.83 1.172500 1.171791 0.585895461 G04CB01 FINASTERIDUM* FINASTERIDE TEVA 5mg COMPR. FILM. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 35.09 1.169666 1.169666 0.584833462 G04CB01 FINASTERIDUM* FINANORM 5 mg COMPR. FILM. 5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 35.18 1.172666 1.171791 0.585895463 G04CB01 FINASTERIDUM* FINANORM 5 mg COMPR. FILM. 5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L/S 100 111.35 1.113500 1.113500 0.556750464 G04CB02 DUTASTERIDUM* AVODART 0,5 mg CAPS. MOI 0,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L 30 95.39 3.179666 1.171791 0.585895465 H01AA02 TETRACOSACTIDUM SYNACHTEN DEPOT SUSP. INJ. 1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF 1 5.75 5.750000 5.750000 2.875000466 H01AC01 SOMATROPINUM***# NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 989.06 989.060000 983.370000 491.685000

467 H01AC01 SOMATROPINUM***# OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 764.10 764.100000 764.100000 382.050000

468 H01AC01 SOMATROPINUM***# NORDITROPIN FLEXPRO 10 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 10mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 1,722.75 1722.750000 983.370000 491.685000

469 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF 1 1,317.79 1317.790000 983.370000 491.685000

470 H01AC01 SOMATROPINUM***# ZOMACTON LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) FERING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF 1 465.54 465.540000 393.348000 196.674000Pagina 12 din 22

Page 55: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

471 H01AC01 SOMATROPINUM***# GENOTROPIN (R) 16 ui (5,3 mg) PULB. + SOLV. PT. SOL. INJ. 5,3mg/ml (16ui) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF 1 554.49 554.490000 524.464000 262.232000

472 H01AC01 SOMATROPINUM***# OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 483.15 483.150000 483.150000 241.575000

473 H01AC01 SOMATROPINUM***# NORDITROPIN FLEXPRO 5 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 5mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 896.80 896.800000 491.685000 245.842500

474 H01CC01 GANIRELIXUM***# ORGALUTRAN 0.25mg/0,5ml SOL. INJ. 0,25mg/0,5ml N. V. ORGANON OLANDA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT P-RF/R 1 176.47 176.470000 85.838946 42.919473

475 H01CC02 CETRORELIXUM***# CETROTIDE 0,25 mg PULB+SOLV. PT. SOL. INJ. 0,25mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII P-RF 7 843.33 120.475714 85.838946 42.919473

476 H01CC02 CETRORELIXUM***# CETROTIDE 3 mg PULB+SOLV.PT.SOL.INJ. 3mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 1 FLAC.PULB. + 1 SERINGA PRE-UMPLUTA X 3 ML SOLV. + 1 AC PT. INJECTII P-RF 1 843.33 843.330000 843.330000 421.665000

477 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 47.66 0.953200 0.953200 0.476600478 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.46 6.892000 6.892000 3.446000479 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95.39 31.796666 31.796666 15.898333

480 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35.62 11.873333 6.964049 3.482024481 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 16.83 0.168300 0.113422 0.056711482 H03BB02 THIAMAZOLUM THYROZOL (R) 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 20.96 0.419200 0.340267 0.170133483 H03BB02 THIAMAZOLUM THYROZOL (R) 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 25.47 0.509400 0.509400 0.254700484 H03BB02 THIAMAZOLUM THYROZOL (R) 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 30.79 0.307900 0.170133 0.085066485 H05BA01 CALCITONINUM (SOMON) NYLEX 100 UI/doza SPRAY NAZ.,SOL. 100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL. P-RF 1 48.24 48.240000 38.730000 19.365000

486 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SPRAY NAZAL - SOL. 200UI/doza PROEL E.P. CORONIS SA GRECIA CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML P-RF 1 71.12 71.120000 71.120000 35.560000

487 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 32.28 6.456000 6.456000 3.228000488 H05BA01 CALCITONINUM (SOMON) TONOCALCIN 100 UI SOL. INJ. 100UI ALFA WASSERMANN SPA ITALIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 67.76 13.552000 9.003600 4.501800489 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.39 6.878000 4.501800 2.250900490 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF 1 25.19 25.190000 15.487785 7.743892491 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S 50 727.41 14.548200 14.548200 7.274100492 J01CR04 SULTAMICILLINUM UNASYN PULB. PT. SUSP. ORALA 250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA P-RF 1 24.35 24.350000 22.637498 11.318749

493 J01CR04 SULTAMICILLINUM UNASYN COMPR. FILM. 375mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF 12 33.10 2.758333 2.758333 1.379166494 J01DD14 CEFTIBUTENUM CEDAX PULB. PT. SUSP. ORALA 36mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC P-RF 1 43.60 43.600000 43.600000 21.800000

495 J01DD14 CEFTIBUTENUM CEDAX CAPS. 400mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 BLIST. X 1 CAPS. P-RF 5 70.33 14.066000 14.066000 7.033000496 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1,5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 9.83 0.614375 0.614375 0.307187497 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 10 27.81 2.781000 1.394569 0.697284498 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 22.40 22.400000 15.127996 7.563998499 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 25.30 4.216666 1.743210 0.871605500 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 25.12 25.120000 22.692000 11.346000

501 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 48.48 48.480000 45.384000 22.692000

502 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 60.21 60.210000 56.730000 28.365000

503 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 34.28 34.280000 30.255992 15.127996

504 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 16.33 16.330000 16.330000 8.165000505 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 48.70 8.116666 3.486426 1.743213506 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 25.45 4.241666 3.486426 1.743213507 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 37.90 6.316666 3.486426 1.743213508 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 44.36 7.393333 3.486426 1.743213509 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 44.36 7.393333 3.486426 1.743213510 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 63.37 63.370000 27.891417 13.945708

511 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 38.08 12.693333 6.972852 3.486426512 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 25.58 8.526666 6.972852 3.486426513 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 48.70 16.233333 6.972852 3.486426514 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 25.59 8.530000 6.972852 3.486426515 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 25.59 8.530000 6.972852 3.486426

Pagina 13 din 22

Page 56: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

516 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 37.07 12.356666 6.972852 3.486426517 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 37.07 12.356666 6.972852 3.486426518 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 25.59 8.530000 6.972852 3.486426519 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 44.51 14.836666 8.367426 4.183713520 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 44.51 14.836666 8.367426 4.183713521 J01FF01 CLINDAMYCINUM DALACIN C 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 12.11 0.756875 0.734609 0.367304522 J01FF01 CLINDAMYCINUM DALACIN C 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 23.27 1.454375 1.454375 0.727187523 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 300 mg COMPR. FILM. 300mg MIP PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF 16 23.25 1.453125 1.453125 0.726562524 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 300 mg COMPR. FILM. 300mg MIP PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF 30 53.87 1.795666 1.469218 0.734609525 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF 16 52.04 3.252500 2.938437 1.469218526 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF 30 95.63 3.187666 2.938437 1.469218527 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 31.43 4.490000 2.077650 1.038825528 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 33.77 4.824285 4.155300 2.077650529 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 51.97 7.424285 4.155300 2.077650530 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 51.97 7.424285 4.155300 2.077650531 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 83.21 16.642000 4.155300 2.077650532 J02AC02 ITRACONAZOLUM* ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 76.74 5.116000 5.116000 2.558000533 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52.44 3.496000 3.496000 1.748000534 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 124.00 8.266666 8.266666 4.133333535 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52.44 3.496000 3.496000 1.748000536 J02AC02 ITRACONAZOLUM* OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 52.44 3.496000 3.496000 1.748000537 J02AC02 ITRACONAZOLUM* SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 52.44 3.496000 3.496000 1.748000538 J02AC02 ITRACONAZOLUM* ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 52.44 3.496000 3.496000 1.748000539 J02AC02 ITRACONAZOLUM* MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 52.43 3.495333 3.495333 1.747666540 J05AB11 VALACYCLOVIRUM* VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 100.40 10.040000 4.009483 2.004741541 J05AB15 BRIVUDINUM*# BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 331.80 47.400000 47.400000 23.700000

542 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 26.07 0.521400 0.521400 0.260700543 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA S/P-RF 1 992.77 992.770000 992.770000 496.385000

544 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB S/P-RF 1 428.87 428.870000 388.424250 194.212125

545 L02AE03 GOSERELINUM***# ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 435.66 435.660000 401.409993 200.704996

546 L02AE04 TRIPTORELINUM***# DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0,1mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 134.30 19.185714 10.357971 5.178985547 L02AE04 TRIPTORELINUM***# GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 7 232.43 33.204285 10.357971 5.178985548 L02AE04 TRIPTORELINUM***# GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 825.44 29.480000 10.357971 5.178985549 L02AE04 TRIPTORELINUM***# DIPHERELINE (R) 11,25 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11,25mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 1,182.19 1182.190000 1165.272764 582.636381

550 L02AE04 TRIPTORELINUM***# DIPHERELINE (R) 3,75 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3,75mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 439.72 439.720000 388.424250 194.212125

551 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 80.72 0.807200 0.807200 0.403600552 M01AC01 PIROXICAMUM PIROXSAL 20 mg COMPR. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR. P-6L 20 2.63 0.131500 0.131500 0.065750553 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 30 28.95 0.965000 0.900000 0.450000554 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 10 17.55 1.755000 0.900000 0.450000555 M01AC01 PIROXICAMUM FLAMEXIN (R) PULB. PT. SOL. ORALA 20mg/plic CHIESI FARMACEUTICI SPA ITALIA CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA P-6L 20 27.30 1.365000 0.900000 0.450000556 M01AC01 PIROXICAMUM PIROXICAM LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.13 0.156500 0.156500 0.078250557 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 10 20.75 2.075000 0.900000 0.450000558 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 20 39.28 1.964000 0.900000 0.450000559 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 30 48.30 1.610000 0.900000 0.450000560 M01AC01 PIROXICAMUM PIROXICAM 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.44 0.222000 0.222000 0.111000

Pagina 14 din 22

Page 57: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

561 M01AC01 PIROXICAMUM N - PIROXICAM MEDUMAN 20 mg COMPR. 20mg MEDUMAN S.A. ROMANIA CUTIE X 1 FLAC. DIN PEJD X 20 COMPR. P-6L 20 2.37 0.118500 0.118500 0.059250562 M01AC01 PIROXICAMUM PIROXICAM ARENA 20 MG COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.47 0.123500 0.123500 0.061750563 M01AC01 PIROXICAMUM FELDENE (R) 20 mg/ml SOL. INJ. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF 6 9.52 1.586666 1.586666 0.793333564 M01AC01 PIROXICAMUM HOTEMIN SOL. INJ. 20mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 11.74 2.348000 2.348000 1.174000565 M01AC01 PIROXICAMUM PIROXICAM 20 mg SUPOZ. 20mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L 10 2.85 0.285000 0.285000 0.142500566 M01AC01 PIROXICAMUM PIROXICAM 40 mg SUPOZ. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.45 0.408333 0.408333 0.204166567 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 18.40 0.613333 0.299999 0.149999568 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 12.42 0.621000 0.299999 0.149999569 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 6.19 0.619000 0.299999 0.149999570 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 11.66 1.166000 0.599999 0.299999571 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 23.59 1.179500 0.599999 0.299999572 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 28.29 0.943000 0.599999 0.299999573 M01AC05 LORNOXICAMUM XEFO RAPID 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L 10 16.56 1.656000 0.599999 0.299999574 M01AC05 LORNOXICAMUM XEFO RAPID 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 20 COMPR. FILM. P-6L 20 33.14 1.657000 0.599999 0.299999575 M01AC05 LORNOXICAMUM XEFO RAPID 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 48.10 1.603333 0.599999 0.299999576 M01AC05 LORNOXICAMUM XEFO 8 mg/ 2 ml PULB. + SOLV. PT. SOL. INJ. 8mg/2ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ. + 10 FLAC. X 2 ML SOLV P-RF 10 136.99 13.699000 1.408798 0.704399577 M01AE17 DEXKETOPROFENUM TADOR 25 mg COMPR. FILM. 25mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 14.02 1.402000 0.492599 0.246299578 M01AE17 DEXKETOPROFENUM TADOR INJECT SOL. INJ./CONC. PT. SOL. PERF. 50mg/2ml MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF. P-RF 5 30.45 6.090000 3.242700 1.621350579 M01AH01 CELECOXIBUM CELEBREX 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 63.41 2.113666 1.162982 0.581491580 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 32.95 3.295000 2.325964 1.162982581 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 93.88 3.129333 2.325964 1.162982582 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 35.00 5.000000 4.651928 2.325964583 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 128.39 4.585357 4.585357 2.292678584 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 67.67 4.833571 4.651928 2.325964585 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 67.67 4.833571 4.651928 2.325964586 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 28.71 4.101428 2.325964 1.162982587 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 55.54 3.967142 2.325964 1.162982588 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 105.50 3.767857 2.325964 1.162982589 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 55.54 3.967142 2.325964 1.162982590 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 59.00 4.214285 3.488946 1.744473591 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 30.48 4.354285 3.488946 1.744473592 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 59.00 4.214285 3.488946 1.744473593 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 112.09 4.003214 3.488946 1.744473594 M01AX05 GLUCOSAMINUM DONA (R) PULB. PT. SOL. ORALA 1500mg ROTTAPHARM SPA ITALIA CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L 20 43.09 2.154500 1.340212 0.670106595 M01AX05 GLUCOSAMINUM FLEXODON FORTE PULB. PT. SOL. ORALA 1,5g/plic CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 30 PLICURI DIN FOLIE HARTIE/AL/PEJD X 3950 MG PULBERE PT. SOL. ORALA P-6L 30 38.02 1.267333 1.267333 0.633666596 M01AX17 NIMESULIDUM LEMESIL COMPR. 100mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.71 0.485500 0.485500 0.242750597 M01AX17 NIMESULIDUM AULIN (R) 100 mg COMPR. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 7.47 0.747000 0.738900 0.369450598 M01AX17 NIMESULIDUM AULIN (R) GRAN. PT. SUSP. ORALA 100mg/plic CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA P-RF 15 11.22 0.748000 0.738900 0.369450599 M01AX17 NIMESULIDUM SULIDAMOR PULB. PT. SUSP. ORALA 100mg FARMACEUTICI DAMOR SPA ITALIA CUTIE X 30 PLICURI X 2 G P-RF 30 10.39 0.346333 0.346333 0.173166600 M01AX17 NIMESULIDUM NIMESULID 100 mg COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.85 0.485000 0.485000 0.242500601 M01AX17 NIMESULIDUM NIMESULID SLAVIA COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 7.21 0.721000 0.721000 0.360500602 M01AX17 NIMESULIDUM NIMESIL GRAN. PT. SUSP. ORALA 100mg/plic LAB. GUIDOTTI SPA ITALIA CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA P-RF 9 7.64 0.848888 0.738900 0.369450603 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 10 4.79 0.479000 0.479000 0.239500604 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 30 12.79 0.426333 0.426333 0.213166605 M01AX17 NIMESULIDUM NIMESULID LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.85 0.485000 0.485000 0.242500

Pagina 15 din 22

Page 58: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

606 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.18 0.409000 0.409000 0.204500607 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.51 0.451000 0.451000 0.225500608 M01AX17 NIMESULIDUM NIMESULID ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.76 0.476000 0.476000 0.238000609 M01AX17 NIMESULIDUM NISE 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.57 0.357000 0.357000 0.178500610 M01AX17 NIMESULIDUM NIMESULID FARMEX 100 mg COMPR. 100mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF 10 7.18 0.718000 0.718000 0.359000611 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 20.31 0.406200 0.247200 0.123600612 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 33.41 0.668200 0.618000 0.309000613 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 48.15 1.719642 1.547678 0.773839614 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L 2 37.04 18.520000 10.833747 5.416873615 M05BA04 ACIDUM ALENDRONICUM* ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 12.79 6.395000 6.395000 3.197500616 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 48.15 12.037500 10.833747 5.416873617 M05BA04 ACIDUM ALENDRONICUM* RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 47.54 11.885000 10.833747 5.416873618 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 131.62 10.968333 10.833747 5.416873619 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 24.87 12.435000 10.833747 5.416873620 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L 4 24.65 6.162500 6.162500 3.081250621 M05BA04 ACIDUM ALENDRONICUM* TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 48.15 12.037500 10.833747 5.416873622 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 24.71 12.355000 10.833747 5.416873623 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 47.85 11.962500 10.833747 5.416873624 M05BA04 ACIDUM ALENDRONICUM* INSTREL 70 mg COMPR. 70mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF 4 47.54 11.885000 10.833747 5.416873625 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 129.02 129.020000 46.430345 23.215172

626 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 423.74 423.740000 251.370000 125.685000

627 M05BA07 ACIDUM RISEDRONICUM* RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 81.75 20.437500 10.833747 5.416873628 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 84.06 21.015000 10.833747 5.416873629 M05BA07 ACIDUM RISEDRONICUM* JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L 4 72.38 18.095000 10.833747 5.416873630 M05BA07 ACIDUM RISEDRONICUM* ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-6L 4 111.35 27.837500 10.833747 5.416873631 M05BA07 ACIDUM RISEDRONICUM* LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 36.41 9.102500 9.102500 4.551250632 M05BA07 ACIDUM RISEDRONICUM* JUVERITAL 35 mg COMPR. FILM. 35mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L 4 72.38 18.095000 10.833747 5.416873633 M05BA07 ACIDUM RISEDRONICUM* OSTEORON 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 72.38 18.095000 10.833747 5.416873634 M05BA07 ACIDUM RISEDRONICUM* OSODENS 35 mg COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 72.38 18.095000 10.833747 5.416873635 M05BA07 ACIDUM RISEDRONICUM* JUVERITAL 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 72.38 2.585000 1.547678 0.773839636 M05BA07 ACIDUM RISEDRONICUM* ACTONEL 75 mg COMPR. FILM. 75mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L 2 127.84 63.920000 23.215172 11.607586

637 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 89.64 22.410000 10.833747 5.416873

638 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 47.19 23.595000 10.833747 5.416873

639 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 47.19 23.595000 10.833747 5.416873

640 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 89.64 22.410000 10.833747 5.416873

641 M05BX03 STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 14 104.48 7.462857 6.531249 3.265624642 M05BX03 STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 28 174.18 6.220714 6.220714 3.110357643 N02AA05 OXYCODONUM*# OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 116.55 2.081250 1.118475 0.559237644 N02AA05 OXYCODONUM*# OXIDOLOR 10 mg COMPR. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 81.17 1.352833 1.118475 0.559237Pagina 16 din 22

Page 59: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

645 N02AA05 OXYCODONUM*# OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 214.14 3.823928 2.236950 1.118475646 N02AA05 OXYCODONUM*# OXIDOLOR 20 mg COMPR. ELIB. PREL. 20mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 149.13 2.485500 2.236950 1.118475647 N02AA05 OXYCODONUM*# OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 394.66 7.047500 4.473908 2.236954648 N02AA05 OXYCODONUM*# OXIDOLOR 40 mg COMPR. ELIB. PREL. 40mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 278.08 4.634666 4.473908 2.236954649 N02AA05 OXYCODONUM*# OXIDOLOR 5 mg COMPR. ELIB. PREL. 5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 44.11 0.735166 0.559233 0.279616650 N02AA05 OXYCODONUM*# OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 651.43 11.632678 8.947816 4.473908651 N02AA05 OXYCODONUM*# OXIDOLOR 80 mg COMPR. ELIB. PREL. 80mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 475.19 7.919833 7.919833 3.959916652 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 128.24 2.290000 1.501071 0.750535653 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 29.28 0.522857 0.522857 0.261428654 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 101.45 1.811607 1.125803 0.562901

655 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 30 34.68 1.156000 1.155250 0.577625

656 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 10 12.11 1.211000 1.155250 0.577625

657 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 20 23.91 1.195500 1.155250 0.577625

658 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 30 34.68 1.156000 1.155250 0.577625

659 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 10 12.11 1.211000 1.155250 0.577625

660 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 50 57.65 1.153000 1.153000 0.576500

661 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 50 57.65 1.153000 1.153000 0.576500

662 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 20 23.91 1.195500 1.155250 0.577625

663 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 6.87 0.137400 0.067758 0.033879664 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 6.55 0.218333 0.218333 0.109166665 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 75.99 5.427857 5.427857 2.713928666 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 288.22 5.146785 5.146785 2.573392667 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 421.84 7.532857 7.532857 3.766428668 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 114.01 8.143571 8.143571 4.071785669 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 53.59 3.827857 3.322859 1.661429670 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 193.07 3.447678 3.322859 1.661429671 N04AA02 BIPERIDENUM AKINETON COMPR. 2mg DESMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 10.54 0.210800 0.210800 0.105400672 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,088mg COMPR. 0,088mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 19.71 0.657000 0.207640 0.103820673 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,18 mg COMPR. 0,18mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 49.65 1.655000 0.424719 0.212359674 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 33.34 1.111333 0.424719 0.212359675 N04BC05 PRAMIPEXOLUM* GLEPARK 0,18 mg COMPR. 0,18mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 33.34 1.111333 0.424719 0.212359676 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TEVA 0,18mg COMPR. 0,18mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 33.33 1.111000 0.424719 0.212359

Pagina 17 din 22

Page 60: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

677 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL SANDOZ 0,18 mg COMPR. 0,18mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R 30 33.34 1.111333 0.424719 0.212359678 N04BC05 PRAMIPEXOLUM* MEDOPEXOL 0,18 mg COMPR. 0,18mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 33.34 1.111333 0.424719 0.212359679 N04BC05 PRAMIPEXOLUM* GLEPARK 0,18 mg COMPR. 0,18mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 33.34 1.111333 0.424719 0.212359680 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,26 mg COMPR. ELIB. PREL. 0,26mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 10 57.99 5.799000 0.613483 0.306741681 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,52 mg COMPR. ELIB. PREL. 0,52mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 313.33 10.444333 1.226966 0.613483682 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,7 mg COMPR. 0,7mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 167.46 5.582000 1.651685 0.825842683 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 114.78 3.826000 1.651685 0.825842684 N04BC05 PRAMIPEXOLUM* GLEPARK 0,7 mg COMPR. 0,7mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 114.78 3.826000 1.651685 0.825842685 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TEVA 0,7mg COMPR. 0,7mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 114.78 3.826000 1.651685 0.825842686 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL SANDOZ 0,7 mg COMPR. 0,7mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R 30 114.78 3.826000 1.651685 0.825842687 N04BC05 PRAMIPEXOLUM* MEDOPEXOL 0,7 mg COMPR. 0,7mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 114.78 3.826000 1.651685 0.825842688 N04BC05 PRAMIPEXOLUM* GLEPARK 0,7 mg COMPR. 0,7mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 114.78 3.826000 1.651685 0.825842689 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 1,05 mg COMPR. ELIB. PREL. 1,05mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 648.99 21.633000 2.477527 1.238763690 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 2,1 mg COMPR. ELIB. PREL. 2,1mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1,227.12 40.904000 4.955055 2.477527691 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 3,15 mg COMPR. ELIB. PREL. 3,15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1,805.26 60.175333 7.432583 3.716291692 N04BC08 PIRIBEDILUM** PRONORAN 50 mg DRAJ. ELIB. PREL. 50mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF 30 28.61 0.953666 0.953666 0.476833693 N05AL03 TIAPRIDUM TIAPRIDAL (R) 100 mg COMPR. 100mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.21 0.460500 0.460500 0.230250694 N05AL03 TIAPRIDUM TIAPRIDAL 100 mg/2 ml SOL. INJ. 100mg/2ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML P-RF 12 9.49 0.790833 0.790833 0.395416695 N05BE01 BUSPIRONUM SPITOMIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 17.70 0.295000 0.295000 0.147500696 N05BE01 BUSPIRONUM SPITOMIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 10.80 0.180000 0.155624 0.077812697 N06AA21 MAPROTILINUM* LUDIOMIL (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 15.15 0.303000 0.246594 0.123297698 N06AA21 MAPROTILINUM* LUDIOMIL (R) 25 mg COMPR. FILM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 10.42 0.347333 0.347333 0.173666699 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 61.81 4.415000 1.126499 0.563249700 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 90.16 3.220000 1.126499 0.563249701 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 24.88 1.244000 1.244000 0.622000702 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF 30 18.66 0.622000 0.622000 0.311000703 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF 30 18.66 0.622000 0.622000 0.311000704 N06AX12 BUPROPIONUM**# WELLBUTRIN SR 150 mg COMPR. FILM. ELIB. PREL. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-RF 60 128.57 2.142833 2.120207 1.060103705 N06AX12 BUPROPIONUM**# ELONTRIL 150 mg COMPR. ELIB. MODIF. 150mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF. P-RF 30 63.38 2.112666 2.112666 1.056333706 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 33.65 1.121666 1.121666 0.560833707 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 71.36 1.274285 1.274285 0.637142708 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 116.99 2.089107 1.330191 0.665095709 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 105.15 3.755357 3.329062 1.664531710 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 178.47 6.373928 6.373928 3.186964711 N06BX16 PRAMIRACETAMUM**# PRAMISTAR COMPR. FILM. 600mg F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM. P-6L 20 71.77 3.588500 3.588500 1.794250712 N06BX18 VINPOCETINUM CAVINTON(R) FORTE COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 14.42 0.480666 0.205200 0.102600713 N06BX18 VINPOCETINUM VIMPOCETIN 5 mg CAPS. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS. P-6L 50 10.26 0.205200 0.205200 0.102600714 N06BX18 VINPOCETINUM VICEBROL COMPR. 5mg BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.26 0.205200 0.205200 0.102600715 N06BX18 VINPOCETINUM VICEBROL COMPR. 5mg BMF PHARM S.R.L. ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 20.52 0.205200 0.205200 0.102600716 N06BX18 VINPOCETINUM CAVINTON(R) COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 15.79 0.315800 0.205200 0.102600717 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 9.17 0.458500 0.408777 0.204388718 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 26.55 0.442500 0.408777 0.204388719 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 90 36.64 0.407111 0.407111 0.203555720 N06DX02 GINKGO BILOBA** GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L 30 12.28 0.409333 0.408777 0.204388721 N07CA01 BETAHISTINUM BETASERC (R) 24 mg COMPR. 24mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST X 20 COMPR. P-6L 20 28.17 1.408500 0.892350 0.446175

Pagina 18 din 22

Page 61: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

722 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 4 BLIST. X 25 COMPR. P-6L 100 33.05 0.330500 0.297450 0.148725723 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.73 0.491000 0.297450 0.148725724 N07CA01 BETAHISTINUM MICROSER COMPR. 8mg PRODOTTI FORMENTI ITALIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26.59 0.531800 0.297450 0.148725725 N07CA01 BETAHISTINUM URUTAL 8 mg COMPR. 8mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLACON X 100 COMPR. P-6L 100 40.25 0.402500 0.297450 0.148725726 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.21 0.273666 0.273666 0.136833727 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 27.41 0.274100 0.274100 0.137050728 N07CA01 BETAHISTINUM ACUVER 8 mg/doza SOL. ORALA 8mg/doza CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L 1 38.02 38.020000 0.297450 0.148725729 N07CA01 BETAHISTINUM ACUVER 8 mg/doza SOL. ORALA 8mg/doza CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA P-6L 1 69.84 69.840000 0.297450 0.148725

730 N07CA52

COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF 50 32.16 0.643200 0.568143 0.284071

731 N07CA52

COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF 48 26.07 0.543125 0.543125 0.271562

732 N07XN03ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L 30 103.46 3.448666 3.448666 1.724333

733 N07XN03ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FIOLE X 20 ML S/P-RF 10 263.27 26.327000 26.327000 13.163500

734 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML P-RF 5 87.39 17.478000 13.560750 6.780375

735 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML P-RF 10 39.17 3.917000 2.712150 1.356075

736 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML P-RF 5 126.57 25.314000 25.314000 12.657000

737 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 33.36 0.556000 0.556000 0.278000738 R01AD05 BUDESONIDUM* RHINOCORT (R) AQUA SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE P-RF 1 25.36 25.360000 25.360000 12.680000

739 R01AD08 FLUTICASONUM PROPIONAT* FLIXONASE (R) SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 40.01 40.010000 40.010000 20.005000

740 R01AD09 MOMETASONUM* NASONEX SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON PP X 140 DOZE P-RF 1 58.97 58.970000 58.970000 29.485000

741 R03AC04 FENOTEROLUM BEROTEC N - 100 mcg SOL. DE INHALAT PRESURIZATA 100mcg/doza BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L 1 16.61 16.610000 16.610000 8.305000742 R03AK03 COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N AEROSOL SOL. INHAL. 0,020mg+0,050mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA P-6L 1 40.19 40.190000 40.190000 20.095000

743 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/125mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 163.91 163.910000 113.985000 56.992500

744 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/250mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 233.08 233.080000 227.970000 113.985000

745 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/50mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 122.30 122.300000 45.594000 22.797000

746 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100 PULB. INHAL. 50mg/100mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 117.16 117.160000 45.594000 22.797000

747 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250 PULB. INHAL. 50mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 156.98 156.980000 113.985000 56.992500

748 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500 PULB. INHAL. 50mg/500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 223.35 223.350000 223.350000 111.675000

749 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg PULB. INHAL. 160/4,5mcg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 227.27 227.270000 227.270000 113.635000

750 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg PULB. INHAL. 160/4,5mcg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 119.83 119.830000 113.635000 56.817500

751 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 320/9 mcg PULB. INHAL. 320/9mcg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU UN DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL P-6L 1 227.27 227.270000 227.270000 113.635000

752 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg PULB. INHAL. 80/4,5mcg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 94.88 94.880000 56.817500 28.408750

753 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg PULB. INHAL. 80/4,5mcg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 179.95 179.950000 113.635000 56.817500

754 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE NEBULES 0,5 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 0,5mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 31.31 3.131000 1.039558 0.519779755 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 250 mcg PULB. INHAL. 250mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 84.26 84.260000 77.967000 38.983500

756 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE NEBULES 2 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 2mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 90.45 9.045000 4.158238 2.079119Pagina 19 din 22

Page 62: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

757 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 500 mcg PULB. INHAL. 500mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 136.92 136.920000 136.920000 68.460000

758 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE (R) 50 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 50mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE P-RF 1 36.31 36.310000 31.186800 15.593400

759 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 100 mcg PULB. INHAL. 100mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 40.56 40.560000 31.186800 15.593400

760 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA P-RF 1 44.50 44.500000 38.983500 19.491750

761 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 139.67 139.670000 132.047500 66.023750

762 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 400 mcg PULB. INHAL. 400mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 248.85 248.850000 248.850000 124.425000

763 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L 1 85.83 85.830000 66.023750 33.011875

764 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 249.52 249.520000 249.395000 124.697500

765 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 112.07 112.070000 62.348750 31.174375

766 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 124.51 124.510000 124.510000 62.255000

767 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 226.01 226.010000 124.697500 62.348750

768 R03BB04 TIOTROPIUM* SPIRIVA 18 mcg CAPS. CU PULB.INHAL. 18mcg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST.AL/PVC-AL X 10 CAPS. CU PULB. DE INHALAT + DISPOZITIV HANDIHALER P-RF 1 163.95 163.950000 163.950000 81.975000

769 R03DA05 AMINOPHYLLINUM AMINOFILINA EEL COMPR. 100mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 2.65 0.053000 0.053000 0.026500770 R03DA05 AMINOPHYLLINUM MIOFILIN 100 mg CAPS. 100mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 3.61 0.180500 0.140399 0.070199771 R03DA05 AMINOPHYLLINUM AMINOFILINA ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-RF 40 1.54 0.038500 0.038500 0.019250772 R03DA05 AMINOPHYLLINUM AMINOFILINA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.38 0.219000 0.219000 0.109500773 R03DA05 AMINOPHYLLINUM MIOFILIN SOL. INJ. 24mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF 5 11.79 2.358000 2.358000 1.179000774 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 14 76.61 5.472142 5.261874 2.630937775 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 28 145.37 5.191785 5.191785 2.595892776 R03DC03 MONTELUKASTUM* SINGULAIR (R) GRANULE 4mg/plic MERCK SHARP & DOHME ROMANIA CUTIE X 28 PLICURI CU GRANULE P-RF 28 158.55 5.662500 4.368000 2.184000777 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 157.13 5.611785 4.368000 2.184000778 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF 14 82.84 5.917142 4.368000 2.184000779 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 14 76.44 5.460000 5.460000 2.730000780 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 144.98 5.177857 5.177857 2.588928781 R03DX03 FENSPIRIDUM EURESPAL 2 mg/ml SIROP 2mg/ml LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L 1 19.97 19.970000 19.970000 9.985000782 R03DX03 FENSPIRIDUM EURESPAL 80 mg COMPR. FILM. 80mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 28.03 0.934333 0.934333 0.467166783 R05CB15 ERDOSTEINUM ERDOMED (R) 225 GRAN. PT. SUSP. ORALA 225mg/plic CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 20 PLICURI GRAN. PT. SUSP. ORALA P-6L 20 33.07 1.653500 1.301000 0.650500784 R05CB15 ERDOSTEINUM ERDOMED 300 mg CAPS. 300mg CSC PHARMACEUTICALS HANDELS GMBH CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 10 15.78 1.578000 1.578000 0.789000785 R05CB15 ERDOSTEINUM ERDOMED (R) 175 PULB. PT. SUSP. ORALA 175mg/5ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. 100 ML SUSP. ORALA P-6L 1 24.88 24.880000 24.880000 12.440000

786 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0,1% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1 P-RF 1 8.44 8.440000 8.440000 4.220000787 R05DA09 DEXTROMETHORPHANUM HUMEX 0,133 g/100 ml SIROP 0,13% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA P-RF 1 10.80 10.800000 4.615008 2.307504788 R05DA09 DEXTROMETHORPHANUM TUSSIN COMPR. 10mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.71 0.185500 0.177500 0.088750789 R05DA09 DEXTROMETHORPHANUM TUSSIN 6,5mg/5ml SIROP 6,5mg/5ml ROPHARMA S.A. ROMANIA CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML P-RF 1 7.86 7.860000 2.653630 1.326815790 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN ANTITUSSICUM SOL. ORALA 7,5mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 8.58 8.580000 2.662504 1.331252791 R05DA09 DEXTROMETHORPHANUM TUSALIN 15 mg COMPR. FILM. 15mg BMF PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 2.70 0.270000 0.266249 0.133124792 R05DA09 DEXTROMETHORPHANUM TUSSIN FORTE COMPR. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.76 0.338000 0.338000 0.169000793 R05DA09 DEXTROMETHORPHANUM ROFEDEX SIROP 15mg/5ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE P-RF 1 5.25 5.250000 5.250000 2.625000794 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN JUNIOR SOL. ORALA 3,75mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 8.58 8.580000 5.348700 2.674350795 R06AE09 LEVOCETIRIZINUM XYZAL PIC. ORALE, SOL. 5mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR P-6L 1 36.14 36.140000 36.140000 18.070000

796 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 16.87 1.687000 1.687000 0.843500797 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 42.08 1.402666 1.402666 0.701333798 R06AE09 LEVOCETIRIZINUM CEZERA 5 mg COMPR. FILM. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L 30 28.26 0.942000 0.942000 0.471000799 R06AE09 LEVOCETIRIZINUM LEVOCETIRIZINA SANDOZ 5 mg COMPR. FILM. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 10.97 1.097000 1.097000 0.548500800 R06AE09 LEVOCETIRIZINUM LEVOCETIRIZINA ACTAVIS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 10.97 1.097000 1.097000 0.548500801 R06AE09 LEVOCETIRIZINUM ZENARO 5 mg COMPR. FILM. 5mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM. P-6L 20 21.94 1.097000 1.097000 0.548500

Pagina 20 din 22

Page 63: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

802 R06AX26 FEXOFENADINUM EWOFEX 120 mg COMPR. FILM. 120mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 11.93 1.193000 1.193000 0.596500803 R06AX26 FEXOFENADINUM TELFAST® 120 mg COMPR. FILM. 120mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L 10 13.28 1.328000 1.241166 0.620583804 R06AX26 FEXOFENADINUM EWOFEX 180 mg COMPR. FILM. 180mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 17.87 1.787000 1.787000 0.893500805 R06AX26 FEXOFENADINUM TELFAST® 180 mg COMPR. FILM. 180mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 19.34 1.934000 1.861750 0.930875806 R06AX26 FEXOFENADINUM TELFAST® 30 mg COMPR. FILM. 30mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 15 COMPR. FILM. P-6L 15 5.73 0.382000 0.382000 0.191000807 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 30 54.41 1.813666 1.241166 0.620583808 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 10 21.71 2.171000 1.241166 0.620583809 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 7 17.43 2.490000 1.241166 0.620583810 R06AX27 DESLORATADINUM AERIUS 0,5mg/ml SOL. ORALA 0,5mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML P-RF 1 20.43 20.430000 18.859500 9.429750811 S01AA11 GENTAMICINUM GENTAMICIN SULPHATE PIC. OFT., SOL 0,3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.70 4.700000 4.700000 2.350000812 S01AA12 TOBRAMYCINUM TOBREX (R) UNG. OFT. 0,3% ALCON COUVREUR NV BELGIA CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF 1 8.61 8.610000 3.054375 1.527187813 S01AA12 TOBRAMYCINUM TOBREX 2 X PICATURI OFT.-SOL. 0,3% ALCON COUVREUR NV BELGIA CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML P-RF 1 20.75 20.750000 4.072500 2.036250814 S01AA12 TOBRAMYCINUM TOBREX PIC. OFT.,SOL. 3mg/ml ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL. P-RF 1 11.28 11.280000 4.072500 2.036250815 S01AA12 TOBRAMYCINUM TOBISOL PIC. OFT., SOL. 0,3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 5 ML PIC. OFT., SOL. P-RF 1 4.08 4.080000 4.072500 2.036250816 S01AA12 TOBRAMYCINUM TOBROM 3 mg/ml PIC. OFT., SOL 3mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL P-RF 1 4.07 4.070000 4.070000 2.035000817 S01AA23 NETILMICINUM NETTACIN (R) PICATURI OFT.-SOL. 0,3% S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 28.88 1.925333 1.248179 0.624089818 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 14.14 14.140000 14.140000 7.070000819 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR P-RF 1 32.42 32.420000 20.802997 10.401498

820 S01AX11 OFLOXACINUM FLOXAL (R) UNG. OFT. 0,3% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G P-RF 1 15.33 15.330000 15.330000 7.665000821 S01AX11 OFLOXACINUM FLOXAL (R) PICATURI OFT.-SOL. 0,3% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL. P-RF 1 14.42 14.420000 11.270000 5.635000822 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 10.09 10.090000 9.081000 4.540500823 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 10.09 10.090000 9.081000 4.540500824 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0,1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 8.52 8.520000 4.540500 2.270250825 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 5.53 5.530000 4.540500 2.270250826 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 5.53 5.530000 4.540500 2.270250827 S01BA06 BETAMETHASONUM OPHTAMESONE SOL. OFT. 0,1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.50 4.500000 4.500000 2.250000

828 S01CA01

COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.SOL. UNIDOZA FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL. P-RF 20 51.19 2.559500 0.713475 0.356737

829 S01CA01

COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.,SOL. FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF 1 31.31 31.310000 11.891250 5.945625

830 S01CA01

COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM) SPERSADEX COMP PICATURI OFT.-SOL. 5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF 1 12.50 12.500000 11.891250 5.945625

831 S01CA01

COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX ( R ) PICATURI OFT.-SUSP. 1mg+3mg ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF 1 15.35 15.350000 11.891250 5.945625

832 S01CA01

COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX (R) UNG. OFT. 1mg+3mg ALCON COUVREUR NV BELGIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G P-RF 1 13.04 13.040000 8.323875 4.161937

833 S01CA01

COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) DEXATOBROM 3 mg+1 mg/ml PIC. OFT. SUSP. 3mg+1mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR P-RF 1 9.97 9.970000 9.970000 4.985000

834 S01GX09 OLOPATADINUM OPATANOL 1mg/ml PIC. OFT., SOL. 1mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 30.43 30.430000 30.430000 15.215000

835 S01XA02 RETINOLUM OCULOTECT GEL OFT. 10mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT. P-6L 1 16.38 16.380000 16.380000 8.190000SIBUTRAMINUM****

Pagina 21 din 22

Page 64: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

MACROGOLUM*2

RIMONABANTUM****

IMIQUIMODUM*CEFPROZILUMCOMBINATIILYNESTRENOLUMCOMBINATII**COMBINATII**

NOTĂ:

COMBINATII(FOSINOPRILUM+HYDROCHLOROTHIAZIDUM)COMBINATII(VALSARTANUM+HYDROCHLOROTHIAZIDUM)

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregătitoare pentru colonoscopie;

- Pentru medicamentele corespunzătoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

COMBINATII (EZETIMIBUM + SIMVASTATINUM)

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice și cu aprobarea comisiilor de la nivelul Caselor Județene de Asigurări de Sănătate;

Pagina 22 din 22

Page 65: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

NR.CRT COD ATC DENUMIRE COMUNA INTERNATIONALA DENUMIRE COMERCIALA FORMA FARMACEUTICA CONCENTRATIE FIRMA DETINATOARE TARA DETINATOARE FORMA AMBALAJ PRESCCANT

FL

PRET AMANUNTUL MAXIMAL

(RON)

PRET AMANUNTU

L MAXIMAL/U

T (RON)

Val suportata de CNAS/UT (RON)Legea nr. 95/2006 art 213 alin.1 lit. a) si f)

VAL.SUPORTATAT

CNAS/ UT (RON) PT.

ADULTI

1 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 6.52 0.217333 0.217333 0.2173332 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg CUTIE X 2 BLIST. X 10 COMPR. NOVARTIS PHARMA GMBH GERMANIA P-RF 20 6.75 0.337500 0.337500 0.3375003 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0,25mg CUTIE X 1 BLIST. AL/PVC X 25 COMPR. ZENTIVA S.A. ROMANIA P-RF 25 2.79 0.111600 0.111600 0.1116004 C01AA05 DIGOXINUM LANOXIN SOLUTIE ORALA SOL. ORALA 0,05mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-RF 1 11.06 11.060000 11.060000 11.060000

5 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0,5mg/ml CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. ZENTIVA S.A. ROMANIA S/P-RF 5 6.63 1.326000 1.326000 1.3260006 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg CUTIE X 1 BLIST. AL/PVC X 25 COMPR. ZENTIVA SA ROMANIA P-6L 25 3.47 0.138800 0.138800 0.1388007 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA P-6L 20 3.02 0.151000 0.096000 0.0960008 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. SLAVIA PHARM SRL ROMANIA P-6L 20 2.27 0.113500 0.096000 0.0960009 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg CUTIE X 2 BLIST. X 10 COMPR. BIO EEL SRL ROMANIA P-6L 20 1.62 0.081000 0.081000 0.081000

10 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg CUTIE X 1 FLAC. DIN PEID X 20 COMPR. ZENTIVA SA ROMANIA P-6L 20 6.01 0.300500 0.096000 0.09600011 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 20 3.04 0.152000 0.096000 0.09600012 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. ARENA GROUP S.A. ROMANIA P-6L 20 1.60 0.080000 0.080000 0.08000013 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. ZENTIVA SA ROMANIA P-RF 5 6.06 1.212000 1.212000 1.21200014 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 30 28.43 0.947666 0.947666 0.94766615 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. TERAPIA SA ROMANIA P-6L 50 16.18 0.323600 0.258000 0.25800016 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. AC HELCOR PHARMA SRL ROMANIA P-6L 20 4.30 0.215000 0.215000 0.21500017 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. BIO EEL SRL ROMANIA P-6L 20 4.30 0.215000 0.215000 0.21500018 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES LTD. MAREA BRITANIE P-6L 50 10.77 0.215400 0.215400 0.21540019 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES PHARMA S.A. ROMANIA P-6L 50 10.77 0.215400 0.215400 0.21540020 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. ARENA GROUP S.A. ROMANIA P-6L 50 16.04 0.320800 0.258000 0.25800021 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. AC HELCOR PHARMA SRL ROMANIA P-6L 20 13.71 0.685500 0.648400 0.64839922 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 30 16.67 0.555666 0.555666 0.55566623 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. ARENA GROUP S.A. ROMANIA P-6L 30 16.21 0.540333 0.540333 0.540333

ANEXA 3SECŢIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREŢUL DE REFERINŢĂ CONFORM

DCI-urilor UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII ŞI CONSUMULUI PRIN COMISIILE PARITARE; MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE

MEDICALĂ CU REŢINERE ÎN FARMACIE ( P-RF) DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE

VALABILĂ ÎNCEPÂND CU 1 OCTOMBRIE 2010

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1

Pagina 1 din 42

Page 66: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

24 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 30 14.02 0.467333 0.236520 0.23652025 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 30 10.92 0.364000 0.236520 0.23652026 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 20 6.55 0.327500 0.236520 0.23652027 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 30 7.10 0.236666 0.236520 0.23652028 C07AB02 METOPROLOLUM BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. ASTRAZENECA AB SUEDIA P-6L 30 25.64 0.854666 0.236520 0.23652029 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-6L 30 9.11 0.303666 0.236520 0.23652030 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-6L 100 19.71 0.197100 0.197100 0.19710031 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-6L 50 12.97 0.259400 0.236520 0.23652032 C07AB02 METOPROLOLUM EMZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 16.66 0.555333 0.236520 0.23652033 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C SRL ROMANIA P-6L 30 9.48 0.316000 0.236520 0.23652034 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. TERAPIA SA ROMANIA P-6L 20 11.11 0.555500 0.236520 0.23652035 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-6L 30 15.07 0.502333 0.236520 0.23652036 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDICO UNO PHARMACEUTICAL SRL ROMANIA P-6L 30 7.00 0.233333 0.233333 0.23333337 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. VIM SPECTRUM SRL ROMANIA P-6L 20 7.35 0.367500 0.236520 0.23652038 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 30 7.00 0.233333 0.233333 0.23333339 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES PHARMA S.A. ROMANIA P-6L 20 8.07 0.403500 0.236520 0.23652040 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. HEXAL AG GERMANIA P-6L 30 22.67 0.755666 0.755666 0.75566641 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL. 190mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. PHARMACEUTICAL WORKS POLPHARMA SA POLONIA P-6L 28 21.16 0.755714 0.755714 0.75571442 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 23,75 mg COMPR. FILM. ELIB. PREL. 23,75mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. PHARMACEUTICAL WORKS POLPHARMA SA POLONIA P-6L 28 2.76 0.098571 0.098571 0.09857143 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 20 1.90 0.095000 0.095000 0.09500044 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg CUTIE X 1 BLIST. AL/PVC X 20 COMPR. LABORMED PHARMA SA ROMANIA P-6L 20 1.90 0.095000 0.095000 0.09500045 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C SRL ROMANIA P-6L 30 2.85 0.095000 0.095000 0.09500046 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDICO UNO PHARMACEUTICAL SRL ROMANIA P-6L 30 2.85 0.095000 0.095000 0.09500047 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP S.A. ROMANIA P-6L 30 2.85 0.095000 0.095000 0.09500048 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. HEXAL AG GERMANIA P-6L 30 8.12 0.270666 0.270666 0.27066649 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL. 47,5mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. PHARMACEUTICAL WORKS POLPHARMA SA POLONIA P-6L 28 9.49 0.338928 0.324799 0.32479950 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 30 5.25 0.175000 0.100560 0.10056051 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 20 3.50 0.175000 0.100560 0.10056052 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 30 4.73 0.157666 0.100560 0.10056053 C07AB02 METOPROLOLUM BETALOC (R) ZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. ASTRAZENECA AB SUEDIA P-6L 30 15.65 0.521666 0.100560 0.10056054 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. ALIUD PHARMA GMBH GERMANIA P-6L 30 5.25 0.175000 0.100560 0.10056055 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR ALIUD PHARMA GMBH GERMANIA P-6L 100 8.38 0.083800 0.083800 0.08380056 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. ALIUD PHARMA GMBH GERMANIA P-6L 50 7.07 0.141400 0.100560 0.10056057 C07AB02 METOPROLOLUM EMZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 10.18 0.339333 0.100560 0.10056058 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C SRL ROMANIA P-6L 30 5.25 0.175000 0.100560 0.10056059 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-6L 30 7.04 0.234666 0.100560 0.10056060 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDICO UNO PHARMACEUTICAL SRL ROMANIA P-6L 30 5.25 0.175000 0.100560 0.10056061 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. VIM SPECTRUM SRL ROMANIA P-6L 20 3.44 0.172000 0.100560 0.10056062 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP S.A. ROMANIA P-6L 30 5.25 0.175000 0.100560 0.10056063 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES PHARMA S.A. ROMANIA P-6L 20 3.50 0.175000 0.100560 0.10056064 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. HEXAL AG GERMANIA P-6L 30 13.56 0.452000 0.452000 0.45200065 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL. 95mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. PHARMACEUTICAL WORKS POLPHARMA SA POLONIA P-6L 28 15.55 0.555357 0.542400 0.54240066 C07AB02 METOPROLOLUM BETALOC SOL. INJ. 5mg/5ml CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. ASTRAZENECA AB SUEDIA S 5 22.10 4.420000 4.420000 4.42000067 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. MERCK KGAA GERMANIA P-6L 30 33.73 1.124333 1.124333 1.12433368 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. MERCK KGAA GERMANIA P-6L 30 14.73 0.491000 0.491000 0.491000

Pagina 2 din 42

Page 67: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

69 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. MERCK KGAA GERMANIA P-6L 30 22.26 0.742000 0.742000 0.74200070 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg CUTIE X 4 BLIST. AL/PVC X 7 COMPR. BERLIN CHEMIE AG MENARINI GROUP GERMANIA P-6L 28 54.26 1.937857 0.591000 0.59100071 C07AB12 NEBIVOLOLUM** NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ACTAVIS S.R.L. ROMANIA P-6L 30 27.30 0.910000 0.591000 0.59100072 C07AB12 NEBIVOLOLUM** NEBACOP 5 mg COMPR. 5mg CUTIE X 2 BLIST. PVC/AL X 14 COMPR. JUST BUSINESS SRL ROMANIA P-6L 28 25.47 0.909642 0.591000 0.59100073 C07AB12 NEBIVOLOLUM** NEBACOP 5 mg COMPR. 5mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. JUST BUSINESS SRL ROMANIA P-6L 30 27.30 0.910000 0.591000 0.59100074 C07AB12 NEBIVOLOLUM** X-PRESSOL 5 mg COMPR. 5mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. LABORMED PHARMA S.A. ROMANIA P-RF 30 27.01 0.900333 0.591000 0.59100075 C07AB12 NEBIVOLOLUM** NOLET 5 mg COMPR. 5mg CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. ANTIBIOTICE S.A. ROMANIA P-6L 30 26.81 0.893666 0.591000 0.59100076 C07AB12 NEBIVOLOLUM** NEBLOTENSOL 5 mg COMPR. 5 mg CUTIE CU BLIST. PVC/AL X 30 COMPR. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-6L 30 27.01 0.900333 0.591000 0.59100077 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-6L 28 22.76 0.812857 0.591000 0.59100078 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-6L 30 24.38 0.812666 0.591000 0.59100079 C07AB12 NEBIVOLOLUM** VOXNEBIN 5 mg COMPR. 5mg CUTIE CU BLIST. PVC/AL X 28 COMPR. SANDOZ S.R.L. ROMANIA P-6L 28 13.79 0.492500 0.492500 0.49250080 C07AB12 NEBIVOLOLUM** EZOCEM 5 mg COMPR 5mg CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL OZONE LABORATORIES PHARMA S.A. ROMANIA P-6L 28 25.49 0.910357 0.591000 0.59100081 C07AB12 NEBIVOLOLUM** NEBINORM 5 mg COMPR. 5mg CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. GLENMARK PHARMACEUTICALS SRL CEHIA P-6L 30 27.18 0.906000 0.591000 0.59100082 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. ROCHE ROMANIA S.R.L. ROMANIA P-6L 28 29.86 1.066428 0.345600 0.34560083 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 28 12.45 0.444642 0.345600 0.34560084 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12,5mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 30 13.27 0.442333 0.345600 0.34560085 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12,5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 30 13.88 0.462666 0.345600 0.34560086 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. ZENTIVA AS CEHIA P-6L 30 12.84 0.428000 0.345600 0.34560087 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12,5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 20 8.69 0.434500 0.345600 0.34560088 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. HEXAL AG GERMANIA P-6L 30 8.71 0.290333 0.290333 0.29033389 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12,5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 30 13.33 0.444333 0.345600 0.34560090 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12,5mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. TEVA PHARMACEUTICAL S.R.L. ROMANIA P-6L 30 8.64 0.288000 0.288000 0.28800091 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. VIM SPECTRUM SRL ROMANIA P-6L 20 6.70 0.335000 0.335000 0.33500092 C07AG02 CARVEDILOLUM GLADYCOR 12,5 mg COMPR. 12,5mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ANTIBIOTICE S.A. ROMANIA P-6L 30 13.07 0.435666 0.345600 0.34560093 C07AG02 CARVEDILOLUM MIOCARVIL 12,5 mg COMPR. 12,5mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 30 13.33 0.444333 0.345600 0.34560094 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. ROCHE ROMANIA S.R.L. ROMANIA P-6L 28 33.37 1.191785 0.361600 0.36159995 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 28 21.99 0.785357 0.361600 0.36159996 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 30 23.56 0.785333 0.361600 0.36159997 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 30 24.24 0.808000 0.361600 0.36159998 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. ZENTIVA AS CEHIA P-6L 30 19.52 0.650666 0.361600 0.36159999 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 20 15.69 0.784500 0.361600 0.361599100 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. HEXAL AG GERMANIA P-6L 30 9.17 0.305666 0.305666 0.305666101 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 30 23.56 0.785333 0.361600 0.361599102 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. TEVA PHARMACEUTICAL S.R.L. ROMANIA P-6L 30 9.04 0.301333 0.301333 0.301333103 C07AG02 CARVEDILOLUM GLADYCOR 25 mg COMPR. 25mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ANTIBIOTICE S.A. ROMANIA P-6L 30 22.94 0.764666 0.361600 0.361599104 C07AG02 CARVEDILOLUM MIOCARVIL 25 mg COMPR. 25mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 30 23.56 0.785333 0.361600 0.361599105 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. ROCHE ROMANIA S.R.L. ROMANIA P-6L 28 16.41 0.586071 0.240799 0.240799106 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6,25mg CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. KRKA D.D. SLOVENIA P-6L 28 6.43 0.229642 0.229642 0.229642107 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6,25mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 30 6.87 0.229000 0.229000 0.229000108 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6,25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 30 9.04 0.301333 0.240799 0.240799109 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. ZENTIVA AS CEHIA P-6L 30 6.43 0.214333 0.214333 0.214333110 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. HEXAL AG GERMANIA P-6L 30 6.87 0.229000 0.229000 0.229000111 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6,25mg CUTIE X 2 BLIST. AL/PVC X 15 COMPR. LABORMED PHARMA SA ROMANIA P-6L 30 6.87 0.229000 0.229000 0.229000112 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6,25mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. TEVA PHARMACEUTICAL S.R.L. ROMANIA P-6L 30 6.02 0.200666 0.200666 0.200666113 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. VIM SPECTRUM SRL ROMANIA P-6L 20 4.56 0.228000 0.228000 0.228000

Pagina 3 din 42

Page 68: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

114 C07AG02 CARVEDILOLUM GLADYCOR 6,25 mg COMPR. 6,25mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ANTIBIOTICE S.A. ROMANIA P-6L 30 6.69 0.223000 0.223000 0.223000115 C07AG02 CARVEDILOLUM MIOCARVIL 6,25 mg COMPR. 6,25mg CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 30 6.87 0.229000 0.229000 0.229000116 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12,5mg CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 30 2.94 0.098000 0.098000 0.098000117 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C ROMANIA P-6L 30 2.94 0.098000 0.098000 0.098000118 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 30 3.41 0.113666 0.113666 0.113666119 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-6L 30 4.10 0.136666 0.136200 0.136200120 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. BIO EEL SRL ROMANIA P-6L 20 3.02 0.151000 0.136200 0.136200121 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 20 2.27 0.113500 0.113500 0.113500122 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C ROMANIA P-6L 30 3.41 0.113666 0.113666 0.113666123 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 30 3.41 0.113666 0.113666 0.113666124 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. SINTOFARM SA ROMANIA P-6L 30 4.62 0.154000 0.136200 0.136200125 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 20 2.27 0.113500 0.113500 0.113500126 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 20 4.44 0.222000 0.156400 0.156399127 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-6L 30 6.66 0.222000 0.156400 0.156399128 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. BIO EEL SRL ROMANIA P-6L 20 3.85 0.192500 0.156400 0.156399129 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 20 2.67 0.133500 0.133500 0.133500130 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C ROMANIA P-6L 30 4.50 0.150000 0.150000 0.150000131 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 30 3.91 0.130333 0.130333 0.130333132 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 20 2.67 0.133500 0.133500 0.133500133 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg CUTIE X 2 FOLII X 10 COMPR. OZONE LABORATORIES LTD. MAREA BRITANIE P-6L 20 4.39 0.219500 0.219500 0.219500134 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg CUTIE X 2 BLIST. X 10 COMPR. MAGISTRA C & C ROMANIA P-6L 20 4.39 0.219500 0.219500 0.219500135 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg CUTIE X 2 BLIST. X 10 COMPR. SANDOZ SRL ROMANIA P-6L 20 3.94 0.197000 0.197000 0.197000136 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg CUTIE X 2 BLIST. X 10 COMPR. E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 20 4.39 0.219500 0.219500 0.219500137 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/AL X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 20 4.39 0.219500 0.219500 0.219500138 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 20 4.39 0.219500 0.219500 0.219500139 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FABIOL SA ROMANIA P-6L 20 4.39 0.219500 0.219500 0.219500140 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. SLAVIA PHARM SRL ROMANIA P-6L 20 4.39 0.219500 0.219500 0.219500141 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-6L 30 6.58 0.219333 0.219333 0.219333142 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/AL X 14 COMPR. MERCK SHARP & DOHME ROMANIA P-6L 28 10.49 0.374642 0.236400 0.236400143 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. TERAPIA SA ROMANIA P-6L 20 7.27 0.363500 0.236400 0.236400144 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 30 6.86 0.228666 0.228666 0.228666145 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 50 11.22 0.224400 0.224400 0.224400146 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 100 21.96 0.219600 0.219600 0.219600147 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg CUTIE X 1 FLAC. DIN PE X 20 COMPR. ARENA GROUP SA ROMANIA P-6L 20 11.25 0.562500 0.236400 0.236400148 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. VIM SPECTRUM SRL ROMANIA P-6L 20 4.10 0.205000 0.205000 0.205000149 C09AA02 ENALAPRILUM EDNYT 10 mg COMPR. 10mg CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 30 10.17 0.339000 0.236400 0.236400150 C09AA02 ENALAPRILUM EDNYT 2,5 mg COMPR. 2,5mg CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 30 8.23 0.274333 0.274333 0.274333151 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg CUTIE X 2 BLIST. X 10 COMPR. MAGISTRA C & C ROMANIA P-6L 20 7.92 0.396000 0.393120 0.393120152 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg CUTIE X 2 BLIST. X 10 COMPR. SANDOZ SRL ROMANIA P-6L 20 10.15 0.507500 0.393120 0.393120153 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg CUTIE X 3 BLIST. X 10 COMPR. GEDEON RICHTER PLC. UNGARIA P-6L 30 17.57 0.585666 0.393120 0.393120154 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg CUTIE X 2 BLIST. AL/AL X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 20 8.72 0.436000 0.393120 0.393120155 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 20 7.92 0.396000 0.393120 0.393120156 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FABIOL SA ROMANIA P-6L 20 7.10 0.355000 0.355000 0.355000157 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-6L 30 11.59 0.386333 0.386333 0.386333158 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg CUTIE X 2 BLIST. AL/AL X 14 COMPR. MERCK SHARP & DOHME ROMANIA P-6L 28 17.07 0.609642 0.393120 0.393120

Pagina 4 din 42

Page 69: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

159 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 mg COMPR. 20mg CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. TERAPIA SA ROMANIA P-6L 20 11.09 0.554500 0.393120 0.393120160 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 30 11.11 0.370333 0.370333 0.370333161 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 50 16.38 0.327600 0.327600 0.327600162 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg CUTIE X 2 FOLII X 10 COMPR. OZONE LABORATORIES LTD. MAREA BRITANIE P-6L 20 3.65 0.182500 0.182500 0.182500163 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg CUTIE X 2 BLIST. X 10 COMPR. MAGISTRA C & C ROMANIA P-6L 20 3.65 0.182500 0.182500 0.182500164 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg CUTIE X 2 BLIST. X 10 COMPR. SANDOZ SRL ROMANIA P-6L 20 3.65 0.182500 0.182500 0.182500165 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg CUTIE X 3 BLIST.X 10 COMPR. GEDEON RICHTER PLC. UNGARIA P-6L 30 8.23 0.274333 0.209599 0.209599166 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-6L 30 5.24 0.174666 0.174666 0.174666167 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 20 3.65 0.182500 0.182500 0.182500168 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/AL X 14 COMPR. MERCK SHARP & DOHME ROMANIA P-6L 28 7.86 0.280714 0.209599 0.209599169 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/AL X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 20 3.82 0.191000 0.191000 0.191000170 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. TERAPIA SA ROMANIA P-6L 20 3.91 0.195500 0.195500 0.195500171 C09AA02 ENALAPRILUM INVORIL 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/AL X 10 COMPR. TERAPIA SA ROMANIA P-6L 30 5.50 0.183333 0.183333 0.183333172 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP S.A. ROMANIA P-6L 30 5.56 0.185333 0.185333 0.185333173 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. VIM SPECTRUM SRL ROMANIA P-6L 20 3.64 0.182000 0.182000 0.182000174 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml CUTIE X 5 FIOLE X 1 ML KRKA D.D. SLOVENIA S/P-RF 5 15.41 3.082000 3.082000 3.082000175 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg CUTIE X 3 BLIST. X 10 COMPR. RANBAXY U.K. LIMITED MAREA BRITANIE P-6L 30 14.95 0.498333 0.375600 0.375600176 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. AC HELCOR SRL ROMANIA P-6L 20 10.72 0.536000 0.375600 0.375600177 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. HEXAL AG GERMANIA P-6L 30 10.28 0.342666 0.342666 0.342666178 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 30 16.12 0.537333 0.375600 0.375600179 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE ROMANIA SRL ROMANIA P-6L 30 14.41 0.480333 0.375600 0.375600180 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg CUTIE CU BLIST. PVC/AL X 30 COMPR. ACTAVIS GROUP PTC EHF. ISLANDA P-6L 30 12.84 0.428000 0.375600 0.375600181 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. ANTIBIOTICE SA ROMANIA P-6L 20 6.26 0.313000 0.313000 0.313000182 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ANTIBIOTICE SA ROMANIA P-6L 30 9.71 0.323666 0.323666 0.323666183 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/PVC X 14 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 28 15.42 0.550714 0.375600 0.375600184 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg CUTIE X 2 BLIST. AL/PVC X 14 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 28 8.72 0.311428 0.311428 0.311428185 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg CUTIE X 3 BLIST. X 10 COMPR. RANBAXY U.K. LIMITED MAREA BRITANIE P-6L 30 23.05 0.768333 0.600799 0.600799186 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg CUTIE X 2 BLIST. PVC/AL X 10 COMPR. AC HELCOR SRL ROMANIA P-6L 20 15.62 0.781000 0.600799 0.600799187 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. HEXAL AG GERMANIA P-6L 30 15.02 0.500666 0.500666 0.500666188 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 30 28.47 0.949000 0.600799 0.600799189 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE ROMANIA SRL ROMANIA P-6L 20 14.41 0.720500 0.600799 0.600799190 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg CUTIE CU BLIST. PVC/AL X 30 COMPR. ACTAVIS GROUP PTC EHF. ISLANDA P-6L 30 23.31 0.777000 0.600799 0.600799191 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. ANTIBIOTICE SA ROMANIA P-6L 10 7.41 0.741000 0.600799 0.600799192 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ANTIBIOTICE SA ROMANIA P-6L 30 23.42 0.780666 0.600799 0.600799193 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg CUTIE X 2 BLIST. AL/PVC X 14 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 28 22.85 0.816071 0.600799 0.600799194 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. ANTIBIOTICE SA ROMANIA P-6L 10 13.76 1.376000 1.376000 1.376000195 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ANTIBIOTICE SA ROMANIA P-6L 30 39.22 1.307333 1.307333 1.307333196 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg CUTIE X 3 BLIST. X 10 COMPR. RANBAXY U.K. LIMITED MAREA BRITANIE P-6L 30 7.63 0.254333 0.254333 0.254333197 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. HEXAL AG GERMANIA P-6L 30 7.13 0.237666 0.237666 0.237666198 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 30 10.09 0.336333 0.285199 0.285199199 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE ROMANIA SRL ROMANIA P-6L 30 8.64 0.288000 0.285199 0.285199200 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg CUTIE CU BLIST. PVC/AL X 30 COMPR. ACTAVIS GROUP PTC EHF. ISLANDA P-6L 30 7.33 0.244333 0.244333 0.244333201 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC X 14 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 28 9.26 0.330714 0.285199 0.285199202 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1,25mg CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. RANBAXY U.K. LIMITED MAREA BRITANIE P-6L 30 6.87 0.229000 0.229000 0.229000203 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. RANBAXY U.K. LIMITED MAREA BRITANIE P-6L 30 32.92 1.097333 0.456240 0.456240

Pagina 5 din 42

Page 70: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

204 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. SANDOZ SRL ROMANIA P-6L 28 23.22 0.829285 0.456240 0.456240205 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 30 24.88 0.829333 0.456240 0.456240206 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 30 24.87 0.829000 0.456240 0.456240207 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg CUTIE X 4 BLIST. AL/AL X 7 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 28 23.22 0.829285 0.456240 0.456240208 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg CUTIE X 2 BLIST. X 14 COMPR. ZENTIVA S.A. ROMANIA P-6L 28 23.22 0.829285 0.456240 0.456240209 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg CUTIE X 4 BLIST. AL/AL X 7 COMPR. ACTAVIS GROUP HF ISLANDA P-6L 28 23.22 0.829285 0.456240 0.456240210 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg CUTIE X 10 BLIST. AL/AL X 10 COMPR. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L/S 100 38.02 0.380200 0.380200 0.380200211 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg CUTIE X 2 BLIST. AL/AL X 10 COMPR. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 20 10.48 0.524000 0.456240 0.456240212 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg CUTIE X 2 BLIST. AL/PVC X 14 COMPR. SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA P-6L 28 34.56 1.234285 0.456240 0.456240213 C09AA05 RAMIPRILUM VIVOKAR 10 mg CAPS. 10mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. LABORMED PHARMA S.A. ROMANIA P-6L 30 24.88 0.829333 0.456240 0.456240214 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. SANDOZ SRL ROMANIA P-6L 28 9.35 0.333928 0.318857 0.318856215 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2,5mg CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. RANBAXY U.K. LIMITED MAREA BRITANIE P-6L 30 11.20 0.373333 0.318857 0.318856216 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2,5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 30 10.02 0.334000 0.318857 0.318856217 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 30 9.98 0.332666 0.318857 0.318856218 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg CUTIE X 4 BLIST. AL/AL X 7 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 28 9.35 0.333928 0.318857 0.318856219 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg CUTIE X 2 BLIST. X 14 COMPR. ZENTIVA S.A. ROMANIA P-6L 28 9.35 0.333928 0.318857 0.318856220 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg CUTIE X 4 BLIST. AL/AL X 7COMPR. ACTAVIS GROUP HF ISLANDA P-6L 28 7.44 0.265714 0.265714 0.265714221 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg CUTIE X 2 BLIST. X 14 COMPR. SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA P-6L 28 14.38 0.513571 0.318857 0.318856222 C09AA05 RAMIPRILUM VIVOKAR 2,5 mg CAPS. 2,5mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. LABORMED PHARMA S.A. ROMANIA P-6L 30 10.00 0.333333 0.318857 0.318856223 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. RANBAXY U.K. LIMITED MAREA BRITANIE P-6L 30 20.45 0.681666 0.309720 0.309720224 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. SANDOZ SRL ROMANIA P-6L 28 10.14 0.362142 0.309720 0.309720225 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. AC HELCOR PHARMA SRL ROMANIA P-6L 30 10.82 0.360666 0.309720 0.309720226 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. KRKA D.D. NOVO MESTO SLOVENIA P-6L 30 10.83 0.361000 0.309720 0.309720227 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg CUTIE X 4 BLIST. AL/AL X 7 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 28 10.14 0.362142 0.309720 0.309720228 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg CUTIE X 2 BLIST. X 14 COMPR. ZENTIVA S.A. ROMANIA P-6L 28 10.14 0.362142 0.309720 0.309720229 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg CUTIE X 4 BLIST. AL/AL X 7 COMPR. ACTAVIS GROUP HF ISLANDA P-6L 28 10.12 0.361428 0.309720 0.309720230 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg CUTIE X 10 BLIST. A/AL X 10 COMPR. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L/S 100 25.81 0.258100 0.258100 0.258100231 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg CUTIE X 2 BLIST. A/AL X 10 COMPR. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 20 7.07 0.353500 0.309720 0.309720232 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg CUTIE X 2 BLIST. X 14 COMPR. SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA P-6L 28 15.59 0.556785 0.309720 0.309720233 C09AA05 RAMIPRILUM VIVOKAR 5 mg CAPS. 5mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. LABORMED PHARMA S.A. ROMANIA P-6L 30 15.01 0.500333 0.309720 0.309720234 C09CA03 VALSARTANUM** DIOVAN 160 mg COMPR. FILM. 160mg CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. NOVARTIS PHARMA GMBH GERMANIA P-6L 28 116.32 4.154285 4.154285 4.154285235 C09CA03 VALSARTANUM** DIOVAN 40 mg COMPR. FILM. 40mg CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. NOVARTIS PHARMA GMBH GERMANIA P-6L 28 71.74 2.562142 2.562142 2.562142236 C09CA03 VALSARTANUM** DIOVAN 80 mg COMPR. FILM. 80mg CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. NOVARTIS PHARMA GMBH GERMANIA P-6L 28 91.67 3.273928 3.273928 3.273928237 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 16mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. ASTRAZENECA AB SUEDIA P-6L 28 66.58 2.377857 2.377857 2.377857238 C09CA06 CANDESARTANUM CILEXETIL** ATACAND 32 mg COMPR. 32mg CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. ASTRAZENECA UK LIMITED MAREA BRITANIE P-6L 28 117.13 4.183214 4.183214 4.183214239 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. ASTRAZENECA AB SUEDIA P-6L 28 55.96 1.998571 1.998571 1.998571

1 B01AA07 ACENOCUMAROLUM* TROMBOSTOP 2 mg COMPR. 2mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 6.52 0.217333 0.217333 0.2173332 B01AA07 ACENOCUMAROLUM* SINTROM (R) COMPR. 4mg CUTIE X 2 BLIST. X 10 COMPR. NOVARTIS PHARMA GMBH GERMANIA P-RF 20 6.75 0.337500 0.337500 0.337500

Tratamentul se initiază de către medicul în specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3

Pagina 6 din 42

Page 71: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1 B01AC04 CLOPIDOGRELUM*** PLAVIX 300mg COMPR. FILM. 300mg CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA P-RF 30 779.14 25.971333 25.971333 25.971333

2 B01AC04 CLOPIDOGRELUM*** PLAVIX 75mg COMPR. FILM. 75mg CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA P-RF 28 122.06 4.359285 2.916428 2.9164283 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. ZENTIVA K.S. CEHIA P-RF 30 83.62 2.787333 2.787333 2.7873334 B01AC04 CLOPIDOGRELUM*** EGITROMB 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 79.33 2.833214 2.833214 2.8332145 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. ZENTIVA K.S. CEHIA P-RF 90 241.83 2.687000 2.687000 2.6870006 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. TEVA PHARMA BV OLANDA P-RF 28 89.27 3.188214 2.916428 2.9164287 B01AC04 CLOPIDOGRELUM*** ZYLLT COMPR. FILM. 75 mg CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. KRKA D.D. NOVO MESTO SLOVENIA P-RF 28 90.28 3.224285 2.916428 2.9164288 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL MYLAN 75mg COMPR. FILM. 75mg CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. MYLAN S.A.S. FRANTA P-RF 28 84.40 3.014285 2.916428 2.9164289 B01AC04 CLOPIDOGRELUM*** TROGRAN 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA P-RF 28 90.42 3.229285 2.916428 2.916428

10 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 28 79.30 2.832142 2.832142 2.83214211 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 30 84.97 2.832333 2.832333 2.83233312 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF 28 68.37 2.441785 2.441785 2.44178513 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF 28 68.37 2.441785 2.441785 2.44178514 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. AL/AL X 84 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF 84 215.10 2.560714 2.560714 2.56071415 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 84 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF 84 215.10 2.560714 2.560714 2.56071416 B01AC04 CLOPIDOGRELUM*** PLAVOCORIN 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. SANDOZ S.R.L. ROMANIA P-RF 28 89.27 3.188214 2.916428 2.91642817 B01AC04 CLOPIDOGRELUM*** TESSYRON 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. GEDEON RICHTER PLC. UNGARIA P-RF 30 85.00 2.833333 2.833333 2.83333318 B01AC04 CLOPIDOGRELUM*** TUXEDON 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. ICN POLFA RZESZOW S.A. POLONIA P-RF 28 96.30 3.439285 2.916428 2.91642819 B01AC04 CLOPIDOGRELUM*** TUXEDON 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVC/AL X 84 COMPR. FILM. ICN POLFA RZESZOW S.A. POLONIA P-RF 84 273.95 3.261309 2.916428 2.91642820 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 28 79.30 2.832142 2.832142 2.83214221 B01AC04 CLOPIDOGRELUM*** DEFROZYP 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-RF 28 79.30 2.832142 2.832142 2.83214222 B01AC04 CLOPIDOGRELUM*** TESSYRON 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 30 85.00 2.833333 2.833333 2.83333323 B01AC04 CLOPIDOGRELUM*** CLORODEN 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. IWA CONSULTING APS DANEMARCA P-RF 28 68.32 2.440000 2.440000 2.44000024 B01AC04 CLOPIDOGRELUM*** CLORODEN 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. IWA CONSULTING APS DANEMARCA P-RF 28 68.32 2.440000 2.440000 2.44000025 B01AC04 CLOPIDOGRELUM*** LOFRADYK 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. ZAKLAD FARMACEUTYCZNY ADAMED PHARMA S.A. POLONIA P-RF 28 68.05 2.430357 2.430357 2.43035726 B01AC04 CLOPIDOGRELUM*** VATOUD 75 mg COMPR. FILM. 75mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. ALVOGEN IPCO S.A.R.L LUXEMBURG P-RF 28 73.64 2.630000 2.630000 2.630000

(cel mult 9 luni)Tratamentul se initiază de către medicul în specialitatea cardiologie

1 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 1,724.65 287.441666 287.441666 287.441666

2 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 217.91 36.318333 36.318333 36.318333

3 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 425.00 70.833333 70.833333 70.833333

4 B03XA01 EPOETINUM ALFA** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 786.55 786.550000 786.550000 786.550000

5 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 6 757.39 126.231666 120.496000 120.495999

6 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 602.48 100.413333 100.413333 100.413333

7 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI CUTIE X 1 FLACON DIN STICLA X 1 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

8 B03XA01 EPOETINUM ALFA** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 992.26 992.260000 992.260000 992.260000

9 B03XA01 EPOETINUM ALFA** EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

10 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 779.91 129.985000 129.985000 129.985000

11 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 957.28 159.546666 159.546666 159.546666

12 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 2,341.24 390.206666 390.206666 390.206666

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4

Pagina 7 din 42

Page 72: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

13 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 279.25 46.541666 46.541666 46.541666

14 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 525.21 87.535000 87.535000 87.535000

15 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 1 1,171.95 1171.950000 1171.950000 1171.950000

16 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 978.92 163.153333 163.153333 163.153333

17 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 1,205.63 200.938333 200.938333 200.938333

18 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 143.59 23.931666 23.931666 23.931666

19 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) SP EUROPE BELGIA P-RF/R 140 610.50 4.360714 4.360714 4.36071420 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. ROCHE ROMANIA SRL ROMANIA P-RF/R 168 663.76 3.950952 3.950952 3.95095221 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 28 278.07 9.931071 9.931071 9.93107122 J05AF05 LAMIVUDINUM**** EPIVIR 10mg/ml SOL. ORALA 10mg/ml CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 1 160.54 160.540000 160.540000 160.540000

23 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 60 556.43 9.273833 9.273833 9.27383324 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 1 126.68 126.680000 126.680000 126.680000

25 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg CUTIE X 1 FLAC. DIN PEID X 30 COMPR. GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE P-RF/R 30 1,924.62 64.154000 64.154000 64.154000

26 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) BRISTOL-MYERS SQUIBB MAREA BRITANIE P-RF/R 30 1,744.69 58.156333 58.156333 58.156333

27 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) BRISTOL-MYERS SQUIBB MAREA BRITANIE P-RF/R 30 1,934.04 64.468000 64.468000 64.468000

28 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. HOSPIRA UK LIMITED MAREA BRITANIE P-RF 5 493.27 98.654000 98.654000 98.654000

29 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML AMGEN EUROPE B.V. OLANDA S/P-RF 1 325.26 325.260000 236.904000 236.904000

30 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. TEVA GENERICS GMBH GERMANIA S/P-RF/R 1 260.83 260.830000 236.904000 236.904000

31 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL SANDOZ GMBH AUSTRIA P-RF/R 1 197.42 197.420000 197.420000 197.420000

32 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. HOSPIRA UK LIMITED MAREA BRITANIE P-RF 5 1,126.89 225.378000 225.378000 225.378000

33 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML AMGEN EUROPE B.V. OLANDA S/P-RF 1 512.98 512.980000 381.336000 381.336000

34 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. TEVA GENERICS GMBH GERMANIA S/P-RF/R 1 425.24 425.240000 381.336000 381.336000

35 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL SANDOZ GMBH AUSTRIA P-RF/R 1 317.78 317.780000 317.780000 317.780000

36 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. HOSPIRA UK LIMITED MAREA BRITANIE P-RF 5 1,839.35 367.870000 367.870000 367.870000

37 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0,6ml CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. ROCHE ROMANIA S.R.L. ROMANIA S/P-RF 1 423.84 423.840000 423.840000 423.840000

38 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL ROCHE ROMANIA S.R.L. ROMANIA S/P-RF 1 87.23 87.230000 87.230000 87.230000

39 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL ROCHE ROMANIA S.R.L. ROMANIA S/P-RF 1 182.79 182.790000 182.790000 182.790000

40 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE SP EUROPE BELGIA P-RF/R 1 489.79 489.790000 489.790000 489.790000

41 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE SP EUROPE BELGIA P-RF/R 1 770.91 770.910000 770.910000 770.910000

42 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 818.23 818.230000 818.230000 818.230000

43 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 967.73 967.730000 967.730000 967.730000

44 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 1,191.02 1191.020000 1191.020000 1191.020000

45 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 444.84 444.840000 444.840000 444.840000

46 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 135 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE P-RF/R 1 774.99 774.990000 774.990000 774.990000

47 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE P-RF/R 1 973.03 973.030000 973.030000 973.030000

48 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg CUTIE X 1 FLAC. X 50 CAPS. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 50 17.03 0.340600 0.340600 0.340600

1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 50 32.54 0.650800 0.650800 0.6508002 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 20 29.57 1.478500 1.478500 1.4785003 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 30 6.52 0.217333 0.217333 0.217333

Tratamentul se initiază de către medicul în specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)

5. HEPATITA AUTOIMUNA - G5

Pagina 8 din 42

Page 73: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

4 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML STADA HEMOFARM S.R.L. ROMANIA S/P-RF 1 8.78 8.780000 8.780000 8.7800005 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 1 20.42 20.420000 20.420000 20.420000

6 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML STADA HEMOFARM S.R.L. ROMANIA S/P-RF 1 30.94 30.940000 30.940000 30.940000

7 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. MERCK KGAA GERMANIA P-RF 3 95.39 31.796666 31.796666 31.796666

8 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT MERCK KGAA GERMANIA P-RF 3 35.62 11.873333 11.873333 11.873333

9 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE S/P-RF 100 80.72 0.807200 0.807200 0.807200Tratamentul se initiază de către medicul în specialitatea gastroenterologie

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ZAMBON S.P.A. ITALIA P-6L 60 54.05 0.900833 0.900833 0.9008332 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg CUTIE X 4 BLIST. AL/PVC X 25 CAPS. DR. FALK PHARMA GMBH GERMANIA P-6L/S 100 123.98 1.239800 1.239800 1.2398003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg CUTIE X 2 BLIST. AL/PVC X 25 CAPS. DR. FALK PHARMA GMBH GERMANIA P-6L 50 71.32 1.426400 1.426400 1.4264004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg CUTIE X 5 BLIST. AL/PVC X 10 CAPS. PRO. MED. CS PRAHA AS CEHIA P-6L 50 68.61 1.372200 1.372200 1.3722005 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. ZAMBON S.P.A. ITALIA P-6L 20 35.80 1.790000 1.790000 1.790000

7. CIROZA HEPATICA - G7

1 A06AD11 LACTULOSUM* LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE ROMPHARM COMPANY SRL ROMANIA P-6L 1 7.07 7.070000 7.070000 7.0700002 A06AD11 LACTULOSUM* DUPHALAC (R) LICHID ORAL 66,7% FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML SOLVAY PHARMACEUTICALS BV OLANDA P-RF 1 10.94 10.940000 10.940000 10.940000

3 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% CUTIE X 1 FLACON X 300 ML E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 1 10.39 10.390000 10.390000 10.390000

4 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP MIP PHARMA GMBH GERMANIA P-6L 1 17.20 17.200000 17.200000 17.200000

5 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP MIP PHARMA GMBH GERMANIA P-6L 1 33.27 33.270000 33.270000 33.270000

6 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% CUTIE X 1 FLACON X 100 ML E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 1 3.45 3.450000 3.450000 3.4500007 A06AD11 LACTULOSUM* LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D FRESENIUS KABI AUSTRIA GMBH AUSTRIA P-RF 1 3.56 3.560000 3.560000 3.5600008 A07AA11 RIFAXIMINUM* NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML ALFA WASSERMANN SPA ITALIA P-RF 1 19.06 19.060000 19.060000 19.060000

9 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. ALFA WASSERMANN SPA ITALIA P-RF 12 36.53 3.044166 3.044166 3.04416610 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 1,724.65 287.441666 287.441666 287.441666

11 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 217.91 36.318333 36.318333 36.318333

12 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 425.00 70.833333 70.833333 70.833333

13 B03XA01 EPOETINUM ALFA** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 786.55 786.550000 786.550000 786.550000

14 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 6 757.39 126.231666 120.496000 120.495999

15 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 602.48 100.413333 100.413333 100.413333

16 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI CUTIE X 1 FLACON DIN STICLA X 1 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

17 B03XA01 EPOETINUM ALFA** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 992.26 992.260000 992.260000 992.260000

18 B03XA01 EPOETINUM ALFA** EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

19 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 779.91 129.985000 129.985000 129.985000

20 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 957.28 159.546666 159.546666 159.546666

21 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 2,341.24 390.206666 390.206666 390.206666

22 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 279.25 46.541666 46.541666 46.541666

23 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 525.21 87.535000 87.535000 87.535000

24 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 1 1,171.95 1171.950000 1171.950000 1171.950000

25 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 978.92 163.153333 163.153333 163.153333

26 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 1,205.63 200.938333 200.938333 200.938333

27 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 143.59 23.931666 23.931666 23.931666

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6

Pagina 9 din 42

Page 74: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

28 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA P-6L 20 3.02 0.151000 0.096000 0.09600029 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. SLAVIA PHARM SRL ROMANIA P-6L 20 2.27 0.113500 0.096000 0.09600030 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg CUTIE X 2 BLIST. X 10 COMPR. BIO EEL SRL ROMANIA P-6L 20 1.62 0.081000 0.081000 0.08100031 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg CUTIE X 1 FLAC. DIN PEID X 20 COMPR. ZENTIVA SA ROMANIA P-6L 20 6.01 0.300500 0.096000 0.09600032 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 20 3.04 0.152000 0.096000 0.09600033 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. ARENA GROUP S.A. ROMANIA P-6L 20 1.60 0.080000 0.080000 0.08000034 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. ZENTIVA SA ROMANIA P-RF 5 6.06 1.212000 1.212000 1.21200035 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 30 28.43 0.947666 0.947666 0.94766636 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. TERAPIA SA ROMANIA P-6L 50 16.18 0.323600 0.258000 0.25800037 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. AC HELCOR PHARMA SRL ROMANIA P-6L 20 4.30 0.215000 0.215000 0.21500038 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. BIO EEL SRL ROMANIA P-6L 20 4.30 0.215000 0.215000 0.21500039 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES LTD. MAREA BRITANIE P-6L 50 10.77 0.215400 0.215400 0.21540040 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES PHARMA S.A. ROMANIA P-6L 50 10.77 0.215400 0.215400 0.21540041 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. ARENA GROUP S.A. ROMANIA P-6L 50 16.04 0.320800 0.258000 0.25800042 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. AC HELCOR PHARMA SRL ROMANIA P-6L 20 13.71 0.685500 0.648400 0.64839943 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 30 16.67 0.555666 0.555666 0.55566644 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. ARENA GROUP S.A. ROMANIA P-6L 30 16.21 0.540333 0.540333 0.54033345 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. MERCK KGAA GERMANIA P-RF 3 95.39 31.796666 31.796666 31.796666

46 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT MERCK KGAA GERMANIA P-RF 3 35.62 11.873333 11.873333 11.873333

47 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) SP EUROPE BELGIA P-RF/R 140 610.50 4.360714 4.360714 4.36071448 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. ROCHE ROMANIA SRL ROMANIA P-RF/R 168 663.76 3.950952 3.950952 3.95095249 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 28 278.07 9.931071 9.931071 9.93107150 J05AF05 LAMIVUDINUM**** EPIVIR 10mg/ml SOL. ORALA 10mg/ml CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 1 160.54 160.540000 160.540000 160.540000

51 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 60 556.43 9.273833 9.273833 9.27383352 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE GLAXO GROUP LTD. MAREA BRITANIE P-RF/R 1 126.68 126.680000 126.680000 126.680000

53 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg CUTIE X 1 FLAC. DIN PEID X 30 COMPR. GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE P-RF/R 30 1,924.62 64.154000 64.154000 64.154000

54 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) BRISTOL-MYERS SQUIBB MAREA BRITANIE P-RF/R 30 1,744.69 58.156333 58.156333 58.156333

55 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) BRISTOL-MYERS SQUIBB MAREA BRITANIE P-RF/R 30 1,934.04 64.468000 64.468000 64.468000

56 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. HOSPIRA UK LIMITED MAREA BRITANIE P-RF 5 493.27 98.654000 98.654000 98.654000

57 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML AMGEN EUROPE B.V. OLANDA S/P-RF 1 325.26 325.260000 236.904000 236.904000

58 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. TEVA GENERICS GMBH GERMANIA S/P-RF/R 1 260.83 260.830000 236.904000 236.904000

59 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL SANDOZ GMBH AUSTRIA P-RF/R 1 197.42 197.420000 197.420000 197.420000

60 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. HOSPIRA UK LIMITED MAREA BRITANIE P-RF 5 1,126.89 225.378000 225.378000 225.378000

61 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML AMGEN EUROPE B.V. OLANDA S/P-RF 1 512.98 512.980000 381.336000 381.336000

62 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. TEVA GENERICS GMBH GERMANIA S/P-RF/R 1 425.24 425.240000 381.336000 381.336000

63 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL SANDOZ GMBH AUSTRIA P-RF/R 1 317.78 317.780000 317.780000 317.780000

64 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. HOSPIRA UK LIMITED MAREA BRITANIE P-RF 5 1,839.35 367.870000 367.870000 367.870000

65 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0,6ml CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. ROCHE ROMANIA S.R.L. ROMANIA S/P-RF 1 423.84 423.840000 423.840000 423.840000

66 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL ROCHE ROMANIA S.R.L. ROMANIA S/P-RF 1 87.23 87.230000 87.230000 87.230000

67 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL ROCHE ROMANIA S.R.L. ROMANIA S/P-RF 1 182.79 182.790000 182.790000 182.790000

68 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE SP EUROPE BELGIA P-RF/R 1 489.79 489.790000 489.790000 489.790000

69 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE SP EUROPE BELGIA P-RF/R 1 770.91 770.910000 770.910000 770.910000

70 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 818.23 818.230000 818.230000 818.230000

71 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 967.73 967.730000 967.730000 967.730000

72 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 1,191.02 1191.020000 1191.020000 1191.020000Pagina 10 din 42

Page 75: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

73 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. SP EUROPE BELGIA P-RF/R 1 444.84 444.840000 444.840000 444.840000

74 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 135 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE P-RF/R 1 774.99 774.990000 774.990000 774.990000

75 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE P-RF/R 1 973.03 973.030000 973.030000 973.030000

76 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg CUTIE X 1 FLAC. X 50 CAPS. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 50 17.03 0.340600 0.340600 0.340600Tratamentul se inițiază de către medicul in specialitatea gastroenterologie sau boli infectioase

1 A04AA01 ONDANSETRONUM** OSETRON 4 mg COMPR. FILM. 4mg CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 10 19.00 1.900000 1.900000 1.9000002 A04AA01 ONDANSETRONUM** ZOFRAN 4 mg COMPR. FILM. 4mg CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. GLAXO WELLCOME UK LTD. MAREA BRITANIE P-RF 10 66.19 6.619000 2.280000 2.2800003 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg CUTIE X 1 FOLIE DIN POLIAMIDA/AL/PVC X 10 COMPR. ORODISPERSABILE RANBAXY UK LTD. MAREA BRITANIE P-RF 10 19.12 1.912000 1.912000 1.9120004 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE RANBAXY UK LTD. MAREA BRITANIE P-RF 10 19.12 1.912000 1.912000 1.9120005 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 10 33.24 3.324000 3.324000 3.3240006 A04AA01 ONDANSETRONUM** ONDARAN MD 8 mg COMPR. ORODISPERSABILE 8mg CUTIE X 1 FOLE PA/AL/PVC X 10 COMPR. ORODISPERSABILE RANBAXY UK LIMITED MAREA BRITANIE P-RF 10 33.48 3.348000 3.348000 3.3480007 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOL. INJ. 2mg/ml CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. DR. REDDY'S LABORATORIES ROMANIA S/P-RF 5 23.73 4.746000 4.746000 4.7460008 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. CIPLA (UK) LIMITED MAREA BRITANIE S/P-RF 5 23.74 4.748000 4.748000 4.7480009 A04AA01 ONDANSETRONUM** ZOFRAN 4mg/2ml SOL. INJ. 4mg/2ml CUTIE X 5 FIOLE X 2 ML SOL. INJ. GLAXO WELLCOME UK LIMITED MAREA BRITANIE S/P-RF 5 136.39 27.278000 5.695200 5.695200

10 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOL. INJ. 2mg/ml CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. DR. REDDY'S LABORATORIES ROMANIA S/P-RF 5 43.66 8.732000 8.732000 8.73200011 A04AA01 ONDANSETRONUM** EMESET 8 mg/4 ml SOL. INJ./PERF. 2mg/ml CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. CIPLA (UK) LIMITED MAREA BRITANIE S/P-RF 5 43.65 8.730000 8.730000 8.73000012 A04AA01 ONDANSETRONUM** ZOFRAN 8mg/4ml SOL. INJ. 8mg/4ml CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ. GLAXO WELLCOME UK LIMITED MAREA BRITANIE S/P-RF 5 175.65 35.130000 10.476000 10.476000

13 A04AA02 GRANISETRONUM** KYTRIL (R) 1 mg COMPR. FILM. 1mg CUTIE X 1 BLIST. X 10 COMPR. FILM. ROCHE ROMANIA S.R.L. ROMANIA P-RF 10 286.92 28.692000 17.793600 17.793600

14 A04AA02 GRANISETRONUM** GRANISETRON ACTAVIS 1 mg COMPR. FILM. 1mg CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 10 186.49 18.649000 17.793600 17.793600

15 A04AA02 GRANISETRONUM** GRANEGIS 1 mg COMPR. FILM. 1mg CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 10 148.28 14.828000 14.828000 14.828000

16 A04AA02 GRANISETRONUM** GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ. 1mg/1ml CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ. TEVA PHARMACEUTICALS S.R.L. ROMANIA S 5 71.36 14.272000 14.272000 14.272000

17 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. FRESENIUS KABI ROMANIA SRL ROMANIA S/P-RF 5 71.13 14.226000 14.226000 14.226000

18 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. FRESENIUS KABI ROMANIA SRL ROMANIA S/P-RF 10 134.97 13.497000 13.497000 13.497000

19 A04AA02 GRANISETRONUM** KYTRIL SOL. INJ. 3mg/3ml CUTIE X 1 FIOLA X 3 ML SOL. INJ. ROCHE ROMANIA SRL ROMANIA S 1 65.86 65.860000 47.184000 47.184000

20 A04AA02 GRANISETRONUM** GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ. 3mg/3ml CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ. TEVA PHARMACEUTICALS S.R.L. ROMANIA S 5 199.39 39.878000 39.878000 39.878000

21 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. FRESENIUS KABI ROMANIA SRL ROMANIA S/P-RF 5 198.83 39.766000 39.766000 39.766000

22 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. FRESENIUS KABI ROMANIA SRL ROMANIA S/P-RF 10 393.20 39.320000 39.320000 39.320000

23 A04AA05 PALONOSETRONUM** ALOXI SOL. INJ. 250 mcg/5ml CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA P-RF 1 380.38 380.380000 380.380000 380.380000

24 B03XA01 EPOETINUM ALFA*** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 1,724.65 287.441666 287.441666 287.441666

25 B03XA01 EPOETINUM ALFA*** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 217.91 36.318333 36.318333 36.318333

26 B03XA01 EPOETINUM ALFA*** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 425.00 70.833333 70.833333 70.833333

27 B03XA01 EPOETINUM ALFA*** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 786.55 786.550000 786.550000 786.550000

28 B03XA01 EPOETINUM ALFA*** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 6 757.39 126.231666 120.496000 120.495999

29 B03XA01 EPOETINUM ALFA*** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 602.48 100.413333 100.413333 100.413333

30 B03XA01 EPOETINUM ALFA*** EPREX (R) 40 000 UI SOL. INJ. 40 000UI CUTIE X 1 FLACON DIN STICLA X 1 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

31 B03XA01 EPOETINUM ALFA*** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 992.26 992.260000 992.260000 992.260000

32 B03XA01 EPOETINUM ALFA*** EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

33 B03XA01 EPOETINUM ALFA*** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 779.91 129.985000 129.985000 129.985000

34 B03XA01 EPOETINUM ALFA*** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 957.28 159.546666 159.546666 159.546666

35 B03XA01 EPOETINUM BETA*** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 2,341.24 390.206666 390.206666 390.206666

36 B03XA01 EPOETINUM BETA*** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 279.25 46.541666 46.541666 46.541666

37 B03XA01 EPOETINUM BETA*** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 525.21 87.535000 87.535000 87.535000

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10

Pagina 11 din 42

Page 76: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

38 B03XA01 EPOETINUM BETA*** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 1 1,171.95 1171.950000 1171.950000 1171.950000

39 B03XA01 EPOETINUM BETA*** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 978.92 163.153333 163.153333 163.153333

40 B03XA01 EPOETINUM BETA*** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 1,205.63 200.938333 200.938333 200.938333

41 B03XA01 EPOETINUM BETA*** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 143.59 23.931666 23.931666 23.931666

42 B03XA02 DARBEPOETINUM ALFA*** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML AMGEN EUROPE BV OLANDA P-RF/R 4 3,165.73 791.432500 791.432500 791.432500

43 B03XA02 DARBEPOETINUM ALFA*** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML AMGEN EUROPE BV OLANDA P-RF/R 4 390.73 97.682500 97.682500 97.682500

44 B03XA02 DARBEPOETINUM ALFA*** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML AMGEN EUROPE BV OLANDA P-RF/R 4 4,697.46 1174.365000 1174.365000 1174.365000

45 B03XA02 DARBEPOETINUM ALFA*** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML AMGEN EUROPE BV OLANDA P-RF/R 4 546.33 136.582500 136.582500 136.582500

46 B03XA02 DARBEPOETINUM ALFA*** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML AMGEN EUROPE BV OLANDA P-RF/R 4 701.15 175.287500 175.287500 175.287500

47 B03XA02 DARBEPOETINUM ALFA*** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML AMGEN EUROPE BV OLANDA P-RF/R 1 2,203.60 2203.600000 2203.600000 2203.600000

48 B03XA02 DARBEPOETINUM ALFA*** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,007.27 251.817500 251.817500 251.817500

49 B03XA02 DARBEPOETINUM ALFA*** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,316.02 329.005000 329.005000 329.005000

50 B03XA02 DARBEPOETINUM ALFA*** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML AMGEN EUROPE BV OLANDA P-RF/R 1 3,625.44 3625.440000 3625.440000 3625.440000

51 B03XA02 DARBEPOETINUM ALFA*** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,623.11 405.777500 405.777500 405.777500

52 B03XA02 DARBEPOETINUM ALFA*** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,932.79 483.197500 483.197500 483.197500

53 B03XA02 DARBEPOETINUM ALFA*** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML AMGEN EUROPE BV OLANDA P-RF/R 4 2,550.12 637.530000 637.530000 637.530000

54 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg CUTIE X 1 FLAC. X 50 COMPR. BAYER SCHERING PHARMA AG GERMANIA P-RF 50 161.95 3.239000 3.239000 3.23900055 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. E.I.P.I.CO. MED S.R.L. ROMANIA P-RF 100 123.37 1.233700 1.103520 1.10352056 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. E.I.P.I.CO. MED S.R.L. ROMANIA P-RF 5 6.96 1.392000 1.103520 1.10352057 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. MEDOCHEMIE LTD. CIPRU P-RF/S 100 91.96 0.919600 0.919600 0.91960058 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. MEDOCHEMIE LTD. CIPRU P-RF 10 10.35 1.035000 1.035000 1.03500059 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. JANSSEN PHARMACEUTICA N.V. BELGIA P-RF 15 76.74 5.116000 4.194400 4.19439960 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg CUTIE X 3 BLIST. AL/PVC X 5 CAPS. SLAVIA PHARM SRL ROMANIA P-RF 15 52.44 3.496000 3.496000 3.49600061 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg CUTIE X 3 BLIST. AL/PVC X 5 CAPS. TERAPIA SA ROMANIA P-RF 15 124.00 8.266666 4.194400 4.19439962 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg CUTIE X 3 BLIST. AL/PVC X 5 CAPS. ARENA GROUP S.A. ROMANIA P-RF 15 52.44 3.496000 3.496000 3.49600063 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg CUTIE X 3 BLIST. AL/AL X 5 CAPS. MEDICO UNO PHARMACEUTICAL SRL ROMANIA P-RF 15 52.44 3.496000 3.496000 3.49600064 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg CUTIE X 3 BLIST. AL/AL X 5 CAPS. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 15 52.44 3.496000 3.496000 3.49600065 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg CUTIE X 3 BLIST. PVC/AL X 5 CAPS. LABORMED PHARMA S.A. ROMANIA P-RF 15 52.44 3.496000 3.496000 3.49600066 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg CUTIE X 3 BLIST. PVC/AL X 5 CAPS. ROMPHARM COMPANY SRL ROMANIA P-RF 15 52.43 3.495333 3.495333 3.49533367 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 28 3,908.70 139.596428 139.596428 139.596428

68 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PFIZER LIMITED MAREA BRITANIE P-RF 1 2,434.43 2434.430000 2434.430000 2434.430000

69 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 28 1,030.07 36.788214 36.788214 36.788214

70 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg CUTIE X 1 FLAC. UNIDOZA X 30ML PFIZER LIMITED MAREA BRITANIE P-RF 1 536.36 536.360000 536.360000 536.360000

71 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml CUTIE X 1 FLAC. X 105ML SUSP. ORALA SP EUROPE BELGIA P-RF/R 1 2,974.83 2974.830000 2974.830000 2974.830000

72 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. MERCK SHARP & DOHME MAREA BRITANIE S 1 1,345.76 1345.760000 1345.760000 1345.760000

73 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. MERCK SHARP & DOHME MAREA BRITANIE S 1 1,734.79 1734.790000 1734.790000 1734.790000

74 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0,5mg CUTIE X 1 FLAC. DIN PE X 42 CAPS. ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA P-RF 42 874.04 20.810476 19.821120 19.821120

75 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0,5mg CUTIE X 1 FLAC. DIN PE X 100 CAPS. ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA P-RF/S 100 1,651.76 16.517600 16.517600 16.517600

76 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 470.37 9.407400 9.407400 9.40740077 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 1 427.55 427.550000 427.550000 427.550000

78 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 137.00 2.740000 2.253600 2.25360079 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 93.90 1.878000 1.878000 1.87800080 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 137.16 2.743200 2.253600 2.25360081 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 291.47 5.829400 4.546800 4.54680082 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 189.45 3.789000 3.789000 3.789000

Pagina 12 din 42

Page 77: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

83 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 304.48 6.089600 4.546800 4.54680084 N02AA01 MORPHYNUM MST CONTINUS 100 mg COMPR. FILM. ELIB. MODIF. 100mg CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. MUNDIPHARMA GES.M.B.H AUSTRIA P-TS 60 247.55 4.125833 3.393600 3.39360085 N02AA01 MORPHYNUM VENDAL (R) RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 30 84.84 2.828000 2.828000 2.82800086 N02AA01 MORPHYNUM MST CONTINUS 10 mg COMPR. FILM. ELIB. MODIF. 10mg CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. MUNDIPHARMA GES.M.B.H AUSTRIA P-TS 60 46.02 0.767000 0.767000 0.76700087 N02AA01 MORPHYNUM SEVREDOL 10 mg COMPR. FILM. 10mg CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. MUNDIPHARMA GMBH AUSTRIA P-TS 56 46.85 0.836607 0.836607 0.83660788 N02AA01 MORPHYNUM MST CONTINUS 200 mg COMPR. FILM. ELIB. MODIF. 200mg CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD. MUNDIPHARMA GES.M.B.H AUSTRIA P-TS 60 421.72 7.028666 7.028666 7.02866689 N02AA01 MORPHYNUM SEVREDOL 20 mg COMPR. FILM. 20mg CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. MUNDIPHARMA GMBH AUSTRIA P-TS 56 67.18 1.199642 1.199642 1.19964290 N02AA01 MORPHYNUM MST CONTINUS 30 mg COMPR. FILM. ELIB. MODIF. 30mg CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. MUNDIPHARMA GES.M.B.H AUSTRIA P-TS 60 76.29 1.271500 1.079200 1.07919991 N02AA01 MORPHYNUM VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL. 30mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 30 26.98 0.899333 0.899333 0.89933392 N02AA01 MORPHYNUM MST CONTINUS 60 mg COMPR. FILM. ELIB. MODIF. 60mg CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. MUNDIPHARMA GES.M.B.H AUSTRIA P-TS 60 154.28 2.571333 2.227200 2.22720093 N02AA01 MORPHYNUM VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL. 60mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 30 55.68 1.856000 1.856000 1.85600094 N02AA01 MORPHYNUM MSI 10 mg MUNDIPHARMA SOL. INJ. 10 mg CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. MUNDIPHARMA GMBH AUSTRIA P-TS 10 25.73 2.573000 2.573000 2.57300095 N02AA01 MORPHYNUM MORFINA 20 mg/ml SOL. INJ. 20mg/ml CUTIE X 5 FIOLE X 1 ML ZENTIVA S.A. ROMANIA P-TS 5 8.27 1.654000 1.654000 1.65400096 N02AA01 MORPHYNUM MSI 20 mg MUNDIPHARMA SOL. INJ. 20mg CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. MUNDIPHARMA GMBH AUSTRIA P-TS 10 48.80 4.880000 1.984800 1.98480097 N02AA05 OXYCODONUM OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. MUNDIPHARMA GMBH AUSTRIA P-TS 56 116.55 2.081250 1.623400 1.62339998 N02AA05 OXYCODONUM OXIDOLOR 10 mg COMPR. ELIB. PREL. 10mg CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 60 81.17 1.352833 1.352833 1.35283399 N02AA05 OXYCODONUM OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. MUNDIPHARMA GMBH AUSTRIA P-TS 56 214.14 3.823928 2.982600 2.982600100 N02AA05 OXYCODONUM OXIDOLOR 20 mg COMPR. ELIB. PREL. 20mg CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 60 149.13 2.485500 2.485500 2.485500101 N02AA05 OXYCODONUM OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. MUNDIPHARMA GMBH AUSTRIA P-TS 56 394.66 7.047500 5.561599 5.561599102 N02AA05 OXYCODONUM OXIDOLOR 40 mg COMPR. ELIB. PREL. 40mg CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 60 278.08 4.634666 4.634666 4.634666103 N02AA05 OXYCODONUM OXIDOLOR 5 mg COMPR. ELIB. PREL. 5mg CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 60 44.11 0.735166 0.735166 0.735166104 N02AA05 OXYCODONUM OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. MUNDIPHARMA GMBH AUSTRIA P-TS 56 651.43 11.632678 9.503800 9.503799105 N02AA05 OXYCODONUM OXIDOLOR 80 mg COMPR. ELIB. PREL. 80mg CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-TS 60 475.19 7.919833 7.919833 7.919833106 N02AA08 DIHYDROCODEINUM DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. MUNDIPHARMA GMBH AUSTRIA P-RF 56 128.24 2.290000 2.290000 2.290000107 N02AA08 DIHYDROCODEINUM DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. MUNDIPHARMA GMBH AUSTRIA P-RF 56 29.28 0.522857 0.522857 0.522857108 N02AA08 DIHYDROCODEINUM DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. MUNDIPHARMA GMBH AUSTRIA P-RF 56 101.45 1.811607 1.811607 1.811607109 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml CUTIE X 5 FIOLE DIN STICLA X 2 ML ZENTIVA SA ROMANIA P-TS 5 7.78 1.556000 1.556000 1.556000110 N02AB03 FENTANYLUM** FENTANYL SANDOZ 100 mcg/h PLASTURE TRANSDERMIC 100mcg/h CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR SANDOZ S.R.L. ROMANIA P-TS 5 190.80 38.160000 38.160000 38.160000

111 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 100mcg/h PLASTURE TRANSDERM. 23,12mg/42.00cmp CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 190.80 38.160000 38.160000 38.160000

112 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC ACTAVIS GROUP PTC EHF. ISLANDA P-TS 5 190.47 38.094000 38.094000 38.094000

113 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 100 mcg/h PLASTURE TRANSDERMIC 100mcg/h CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 190.80 38.160000 38.160000 38.160000

114 N02AB03 FENTANYLUM** DOLFORIN 100 µg/ORA PLASTURE TRANSDERMIC 100µg/ora CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC GEDEON RICHTER ROMANIA SA ROMANIA P-TS 5 190.80 38.160000 38.160000 38.160000

115 N02AB03 FENTANYLUM** FENTANYL SANDOZ 25 mcg/h PLASTURE TRANSDERMIC 25mcg/h CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR SANDOZ S.R.L. ROMANIA P-TS 5 71.63 14.326000 14.326000 14.326000

116 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 25mcg/h PLASTURE TRANSDERMIC 5,78mg/10,5cmp CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 71.63 14.326000 14.326000 14.326000

117 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 25micrograme/h PLASTURE TRANSDERMIC 25micrograme/h CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC ACTAVIS GROUP PTC EHF. ISLANDA P-TS 5 68.91 13.782000 13.782000 13.782000

118 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 25 mcg/h PLASTURE TRANSDERMIC 25mcg/h CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 71.63 14.326000 14.326000 14.326000

119 N02AB03 FENTANYLUM** DOLFORIN 25 µg/ORA PLASTURE TRANSDERMIC 25µg/ora CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC GEDEON RICHTER ROMANIA SA ROMANIA P-TS 5 69.53 13.906000 13.906000 13.906000

120 N02AB03 FENTANYLUM** FENTANYL SANDOZ 50 mcg/h PLASTURE TRANSDERMIC 50mcg/h CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR SANDOZ S.R.L. ROMANIA P-TS 5 120.50 24.100000 24.100000 24.100000

121 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 50mcg/h PLASTURE TRANSDERMIC 11,56mg/21,00cmp CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 120.50 24.100000 24.100000 24.100000

122 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 50micrograme/h PLASTURE TRANSDERMIC 50micrograme/h CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC ACTAVIS GROUP PTC EHF. ISLANDA P-TS 5 120.44 24.088000 24.088000 24.088000

123 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 50 mcg/h PLASTURE TRANSDERMIC 50mcg/h CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 120.50 24.100000 24.100000 24.100000

124 N02AB03 FENTANYLUM** DOLFORIN 50 µg/ORA PLASTURE TRANSDERMIC 50µg/ora CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC GEDEON RICHTER ROMANIA SA ROMANIA P-TS 5 120.50 24.100000 24.100000 24.100000

125 N02AB03 FENTANYLUM** FENTANYL SANDOZ 75 mcg/h PLASTURE TRANSDERMIC 75mcg/h CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR SANDOZ S.R.L. AUSTRIA P-TS 5 154.22 30.844000 30.844000 30.844000

126 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 75mcg/h PLASTURE TRANSDERM. 17,34mg/31,50cmp CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 154.22 30.844000 30.844000 30.844000

127 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 75 mcg/h PLASTURE TRANSDERMIC 75mcg/h CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC SANDOZ S.R.L. ROMANIA P-TS 5 154.22 30.844000 30.844000 30.844000Pagina 13 din 42

Page 78: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

128 N02AB03 FENTANYLUM** DOLFORIN 75 µg/ORA PLASTURE TRANSDERMIC 75µg/ora CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC GEDEON RICHTER ROMANIA SA ROMANIA P-TS 5 154.22 30.844000 30.844000 30.844000

129 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. KRKA D.D. SLOVENIA P-RF 30 18.88 0.629333 0.629333 0.629333130 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. HEXAL AG GERMANIA P-RF 10 6.29 0.629000 0.629000 0.629000131 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. ZENTIVA AS SLOVACIA P-RF 50 32.48 0.649600 0.649600 0.649600132 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. ZENTIVA AS SLOVACIA P-RF 10 6.29 0.629000 0.629000 0.629000133 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. ZENTIVA AS SLOVACIA P-RF 30 18.86 0.628666 0.628666 0.628666134 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 10 9.68 0.968000 0.754399 0.754399135 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA P-RF 5 7.40 1.480000 0.754399 0.754399136 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA P-RF 30 39.43 1.314333 0.754399 0.754399137 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 10 17.35 1.735000 0.754399 0.754399138 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 20 33.41 1.670500 0.754399 0.754399139 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 30 47.28 1.576000 0.754399 0.754399140 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF/S 50 71.47 1.429400 0.754399 0.754399141 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml CUTIE X 1 FLACON PICURATOR X 10 ML GRUNENTHAL GMBH GERMANIA P-RF 1 7.73 7.730000 6.024000 6.024000142 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. ALIUD PHARMA GMBH GERMANIA P-RF 1 5.02 5.020000 5.020000 5.020000143 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. ZENTIVA A.S. SLOVACIA P-RF 1 100.21 100.210000 6.024000 6.024000144 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. ZENTIVA A.S. SLOVACIA P-RF 1 12.57 12.570000 6.024000 6.024000145 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 10 21.97 2.197000 1.339200 1.339200146 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. ZENTIVA AS SLOVACIA P-RF 30 33.48 1.116000 1.116000 1.116000147 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. ZENTIVA AS SLOVACIA P-RF 10 21.00 2.100000 1.339200 1.339200148 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 41.47 1.382333 1.339200 1.339200149 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 10 26.02 2.602000 1.339200 1.339200150 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 20 48.48 2.424000 1.339200 1.339200151 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 30 68.55 2.285000 1.339200 1.339200152 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF/S 50 107.20 2.144000 1.339200 1.339200153 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 10 28.12 2.812000 2.068399 2.068399154 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. ZENTIVA AS SLOVACIA P-RF 10 27.44 2.744000 2.068399 2.068399155 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 53.07 1.769000 1.769000 1.769000156 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA P-RF 10 20.05 2.005000 2.005000 2.005000157 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA P-RF 30 51.71 1.723666 1.723666 1.723666158 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 10 32.48 3.248000 2.068399 2.068399159 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 20 58.30 2.915000 2.068399 2.068399160 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF 30 77.94 2.598000 2.068399 2.068399161 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. GRUNENTHAL GMBH GERMANIA P-RF/S 50 121.12 2.422400 2.068399 2.068399162 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA P-RF 10 27.86 2.786000 2.786000 2.786000163 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA P-RF 30 76.29 2.543000 2.543000 2.543000164 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GRUNENTHAL GMBH GERMANIA P-RF 20 11.79 0.589500 0.349200 0.349200165 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ZENTIVA A.S. SLOVACIA P-RF 20 5.82 0.291000 0.291000 0.291000166 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. KRKA D.D. SLOVENIA P-RF 20 5.82 0.291000 0.291000 0.291000167 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg CUTIE X 3 BLIST. X 10 CAPS. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-RF 30 11.49 0.383000 0.349200 0.349200168 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg CUTIE X 1 BLIST. X 10 CAPS. ALIUD® PHARMA GMBH & CO.KG GERMANIA P-RF 10 3.84 0.384000 0.349200 0.349200169 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MEDOCHEMIE LTD. CIPRU P-RF 10 3.84 0.384000 0.349200 0.349200170 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ANTIBIOTICE SA ROMANIA P-RF 20 7.66 0.383000 0.349200 0.349200171 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C ROMANIA P-RF 20 7.66 0.383000 0.349200 0.349200172 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg CUTIE X 1 BLIST. PVC/AL X 10 CAPS. AC HELCOR SRL ROMANIA P-RF 10 3.84 0.384000 0.349200 0.349200

Pagina 14 din 42

Page 79: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

173 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-RF 30 10.62 0.354000 0.349200 0.349200174 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. BIO EEL SRL ROMANIA P-RF 20 7.66 0.383000 0.349200 0.349200175 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. LABORMED PHARMA SA ROMANIA P-RF 20 7.66 0.383000 0.349200 0.349200176 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES LTD. MAREA BRITANIE P-RF 20 7.66 0.383000 0.349200 0.349200177 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg CUTIE X 1 BLIST. X 10 CAPS. MEDICAROM GROUP SRL ROMANIA P-RF 10 3.81 0.381000 0.349200 0.349200178 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ARENA GROUP S.A. ROMANIA P-RF 20 8.97 0.448500 0.349200 0.349200179 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES PHARMA S.A. ROMANIA P-RF 20 7.66 0.383000 0.349200 0.349200180 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 2 ML KRKA D.D. SLOVENIA S/P-RF 5 13.07 2.614000 1.640040 1.640040181 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. MEDOCHEMIE LTD. CIPRU S/P-RF 5 9.82 1.964000 1.640040 1.640040182 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. MEDOCHEMIE LTD. CIPRU S/P-RF 100 136.67 1.366700 1.366700 1.366700183 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml CUTIE X 5 FIOLE X 2 ML SOL. INJ. ZENTIVA A.S. SLOVACIA S/P-RF 5 12.25 2.450000 1.640040 1.640040184 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 2 ML MEDICAROM GROUP SRL ROMANIA S/P-RF 5 7.66 1.532000 1.532000 1.532000185 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 1 ML GRUNENTHAL GMBH GERMANIA S/P-RF 5 7.55 1.510000 1.171200 1.171200186 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 1 ML KRKA D.D. SLOVENIA S/P-RF 5 4.92 0.984000 0.984000 0.984000187 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 1 ML SOL. INJ. ZENTIVA A.S. SLOVACIA S/P-RF 5 11.46 2.292000 1.171200 1.171200188 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 1 ML MEDICAROM GROUP SRL ROMANIA S/P-RF 5 4.88 0.976000 0.976000 0.976000189 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg CUTIE X 1 BLIST. X 5 SUPOZ. KRKA D.D. SLOVENIA P-RF 5 5.56 1.112000 1.112000 1.112000190 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2,5mg CUTIE X 2 BLIST. AL/PVC X 25 COMPR. ZENTIVA S.A. ROMANIA P-TS 50 24.35 0.487000 0.487000 0.487000191 N07BC02 METHADONUM SUBSTIDON 20 mg COMPR. 20mg CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. BIO EEL SRL ROMANIA P-TS 20 25.10 1.255000 1.255000 1.255000192 N07BC02 METHADONUM SUBSTIDON 20 mg COMPR. 20mg CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. BIO EEL SRL ROMANIA P-TS 50 60.73 1.214600 1.214600 1.214600193 N07BC02 METHADONUM SUBSTIDON 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. BIO EEL SRL ROMANIA P-TS 20 6.27 0.313500 0.313500 0.313500194 N07BC02 METHADONUM SUBSTIDON 5 mg COMPR. 5mg CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. BIO EEL SRL ROMANIA P-TS 50 15.69 0.313800 0.313800 0.313800195 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. SINTOFARM SA ROMANIA P-RF 30 5.99 0.199666 0.177600 0.177600196 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg CUTIE X 1 BLIST. AL/PVC X 25 COMPR. BIO EEL SRL ROMANIA P-RF 25 5.12 0.204800 0.177600 0.177600197 R05DA04 CODEINUM FARMACOD COMPR. 15mg CUTIE X 2 BLIST. X 10 COMPR. FARMACOM SA ROMANIA P-RF 20 3.02 0.151000 0.151000 0.151000198 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES LTD. MAREA BRITANIE P-RF 20 2.96 0.148000 0.148000 0.148000199 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. SLAVIA PHARM SRL ROMANIA P-RF 20 3.02 0.151000 0.151000 0.151000200 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg CUTIE X 1 BLIST. AL/PVC X 20 COMPR. LABORMED PHARMA SA ROMANIA P-RF 20 3.19 0.159500 0.159500 0.159500201 R05DA04 CODEINUM CODEINA FOSFAT MCC 15 mg COMPR. 15mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C & C SRL ROMANIA P-RF 20 3.64 0.182000 0.177600 0.177600202 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. OZONE LABORATORIES PHARMA S.A. ROMANIA P-RF 20 2.96 0.148000 0.148000 0.148000

203 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF. PT. SOL. INJ./PERF. 500mg CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. NOVARTIS PHARMA GMBH GERMANIA S/P-RF 10 134.74 13.474000 13.474000 13.474000

204 V03AC03 DEFERASIROXUM*** EXJADE 125mg COMPR. DISP. 125mg CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF/R 28 785.88 28.067142 28.067142 28.067142

205 V03AC03 DEFERASIROXUM*** EXJADE 250mg COMPR. DISP. 250mg CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF/R 28 1,627.37 58.120357 58.120357 58.120357

206 V03AC03 DEFERASIROXUM*** EXJADE 500mg COMPR. DISP. 500mg CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF/R 28 2,930.96 104.677142 104.677142 104.677142

Tratamentul se initiaza de catre medicul in specialitatea oncologie sau hematologie

1 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100 mg CUTIE X 1 BLIST. AL/PVC X 25 COMPR. ZENTIVA SA ROMANIA P-RF 25 4.39 0.175600 0.136800 0.1368002 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100mg CUTIE X 1 FLAC. X 10 COMPR. SC ARENA GROUP SA ROMANIA P-RF 10 1.14 0.114000 0.114000 0.1140003 N03AA02 PHENOBARBITALUM FENOBARBITAL 200 mg/ 2 ml SOL. INJ. 10% CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. ZENTIVA S.A ROMANIA P-RF 5 10.94 2.188000 2.188000 2.1880004 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg CUTIE X 2 BLIST. X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-6L 20 2.77 0.138500 0.138500 0.1385005 N03AB02 PHENYTOINUM PHENHYDAN (R)SOLUTIE INJECTABILA SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 5ML DESITIN GERMANIA P-RF 5 67.57 13.514000 13.514000 13.514000

6 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0,5mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. ROCHE ROMANIA S.R.L. ROMANIA P-RF 50 6.87 0.137400 0.137400 0.137400

9. EPILEPSIE - G11

Pagina 15 din 42

Page 80: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

7 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg CUTIE X 1 FLAC. X 30 COMPR. ROCHE ROMANIA S.R.L. ROMANIA P-RF 30 6.55 0.218333 0.218333 0.2183338 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 1 22.47 22.470000 22.470000 22.470000

9 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg CUTIE X 5 BLIST. X 10 COMPR. RET. DESITIN GERMANIA P-6L 50 15.12 0.302400 0.302400 0.30240010 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 50 11.28 0.225600 0.173040 0.17304011 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. NOVARTIS PHARMA GMBH GERMANIA P-6L 50 17.35 0.347000 0.173040 0.17304012 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. NOVARTIS PHARMA GMBH GERMANIA P-6L 50 19.12 0.382400 0.173040 0.17304013 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-6L 50 11.28 0.225600 0.173040 0.17304014 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. VIM SPECTRUM SRL ROMANIA P-6L 50 11.28 0.225600 0.173040 0.17304015 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg CUTIE X 5 BLIST. X 10 COMPR. AC HELCOR SRL ROMANIA P-6L 50 11.28 0.225600 0.173040 0.17304016 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg CUTIE X 5 BLIST. X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 50 7.21 0.144200 0.144200 0.14420017 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. SLAVIA PHARM SRL ROMANIA P-6L 20 4.42 0.221000 0.173040 0.17304018 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. BIO EEL SRL ROMANIA P-6L 20 4.50 0.225000 0.173040 0.17304019 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. AWD PHARMA GMBH & CO.KG GERMANIA P-6L 50 11.28 0.225600 0.173040 0.17304020 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. AWD PHARMA GMBH & CO.KG GERMANIA P-6L 50 12.42 0.248400 0.173040 0.17304021 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-6L 20 4.95 0.247500 0.173040 0.17304022 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg CUTIE X 2 BLIST. X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 20 4.50 0.225000 0.173040 0.17304023 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg CUTIE X 2 BLIST. AL/PVCX 10 COMPR. OZONE LABORATORIES PHARMA S.A. ROMANIA P-6L 20 4.51 0.225500 0.173040 0.17304024 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg CUTIE X 5 BLIST. X 10 COMPR. RET. DESITIN GERMANIA P-6L 50 20.57 0.411400 0.411400 0.41140025 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 50 20.63 0.412600 0.412600 0.41260026 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. NOVARTIS PHARMA GMBH GERMANIA P-6L 30 25.28 0.842666 0.628560 0.62856027 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg CUTIE X 5 BLIST. X 10 COMPR. AC HELCOR SRL ROMANIA P-6L 50 26.19 0.523800 0.523800 0.52380028 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 400mg CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. AWD PHARMA GMBH & CO.KG GERMANIA P-6L 50 27.04 0.540800 0.540800 0.54080029 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 400 mg COMPR. 400mg CUTIE X 2 BLIST. PVC/AL X 10 COMPR. ARENA GROUP S.A. ROMANIA P-6L 20 10.48 0.524000 0.524000 0.52400030 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg CUTIE X 5 BLIST. X 10 COMPR. RET. DESITIN GERMANIA P-6L 50 36.44 0.728800 0.728800 0.72880031 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 50 36.50 0.730000 0.730000 0.73000032 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 300 mg COMPR. FILM. 300mg CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. NOVARTIS PHARMA GMBH GERMANIA P-6L 50 64.58 1.291600 1.291600 1.29160033 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 600 mg COMPR. FILM. 600mg CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. NOVARTIS PHARMA GMBH GERMANIA P-6L 50 118.02 2.360400 2.360400 2.36040034 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 94.70 1.894000 1.894000 1.89400035 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 100 20.22 0.202200 0.202200 0.20220036 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 100 29.08 0.290800 0.242640 0.24264037 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 21.90 0.438000 0.242640 0.24264038 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. SANOFI-AVENTIS FRANCE FRANTA P-6L 40 10.71 0.267750 0.267750 0.26775039 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 100 33.20 0.332000 0.332000 0.33200040 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 100 37.49 0.374900 0.374900 0.37490041 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE SANOFI-AVENTIS FRANCE FRANTA P-6L 100 34.68 0.346800 0.346800 0.34680042 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 36.67 0.733400 0.398400 0.39840043 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 1 36.17 36.170000 36.170000 36.170000

44 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILE SANOFI-AVENTIS FRANCE FRANTA P-6L 30 16.02 0.534000 0.534000 0.53400045 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 100 51.00 0.510000 0.510000 0.51000046 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 59.33 1.186600 0.612000 0.61200047 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX 50mg/ml SIROP 50mg/ml CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 1 8.67 8.670000 8.670000 8.67000048 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57,64mg/ml CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA SANOFI - AVENTIS FRANCE FRANTA P-6L 1 23.07 23.070000 23.070000 23.070000

49 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 39.90 0.798000 0.798000 0.79800050 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML SANOFI-AVENTIS FRANCE FRANTA S/P-RF 4 126.76 31.690000 31.690000 31.690000

51 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 26.59 0.949642 0.949642 0.949642Pagina 16 din 42

Page 81: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

52 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 28.49 0.949666 0.949666 0.94966653 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 28.80 0.960000 0.960000 0.96000054 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 28.80 0.960000 0.960000 0.96000055 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE ACTAVIS GROUP HF. ISLANDA P-6L 30 38.34 1.278000 1.114285 1.11428556 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg CUTIE X 3 BLIST. X 10 COMPR. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 30 28.80 0.960000 0.960000 0.96000057 N03AX09 LAMOTRIGINUM** XEBARIN 100 mg COMPR. 100mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. DR. REDDY'S LABORATORIES ROMANIA P-6L 28 26.86 0.959285 0.959285 0.95928558 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 30 28.78 0.959333 0.959333 0.95933359 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg CUTIE CU BLIST. PVC/AL X 30 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 30 42.87 1.429000 1.114285 1.11428560 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg CUTIE CU BLIST. PVC/AL X 28 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 28 40.02 1.429285 1.114285 1.11428561 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 100 mg COMPR. 100mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 52.00 0.928571 0.928571 0.92857162 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 54.66 1.822000 1.822000 1.82200063 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 51.01 1.821785 1.821785 1.82178564 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 99.28 3.309333 2.127428 2.12742865 N03AX09 LAMOTRIGINUM** XEBARIN 200 mg COMPR. 200mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. DR. REDDY'S LABORATORIES ROMANIA P-6L 28 51.01 1.821785 1.821785 1.82178566 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 200 mg COMPR. 200mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 99.28 1.772857 1.772857 1.77285767 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 30 11.11 0.370333 0.152400 0.15240068 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 6.64 0.237142 0.152400 0.15240069 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 7.12 0.237333 0.152400 0.15240070 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 7.23 0.241000 0.152400 0.15240071 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 7.23 0.241000 0.152400 0.15240072 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE ACTAVIS GROUP HF. ISLANDA P-6L 30 3.81 0.127000 0.127000 0.12700073 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 30 7.23 0.241000 0.152400 0.15240074 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 25 mg COMPR. 25mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 13.62 0.243214 0.152400 0.15240075 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg CUTIE CU BLIST. PVC/AL X 28 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 28 10.37 0.370357 0.152400 0.15240076 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg CUTIE X 3 BLIST. X 10 COMPR. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 30 14.38 0.479333 0.479333 0.47933377 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 13.30 0.475000 0.475000 0.47500078 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 14.24 0.474666 0.474666 0.47466679 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 14.38 0.479333 0.479333 0.47933380 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 14.38 0.479333 0.479333 0.47933381 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE ACTAVIS GROUP HF. ISLANDA P-6L 30 26.39 0.879666 0.569599 0.56959982 N03AX09 LAMOTRIGINUM** XEBARIN 50 mg COMPR. 50mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. DR. REDDY'S LABORATORIES ROMANIA P-6L 28 13.41 0.478928 0.478928 0.47892883 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 30 14.39 0.479666 0.479666 0.47966684 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg CUTIE CU BLIST. PVC/AL X 30 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 30 22.11 0.737000 0.569599 0.56959985 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg CUTIE CU BLIST. PVC/AL X 28 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 28 20.65 0.737500 0.569599 0.56959986 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 50 mg COMPR. 50mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 26.83 0.479107 0.479107 0.47910787 N03AX11 TOPIRAMATUM** TOPAMAX 100 mg COMPR. FILM. 100mg CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. JOHNSON & JOHNSON D.O.O. SLOVENIA P-6L 28 124.82 4.457857 3.310200 3.31020088 N03AX11 TOPIRAMATUM** TOPRAN 100 mg COMPR. FILM. 100mg CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. TERAPIA SA ROMANIA P-6L 60 165.51 2.758500 2.758500 2.75850089 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 100 mg COMPR. FILM. 100mg CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 30 90.04 3.001333 3.001333 3.00133390 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 100 mg COMPR. FILM. 100mg CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. ACTAVIS S.R.L. ROMANIA P-RF 60 168.37 2.806166 2.806166 2.80616691 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. OZONE LABORATORIES BV OLANDA P-6L 28 84.03 3.001071 3.001071 3.00107192 N03AX11 TOPIRAMATUM** TORLEPTA 100 mg COMPR. FILM. 100mg CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. MEDICAMENTA A.S. CEHIA P-RF 30 90.04 3.001333 3.001333 3.00133393 N03AX11 TOPIRAMATUM** TOPILEX 100 mg COMPR. FILM. 100mg CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-6L 30 87.28 2.909333 2.909333 2.90933394 N03AX11 TOPIRAMATUM** LUSITRAX 100mg COMPR. FILM. 100mg CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. ROMASTRU TRADING S.R.L. ROMANIA P-RF 30 87.25 2.908333 2.908333 2.90833395 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 28 84.03 3.001071 3.001071 3.00107196 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 60 170.75 2.845833 2.845833 2.845833

Pagina 17 din 42

Page 82: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

97 N03AX11 TOPIRAMATUM** TORLEPTA 100 mg COMPR. FILM. 100mg CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA P-RF 30 90.04 3.001333 3.001333 3.00133398 N03AX11 TOPIRAMATUM** TOPRAN 200 mg COMPR. FILM. 200mg CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. TERAPIA SA ROMANIA P-6L 60 310.07 5.167833 5.167833 5.16783399 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 200 mg COMPR. FILM. 200mg CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 30 158.70 5.290000 5.290000 5.290000100 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. OZONE LABORATORIES BV OLANDA P-6L 28 148.12 5.290000 5.290000 5.290000101 N03AX11 TOPIRAMATUM** LUSITRAX 200mg COMPR. FILM. 200mg CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. ROMASTRU TRADING S.R.L. ROMANIA P-RF 30 155.04 5.168000 5.168000 5.168000102 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 28 148.12 5.290000 5.290000 5.290000103 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 60 317.39 5.289833 5.289833 5.289833104 N03AX11 TOPIRAMATUM** TOPAMAX 25 mg COMPR. FILM. 25mg CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. JOHNSON & JOHNSON D.O.O. SLOVENIA P-6L 28 40.53 1.447500 1.076800 1.076799105 N03AX11 TOPIRAMATUM** TOPRAN 25 mg COMPR. FILM. 25mg CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. TERAPIA SA ROMANIA P-6L 60 53.84 0.897333 0.897333 0.897333106 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 25 mg COMPR. FILM. 25mg CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 30 29.15 0.971666 0.971666 0.971666107 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 25 mg COMPR. FILM. 25mg CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. ACTAVIS S.R.L. ROMANIA P-RF 60 55.45 0.924166 0.924166 0.924166108 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. OZONE LABORATORIES BV OLANDA P-6L 28 27.23 0.972500 0.972500 0.972500109 N03AX11 TOPIRAMATUM** TORLEPTA 25 mg COMPR. FILM. 25mg CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. MEDICAMENTA A.S. CEHIA P-RF 30 29.15 0.971666 0.971666 0.971666110 N03AX11 TOPIRAMATUM** TOPILEX 25 mg COMPR. FILM. 25mg CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-6L 30 27.75 0.925000 0.925000 0.925000111 N03AX11 TOPIRAMATUM** LUSITRAX 25 mg COMPR. FILM. 25mg CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. ROMASTRU TRADING S.R.L. ROMANIA P-RF 30 27.81 0.927000 0.927000 0.927000112 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 28 27.23 0.972500 0.972500 0.972500113 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 60 56.45 0.940833 0.940833 0.940833114 N03AX11 TOPIRAMATUM** TORLEPTA 25 mg COMPR. FILM. 25mg CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA P-RF 30 29.15 0.971666 0.971666 0.971666115 N03AX11 TOPIRAMATUM** TOPAMAX 50 mg COMPR. FILM. 50mg CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. JOHNSON & JOHNSON D.O.O. SLOVENIA P-6L 28 73.03 2.608214 1.940599 1.940599116 N03AX11 TOPIRAMATUM** TOPRAN 50 mg COMPR. FILM. 50mg CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. TERAPIA SA ROMANIA P-6L 60 97.03 1.617166 1.617166 1.617166117 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 50 mg COMPR. FILM. 50mg CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 30 53.55 1.785000 1.785000 1.785000118 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 50 mg COMPR. FILM. 50mg CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. ACTAVIS S.R.L. ROMANIA P-RF 60 97.80 1.630000 1.630000 1.630000119 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. OZONE LABORATORIES BV OLANDA P-6L 28 49.98 1.785000 1.785000 1.785000120 N03AX11 TOPIRAMATUM** TORLEPTA 50 mg COMPR. FILM. 50mg CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. MEDICAMENTA A.S. CEHIA P-RF 30 53.55 1.785000 1.785000 1.785000121 N03AX11 TOPIRAMATUM** TOPILEX 50 mg COMPR. FILM. 50mg CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-6L 30 51.09 1.703000 1.703000 1.703000122 N03AX11 TOPIRAMATUM** LUSITRAX 50 mg COMPR. FILM. 50mg CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. ROMASTRU TRADING S.R.L. ROMANIA P-RF 30 51.09 1.703000 1.703000 1.703000123 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 28 49.98 1.785000 1.785000 1.785000124 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-6L 60 101.73 1.695500 1.695500 1.695500125 N03AX11 TOPIRAMATUM** TORLEPTA 50 mg COMPR. FILM. 50mg CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA P-RF 30 53.55 1.785000 1.785000 1.785000126 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg CUTIE X 10 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 100 60.46 0.604600 0.604600 0.604600127 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg CUTIE X 5 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 50 30.97 0.619400 0.619400 0.619400128 N03AX12 GABAPENTINUM*** GABALEPT 100 mg CAPS. 100mg CUTIE X 10 BLIST. AL/PVC X 10 CAPS. PLIVA LJUBLJANA D.O.O. SLOVENIA P-6L 100 57.04 0.570400 0.570400 0.570400129 N03AX12 GABAPENTINUM*** GRIMODIN 100 mg CAPS. 100mg CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 60 33.27 0.554500 0.554500 0.554500130 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg CUTIE X 5 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 50 71.98 1.439600 1.269400 1.269399131 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 20 33.13 1.656500 1.269400 1.269399132 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg CUTIE X 10 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 100 133.24 1.332400 1.269400 1.269399133 N03AX12 GABAPENTINUM*** GABARAN 300 mg CAPS. 300mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. RANBAXY UK LTD. MAREA BRITANIE P-6L 50 65.80 1.316000 1.269400 1.269399134 N03AX12 GABAPENTINUM*** GABALEPT 300 mg CAPS. 300mg CUTIE X 10 BLIST. AL/PVC X 10 CAPS. PLIVA LJUBLJANA D.O.O. SLOVENIA P-6L 100 132.78 1.327800 1.269400 1.269399135 N03AX12 GABAPENTINUM*** GRIMODIN 300 mg CAPS. 300mg CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 60 63.47 1.057833 1.057833 1.057833136 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg CUTIE X 5 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 50 94.31 1.886200 1.715200 1.715199137 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 20 42.90 2.145000 1.715200 1.715199138 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg CUTIE X 10 BLIST. AL/PVC X 10 CAPS. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 100 174.76 1.747600 1.715200 1.715199139 N03AX12 GABAPENTINUM*** GABARAN 400 mg CAPS. 400mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. RANBAXY UK LTD. MAREA BRITANIE P-6L 50 72.55 1.451000 1.451000 1.451000140 N03AX12 GABAPENTINUM*** GABALEPT 400 mg CAPS. 400mg CUTIE X 10 BLIST. AL/PVC X 10 CAPS. PLIVA LJUBLJANA D.O.O. SLOVENIA P-6L 100 168.76 1.687600 1.687600 1.687600141 N03AX12 GABAPENTINUM*** GRIMODIN 400 mg CAPS. 400mg CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 60 85.76 1.429333 1.429333 1.429333

Pagina 18 din 42

Page 83: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

142 N03AX12 GABAPENTINUM*** GABARAN 600 mg COMPR. FILM. 600mg CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 65.06 2.168666 2.168666 2.168666143 N03AX12 GABAPENTINUM*** GABAGAMMA 600 mg COMPR. FILM. 600mg CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 20 43.36 2.168000 2.168000 2.168000144 N03AX12 GABAPENTINUM*** GABAGAMMA 600 mg COMPR. FILM. 600mg CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 100 195.28 1.952800 1.952800 1.952800145 N03AX12 GABAPENTINUM*** GRIMODIN 600 mg COMPR. FILM. 600mg CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 60 123.39 2.056500 2.056500 2.056500146 N03AX12 GABAPENTINUM*** GABARAN 800 mg COMPR. FILM. 800mg CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 104.00 3.466666 3.466666 3.466666147 N03AX12 GABAPENTINUM*** GABAGAMMA 800 mg COMPR. FILM. 800mg CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 20 70.57 3.528500 3.528500 3.528500148 N03AX12 GABAPENTINUM*** GABAGAMMA 800 mg COMPR. FILM. 800mg CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. WORWAG PHARMA GMBH & CO. KG GERMANIA P-6L 100 328.74 3.287400 3.287400 3.287400149 N03AX12 GABAPENTINUM*** GRIMODIN 800 mg COMPR. FILM. 800mg CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 60 196.91 3.281833 3.281833 3.281833150 N03AX14 LEVETIRACETAMUM** KEPPRA 1000 mg COMPR. FILM. 1000mg CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) UCB PHARMA SA BELGIA P-RF 30 344.38 11.479333 11.479333 11.479333

151 N03AX14 LEVETIRACETAMUM** KEPPRA 100 mg/ml SOL. ORALA 100mg/ml CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA UCB PHARMA SA BELGIA P-RF 1 338.47 338.470000 338.470000 338.470000

152 N03AX14 LEVETIRACETAMUM** KEPPRA 250 mg COMPR. FILM. 250mg CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) UCB PHARMA SA BELGIA P-RF 30 90.90 3.030000 3.030000 3.030000153 N03AX14 LEVETIRACETAMUM** KEPPRA 500 mg COMPR. FILM. 500mg CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) UCB PHARMA LTD BELGIA P-RF 30 171.12 5.704000 5.704000 5.704000154 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg CUTIE X 14 CAPS. (BLIST. PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 14 75.99 5.427857 5.427857 5.427857155 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg CUTIE X 56 CAPS. (BLIST. PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 56 288.22 5.146785 5.146785 5.146785156 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg CUTIE X 56 CAPS. (BLIST. PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 56 421.84 7.532857 7.532857 7.532857157 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg CUTIE X 14 CAPS. (BLIST. PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 14 114.01 8.143571 8.143571 8.143571158 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg CUTIE X 14 CAPS. (BLIST. PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 14 53.59 3.827857 3.827857 3.827857159 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg CUTIE X 56 CAPS. (BLIST. PVC/AL) PFIZER LIMITED MAREA BRITANIE P-RF 56 193.07 3.447678 3.447678 3.447678

10. BOALA PARKINSON - G12

1 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-6L 50 17.66 0.353200 0.353200 0.3532002 N04AA02 BIPERIDENUM AKINETON COMPR. 2mg CUTIE X 5 BLIST. X 10 COMPR. DESMA GMBH GERMANIA P-6L 50 10.54 0.210800 0.210800 0.2108003 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR HBS CAPS. ELIB. MODIF. 100mg+25mg CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. ROCHE ROMANIA S.R.L. ROMANIA P-6L 100 58.74 0.587400 0.458280 0.4582804 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 100mg/25mg COMPR. 100mg/25mg CUTIE X 1 FLACON PEID X 100 COMPR. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-6L 100 38.19 0.381900 0.381900 0.3819005 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR (R) 250 COMPR. 200mg+50mg CUTIE X 1 FLAC. X 30 COMPR. TERAPIA SA ROMANIA P-6L 30 48.24 1.608000 0.628000 0.6279996 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR 250 COMPR. 200mg+50mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. ROCHE ROMANIA SRL ROMANIA P-6L 30 24.16 0.805333 0.628000 0.6279997 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 200mg/50mg COMPR. 200mg/50mg CUTIE X 1 FLACON PEID X 30 COMPR. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-6L 30 15.70 0.523333 0.523333 0.5233338 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** ZIMOX COMPR. 250mg+25mg CUTIE X 3 BLIST. X 10 COMPR. FARAN LABORATORIES S.A. GRECIA P-6L 30 19.17 0.639000 0.510840 0.5108409 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** CREDANIL 25/250 COMPR. 250mg+25mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. REMEDICA LTD. CIPRU P-6L 20 19.26 0.963000 0.510840 0.510840

10 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** CARBIDOPA / LEVODOPA TEVA 25/250 COMPR. 250mg+25mg CUTIE X 10 BLIST. X 10 COMPR. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-6L 100 42.57 0.425700 0.425700 0.42570011 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** ISICOM 250 mg/25 mg COMPR. 250mg/25mg CUTIE X 10 BLIST. PP/AL X 10 COMPR. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 100 74.39 0.743900 0.510840 0.51084012 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** NAKOM COMPR. 250mg+25mg CUTIE X 10 BLIST. AL/PVC X 10 COMPR. LEK PHARMACEUTICALS D.D. SLOVENIA P-6L 100 61.90 0.619000 0.510840 0.51084013 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA GEL INT. FARA CONCENTRATIE CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC SOLVAY PHARMACEUTICALS BV GERMANIA S/P-RF 7 3,416.89 488.127142 488.127142 488.127142

14 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 100 mg/25 mg/200 mg COMPR. FILM. 100mg/25mg/200mg CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. ORION CORPORATION FINLANDA P-RF 100 413.66 4.136600 4.136600 4.13660015 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 125 mg/31,25 mg/200 mg COMPR. FILM. 125mg/31,25mg/200mg CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. ORION CORPORATION FINLANDA P-6L 100 413.66 4.136600 4.136600 4.13660016 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 150 mg/37,5 mg/200 mg COMPR. FILM. 150mg/37,5mg/200mg CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. ORION CORPORATION FINLANDA P-RF 100 413.66 4.136600 4.136600 4.13660017 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 200 mg/50 mg/200 mg COMPR. FILM. 200mg/50mg/200mg CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. ORION CORPORATION FINLANDA P-RF 100 543.78 5.437800 5.437800 5.43780018 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 50 mg/12,5 mg/200 mg COMPR. FILM. 50mg/12,5mg/200mg CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. ORION CORPORATION FINLANDA P-RF 100 413.66 4.136600 4.136600 4.13660019 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 75 mg/18,75 mg/200 mg COMPR. FILM. 75mg/18,5mg/200mg CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. ORION CORPORATION FINLANDA P-6L 100 413.66 4.136600 4.136600 4.13660020 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg CUTIE X 1 FLAC. X 50 CAPS. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-6L 50 17.03 0.340600 0.340600 0.34060021 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. BIOFARM SA ROMANIA P-RF 40 21.11 0.527750 0.527750 0.52775022 N04BC04 ROPINIROLUM** REQUIP 0,25 mg COMPR. FILM. 0,25mg CUTIE X 4 FOLII = 1 X 21 COMPR.FILM. + 1 X 42 COMPR.FILM. + 1 X 63 COMPR.FILM. + 1 X 84 COMPR.FILM. SMITHKLINE BEECHAM PLC MAREA BRITANIE P-6L 210 108.90 0.518571 0.360000 0.36000023 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 0,25 mg COMPR. FILM. 0,25mg CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 21 6.30 0.300000 0.300000 0.30000024 N04BC04 ROPINIROLUM** ALETA 0,25mg COMPR. FILM. 0,25mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 9.04 0.301333 0.301333 0.301333

Pagina 19 din 42

Page 84: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

25 N04BC04 ROPINIROLUM** ALETA 0,25mg COMPR. FILM. 0,25mg CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 9.04 0.301333 0.301333 0.30133326 N04BC04 ROPINIROLUM** ROPINIROL TEVA 0,25 mg COMPR. FILM. 0,25mg CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 21 6.32 0.300952 0.300952 0.30095227 N04BC04 ROPINIROLUM** ALETA 0,5mg COMPR. FILM. 0,5mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 17.23 0.574333 0.574333 0.57433328 N04BC04 ROPINIROLUM** ALETA 0,5mg COMPR. FILM. 0,5mg CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 17.23 0.574333 0.574333 0.57433329 N04BC04 ROPINIROLUM** ROPINIROL TEVA 0,5 mg COMPR. FILM. 0,5mg CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 21 12.05 0.573809 0.573809 0.57380930 N04BC04 ROPINIROLUM** ROPINIROL TEVA 0,5 mg COMPR. FILM. 0,5mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 28 16.07 0.573928 0.573928 0.57392831 N04BC04 ROPINIROLUM** REQUIP 1 mg COMPR. FILM. 1mg CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. SMITHKLINE BEECHAM PLC MAREA BRITANIE P-6L 21 35.25 1.678571 1.310856 1.31085632 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 1 mg COMPR. FILM. 1mg CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 21 22.94 1.092380 1.092380 1.09238033 N04BC04 ROPINIROLUM** ALETA 1mg COMPR. FILM. 1mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 32.79 1.093000 1.093000 1.09300034 N04BC04 ROPINIROLUM** ALETA 1mg COMPR. FILM. 1mg CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 32.79 1.093000 1.093000 1.09300035 N04BC04 ROPINIROLUM** ROPINIROL TEVA 1 mg COMPR. FILM. 1mg CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 21 22.96 1.093333 1.093333 1.09333336 N04BC04 ROPINIROLUM** REQUIP 2 mg COMPR. FILM. 2mg CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. SMITHKLINE BEECHAM PLC MAREA BRITANIE P-6L 21 56.22 2.677142 2.038856 2.03885637 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 2 mg COMPR. FILM. ELIB. PREL. 2mg CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. SMITHKLINE BEECHAM PLC MAREA BRITANIE P-RF 28 61.23 2.186785 2.038856 2.03885638 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 2 mg COMPR. FILM. 2mg CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 21 35.68 1.699047 1.699047 1.69904739 N04BC04 ROPINIROLUM** ALETA 2mg COMPR. FILM. 2mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 51.00 1.700000 1.700000 1.70000040 N04BC04 ROPINIROLUM** ALETA 2mg COMPR. FILM. 2mg CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 51.00 1.700000 1.700000 1.70000041 N04BC04 ROPINIROLUM** ROPINIROL TEVA 2 mg COMPR. FILM. 2mg CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 21 35.70 1.700000 1.700000 1.70000042 N04BC04 ROPINIROLUM** ROPINIROL TEVA 2 mg COMPR. FILM. 2mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 28 47.60 1.700000 1.700000 1.70000043 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 4 mg COMPR. FILM. ELIB. PREL. 4mg CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL, SMITHKLINE BEECHAM PLC MAREA BRITANIE P-RF 28 116.19 4.149642 4.149642 4.14964244 N04BC04 ROPINIROLUM** REQUIP 5 mg COMPR. FILM. 5mg CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. SMITHKLINE BEECHAM PLC MAREA BRITANIE P-6L 21 121.63 5.791904 4.377714 4.37771445 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 21 76.61 3.648095 3.648095 3.64809546 N04BC04 ROPINIROLUM** ALETA 5mg COMPR. FILM. 5mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 109.48 3.649333 3.649333 3.64933347 N04BC04 ROPINIROLUM** ALETA 5mg COMPR. FILM. 5mg CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 109.48 3.649333 3.649333 3.64933348 N04BC04 ROPINIROLUM** ROPINIROL TEVA 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 21 76.63 3.649047 3.649047 3.64904749 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 8 mg COMPR. FILM. ELIB. PREL. 8mg CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. SMITHKLINE BEECHAM PLC MAREA BRITANIE P-RF 28 220.45 7.873214 7.873214 7.87321450 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,088mg COMPR. 0,088mg CUTIE X 30 COMPR. (BLIST. AL/AL) KRKA D.D. SLOVENIA P-RF 30 19.71 0.657000 0.657000 0.65700051 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,18 mg COMPR. 0,18mg CUTIE X 3 BLIST. X 10 COMPR. BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA P-RF 30 49.65 1.655000 1.333200 1.33320052 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,18mg COMPR. 0,18mg CUTIE X 30 COMPR. (BLIST. AL/AL) KRKA D.D. SLOVENIA P-RF 30 33.34 1.111333 1.111333 1.11133353 N04BC05 PRAMIPEXOLUM** GLEPARK 0,18 mg COMPR. 0,18mg CUTIE CU BLIST. AL/AL X 30 COMPR. MEDICAMENTA A.S. CEHIA P-RF 30 33.34 1.111333 1.111333 1.11133354 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TEVA 0,18mg COMPR. 0,18mg CUTIE CU BLIST. AL/AL X 30 COMPR. TEVA PHARMA BV OLANDA P-RF 30 33.33 1.111000 1.111000 1.11100055 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL SANDOZ 0,18 mg COMPR. 0,18mg CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. SANDOZ S.R.L. ROMANIA P-RF/R 30 33.34 1.111333 1.111333 1.11133356 N04BC05 PRAMIPEXOLUM** MEDOPEXOL 0,18 mg COMPR. 0,18mg CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 33.34 1.111333 1.111333 1.11133357 N04BC05 PRAMIPEXOLUM** GLEPARK 0,18 mg COMPR. 0,18mg CUTIE CU BLIST. AL/AL X 30 COMPR. GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA P-RF 30 33.34 1.111333 1.111333 1.11133358 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,26 mg COMPR. ELIB. PREL. 0,26mg CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA P-RF 10 57.99 5.799000 5.799000 5.79900059 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,52 mg COMPR. ELIB. PREL. 0,52mg CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA P-RF 30 313.33 10.444333 10.444333 10.444333

60 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,7 mg COMPR. 0,7mg CUTIE X 3 BLIST. X 10 COMPR. BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA P-RF 30 167.46 5.582000 4.591200 4.59120061 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,7mg COMPR. 0,7mg CUTIE X 30 COMPR. (BLIST. AL/AL) KRKA D.D. SLOVENIA P-RF 30 114.78 3.826000 3.826000 3.82600062 N04BC05 PRAMIPEXOLUM** GLEPARK 0,7 mg COMPR. 0,7mg CUTIE CU BLIST. AL/AL X 30 COMPR. MEDICAMENTA A.S. CEHIA P-RF 30 114.78 3.826000 3.826000 3.82600063 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TEVA 0,7mg COMPR. 0,7mg CUTIE CU BLIST. AL/AL X 30 COMPR. TEVA PHARMA BV OLANDA P-RF 30 114.78 3.826000 3.826000 3.82600064 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL SANDOZ 0,7 mg COMPR. 0,7mg CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. SANDOZ S.R.L. ROMANIA P-RF/R 30 114.78 3.826000 3.826000 3.82600065 N04BC05 PRAMIPEXOLUM** MEDOPEXOL 0,7 mg COMPR. 0,7mg CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 114.78 3.826000 3.826000 3.82600066 N04BC05 PRAMIPEXOLUM** GLEPARK 0,7 mg COMPR. 0,7mg CUTIE CU BLIST. AL/AL X 30 COMPR. GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA P-RF 30 114.78 3.826000 3.826000 3.82600067 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 1,05 mg COMPR. ELIB. PREL. 1,05mg CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA P-RF 30 648.99 21.633000 21.633000 21.633000

68 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 2,1 mg COMPR. ELIB. PREL. 2,1mg CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA P-RF 30 1,227.12 40.904000 40.904000 40.904000

69 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 3,15 mg COMPR. ELIB. PREL. 3,15mg CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA P-RF 30 1,805.26 60.175333 60.175333 60.175333Pagina 20 din 42

Page 85: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

70 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h CUTIE X 28 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 28 366.72 13.097142 13.097142 13.097142

71 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h CUTIE X 7 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 7 97.93 13.990000 13.990000 13.990000

72 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h CUTIE X 7 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 7 101.41 14.487142 14.487142 14.487142

73 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h CUTIE X 28 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 28 381.51 13.625357 13.625357 13.625357

74 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h CUTIE X 28 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 28 476.61 17.021785 17.021785 17.021785

75 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h CUTIE X 7 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 7 127.27 18.181428 18.181428 18.181428

76 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h CUTIE X 28 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 28 570.23 20.365357 20.365357 20.365357

77 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h CUTIE X 7 PLASTURI TRANSDERMICI SCHWARZ PHARMA LTD IRLANDA P-RF 7 153.81 21.972857 21.972857 21.972857

78 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 50 36.22 0.724400 0.724400 0.72440079 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 100 70.21 0.702100 0.702100 0.70210080 N04BD01 SELEGILINUM JUMEX 5 mg COMPR. 5mg CUTIE X 5 BLIST. AL/AL X 10 COMPR. CHINOIN PRIVATE CO. LTD. UNGARIA P-6L 50 41.63 0.832600 0.832600 0.83260081 N04BD02 RASAGILINUM*** AZILECT 1mg COMPR. 1mg CUTIE X 30 COMPR.(BLIST. AL/AL) TEVA PHARMA GMBH GERMANIA P-RF 30 522.52 17.417333 17.417333 17.417333

82 N04BX02 ENTACAPONUM*** COMTAN 200mg COMPR. FILM. 200mg CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM. NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF 100 390.82 3.908200 3.908200 3.90820083 N04BX02 ENTACAPONUM*** COMTAN 200mg COMPR. FILM. 200mg CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM. NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF 30 124.96 4.165333 4.165333 4.16533384 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg CUTIE X 5 BLIST. X 10 COMPR. NOVARTIS PHARMA GMBH GERMANIA P-RF 50 106.54 2.130800 2.130800 2.13080085 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg CUTIE X 5 BLIST. X 10 COMPR. NOVARTIS PHARMA GMBH GERMANIA P-RF 50 33.56 0.671200 0.671200 0.671200Tratamentul se initiaza de catre medicul in specialitatea neurologie

1 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA P-RF 20 2.00 0.100000 0.098800 0.0987992 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 30 2.62 0.087333 0.087333 0.0873333 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg CUTIE X 1 FLAC. X 30 COMPR. MEDUMAN SA ROMANIA P-RF 30 2.47 0.082333 0.082333 0.0823334 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. SINTOFARM SA ROMANIA P-RF 30 3.70 0.123333 0.098800 0.0987995 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL./PVC X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 20 2.57 0.128500 0.098800 0.0987996 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg CUTIE X 20 COMPR. FARMEXINM S.R.L. ROMANIA X 20 22.79 1.139500 1.139500 1.1395007 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 89.44 89.440000 89.440000 89.440000

8 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 109.28 109.280000 109.280000 109.280000

9 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 123.90 123.900000 123.900000 123.900000

10 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 FLACON X 50 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 400.04 400.040000 400.040000 400.040000

11 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 5 FIOLE X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 5 240.51 48.102000 48.102000 48.102000

12 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml CUTIE X 1 FLACON X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 13.30 13.300000 13.300000 13.300000

13 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml CUTIE X 10 FIOLE X 1 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 10 23.77 2.377000 2.377000 2.37700014 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE S/P-RF 100 80.72 0.807200 0.807200 0.80720015 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg CUTIE X 1 BLIST. AL/PVC X 20 COMPR. LABORMED PHARMA SA ROMANIA P-6L 20 13.70 0.685000 0.685000 0.68500016 N07AA02 PYRIDOSTIGMINI BROMIDUM MESTINON 60 mg DRAJ. 60mg CUTIE X 1 FLAC. X 20 DRAJ. ICN POLFA RZESZOW S.A. POLONIA S/P-RF 20 16.52 0.826000 0.826000 0.826000Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14

1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 50 32.54 0.650800 0.650800 0.6508002 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 20 29.57 1.478500 1.478500 1.4785003 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 30 6.52 0.217333 0.217333 0.2173334 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML STADA HEMOFARM S.R.L. ROMANIA S/P-RF 1 8.78 8.780000 8.780000 8.780000

11. MIASTENIA GRAVIS - G13

Pagina 21 din 42

Page 86: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

5 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 1 20.42 20.420000 20.420000 20.420000

6 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML STADA HEMOFARM S.R.L. ROMANIA S/P-RF 1 30.94 30.940000 30.940000 30.940000

7 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA P-RF 20 2.00 0.100000 0.098800 0.0987998 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 30 2.62 0.087333 0.087333 0.0873339 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg CUTIE X 1 FLAC. X 30 COMPR. MEDUMAN SA ROMANIA P-RF 30 2.47 0.082333 0.082333 0.082333

10 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. SINTOFARM SA ROMANIA P-RF 30 3.70 0.123333 0.098800 0.09879911 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL./PVC X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 20 2.57 0.128500 0.098800 0.09879912 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg CUTIE X 20 COMPR. FARMEXINM S.R.L. ROMANIA X 20 22.79 1.139500 1.139500 1.13950013 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 89.44 89.440000 89.440000 89.440000

14 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 109.28 109.280000 109.280000 109.280000

15 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 123.90 123.900000 123.900000 123.900000

16 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 FLACON X 50 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 400.04 400.040000 400.040000 400.040000

17 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 5 FIOLE X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 5 240.51 48.102000 48.102000 48.102000

18 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml CUTIE X 1 FLACON X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 13.30 13.300000 13.300000 13.300000

19 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml CUTIE X 10 FIOLE X 1 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 10 23.77 2.377000 2.377000 2.37700020 L01DB07 MITOXANTRONUM*** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. BAXTER ONCOLOGY GMBH GERMANIA S 1 642.27 642.270000 642.270000 642.270000

21 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE S/P-RF 100 80.72 0.807200 0.807200 0.807200Tratamentul se initiaza de catre medicul in specialitatea neurologie

1 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 94.70 1.894000 1.894000 1.8940002 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 100 20.22 0.202200 0.202200 0.2022003 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 100 29.08 0.290800 0.242640 0.2426404 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 21.90 0.438000 0.242640 0.2426405 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. SANOFI-AVENTIS FRANCE FRANTA P-6L 40 10.71 0.267750 0.267750 0.2677506 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 100 33.20 0.332000 0.332000 0.3320007 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 100 37.49 0.374900 0.374900 0.3749008 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE SANOFI-AVENTIS FRANCE FRANTA P-6L 100 34.68 0.346800 0.346800 0.3468009 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 36.67 0.733400 0.398400 0.398400

10 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 1 36.17 36.170000 36.170000 36.170000

11 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILE SANOFI-AVENTIS FRANCE FRANTA P-6L 30 16.02 0.534000 0.534000 0.53400012 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 100 51.00 0.510000 0.510000 0.51000013 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 59.33 1.186600 0.612000 0.61200014 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX 50mg/ml SIROP 50mg/ml CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 1 8.67 8.670000 8.670000 8.67000015 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57,64mg/ml CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA SANOFI - AVENTIS FRANCE FRANTA P-6L 1 23.07 23.070000 23.070000 23.070000

16 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 50 39.90 0.798000 0.798000 0.79800017 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML SANOFI-AVENTIS FRANCE FRANTA S/P-RF 4 126.76 31.690000 31.690000 31.690000

18 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 26.59 0.949642 0.949642 0.94964219 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 28.49 0.949666 0.949666 0.94966620 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 28.80 0.960000 0.960000 0.96000021 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 28.80 0.960000 0.960000 0.960000

Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15

Pagina 22 din 42

Page 87: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

22 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE ACTAVIS GROUP HF. ISLANDA P-6L 30 38.34 1.278000 1.114285 1.11428523 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg CUTIE X 3 BLIST. X 10 COMPR. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 30 28.80 0.960000 0.960000 0.96000024 N03AX09 LAMOTRIGINUM** XEBARIN 100 mg COMPR. 100mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. DR. REDDY'S LABORATORIES ROMANIA P-6L 28 26.86 0.959285 0.959285 0.95928525 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 30 28.78 0.959333 0.959333 0.95933326 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg CUTIE CU BLIST. PVC/AL X 30 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 30 42.87 1.429000 1.114285 1.11428527 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg CUTIE CU BLIST. PVC/AL X 28 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 28 40.02 1.429285 1.114285 1.11428528 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 100 mg COMPR. 100mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 52.00 0.928571 0.928571 0.92857129 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 54.66 1.822000 1.822000 1.82200030 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 51.01 1.821785 1.821785 1.82178531 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 99.28 3.309333 2.127428 2.12742832 N03AX09 LAMOTRIGINUM** XEBARIN 200 mg COMPR. 200mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. DR. REDDY'S LABORATORIES ROMANIA P-6L 28 51.01 1.821785 1.821785 1.82178533 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 200 mg COMPR. 200mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 99.28 1.772857 1.772857 1.77285734 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 30 11.11 0.370333 0.152400 0.15240035 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 6.64 0.237142 0.152400 0.15240036 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 7.12 0.237333 0.152400 0.15240037 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 7.23 0.241000 0.152400 0.15240038 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 7.23 0.241000 0.152400 0.15240039 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE ACTAVIS GROUP HF. ISLANDA P-6L 30 3.81 0.127000 0.127000 0.12700040 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 25 mg COMPR. 25mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 30 7.23 0.241000 0.152400 0.15240041 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 25 mg COMPR. 25mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 13.62 0.243214 0.152400 0.15240042 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg CUTIE CU BLIST. PVC/AL X 28 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 28 10.37 0.370357 0.152400 0.15240043 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg CUTIE X 3 BLIST. X 10 COMPR. DESITIN ARZNEIMITTEL GMBH GERMANIA P-6L 30 14.38 0.479333 0.479333 0.47933344 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 28 13.30 0.475000 0.475000 0.47500045 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. RANBAXY UK LTD. MAREA BRITANIE P-6L 30 14.24 0.474666 0.474666 0.47466646 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. MEDOCHEMIE LTD. CIPRU P-6L 30 14.38 0.479333 0.479333 0.47933347 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. IVAX PHARMCEUTICALS S.R.O. CEHIA P-6L 30 14.38 0.479333 0.479333 0.47933348 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE ACTAVIS GROUP HF. ISLANDA P-6L 30 26.39 0.879666 0.569599 0.56959949 N03AX09 LAMOTRIGINUM** XEBARIN 50 mg COMPR. 50mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. DR. REDDY'S LABORATORIES ROMANIA P-6L 28 13.41 0.478928 0.478928 0.47892850 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 30 14.39 0.479666 0.479666 0.47966651 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg CUTIE CU BLIST. PVC/AL X 30 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 30 22.11 0.737000 0.569599 0.56959952 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg CUTIE CU BLIST. PVC/AL X 28 COMPR. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE P-6L 28 20.65 0.737500 0.569599 0.56959953 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 50 mg COMPR. 50mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. SUN MEDIC INVEST S.R.L. ROMANIA P-6L 56 26.83 0.479107 0.479107 0.47910754 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. TERAPIA SA ROMANIA P-6L 50 17.66 0.353200 0.353200 0.35320055 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. LAROPHARM S.R.L. ROMANIA P-RF 20 3.24 0.162000 0.162000 0.16200056 N05AD01 HALOPERIDOLUM HALOPERIDOL 1 mg COMPR. 1mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 30 7.70 0.256666 0.256666 0.25666657 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE GEDEON RICHTER ROMANIA SA ROMANIA P-RF 1 6.64 6.640000 5.616000 5.61600058 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml CUTIE X 1 FLACON PICURATOR X 10 ML TERAPIA SA ROMANIA P-RF 1 4.68 4.680000 4.680000 4.68000059 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg COMPR. 2mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 30 10.79 0.359666 0.359666 0.35966660 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg CUTIE X 1 BLIST. AL/PVC X 25 COMPR. JANSSEN PHARMACEUTICA N.V. BELGIA P-RF 25 17.89 0.715600 0.715600 0.71560061 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 1 ML GEDEON RICHTER ROMANIA SA ROMANIA P-RF 5 44.42 8.884000 8.884000 8.88400062 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 5 12.45 2.490000 2.490000 2.49000063 N05AE03 SERTINDOL** SERDOLECT 12 mg COMPR. FILM. 12mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 28 372.25 13.294642 13.294642 13.294642

64 N05AE03 SERTINDOL** SERDOLECT 16 mg COMPR. FILM. 16mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 28 483.80 17.278571 17.278571 17.278571

65 N05AE03 SERTINDOL** SERDOLECT 20 mg COMPR. FILM. 20mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 28 534.07 19.073928 19.073928 19.073928

66 N05AE03 SERTINDOL** SERDOLECT 4 mg COMPR. FILM. 4mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 30 127.56 4.252000 4.252000 4.252000Pagina 23 din 42

Page 88: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

67 N05AE04 ZIPRASIDONUM** ZELDOX (R) 10 mg/ml SUSP. ORALA 10mg/ml CUTIE X 1 FLAC. PEID OPACA, ALBA X 60 ML + SERINGA PT. ADM. ORALA PP, GRADATA, DE 2 ML PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 1 178.93 178.930000 178.930000 178.930000

68 N05AE04 ZIPRASIDONUM** ZELDOX (R) 40 mg CAPS. 40mg CUTIE X 4 BLIST. X 14 CAPS. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 56 416.09 7.430178 7.430178 7.43017869 N05AE04 ZIPRASIDONUM** ZELDOX (R) 60 mg CAPS. 60mg CUTIE X 4 BLIST. X 14 CAPS. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 56 541.07 9.661964 9.661964 9.66196470 N05AE04 ZIPRASIDONUM** ZELDOX (R) 80 mg CAPS. 80mg CUTIE X 4 BLIST. X 14 CAPS. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 56 581.89 10.390892 10.390892 10.390892

71 N05AE04 ZIPRASIDONUM** ZELDOX (R) 20 mg/ml LIOF. PT. SOL. INJ. + SOLV. 20mg/ml CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV. PFIZER EUROPE MA EEIG MAREA BRITANIE S/P-RF 1 64.04 64.040000 64.040000 64.040000

72 N05AF01 FLUPENTIXOLUM** FLUANXOL DEPOT SOL. INJ. 20mg/ml CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. H. LUNDBECK A/S DANEMARCA P-RF 10 71.64 7.164000 7.164000 7.16400073 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 10 mg COMPR. FILM. 10mg FLAC. X 50 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 50 23.07 0.461400 0.461400 0.46140074 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 25 mg COMPR. FILM. 25mg FLAC. X 50 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 50 33.49 0.669800 0.669800 0.66980075 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL 20 mg/ml PIC. ORALE-SOL. 20mg/ml CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML H. LUNDBECK A/S DANEMARCA P-RF 1 32.62 32.620000 32.620000 32.620000

76 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) DEPOT SOL. INJ. 200mg/ml CUTIE X 10 FIOLE X 1 ML H. LUNDBECK A/S DANEMARCA P-RF 10 157.44 15.744000 15.744000 15.744000

77 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL ACUPHASE (R) SOL. INJ. 50mg/ml CUTIE X 5 FIOLE X 1 ML H. LUNDBECK A/S DANEMARCA P-RF 5 46.37 9.274000 9.274000 9.27400078 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg CUTIE X 5 BLIST. X 10 COMPR. NOVARTIS PHARMA GMBH GERMANIA P-RF 50 106.54 2.130800 2.130800 2.13080079 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg CUTIE X 5 BLIST. X 10 COMPR. NOVARTIS PHARMA GMBH GERMANIA P-RF 50 33.56 0.671200 0.671200 0.67120080 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 10 mg COMPR. ORODISPERSABILE 10mg CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) ELI LILLY NEDERLAND BV OLANDA P-RF 28 465.31 16.618214 16.618214 16.618214

81 N05AH03 OLANZAPINUM** ZYPREXA 10 mg COMPR. FILM. 10mg CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) ELI LILLY NEDERLAND BV OLANDA P-RF 28 465.42 16.622142 16.622142 16.622142

82 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 15 mg COMPR. ORODISPERSABILE 15mg CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) ELI LILLY NEDERLAND BV OLANDA P-RF 28 776.23 27.722500 27.722500 27.722500

83 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 20 mg COMPR. ORODISPERSABILE 20mg CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) ELI LILLY NEDERLAND BV OLANDA P-RF 28 1,011.36 36.120000 36.120000 36.120000

84 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 5 mg COMPR. ORODISPERSABILE 5mg CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) ELI LILLY NEDERLAND BV OLANDA P-RF 28 242.95 8.676785 8.676785 8.67678585 N05AH03 OLANZAPINUM** ZYPREXA 5 mg COMPR. FILM. 5mg CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) ELI LILLY NEDERLAND BV OLANDA P-RF 28 243.02 8.679285 8.679285 8.67928586 N05AH03 OLANZAPINUM** ZYPREXA 10 mg PULB. PT. SOL. INJ. 10mg CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. ELI LILLY NEDERLAND BV OLANDA P-RF 1 19.91 19.910000 19.910000 19.910000

87 N05AH03 OLANZAPINUM** ZYPADHERA 210mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 210mg CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT ELI LILLY NEDERLAND BV OLANDA P-RF/R 1 891.69 891.690000 891.690000 891.690000

88 N05AH03 OLANZAPINUM** ZYPADHERA 300mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 300mg CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT ELI LILLY NEDERLAND BV OLANDA P-RF/R 1 1,376.76 1376.760000 1376.760000 1376.760000

89 N05AH03 OLANZAPINUM** ZYPADHERA 405mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 405mg CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT ELI LILLY NEDERLAND BV OLANDA P-RF/R 1 1,712.52 1712.520000 1712.520000 1712.520000

90 N05AH04 QUETIAPINUM** SEROQUEL 100mg COMPR. FILM. 100mg CUTIE X 6 BLIST. AL/ PVC X 10 COMPR. FILM. ASTRAZENECA UK LTD. MAREA BRITANIE P-RF 60 221.58 3.693000 3.693000 3.69300091 N05AH04 QUETIAPINUM** SEROQUEL XR 200 mg COMPR. FILM. ELIB. PREL. 200mg CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. ASTRAZENECA UK LTD. MAREA BRITANIE P-RF 60 443.63 7.393833 7.393833 7.39383392 N05AH04 QUETIAPINUM** SEROQUEL XR 300 mg COMPR. FILM. ELIB. PREL. 300mg CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. ASTRAZENECA UK LTD. MAREA BRITANIE P-RF 60 574.91 9.581833 9.581833 9.58183393 N05AH04 QUETIAPINUM** SEROQUEL XR 400 mg COMPR. FILM. ELIB. PREL. 400mg CUTIE X 6 BLIST. PVC-PCTFE/AL X 10 COMPR. CU ELIB. PREL. ASTRAZENECA UK LIMITED MAREA BRITANIE P-RF 60 741.59 12.359833 12.359833 12.359833

94 N05AH04 QUETIAPINUM** SEROQUEL XR 50 mg COMPR. FILM. ELIB. PREL. 50mg CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. ASTRAZENECA UK LTD. MAREA BRITANIE P-RF 60 231.49 3.858166 3.858166 3.85816695 N05AL01 SULPIRIDUM EGLONYL (R) 200 mg COMPR. 200mg CUTIE X 1 BLIST. X 12 COMPR. SANOFI-SYNTHELABO FRANCE FRANTA P-RF 12 10.49 0.874166 0.874166 0.87416696 N05AL01 SULPIRIDUM EGLONYL (R) 50 mg CAPS. 50mg CUTIE X 2 BLIST. X 15 CAPS. SANOFI-SYNTHELABO FRANCE FRANTA P-RF 30 10.75 0.358333 0.358333 0.35833397 N05AL05 AMISULPRIDUM** AMISULPRIDA LPH 100 mg COMPR. 100mg CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. LABORMED PHARMA S.A. ROMANIA P-RF 30 56.42 1.880666 1.880666 1.88066698 N05AL05 AMISULPRIDUM** SOLIAN 200 mg COMPR. DIVIZ. 200mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. SANOFI-AVENTIS FRANCE FRANTA P-RF 30 127.35 4.245000 3.415600 3.41559999 N05AL05 AMISULPRIDUM** AMISULPRIDA LPH 200 mg COMPR. 200mg CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. LABORMED PHARMA S.A. ROMANIA P-RF 30 85.73 2.857666 2.857666 2.857666100 N05AL05 AMISULPRIDUM** MIDORA 200 mg COMPR. 200mg CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. TERAPIA S.A. ROMANIA P-RF 30 85.39 2.846333 2.846333 2.846333101 N05AL05 AMISULPRIDUM** SOLIAN 400 mg COMPR. FILM. 400mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. SANOFI-AVENTIS FRANCE FRANTA P-RF 30 128.14 4.271333 3.450400 3.450399102 N05AL05 AMISULPRIDUM** AMISULPRIDE TEVA 400 mg COMPR. 400mg CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 30 86.26 2.875333 2.875333 2.875333103 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA JANSSEN PHARMACEUTICA N.V. BELGIA P-RF 1 156.27 156.270000 156.270000 156.270000

104 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 50 23.57 0.471400 0.417000 0.417000105 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 20 9.43 0.471500 0.417000 0.417000106 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 20 7.80 0.390000 0.390000 0.390000107 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 60 24.68 0.411333 0.411333 0.411333108 N05AX08 RISPERIDONUM** RILEPTID 1 mg COMPR. FILM. 1mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 60 51.23 0.853833 0.417000 0.417000109 N05AX08 RISPERIDONUM** TORENDO Q-TAB 1 mg COMPR. ORODISPERSABILE 1mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 19.65 0.655000 0.417000 0.417000110 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICAL S.R.L. ROMANIA P-RF 20 8.32 0.416000 0.416000 0.416000111 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICAL S.R.L. ROMANIA P-RF 60 24.56 0.409333 0.409333 0.409333

Pagina 24 din 42

Page 89: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

112 N05AX08 RISPERIDONUM** RISPERIDONA 1 mg COMPR. FILM. 1mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 20 8.75 0.437500 0.417000 0.417000113 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 1 mg COMPR. FILM. 1mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. ACCORD HEALTHCARE LIMITED MAREA BRITANIE P-RF 60 23.48 0.391333 0.391333 0.391333114 N05AX08 RISPERIDONUM** XENOMA 1 mg COMPR. FILM. 1mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 20 8.07 0.403500 0.403500 0.403500115 N05AX08 RISPERIDONUM** XENOMA 1 mg COMPR. FILM. 1mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 60 24.21 0.403500 0.403500 0.403500116 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 20 10.28 0.514000 0.417000 0.417000117 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 30 15.41 0.513666 0.417000 0.417000118 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 60 30.29 0.504833 0.417000 0.417000119 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 1 mg COMPR. FILM. 1mg CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 50 23.90 0.478000 0.417000 0.417000120 N05AX08 RISPERIDONUM** ESSENS OD 1 mg COMPR. ORODISPERSABILE 1mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE TERAPIA SA ROMANIA P-RF 30 20.83 0.694333 0.417000 0.417000121 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 1 mg COMPR. FILM. 1mg CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. TORRENT PHARMA GMBH GERMANIA P-RF 20 6.95 0.347500 0.347500 0.347500122 N05AX08 RISPERIDONUM** RONYDAL 1 mg COMPR. FILM. 1mg CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ROMASTRU TRADING SRL ROMANIA P-RF 60 32.08 0.534666 0.417000 0.417000123 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 50 45.63 0.912600 0.893400 0.893400124 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 20 18.86 0.943000 0.893400 0.893400125 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 60 47.15 0.785833 0.785833 0.785833126 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 20 16.24 0.812000 0.812000 0.812000127 N05AX08 RISPERIDONUM** RILEPTID 2 mg COMPR. FILM. 2mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 60 101.10 1.685000 0.893400 0.893400128 N05AX08 RISPERIDONUM** TORENDO Q-TAB 2 mg COMPR. ORODISPERSABILE 2mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 41.10 1.370000 0.893400 0.893400129 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 20 16.04 0.802000 0.802000 0.802000130 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 60 46.58 0.776333 0.776333 0.776333131 N05AX08 RISPERIDONUM** RISON 2 mg COMPR. FILM. 2mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ACTAVIS GROUP HF. ISLANDA P-RF 20 22.26 1.113000 0.893400 0.893400132 N05AX08 RISPERIDONUM** RISPERIDONA 2 mg COMPR. FILM. 2mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 20 17.46 0.873000 0.873000 0.873000133 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 2 mg COMPR. FILM. 2mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ACCORD HEALTHCARE LIMITED MAREA BRITANIE P-RF 60 44.67 0.744500 0.744500 0.744500134 N05AX08 RISPERIDONUM** XENOMA 2 mg COMPR. FILM. 2mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 60 45.94 0.765666 0.765666 0.765666135 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 20 21.66 1.083000 0.893400 0.893400136 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 30 32.48 1.082666 0.893400 0.893400137 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 60 62.64 1.044000 0.893400 0.893400138 N05AX08 RISPERIDONUM** ESSENS 2 mg COMPR. FILM. 2mg CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 24.36 0.812000 0.812000 0.812000139 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 2 mg COMPR. FILM. 2mg CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 50 44.36 0.887200 0.887200 0.887200140 N05AX08 RISPERIDONUM** ESSENS OD 2 mg COMPR. ORODISPERSABILE 2mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE TERAPIA SA ROMANIA P-RF 30 44.36 1.478666 0.893400 0.893400141 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 2 mg COMPR. FILM. 2mg CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. TORRENT PHARMA GMBH GERMANIA P-RF 20 16.18 0.809000 0.809000 0.809000142 N05AX08 RISPERIDONUM** RISPEMAR 2 mg COMPR. FILM. 2mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. ICN POLFA RZESZOW POLONIA P-RF 20 17.55 0.877500 0.877500 0.877500143 N05AX08 RISPERIDONUM** RISPEMAR 2 mg COMPR. FILM. 2mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. ICN POLFA RZESZOW POLONIA P-RF 60 52.53 0.875500 0.875500 0.875500144 N05AX08 RISPERIDONUM** RONYDAL 2 mg COMPR. FILM. 2mg CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ROMASTRU TRADING SRL ROMANIA P-RF 60 64.26 1.071000 0.893400 0.893400145 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA JANSSEN PHARMACEUTICA N.V. BELGIA P-RF 1 52.03 52.030000 52.030000 52.030000

146 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 50 66.16 1.323200 1.323200 1.323200147 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 20 28.29 1.414500 1.381999 1.381999148 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMP. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 60 75.85 1.264166 1.264166 1.264166149 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 20 27.52 1.376000 1.376000 1.376000150 N05AX08 RISPERIDONUM** RILEPTID 3 mg COMPR. FILM. 3mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 60 144.92 2.415333 1.381999 1.381999151 N05AX08 RISPERIDONUM** TORENDO 3 mg COMPR. FILM. 3mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 34.55 1.151666 1.151666 1.151666152 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 20 27.12 1.356000 1.356000 1.356000153 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 60 75.30 1.255000 1.255000 1.255000154 N05AX08 RISPERIDONUM** RISON 3 mg COMPR. FILM. 3mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ACTAVIS GROUP HF. ISLANDA P-RF 20 32.94 1.647000 1.381999 1.381999155 N05AX08 RISPERIDONUM** RISPERIDONA 3 mg COMPR. FILM. 3mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 20 29.54 1.477000 1.381999 1.381999156 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 3 mg COMPR. FILM. 3mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ACCORD HEALTHCARE LIMITED MAREA BRITANIE P-RF 60 69.56 1.159333 1.159333 1.159333

Pagina 25 din 42

Page 90: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

157 N05AX08 RISPERIDONUM** XENOMA 3 mg COMPR. FILM. 3mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 60 74.62 1.243666 1.243666 1.243666158 N05AX08 RISPERIDONUM** SPRING 3 mg COMPR. FILM. 3mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 20 34.37 1.718500 1.381999 1.381999159 N05AX08 RISPERIDONUM** SPRING 3 mg COMPR. FILM. 3mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 30 51.50 1.716666 1.381999 1.381999160 N05AX08 RISPERIDONUM** SPRING 3 mg COMPR. FILM. 3mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 60 96.30 1.605000 1.381999 1.381999161 N05AX08 RISPERIDONUM** ESSENS 3 mg COMPR. FILM. 3mg CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 39.93 1.331000 1.331000 1.331000162 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 3 mg COMPR. FILM. 3mg CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 50 67.39 1.347800 1.347800 1.347800163 N05AX08 RISPERIDONUM** ESSENS OD 3 mg COMPR. ORODISPERSABILE 3mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE TERAPIA SA ROMANIA P-RF 30 70.14 2.338000 1.381999 1.381999164 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 3 mg COMPR. FILM. 3mg CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. TORRENT PHARMA GMBH GERMANIA P-RF 20 27.44 1.372000 1.372000 1.372000165 N05AX08 RISPERIDONUM** RISPEMAR 3 mg COMPR. FILM. 3mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. ICN POLFA RZESZOW POLONIA P-RF 20 26.72 1.336000 1.336000 1.336000166 N05AX08 RISPERIDONUM** RISPEMAR 3 mg COMPR. FILM. 3mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. ICN POLFA RZESZOW POLONIA P-RF 60 75.11 1.251833 1.251833 1.251833167 N05AX08 RISPERIDONUM** RONYDAL 3 mg COMPR. FILM. 3mg CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ROMASTRU TRADING SRL ROMANIA P-RF 60 97.71 1.628500 1.381999 1.381999168 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 50 86.67 1.733400 1.733400 1.733400169 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ZENTIVA AS CEHIA P-RF 20 36.50 1.825000 1.825000 1.825000170 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 20 35.49 1.774500 1.774500 1.774500171 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 60 101.11 1.685166 1.685166 1.685166172 N05AX08 RISPERIDONUM** RILEPTID 4 mg COMPR. FILM. 4mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 60 193.87 3.231166 1.900399 1.900399173 N05AX08 RISPERIDONUM** TORENDO 4 mg COMPR. FILM. 4mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 47.51 1.583666 1.583666 1.583666174 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 60 100.57 1.676166 1.676166 1.676166175 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 20 35.29 1.764500 1.764500 1.764500176 N05AX08 RISPERIDONUM** RISON 4 mg COMPR. FILM. 4mg CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ACTAVIS GROUP HF. ISLANDA P-RF 20 45.63 2.281500 1.900399 1.900399177 N05AX08 RISPERIDONUM** RISPERIDONA 4 mg COMPR. FILM. 4mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 20 36.50 1.825000 1.825000 1.825000178 N05AX08 RISPERIDONUM** ESSENS 4 mg COMPR. FILM. 4mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 50.00 1.666666 1.666666 1.666666179 N05AX08 RISPERIDONUM** XENOMA 4 mg COMPR. FILM. 4mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 60 99.48 1.658000 1.658000 1.658000180 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 20 46.87 2.343500 1.900399 1.900399181 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 30 67.89 2.263000 1.900399 1.900399182 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 60 128.05 2.134166 1.900399 1.900399183 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 4 mg COMPR. FILM. 4mg CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. FARMAL INTERNATIONAL S.R.L. ROMANIA P-RF 50 93.29 1.865800 1.865800 1.865800184 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 4 mg COMPR. FILM. 4mg CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. TORRENT PHARMA GMBH GERMANIA P-RF 20 33.27 1.663500 1.663500 1.663500185 N05AX08 RISPERIDONUM** RISPEMAR 4 mg COMPR. FILM. 4mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. ICN POLFA RZESZOW POLONIA P-RF 20 34.73 1.736500 1.736500 1.736500186 N05AX08 RISPERIDONUM** RISPEMAR 4 mg COMPR. FILM. 4mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. ICN POLFA RZESZOW POLONIA P-RF 60 100.39 1.673166 1.673166 1.673166187 N05AX08 RISPERIDONUM** RONYDAL 4 mg COMPR. FILM. 4mg CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ROMASTRU TRADING SRL ROMANIA P-RF 60 129.62 2.160333 1.900399 1.900399188 N05AX08 RISPERIDONUM** ESSENS 6 mg COMPR. FILM. 6mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 67.82 2.260666 2.260666 2.260666189 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 25mg CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA JANSSEN PHARMACEUTICA N.V. BELGIA S/P-RF 1 423.41 423.410000 423.410000 423.410000

190 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA 25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 25mg CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT JANSSEN PHARMACEUTICA N.V. BELGIA S/P-RF 1 423.41 423.410000 423.410000 423.410000

191 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 37,5 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 37,5mg CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA JANSSEN PHARMACEUTICA N.V. BELGIA S/P-RF 1 596.20 596.200000 596.200000 596.200000

192 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA 37,5 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 37,5mg CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT JANSSEN PHARMACEUTICA N.V. BELGIA S/P-RF 1 596.20 596.200000 596.200000 596.200000

193 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 50 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 50mg CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA JANSSEN PHARMACEUTICA N.V. BELGIA S/P-RF 1 717.50 717.500000 717.500000 717.500000

194 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA 50 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 50mg CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT JANSSEN PHARMACEUTICA N.V. BELGIA S/P-RF 1 717.50 717.500000 717.500000 717.500000

195 N05AX12 ARIPIPRAZOLUM** ABILIFY 10mg COMPR. 10mg CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE P-RF 28 482.25 17.223214 17.223214 17.223214

196 N05AX12 ARIPIPRAZOLUM** ABILIFY 15mg COMPR. 15mg CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE P-RF 28 482.25 17.223214 17.223214 17.223214

197 N05AX12 ARIPIPRAZOLUM** ABILIFY 7,5mg/ml SOL. INJ. 7,5mg/ml CUTIE X 1FLAC. X 1,3ML SOL.INJ OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE P-RF 1 20.96 20.960000 20.960000 20.960000

198 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. RANBAXY UK LIMITED MAREA BRITANIE P-RF 28 7.37 0.263214 0.263214 0.263214199 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 30 7.10 0.236666 0.236666 0.236666200 N06AB04 CITALOPRAMUM** DALSAN 10 mg COMPR. FILM. 10mg CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 7.37 0.263214 0.263214 0.263214201 N06AB04 CITALOPRAMUM** CITALOPRAM MYLAN 10 mg COMPR. FILM. 10mg CUTIE X 2 BLIST. TIP CALENDAR DIN PVC-PVDC/AL X 14 COMPR. FILM. GENERICS LTD. MAREA BRITANIE P-RF 28 7.37 0.263214 0.263214 0.263214

Pagina 26 din 42

Page 91: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

202 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. RANBAXY UK LIMITED MAREA BRITANIE P-RF 28 10.71 0.382500 0.382500 0.382500203 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 30 39.46 1.315333 0.459000 0.459000204 N06AB04 CITALOPRAMUM** DALSAN 20 mg COMPR. FILM. 20mg CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 10.71 0.382500 0.382500 0.382500205 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. RANBAXY UK LIMITED MAREA BRITANIE P-RF 28 33.50 1.196428 1.196428 1.196428206 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 30 32.30 1.076666 1.076666 1.076666207 N06AB04 CITALOPRAMUM** DALSAN 40 mg COMPR. FILM. 40mg CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 33.50 1.196428 1.196428 1.196428208 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 14 61.81 4.415000 3.864000 3.864000209 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. H. LUNDBECK A/S DANEMARCA P-RF 28 90.16 3.220000 3.220000 3.220000210 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. ANGELINI FRANCESCO SPA ITALIA P-RF 20 24.88 1.244000 1.244000 1.244000211 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. ANGELINI FRANCESCO SPA ITALIA P-RF 30 18.66 0.622000 0.622000 0.622000212 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. ANGELINI FRANCESCO SPA ITALIA P-RF 30 18.66 0.622000 0.622000 0.622000213 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. LES LAB. SERVIER IND. FRANTA P-RF 30 33.65 1.121666 1.121666 1.121666214 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. WYETH LEDERLE PHARMA GMBH AUSTRIA P-RF 28 135.66 4.845000 3.005599 3.005599215 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 91.33 3.261785 3.005599 3.005599216 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. ZENTIVA A.S. SLOVACIA P-RF 30 90.16 3.005333 3.005333 3.005333217 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 75.14 2.504666 2.504666 2.504666218 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-RF 30 97.80 3.260000 3.005599 3.005599219 N06AX16 VENLAFAXINUM** NOPEKAR 150 mg CAPS. ELIB. PREL. 150mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. OZONE LABORATORIES BV OLANDA P-RF 28 91.33 3.261785 3.005599 3.005599220 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. RANBAXY (UK) LIMITED MAREA BRITANIE P-RF 30 97.54 3.251333 3.005599 3.005599221 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150mg CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. MEDOCHEMIE LTD. CIPRU P-RF 30 97.85 3.261666 3.005599 3.005599222 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF 30 96.01 3.200333 3.005599 3.005599223 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF/S 100 303.48 3.034800 3.005599 3.005599224 N06AX16 VENLAFAXINUM** JARVIS 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 30 97.85 3.261666 3.005599 3.005599225 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL. 150mg CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 28 75.21 2.686071 2.686071 2.686071226 N06AX16 VENLAFAXINUM** IVRYX 150mg CAPS. ELIB. PREL. 150 mg CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. ROMASTRU TRADING S.R.L. ROMANIA P-RF 28 91.33 3.261785 3.005599 3.005599227 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. ARENA GROUP S.A. ROMANIA P-RF 30 84.97 2.832333 2.832333 2.832333228 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 29.21 0.973666 0.973666 0.973666229 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 29.21 0.973666 0.973666 0.973666230 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37,5mg CUTIE X 3 BLIST. AL/PVC X 20 COMPR. LABORMED PHARMA SA ROMANIA P-RF 60 62.11 1.035166 0.787680 0.787680231 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37,5mg CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 56 58.00 1.035714 0.787680 0.787680232 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. ACTAVIS S.R.L. ROMANIA P-RF 56 38.02 0.678928 0.678928 0.678928233 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-RF 30 35.49 1.183000 0.787680 0.787680234 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 32.13 1.071000 0.787680 0.787680235 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 32.13 1.071000 0.787680 0.787680236 N06AX16 VENLAFAXINUM** NOPEKAR 37,5 mg CAPS. ELIB. PREL. 37,5mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. OZONE LABORATORIES BV OLANDA P-RF 28 46.45 1.658928 0.787680 0.787680237 N06AX16 VENLAFAXINUM** ADOXA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. RANBAXY (UK) LIMITED MAREA BRITANIE P-RF 30 41.57 1.385666 0.787680 0.787680238 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF 30 21.05 0.701666 0.701666 0.701666239 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF/S 100 65.64 0.656400 0.656400 0.656400240 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. ARENA GROUP S.A. ROMANIA P-RF 30 32.80 1.093333 0.787680 0.787680241 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 37,5 mg COMPR. 37,5mg CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. ARENA GROUP S.A. ROMANIA P-RF 30 32.13 1.071000 0.787680 0.787680242 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 38.41 1.280333 1.280333 1.280333243 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 38.41 1.280333 1.280333 1.280333244 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 50 mg COMPR. 50mg CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. ARENA GROUP S.A. ROMANIA P-RF 30 38.41 1.280333 1.280333 1.280333245 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg CUTIE X 6 BLIST. AL/PVC X 10 COMPR. LABORMED PHARMA SA ROMANIA P-RF 60 77.33 1.288833 1.288833 1.288833246 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 56 72.29 1.290892 1.290892 1.290892

Pagina 27 din 42

Page 92: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

247 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. WYETH LEDERLE PHARMA GMBH AUSTRIA P-RF 28 70.53 2.518928 1.313200 1.313199248 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 47.42 1.693571 1.313200 1.313199249 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. ZENTIVA A.S. SLOVACIA P-RF 30 39.40 1.313333 1.313200 1.313199250 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. KRKA D.D. NOVO MESTO SLOVENIA P-RF 30 32.83 1.094333 1.094333 1.094333251 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. ACTAVIS S.R.L. ROMANIA P-RF 56 63.65 1.136607 1.136607 1.136607252 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA P-RF 30 50.77 1.692333 1.313200 1.313199253 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 40.78 1.359333 1.313200 1.313199254 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. TERAPIA SA ROMANIA P-RF 30 40.78 1.359333 1.313200 1.313199255 N06AX16 VENLAFAXINUM** NOPEKAR 75 mg CAPS. ELIB. PREL. 75mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. OZONE LABORATORIES BV OLANDA P-RF 28 47.42 1.693571 1.313200 1.313199256 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. RANBAXY (UK) LIMITED MAREA BRITANIE P-RF 30 50.65 1.688333 1.313200 1.313199257 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. MEDOCHEMIE LTD. CIPRU P-RF 30 50.82 1.694000 1.313200 1.313199258 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF 30 35.26 1.175333 1.175333 1.175333259 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. WORWAG PHARMA GMBH & CO. KG GERMANIA P-RF/S 100 111.66 1.116600 1.116600 1.116600260 N06AX16 VENLAFAXINUM** JARVIS 75 mg CAPS. ELIB. PREL. 75mg CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 30 50.82 1.694000 1.313200 1.313199261 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 28 47.61 1.700357 1.313200 1.313199262 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. ROMASTRU TRADING S.R.L. ROMANIA P-RF 28 47.42 1.693571 1.313200 1.313199263 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL. 75mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. ARENA GROUP S.A. ROMANIA P-RF 30 47.61 1.587000 1.313200 1.313199264 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 75 mg COMPR. 75mg CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. ARENA GROUP S.A. ROMANIA P-RF 30 40.78 1.359333 1.313200 1.313199265 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg CUTIE X 4 BLIST. AL/PVC X 14 CAPS. PIERRE FABRE MEDICAMENT PRODUCTION FRANTA P-RF 56 71.36 1.274285 1.274285 1.274285266 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg CUTIE X 4 BLIST. AL/PVC X 14 CAPS. PIERRE FABRE MEDICAMENT PRODUCTION FRANTA P-RF 56 116.99 2.089107 2.089107 2.089107267 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) ELI LILLY NEDERLAND BV OLANDA P-RF 28 105.15 3.755357 3.755357 3.755357268 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) ELI LILLY NEDERLAND BV OLANDA P-RF 28 178.47 6.373928 6.373928 6.373928Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

1 N06DA02 DONEPEZILUM*** ARICEPT (R) 10 mg COMPR. FILM. 10mg CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 28 357.96 12.784285 5.853428 5.8534282 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 10mg CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 28 378.37 13.513214 5.853428 5.8534283 N06DA02 DONEPEZILUM*** ZILDON 10mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. SANDOZ S.R.L. ROMANIA P-RF 28 171.42 6.122142 5.853428 5.8534284 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 249.29 8.309666 5.853428 5.8534285 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 249.29 8.309666 5.853428 5.8534286 N06DA02 DONEPEZILUM*** TUADIN 10 mg COMPR. FILM. 10mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 30 249.27 8.309000 5.853428 5.8534287 N06DA02 DONEPEZILUM*** TUADIN 10 mg COMPR. FILM. 10mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 60 475.50 7.925000 5.853428 5.8534288 N06DA02 DONEPEZILUM*** TUADIN 10 mg COMPR. FILM. 10mg CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 90 677.82 7.531333 5.853428 5.8534289 N06DA02 DONEPEZILUM*** PRIDIA 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-RF 28 171.42 6.122142 5.853428 5.853428

10 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 170.53 6.090357 5.853428 5.85342811 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 56 341.06 6.090357 5.853428 5.85342812 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 170.53 6.090357 5.853428 5.85342813 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 56 341.06 6.090357 5.853428 5.85342814 N06DA02 DONEPEZILUM*** DONECEPT 10 MG COMPR. FILM. 10mg CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 28 170.55 6.091071 5.853428 5.85342815 N06DA02 DONEPEZILUM*** ALDEMIZ 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 28 232.57 8.306071 5.853428 5.85342816 N06DA02 DONEPEZILUM*** ALDEMIZ 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 30 248.27 8.275666 5.853428 5.85342817 N06DA02 DONEPEZILUM*** COGITON 10 mg COMPR. FILM. 10mg CUTIE X 4 BLIST. PVC/AL X 7 COMPR. FILM. BMF PHARM S.R.L. ROMANIA P-RF 28 136.58 4.877857 4.877857 4.87785718 N06DA02 DONEPEZILUM*** COGNEZIL 10 mg COMPR. FILM. 10mg CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA P-RF 28 170.55 6.091071 5.853428 5.85342819 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 30 231.43 7.714333 5.853428 5.853428

14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16

Pagina 28 din 42

Page 93: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

20 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 10 mg COMPR. ORODISPERSABILE 10mg CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 28 247.68 8.845714 5.853428 5.85342821 N06DA02 DONEPEZILUM*** DONEPEZIL ACCORD 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. ACCORD HEALTHCARE LIMITED MAREA BRITANIE P-RF 28 170.55 6.091071 5.853428 5.85342822 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 28 171.22 6.115000 5.853428 5.85342823 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 50 305.73 6.114600 5.853428 5.85342824 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 56 342.42 6.114642 5.853428 5.85342825 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 60 365.73 6.095500 5.853428 5.85342826 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 98 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 98 557.25 5.686224 5.686224 5.68622427 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 100 567.18 5.671800 5.671800 5.67180028 N06DA02 DONEPEZILUM*** COGNEZIL 10 mg COMPR. ORODISPERSABILE 10mg CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA P-RF 28 247.68 8.845714 5.853428 5.85342829 N06DA02 DONEPEZILUM*** ARICEPT (R) 5 mg COMPR. FILM. 5mg CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 28 304.77 10.884642 5.084142 5.08414230 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 5mg CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 28 304.77 10.884642 5.084142 5.08414231 N06DA02 DONEPEZILUM*** ZILDON 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. SANDOZ S.R.L. ROMANIA P-RF 28 145.54 5.197857 5.084142 5.08414232 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 212.26 7.075333 5.084142 5.08414233 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. TERAPIA SA ROMANIA P-RF 30 212.26 7.075333 5.084142 5.08414234 N06DA02 DONEPEZILUM*** TUADIN 5 mg COMPR. FILM. 5mg CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 30 212.24 7.074666 5.084142 5.08414235 N06DA02 DONEPEZILUM*** TUADIN 5 mg COMPR. FILM. 5mg CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 60 415.39 6.923166 5.084142 5.08414236 N06DA02 DONEPEZILUM*** TUADIN 5 mg COMPR. FILM. 5mg CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA P-RF 90 587.66 6.529555 5.084142 5.08414237 N06DA02 DONEPEZILUM*** PRIDIA 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-RF 28 145.54 5.197857 5.084142 5.08414238 N06DA02 DONEPEZILUM*** ALZEPIL 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 143.65 5.130357 5.084142 5.08414239 N06DA02 DONEPEZILUM*** ALZEPIL 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 56 287.30 5.130357 5.084142 5.08414240 N06DA02 DONEPEZILUM*** ALZEPIL 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 28 143.65 5.130357 5.084142 5.08414241 N06DA02 DONEPEZILUM*** ALZEPIL 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA P-RF 56 287.30 5.130357 5.084142 5.08414242 N06DA02 DONEPEZILUM*** DONECEPT 5 MG COMPR. FILM. 5mg CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. ACTAVIS GROUP PTC EHF. ISLANDA P-RF 28 143.69 5.131785 5.084142 5.08414243 N06DA02 DONEPEZILUM*** ALDEMIZ 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 28 196.91 7.032500 5.084142 5.08414244 N06DA02 DONEPEZILUM*** ALDEMIZ 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 30 209.74 6.991333 5.084142 5.08414245 N06DA02 DONEPEZILUM*** COGITON 5 mg COMPR. FILM. 5mg CUTIE X 4 BLIST. PVC/AL X 7 COMPR. FILM. BMF PHARM S.R.L. ROMANIA P-RF 28 118.63 4.236785 4.236785 4.23678546 N06DA02 DONEPEZILUM*** COGNEZIL 5 mg COMPR. FILM. 5mg CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA P-RF 28 145.03 5.179642 5.084142 5.08414247 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 30 174.78 5.826000 5.084142 5.08414248 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 5 mg COMPR. ORODISPERSABILE 5mg CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP. TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF 28 198.10 7.075000 5.084142 5.08414249 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 28 142.68 5.095714 5.084142 5.08414250 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 50 254.81 5.096200 5.084142 5.08414251 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 56 285.39 5.096250 5.084142 5.08414252 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 60 305.77 5.096166 5.084142 5.08414253 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC/AL X 98 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 98 476.23 4.859489 4.859489 4.85948954 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. MEDOCHEMIE LTD. CIPRU P-RF 100 484.51 4.845100 4.845100 4.84510055 N06DA02 DONEPEZILUM*** COGNEZIL 5 mg COMPR. ORODISPERSABILE 5mg CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA P-RF 28 198.10 7.075000 5.084142 5.08414256 N06DA03 RIVASTIGMINUM*** EXELON 1,5mg CAPS. 1,5mg CUTIE X 4 BLIST. PVC/AL X 14 CAPS. NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF/R 56 331.48 5.919285 1.512214 1.51221357 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 1,5mg CAPS. 1,5mg CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. TEVA PHARMA BV OLANDA P-RF/R 56 194.05 3.465178 1.512214 1.51221358 N06DA03 RIVASTIGMINUM*** NIMVASTID 1.5mg CAPS. 1.5mg CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE KRKA ,D.D., NOVO MESTO SLOVENIA P-RF/R 28 96.30 3.439285 1.512214 1.51221359 N06DA03 RIVASTIGMINUM*** NIMVASTID 1.5 mg COMPR. ORODISPERSABILE 1.5mg CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE KRKA ,D.D., NOVO MESTO SLOVENIA P-RF/R 28 107.92 3.854285 1.512214 1.51221360 N06DA03 RIVASTIGMINUM*** EVERTAS 1,5 mg CAPS. 1,5mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ZENTIVA K.S. CEHIA P-RF/R 30 45.36 1.512000 1.512000 1.51200061 N06DA03 RIVASTIGMINUM*** RIVASTIGMINE SANDOZ1,5mg CAPS. 1,5mg CUTIE CU BLIST.PVC/AL X 56 CAPS. SANDOZ S.R.L. ROMANIA P-RF/R 56 70.57 1.260178 1.260178 1.26017862 N06DA03 RIVASTIGMINUM*** RIDAXIN 1,5 mg CAPS. 1,5mg CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. ROMASTRU TRADING SRL ROMANIA P-RF/R 56 180.48 3.222857 1.512214 1.51221363 N06DA03 RIVASTIGMINUM*** RISTIDIC 1,5 mg CAPS. 1,5mg CUTIE CU BLIST. PVC/AL X 28 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 28 36.50 1.303571 1.303571 1.30357164 N06DA03 RIVASTIGMINUM*** RISTIDIC 1,5 mg CAPS. 1,5mg CUTIE CU BLIST. PVC/AL X 56 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 56 70.57 1.260178 1.260178 1.260178

Pagina 29 din 42

Page 94: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

65 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 2 mg/ml SOL. ORALA 2mg/ml CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE TEVA PHARMACEUTICALS S.R.L. ROMANIA P-RF/R 1 419.44 419.440000 419.440000 419.440000

66 N06DA03 RIVASTIGMINUM*** EXELON 3mg CAPS. 3mg CUTIE X 4 BLIST. PVC/AL X 14 CAPS. NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF/R 56 347.86 6.211785 2.864357 2.86435667 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 3mg CAPS. 3mg CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. TEVA PHARMA BV OLANDA P-RF/R 56 215.45 3.847321 2.864357 2.86435668 N06DA03 RIVASTIGMINUM*** NIMVASTID 3mg CAPS. 3mg CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE KRKA ,D.D., NOVO MESTO SLOVENIA P-RF/R 28 107.58 3.842142 2.864357 2.86435669 N06DA03 RIVASTIGMINUM*** NIMVASTID 3mg COMPR. ORODISPERSABILE 3mg CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE KRKA ,D.D., NOVO MESTO SLOVENIA P-RF/R 28 113.90 4.067857 2.864357 2.86435670 N06DA03 RIVASTIGMINUM*** RIVASTIGMINE SANDOZ 3mg CAPS. 3mg CUTIE CU BLIST.PVC/AL X 56 CAPS. SANDOZ S.R.L. ROMANIA P-RF/R 56 133.67 2.386964 2.386964 2.38696471 N06DA03 RIVASTIGMINUM*** RIDAXIN 3 mg CAPS. 3mg CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. ROMASTRU TRADING SRL ROMANIA P-RF/R 56 203.04 3.625714 2.864357 2.86435672 N06DA03 RIVASTIGMINUM*** RISTIDIC 3 mg CAPS. 3mg CUTIE CU BLIST. PVC/AL X 28 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 28 70.46 2.516428 2.516428 2.51642873 N06DA03 RIVASTIGMINUM*** RISTIDIC 3 mg CAPS. 3mg CUTIE CU BLIST. PVC/AL X 56 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 56 133.67 2.386964 2.386964 2.38696474 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 4,5mg CAPS. 4,5mg CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. TEVA PHARMA BV OLANDA P-RF/R 56 323.18 5.771071 3.333428 3.33342875 N06DA03 RIVASTIGMINUM*** NIMVASTID 4.5 mg COMPR. ORODISPERSABILE 4.5mg CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE KRKA ,D.D., NOVO MESTO SLOVENIA P-RF/R 28 124.97 4.463214 3.333428 3.33342876 N06DA03 RIVASTIGMINUM*** EVERTAS 4,5 mg CAPS. 4,5mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ZENTIVA K.S. CEHIA P-RF/R 30 100.01 3.333666 3.333428 3.33342877 N06DA03 RIVASTIGMINUM*** RIDAXIN 4,5 mg CAPS. 4,5mg CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. ROMASTRU TRADING SRL ROMANIA P-RF/R 56 321.86 5.747500 3.333428 3.33342878 N06DA03 RIVASTIGMINUM*** RISTIDIC 4,5 mg CAPS. 4,5mg CUTIE CU BLIST. PVC/AL X 28 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 28 82.02 2.929285 2.929285 2.92928579 N06DA03 RIVASTIGMINUM*** RISTIDIC 4,5 mg CAPS. 4,5mg CUTIE CU BLIST. PVC/AL X 56 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 56 155.56 2.777857 2.777857 2.77785780 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 6mg CAPS. 6mg CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. TEVA PHARMA BV OLANDA P-RF/R 56 406.71 7.262678 3.757070 3.75707081 N06DA03 RIVASTIGMINUM*** NIMVASTID 6mg COMPR. ORODISPERSABILE 6mg CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE KRKA ,D.D., NOVO MESTO SLOVENIA P-RF/R 28 131.63 4.701071 3.757070 3.75707082 N06DA03 RIVASTIGMINUM*** EVERTAS 6 mg CAPS. 6mg CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ZENTIVA K.S. CEHIA P-RF/R 30 112.71 3.757000 3.757000 3.75700083 N06DA03 RIVASTIGMINUM*** RIDAXIN 6 mg CAPS. 6mg CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. ROMASTRU TRADING SRL ROMANIA P-RF/R 56 394.01 7.035892 3.757070 3.75707084 N06DA03 RIVASTIGMINUM*** RISTIDIC 6 mg CAPS. 6mg CUTIE CU BLIST. PVC/AL X 28 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 28 92.44 3.301428 3.301428 3.30142885 N06DA03 RIVASTIGMINUM*** RISTIDIC 6 mg CAPS. 6mg CUTIE CU BLIST. PVC/AL X 56 CAPS. ICN POLFA RZESZOW S.A. POLONIA P-RF/R 56 175.33 3.130892 3.130892 3.13089286 N06DA03 RIVASTIGMINUM*** EXELON 4,6mg/24h PLASTURE TRANSDERMIC 4,6mg/24h CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF/R 30 389.76 12.992000 12.992000 12.992000

87 N06DA03 RIVASTIGMINUM*** EXELON 9,5mg/24h PLASTURE TRANSDERMIC 9,5mg/24h CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC NOVARTIS EUROPHARM LTD. MAREA BRITANIE P-RF/R 30 389.76 12.992000 12.992000 12.992000

88 N06DA04 GALANTAMINUM*** REMINYL 16 mg CAPS. ELIB. PREL. 16mg CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. JANSSEN PHARMACEUTICA N.V. BELGIA P-RF 28 373.59 13.342500 13.342500 13.342500

89 N06DA04 GALANTAMINUM*** REMINYL 24 mg CAPS. ELIB. PREL. 24mg CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. JANSSEN PHARMACEUTICA N.V. BELGIA P-RF 28 416.76 14.884285 14.884285 14.884285

90 N06DA04 GALANTAMINUM*** REMINYL (R) 4 mg/ml SOL. ORALA 4mg/ml CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE JANSSEN-PHARMACEUTICA NV BELGIA P-RF 1 253.63 253.630000 253.630000 253.630000

91 N06DA04 GALANTAMINUM*** REMINYL 8 mg CAPS. ELIB. PREL. 8mg CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. JANSSEN PHARMACEUTICA N.V. BELGIA P-RF 28 200.61 7.164642 7.164642 7.16464292 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) H. LUNDBECK A/S DANEMARCA P-RF/R 56 416.58 7.438928 7.438928 7.43892893 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg CUTIE X 28 COMPR. FILM. (BLIST. AL/PP) H. LUNDBECK A/S DANEMARCA P-RF/R 28 214.39 7.656785 7.656785 7.65678594 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 50 G SOLUTIE H. LUNDBECK A/S DANEMARCA P-RF/R 1 377.23 377.230000 377.230000 377.230000

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie

1 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 50 32.54 0.650800 0.650800 0.650800

2 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 20 29.57 1.478500 1.478500 1.478500

3 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 30 6.52 0.217333 0.217333 0.2173334 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 50 mg DRAJ. 50mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. BAXTER ONCOLOGY GMBH GERMANIA P-RF 50 26.07 0.521400 0.521400 0.5214005 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ ACTAVIS S.R.L. ROMANIA S 1 15.86 15.860000 15.860000 15.860000

6 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE S/P-RF 100 80.72 0.807200 0.807200 0.8072007 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg CUTIE X 6 BLIST. X 10 COMPR. FILM. SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA P-6L 60 33.36 0.556000 0.556000 0.556000

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase.

15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17

16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18Pagina 30 din 42

Page 95: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. KRKA D.D. NOVO MESTO SLOVENIA P-6L 50 28.17 0.563400 0.374040 0.3740402 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. PFIZER EUROPE MA EEIG MAREA BRITANIE P-6L 100 31.17 0.311700 0.311700 0.3117003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml CUTIE X 5 FIOLE X 1 ML SCHERING PLOUGH EUROPE BELGIA P-RF 5 34.46 6.892000 6.892000 6.892000

4 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 50 32.54 0.650800 0.650800 0.650800

5 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 20 29.57 1.478500 1.478500 1.478500

6 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 30 6.52 0.217333 0.217333 0.2173337 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg CUTIE X 20 COMPR. FARMEXINM S.R.L. ROMANIA X 20 22.79 1.139500 1.139500 1.1395008 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 89.44 89.440000 89.440000 89.440000

9 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 109.28 109.280000 109.280000 109.280000

10 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 123.90 123.900000 123.900000 123.900000

11 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 FLACON X 50 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 400.04 400.040000 400.040000 400.040000

12 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 5 FIOLE X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 5 240.51 48.102000 48.102000 48.102000

13 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml CUTIE X 1 FLACON X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 13.30 13.300000 13.300000 13.300000

14 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml CUTIE X 10 FIOLE X 1 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 10 23.77 2.377000 2.377000 2.37700015 L04AA13 LEFLUNOMIDUM* ARAVA 10mg COMPR. FILM. 10mg CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA P-RF/R 30 279.37 9.312333 9.312333 9.31233316 L04AA13 LEFLUNOMIDUM* ARAVA 20mg COMPR. FILM. 20mg CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA P-RF/R 30 291.97 9.732333 9.732333 9.73233317 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 470.37 9.407400 9.407400 9.40740018 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 1 427.55 427.550000 427.550000 427.550000

19 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 137.00 2.740000 2.253600 2.25360020 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 93.90 1.878000 1.878000 1.87800021 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 137.16 2.743200 2.253600 2.25360022 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 291.47 5.829400 4.546800 4.54680023 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 189.45 3.789000 3.789000 3.78900024 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 304.48 6.089600 4.546800 4.54680025 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE S/P-RF 100 80.72 0.807200 0.807200 0.80720026 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. NOVARTIS PHARMA GMBH GERMANIA P-6L 10 6.55 0.655000 0.492000 0.49200027 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. STADA HEMOFARM S.R.L. ROMANIA P-6L 20 8.52 0.426000 0.426000 0.42600028 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL TERAPIA SA ROMANIA P-6L 20 8.20 0.410000 0.410000 0.41000029 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. ALFA WASSERMANN SPA ITALIA P-6L 20 47.60 2.380000 2.380000 2.38000030 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. FARAN LABORATORIES S.A. GRECIA P-6L 30 5.70 0.190000 0.180000 0.18000031 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 30 4.50 0.150000 0.150000 0.15000032 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. ARENA GROUP SA ROMANIA P-6L 30 5.70 0.190000 0.180000 0.18000033 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 30 6.38 0.212666 0.135000 0.13500034 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. NOVARTIS PHARMA GMBH GERMANIA P-6L 20 6.55 0.327500 0.135000 0.13500035 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. TERAPIA SA ROMANIA P-6L 20 4.25 0.212500 0.135000 0.13500036 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. MEDUMAN SA ROMANIA P-6L 20 2.54 0.127000 0.127000 0.12700037 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. NOVARTIS PHARMA GMBH GERMANIA P-6L 10 2.33 0.233000 0.135000 0.13500038 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. ANTIBIOTICE SA ROMANIA P-6L 20 2.45 0.122500 0.122500 0.12250039 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. AC HELCOR PHARMA SRL ROMANIA P-6L 20 2.25 0.112500 0.112500 0.11250040 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. DAR AL DAWA PHARMA S.R.L. ROMANIA P-6L 20 3.81 0.190500 0.135000 0.13500041 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. ARENA GROUP SA ROMANIA P-6L 20 2.65 0.132500 0.132500 0.13250042 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. HEXAL AG GERMANIA P-6L 10 3.91 0.391000 0.391000 0.39100043 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA P-6L 30 20.43 0.681000 0.469200 0.469200

Pagina 31 din 42

Page 96: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

44 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-RF 5 14.21 2.842000 0.969600 0.96960045 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML NOVARTIS PHARMA GMBH GERMANIA P-RF 5 9.38 1.876000 0.969600 0.96960046 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML FARAN LABORATORIES S.A. GRECIA P-RF 5 6.09 1.218000 0.969600 0.96960047 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI MEDOCHEMIE LTD. CIPRU P-RF 10 9.89 0.989000 0.969600 0.96960048 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML TERAPIA SA ROMANIA P-RF 5 6.09 1.218000 0.969600 0.96960049 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. ALIUD PHARMA GMBH GERMANIA P-RF 5 6.09 1.218000 0.969600 0.96960050 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. ALIUD PHARMA GMBH GERMANIA P-RF 10 12.19 1.219000 0.969600 0.96960051 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg CUTIE X 5 FIOLE X 3 ML SOL. INJ. HEXAL AG GERMANIA P-RF 5 6.09 1.218000 0.969600 0.96960052 M01AB05 DICLOFENACUM REFEN 75 mg SOL. INJ./PERF. 25mg/ml CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. STADA HEMOFARM S.R.L. ROMANIA P-RF 5 4.04 0.808000 0.808000 0.80800053 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. ANTIBIOTICE SA ROMANIA P-6L 6 3.93 0.655000 0.444000 0.44400054 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. NOVARTIS PHARMA GMBH GERMANIA P-6L 5 5.45 1.090000 0.444000 0.44400055 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. SINTOFARM SA ROMANIA P-6L 10 5.24 0.524000 0.444000 0.44400056 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. MAGISTRA C & C ROMANIA P-6L 10 3.70 0.370000 0.370000 0.37000057 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 5 3.54 0.708000 0.444000 0.44400058 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. DAR AL DAWA PHARMA S.R.L. ROMANIA P-6L 10 5.02 0.502000 0.502000 0.50200059 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg CUTIE X 6 SUPOZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 6 4.25 0.708333 0.708333 0.70833360 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. NOVARTIS PHARMA GMBH GERMANIA P-6L 10 9.43 0.943000 0.943000 0.94300061 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg CUTIE X 6 SUPOZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 6 3.68 0.613333 0.613333 0.61333362 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg CUTIE X 6 BLIST. X 10 COMPR. FILM. SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA P-6L 60 33.36 0.556000 0.556000 0.556000

1 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. KRKA D.D. NOVO MESTO SLOVENIA P-6L 50 28.17 0.563400 0.374040 0.3740402 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. PFIZER EUROPE MA EEIG MAREA BRITANIE P-6L 100 31.17 0.311700 0.311700 0.3117003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml CUTIE X 5 FIOLE X 1 ML SCHERING PLOUGH EUROPE BELGIA P-RF 5 34.46 6.892000 6.892000 6.8920004 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. NOVARTIS PHARMA GMBH GERMANIA P-6L 10 6.55 0.655000 0.492000 0.4920005 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. STADA HEMOFARM S.R.L. ROMANIA P-6L 20 8.52 0.426000 0.426000 0.4260006 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL TERAPIA SA ROMANIA P-6L 20 8.20 0.410000 0.410000 0.4100007 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. ALFA WASSERMANN SPA ITALIA P-6L 20 47.60 2.380000 2.380000 2.3800008 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. FARAN LABORATORIES S.A. GRECIA P-6L 30 5.70 0.190000 0.180000 0.1800009 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 30 4.50 0.150000 0.150000 0.150000

10 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. ARENA GROUP SA ROMANIA P-6L 30 5.70 0.190000 0.180000 0.18000011 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 30 6.38 0.212666 0.135000 0.13500012 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. NOVARTIS PHARMA GMBH GERMANIA P-6L 20 6.55 0.327500 0.135000 0.13500013 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. TERAPIA SA ROMANIA P-6L 20 4.25 0.212500 0.135000 0.13500014 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. MEDUMAN SA ROMANIA P-6L 20 2.54 0.127000 0.127000 0.12700015 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. NOVARTIS PHARMA GMBH GERMANIA P-6L 10 2.33 0.233000 0.135000 0.13500016 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. ANTIBIOTICE SA ROMANIA P-6L 20 2.45 0.122500 0.122500 0.12250017 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. AC HELCOR PHARMA SRL ROMANIA P-6L 20 2.25 0.112500 0.112500 0.11250018 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. DAR AL DAWA PHARMA S.R.L. ROMANIA P-6L 20 3.81 0.190500 0.135000 0.13500019 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. ARENA GROUP SA ROMANIA P-6L 20 2.65 0.132500 0.132500 0.132500

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie, medicina interna sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice pt specialitatea recuperare, medicina fizica balneofizioterapie )

17. SPONDILITA ANKILOZANTA - G 19

Pagina 32 din 42

Page 97: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

20 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. HEXAL AG GERMANIA P-6L 10 3.91 0.391000 0.391000 0.39100021 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA P-6L 30 20.43 0.681000 0.469200 0.46920022 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-RF 5 14.21 2.842000 0.969600 0.96960023 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML NOVARTIS PHARMA GMBH GERMANIA P-RF 5 9.38 1.876000 0.969600 0.96960024 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML FARAN LABORATORIES S.A. GRECIA P-RF 5 6.09 1.218000 0.969600 0.96960025 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI MEDOCHEMIE LTD. CIPRU P-RF 10 9.89 0.989000 0.969600 0.96960026 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML TERAPIA SA ROMANIA P-RF 5 6.09 1.218000 0.969600 0.96960027 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. ALIUD PHARMA GMBH GERMANIA P-RF 5 6.09 1.218000 0.969600 0.96960028 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. ALIUD PHARMA GMBH GERMANIA P-RF 10 12.19 1.219000 0.969600 0.96960029 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg CUTIE X 5 FIOLE X 3 ML SOL. INJ. HEXAL AG GERMANIA P-RF 5 6.09 1.218000 0.969600 0.96960030 M01AB05 DICLOFENACUM REFEN 75 mg SOL. INJ./PERF. 25mg/ml CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. STADA HEMOFARM S.R.L. ROMANIA P-RF 5 4.04 0.808000 0.808000 0.80800031 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. ANTIBIOTICE SA ROMANIA P-6L 6 3.93 0.655000 0.444000 0.44400032 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. NOVARTIS PHARMA GMBH GERMANIA P-6L 5 5.45 1.090000 0.444000 0.44400033 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. SINTOFARM SA ROMANIA P-6L 10 5.24 0.524000 0.444000 0.44400034 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. MAGISTRA C & C ROMANIA P-6L 10 3.70 0.370000 0.370000 0.37000035 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 5 3.54 0.708000 0.444000 0.44400036 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. DAR AL DAWA PHARMA S.R.L. ROMANIA P-6L 10 5.02 0.502000 0.502000 0.50200037 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg CUTIE X 6 SUPOZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 6 4.25 0.708333 0.708333 0.70833338 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. NOVARTIS PHARMA GMBH GERMANIA P-6L 10 9.43 0.943000 0.943000 0.94300039 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg CUTIE X 6 SUPOZ. GEROT PHARMAZEUTIKA GMBH AUSTRIA P-6L 6 3.68 0.613333 0.613333 0.613333

1 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg CUTIE X 1 FLAC. X 2 COMPR. PFIZER EUROPE MA EEG MAREA BRITANIE P-RF 2 43.48 21.740000 18.516000 18.516000

2 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg CUTIE X 1 FLAC. X 8 COMPR. PFIZER EUROPE MA EEG MAREA BRITANIE P-RF 8 123.44 15.430000 15.430000 15.430000

3 H01AX01 PEGVISOMANTUM**** SOMAVERT 10 mg LIOF. + SOLV. PT. SOL. INJ. 10mg CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE PFIZER LIMITED MAREA BRITANIE P-RF/R 30 8,582.99 286.099666 286.099666 286.099666

4 H01AX01 PEGVISOMANTUM**** SOMAVERT 15 mg LIOF. + SOLV. PT. SOL. INJ. 15mg CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE PFIZER LIMITED MAREA BRITANIE P-RF/R 30 12,624.51 420.817000 420.817000 420.817000

5 H01AX01 PEGVISOMANTUM**** SOMAVERT 20 mg LIOF. + SOLV. PT. SOL. INJ. 20mg CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE PFIZER LIMITED MAREA BRITANIE P-RF/R 30 17,095.11 569.837000 569.837000 569.837000

6 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. TEVA PHARMACEUTICAL S.R.L. UNGARIA P-RF 30 128.20 4.273333 4.273333 4.2733337 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FERRING GMBH GERMANIA P-RF 30 194.85 6.495000 5.128000 5.1279998 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL FERRING GMBH GERMANIA P-RF 30 194.83 6.494333 6.494333 6.4943339 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL FERRING GMBH GERMANIA P-RF 30 102.98 3.432666 3.432666 3.432666

10 H01CB02 OCTREOTIDUM**** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml CUTIE X 5 FIOLE X 1 ML NOVARTIS PHARMA GMBH GERMANIA S/P-RF 5 152.27 30.454000 30.454000 30.454000

11 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 10 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE NOVARTIS PHARMA GMBH GERMANIA S/P-RF 1 2,395.07 2395.070000 2395.070000 2395.070000

12 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 20 mg PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE NOVARTIS PHARMA GMBH GERMANIA S/P-RF 1 3,820.80 3820.800000 3820.800000 3820.800000

13 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 30 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE NOVARTIS PHARMA GMBH GERMANIA S/P-RF 1 5,276.67 5276.670000 5276.670000 5276.670000

14 H01CB03 LANREOTIDUM**** SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV. 30mg CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE BEAUFOUR IPSEN PHARMA FRANTA S 1 1,569.65 1569.650000 1569.650000 1569.650000

15 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg CUTIE X 1 FLAC. DIN PP X 50 COMPR. MERCK KGAA GERMANIA P-RF 50 47.66 0.953200 0.953200 0.95320016 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. MERCK KGAA GERMANIA P-RF 3 95.39 31.796666 31.796666 31.796666

17 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT MERCK KGAA GERMANIA P-RF 3 35.62 11.873333 11.873333 11.873333

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice pt specialitatea recuperare, medicina fizica balneofizioterapie )

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) - G 22

Pagina 33 din 42

Page 98: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

18 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA P-RF 20 2.00 0.100000 0.098800 0.09879919 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 30 2.62 0.087333 0.087333 0.08733320 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg CUTIE X 1 FLAC. X 30 COMPR. MEDUMAN SA ROMANIA P-RF 30 2.47 0.082333 0.082333 0.08233321 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. SINTOFARM SA ROMANIA P-RF 30 3.70 0.123333 0.098800 0.09879922 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL./PVC X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 20 2.57 0.128500 0.098800 0.09879923 H02AB09 HYDROCORTISONUM HYDROCORTISONE ROUSSEL COMPR. 10mg CUTIE X 1 FLAC. 25 COMPR. CN UNIFARM ROMANIA X 25 13.56 0.542400 0.542400 0.54240024 H02AB09 HYDROCORTISONUM HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. STADA HEMOFARM S.R.L. ROMANIA P-RF 1 3.90 3.900000 3.900000 3.90000025 H02AB09 HYDROCORTISONUM HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML E.I.P.I.CO. MED S.R.L. ROMANIA S/P-RF 1 3.90 3.900000 3.900000 3.90000026 H02AB09 HYDROCORTISONUM HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B ZENTIVA S.A. ROMANIA S/P-RF 5 21.28 4.256000 4.256000 4.25600027 H02AB09 HYDROCORTISONUM HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. STADA HEMOFARM S.R.L. ROMANIA P-RF 1 11.88 11.880000 11.880000 11.880000

28 H03AA01 LEVOTHYROXINUM THYRO - 4 0,1 mg COMPR. 0,1mg CUTIE X 1 FLAC. DIN PEID X 100 COMPR. FARAN LABORATORIES S.A. GRECIA P-6L 100 7.60 0.076000 0.076000 0.07600029 H03AA01 LEVOTHYROXINUM THYRO - 4 0,2 mg COMPR. 0,2mg CUTIE X 1 FLAC. PEID X 100 COMPR. FARAN LABORATORIES S.A. GRECIA P-6L 100 9.49 0.094900 0.094900 0.09490030 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100mcg CUTIE X 4 BLIST. PP/AL X 25 COMPR. MERCK KGAA GERMANIA P-6L 100 11.66 0.116600 0.116600 0.11660031 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. BERLIN CHEMIE AG MENARINI GROUP GERMANIA P-6L 100 12.45 0.124500 0.124500 0.12450032 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200mcg CUTIE X 4 BLIST. AL/PP X 25 COMPR. MERCK KGAA GERMANIA P-6L 100 24.10 0.241000 0.241000 0.24100033 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25mcg CUTIE X 4 BLIST. PP/AL X 25 COMPR. MERCK KGAA GERMANIA P-6L 100 9.49 0.094900 0.094900 0.09490034 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50mcg CUTIE X 4 BLIST. PP/AL X 25 COMPR. MERCK KGAA GERMANIA P-6L 100 8.26 0.082600 0.082600 0.08260035 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. BERLIN CHEMIE AG MENARINI GROUP GERMANIA P-6L/S 100 8.38 0.083800 0.083800 0.08380036 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg CUTIE X 4 BLIST. AL/PP X 25 COMPR. MERCK KGAA GERMANIA P-RF 100 12.31 0.123100 0.123100 0.12310037 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. MERCK KGAA GERMANIA P-RF 100 12.31 0.123100 0.123100 0.12310038 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg CUTIE X 4 BLIST. PP/AL X 25 COMPR. MERCK KGAA GERMANIA P-RF 100 19.18 0.191800 0.191800 0.19180039 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg CUTIE X 4 BLIST. PVC/AL X 25 COMPR. MERCK KGAA GERMANIA P-RF 100 19.18 0.191800 0.191800 0.19180040 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. BIOFARM SA ROMANIA P-RF 40 21.11 0.527750 0.527750 0.527750Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

1 M01CC01 PENICILLAMINUM**4 CUPRENIL COMPR. FILM. 250mg CUTIE X 1FLAC. X 100 COMPR. FILM. CN UNIFARM ROMANIA X 100 113.45 1.134500 1.134500 1.1345002 M01CC01 PENICILLAMINUM**4 CUPRENIL COMPR. FILM. 250mg CUTIE X 30 CPR.FILM. CN UNIFARM ROMANIA P-RF 30 37.37 1.245666 1.245666 1.245666

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

1 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI ABBOTT LABORATORIES LTD. SPANIA P-RF 28 467.07 16.681071 16.681071 16.681071

2 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. ABBOTT LABORATORIES LTD. SPANIA P-RF 28 929.16 33.184285 33.184285 33.184285

3 A11CC07 PARICALCITOLUM** ZEMPLAR 4mcg CAPS. MOI 4mcg CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI ABBOTT LABORATORIES LTD. SPANIA P-RF 28 1,736.88 62.031428 62.031428 62.031428

4 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml CUTIE X 5 FIOLE X 1 ML SOL. INJ. ABBOTT LABORATORIES LTD. SPANIA S 5 473.88 94.776000 94.776000 94.776000

5 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml CUTIE X 5 FIOLE X 2 ML SOL. INJ. ABBOTT LABORATORIES LTD. SPANIA S 5 900.07 180.014000 180.014000 180.014000

6 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA** VENOFER (R) SOL. INJ./PERF. 20mg/ml CUTIE X 5 FIOLE X 5 ML VIFOR FRANCE S.A. FRANTA S/P-RF 5 149.42 29.884000 29.884000 29.884000

7 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 1,724.65 287.441666 287.441666 287.441666

8 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 217.91 36.318333 36.318333 36.318333

9 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 425.00 70.833333 70.833333 70.833333

10 B03XA01 EPOETINUM ALFA** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 786.55 786.550000 786.550000 786.550000

11 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 6 757.39 126.231666 120.496000 120.495999

19. BOALA WILSON - G23

20. BOALA CRONICA DE RINICHI - faza predializa - G 25

Pagina 34 din 42

Page 99: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

12 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 602.48 100.413333 100.413333 100.413333

13 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI CUTIE X 1 FLACON DIN STICLA X 1 ML JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

14 B03XA01 EPOETINUM ALFA** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. SANDOZ GMBH AUSTRIA P-RF/R 1 992.26 992.260000 992.260000 992.260000

15 B03XA01 EPOETINUM ALFA** EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. JOHNSON & JOHNSON D.O.O. SLOVENIA S/P-RF 1 1,350.47 1350.470000 1190.712000 1190.712000

16 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 779.91 129.985000 129.985000 129.985000

17 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. SANDOZ GMBH AUSTRIA S/P-RF/R 6 957.28 159.546666 159.546666 159.546666

18 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 2,341.24 390.206666 390.206666 390.206666

19 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 279.25 46.541666 46.541666 46.541666

20 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 525.21 87.535000 87.535000 87.535000

21 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 1 1,171.95 1171.950000 1171.950000 1171.950000

22 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 978.92 163.153333 163.153333 163.153333

23 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 1,205.63 200.938333 200.938333 200.938333

24 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE ROCHE REGISTRATION LTD. MAREA BRITANIE S/P-RF/R 6 143.59 23.931666 23.931666 23.931666

25 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML AMGEN EUROPE BV OLANDA P-RF/R 4 3,165.73 791.432500 791.432500 791.432500

26 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML AMGEN EUROPE BV OLANDA P-RF/R 4 390.73 97.682500 97.682500 97.682500

27 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML AMGEN EUROPE BV OLANDA P-RF/R 4 4,697.46 1174.365000 1174.365000 1174.365000

28 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML AMGEN EUROPE BV OLANDA P-RF/R 4 546.33 136.582500 136.582500 136.582500

29 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML AMGEN EUROPE BV OLANDA P-RF/R 4 701.15 175.287500 175.287500 175.287500

30 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML AMGEN EUROPE BV OLANDA P-RF/R 1 2,203.60 2203.600000 2203.600000 2203.600000

31 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,007.27 251.817500 251.817500 251.817500

32 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,316.02 329.005000 329.005000 329.005000

33 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML AMGEN EUROPE BV OLANDA P-RF/R 1 3,625.44 3625.440000 3625.440000 3625.440000

34 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,623.11 405.777500 405.777500 405.777500

35 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML AMGEN EUROPE BV OLANDA P-RF/R 4 1,932.79 483.197500 483.197500 483.197500

36 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML AMGEN EUROPE BV OLANDA P-RF/R 4 2,550.12 637.530000 637.530000 637.530000

37 C09CA04 IRBESARTANUM** APROVEL 150mg COMPR. FILM. 150mg CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA P-6L 28 79.54 2.840714 2.840714 2.84071438 C09CA04 IRBESARTANUM** APROVEL 300mg COMPR. FILM. 300mg CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA P-6L 28 107.50 3.839285 3.839285 3.83928539 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA P-RF 20 2.00 0.100000 0.098800 0.09879940 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 30 2.62 0.087333 0.087333 0.08733341 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg CUTIE X 1 FLAC. X 30 COMPR. MEDUMAN SA ROMANIA P-RF 30 2.47 0.082333 0.082333 0.08233342 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. SINTOFARM SA ROMANIA P-RF 30 3.70 0.123333 0.098800 0.09879943 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL./PVC X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 20 2.57 0.128500 0.098800 0.09879944 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. BAXTER ONCOLOGY GMBH GERMANIA P-RF 50 26.07 0.521400 0.521400 0.52140045 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 470.37 9.407400 9.407400 9.40740046 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 1 427.55 427.550000 427.550000 427.550000

47 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 137.00 2.740000 2.253600 2.25360048 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 93.90 1.878000 1.878000 1.87800049 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 137.16 2.743200 2.253600 2.25360050 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 291.47 5.829400 4.546800 4.54680051 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 189.45 3.789000 3.789000 3.78900052 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 304.48 6.089600 4.546800 4.54680053 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE S/P-RF 100 80.72 0.807200 0.807200 0.80720054 V06DDN1 COMBINATII (AMINOACIZI)** KETOSTERIL COMPR. FILM. FARA CONCENTRATIE CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA P-RF 100 233.43 2.334300 2.334300 2.334300

Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de Pagina 35 din 42

Page 100: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1 S01EC03 DORZOLAMIDUM TRUSOPT SOL. OFT. 20mg/ml CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT. MERCK SHARP & DOHME ROMANIA P-6L 1 40.66 40.660000 32.448000 32.448000

2 S01EC03 DORZOLAMIDUM DORZOPT 20 mg/ml PIC. OFT., SOL 20mg/ml CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL ROMPHARM COMPANY SRL ROMANIA P-RF 1 27.30 27.300000 27.300000 27.300000

3 S01EC03 DORZOLAMIDUM DORZOSTILL 20 mg/ml PIC. OFT., SOL. 20mg/ml CUTIE CU 1 FLAC. PEJD + PICURATOR PEJD X 5 ML PIC. OFT., SOL. BRUSCHETTINI SRL ITALIA P-6L 1 27.04 27.040000 27.040000 27.040000

4 S01EC04 BRINZOLAMIDUM AZOPT 10mg/ml PICATURI OFT.-SUSP. 10mg/ml CUTIE X 1 FLACON PEJD X 5 ML ALCON LABORATORIES LTD. MAREA BRITANIE P-6L 1 50.83 50.830000 50.830000 50.830000

5 S01ED01 TIMOLOLUM NYOLOL GEL GEL OFT. 1mg/g CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR NOVARTIS PHARMA GMBH GERMANIA P-6L 1 15.35 15.350000 15.350000 15.350000

6 S01ED01 TIMOLOLUM TIMOLOL 0,25% PICATURI OFT.-SOL. 0,25% CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 1 3.13 3.130000 3.130000 3.1300007 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 2,5mg/ml CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE, SOL. MERCK SHARP & DOHME ROMANIA P-6L 1 9.41 9.410000 3.732000 3.7320008 S01ED01 TIMOLOLUM TIMOLOL RPH 0,25% PIC. OFT., SOL. 2,5mg/ml CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. ROMPHARM COMPANY SRL ROMANIA P-6L 1 3.11 3.110000 3.110000 3.1100009 S01ED01 TIMOLOLUM TIMOLOL ROMPHARM 0,25% PIC. OFT., SOL. 2,5mg/ml CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. ROMPHARM COMPANY SRL ROMANIA P-6L 1 3.11 3.110000 3.110000 3.110000

10 S01ED01 TIMOLOLUM TIMOLOL 0,5% PICATURI OFT.-SOL. 0,5% CUTIE X 1 FLACON CU PICURATOR X 5 ML E.I.P.I.CO. MED S.R.L. ROMANIA P-6L 1 5.39 5.390000 5.390000 5.39000011 S01ED01 TIMOLOLUM UNITIMOLOL (R) PICATURI OFT.-SOL. 0,5% CUTIE X 1 FLACON PICURATOR PEJD X 10 ML PIC. OFT. SOL. UNIMED PHARMA LTD. SLOVACIA P-6L 1 10.48 10.480000 5.604000 5.60400012 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 5mg/ml CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL. MERCK SHARP & DOHME ROMANIA P-6L 1 10.09 10.090000 5.604000 5.60400013 S01ED01 TIMOLOLUM TIMABAK 5 mg/ml PIC. OFT.,SOL. 5mg/ml CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT. SOL. LABORATORIES THEA FRANTA P-6L 1 27.50 27.500000 5.604000 5.60400014 S01ED01 TIMOLOLUM TIMO-GAL (R) PICATURI OFT.-SOL. 0,5% CUTIE X 1 FLACON X 10 ML TERAPIA SA ROMANIA P-6L 1 5.01 5.010000 5.010000 5.01000015 S01ED01 TIMOLOLUM TIMOLOL RPH 0,5% PIC. OFT.,SOL. 5mg/ml CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. ROMPHARM COMPANY SRL ROMANIA P-6L 1 4.67 4.670000 4.670000 4.67000016 S01ED02 BETAXOLOLUM BETOPTIC - S PICATURI OFT.-SUSP. 0,25% CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP. ALCON COUVREUR NV BELGIA P-6L 1 15.27 15.270000 15.270000 15.270000

17 S01ED02 BETAXOLOLUM BETOPTIC PIC.OFTALMICE,SOL. 5mg/ml CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL. ALCON COUVREUR NV BELGIA P-6L 1 15.27 15.270000 6.360000 6.36000018 S01ED02 BETAXOLOLUM BETAX PIC. OFT.-SOL. 5mg/ml CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. ROMPHARM SRL ROMANIA P-6L 1 5.30 5.300000 5.300000 5.30000019 S01ED02 BETAXOLOLUM BETAXOLOL PIC. OFT., SOL. 5mg/ml CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL. TERAPIA SA ROMANIA P-6L 1 5.87 5.870000 5.870000 5.87000020 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 20mg/ml CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. S.I.F.I. SPA ITALIA P-6L 1 15.92 15.920000 15.920000 15.920000

21 S01ED05 CARTEOLOLUM FORTINOL EP 2% PIC. OFTALMICE CU ELIB. PREL. 20mg/ml CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL. DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA P-6L 1 13.56 13.560000 13.560000 13.560000

22 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 2% CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML S.I.F.I. SPA ITALIA P-6L/S 1 33.67 33.670000 33.670000 33.670000

23 S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM) GANFORT PIC. OFT.,SOL. 300mcg/ml+5mg/ml CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. ALLERGAN PHARMACEUTICALS IRELAND IRLANDA P-RF 1 81.65 81.650000 81.650000 81.650000

24 S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM) COSOPT PIC. OFT.-SOL. FARA CONCENTRATIE CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL. MERCK SHARP & DOHME ROMANIA P-6L 1 69.58 69.580000 69.580000 69.580000

25 S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALCOM (R) SOL. OFT. FARA CONCENTRATIE CUTIE X 1 FLACON X 2,5 ML PFIZER EUROPE MA EEIG MAREA BRITANIE P-6L 1 82.65 82.650000 82.650000 82.650000

26 S01ED51 COMBINATII (TAVOPROSTUM+TIMOLOLUM) DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL. 40mcg/ml + 5mg/ml CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE ALCON LABORATORIES (UK) LTD. MAREA BRITANIE P-RF 1 88.30 88.300000 88.300000 88.300000

27 S01EE01 LATANOPROSTUM XALATAN (R) PICATURI OFT.-SOL. 0,005% CUTIE X 1 FLACON PICURATOR PE X 2,5 ML PFIZER EUROPE MA EEIG MAREA BRITANIE P-6L 1 75.08 75.080000 61.656000 61.656000

28 S01EE01 LATANOPROSTUM XALOPTIC PICATURI OFT.-SOL. 0,005% CUTIE X 1 FLACON PICURATOR PEJD X 2,5 ML PIC. OFT. SOL. PHARMACEUTICAL WORKS POLPHARMA SA POLONIA P-6L 1 51.38 51.380000 51.380000 51.380000

29 S01EE01 LATANOPROSTUM UNILAT 50 micrograme/ml PIC. OFT., SOL. 50micrograme/ml CUTIE CU 1 FLAC. PICURATOR PE X 2,5 ML PIC. OFT., SOL. UNIMED PHARMA SPOL. S.R.O. REPUBLICA SLOVACA X 1 51.40 51.400000 51.400000 51.400000

30 S01EE03 BIMATOPROSTUM LUMIGAN 0,3mg/ml PIC. OFT.,SOL. 0,3mg/ml CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. ALLERGAN PHARMACEUTICALS IRELAND IRLANDA P-RF 1 68.09 68.090000 68.090000 68.090000

31 S01EE04 TRAVOPROSTUM TRAVATAN 40mcg/ml PICATURI OFT.SOL. 40mcg/ml CUTIE X 1 FLACON X 2,5 ML ALCON LABORATORIES LTD. MAREA BRITANIE P-6L 1 71.85 71.850000 71.850000 71.850000

Tratamentul se initiaza de catre medicul in specialitatea oftalmologie

1 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. E.I.P.I.CO. MED S.R.L. ROMANIA P-RF 100 123.37 1.233700 1.103520 1.1035202 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. E.I.P.I.CO. MED S.R.L. ROMANIA P-RF 5 6.96 1.392000 1.103520 1.1035203 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. MEDOCHEMIE LTD. CIPRU P-RF/S 100 91.96 0.919600 0.919600 0.9196004 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. MEDOCHEMIE LTD. CIPRU P-RF 10 10.35 1.035000 1.035000 1.0350005 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 50 32.54 0.650800 0.650800 0.650800

supleere a functiei renale la bolnavii cu insuficienta renala cronica.

21. GLAUCOM - G 26

22. PEMFIGUS - G 27

Pagina 36 din 42

Page 101: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

6 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 20 29.57 1.478500 1.478500 1.4785007 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 30 6.52 0.217333 0.217333 0.2173338 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML STADA HEMOFARM S.R.L. ROMANIA S/P-RF 1 8.78 8.780000 8.780000 8.7800009 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 1 20.42 20.420000 20.420000 20.420000

10 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML STADA HEMOFARM S.R.L. ROMANIA S/P-RF 1 30.94 30.940000 30.940000 30.940000

11 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA P-RF 20 2.00 0.100000 0.098800 0.09879912 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 30 2.62 0.087333 0.087333 0.08733313 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg CUTIE X 1 FLAC. X 30 COMPR. MEDUMAN SA ROMANIA P-RF 30 2.47 0.082333 0.082333 0.08233314 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg CUTIE X 3 BLIST. AL/PVC X 10 COMPR. SINTOFARM SA ROMANIA P-RF 30 3.70 0.123333 0.098800 0.09879915 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg CUTIE X 2 BLIST. AL./PVC X 10 COMPR. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 20 2.57 0.128500 0.098800 0.09879916 J04BA02 DAPSONUM4 DISULONE COMPR. 100mg CUTIE X 100 COMPR. CN UNIFARM ROMANIA X 100 32.91 0.329100 0.329100 0.32910017 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. BAXTER ONCOLOGY GMBH GERMANIA P-RF 50 26.07 0.521400 0.521400 0.52140018 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ ACTAVIS S.R.L. ROMANIA S 1 15.86 15.860000 15.860000 15.860000

19 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg CUTIE X 20 COMPR. FARMEXINM S.R.L. ROMANIA X 20 22.79 1.139500 1.139500 1.13950020 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 89.44 89.440000 89.440000 89.440000

21 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 109.28 109.280000 109.280000 109.280000

22 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA P-RF 1 123.90 123.900000 123.900000 123.900000

23 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 1 FLACON X 50 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 400.04 400.040000 400.040000 400.040000

24 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml CUTIE X 5 FIOLE X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 5 240.51 48.102000 48.102000 48.102000

25 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml CUTIE X 1 FLACON X 5 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 1 13.30 13.300000 13.300000 13.300000

26 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml CUTIE X 10 FIOLE X 1 ML EBEWE PHARMA GMBH NFG. KG AUSTRIA S 10 23.77 2.377000 2.377000 2.37700027 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 470.37 9.407400 9.407400 9.40740028 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 1 427.55 427.550000 427.550000 427.550000

29 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 137.00 2.740000 2.253600 2.25360030 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 93.90 1.878000 1.878000 1.87800031 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 137.16 2.743200 2.253600 2.25360032 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg CUTIE X 10 BLIST. X 5 CAPS. MOI NOVARTIS PHARMA GMBH GERMANIA S/P-RF 50 291.47 5.829400 4.546800 4.54680033 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg CUTIE X 5 BLIST. X 10 CAPS. MOI IVAX - PHARMACEUTICALS S.R.O. CEHIA S/P-RF 50 189.45 3.789000 3.789000 3.78900034 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI HEXAL AG GERMANIA S/P-RF 50 304.48 6.089600 4.546800 4.54680035 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. THE WELLCOME FOUNDATION LTD. MAREA BRITANIE S/P-RF 100 80.72 0.807200 0.807200 0.807200Tratamentul se initiaza de catre medicul in specialitatea dermatologie

1 A16AB02 IMIGLUCERASUM**** CEREZYME 200U PULB. PT.CONC. PT.SOL. PERF. 200U CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. GENZYME EUROPE BV OLANDA S 1 3,484.17 3484.170000 3484.170000 3484.170000

2 A16AB02 IMIGLUCERASUM**** CEREZYME 400U PULB. PT.CONC. PT.SOL. PERF. 400U CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. GENZYME EUROPE BV OLANDA S 1 6,891.37 6891.370000 6891.370000 6891.370000

3 A16AX06 MIGLUSTATUM**** ZAVESCA CAPS. 100mg CUTIE X 4 BLIST AL/ACLAR X 21 CAPS. ACTELION REGISTRATION LTD. MAREA BRITANIE P-RF/R 84 27,681.16 329.537619 329.537619 329.537619

1 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ARENA GROUP SA ROMANIA P-RF 20 6.98 0.349000 0.349000 0.349000

23. BOALA GAUCHER - G 29

După precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de către medicul in specialitatea gastroenterologie, hematologie, neurologie si pediatrie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30

Pagina 37 din 42

Page 102: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

2 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg CUTIE X 1 BLIST. X 10 CAPS. ANTIBIOTICE SA ROMANIA P-RF 10 3.57 0.357000 0.357000 0.3570003 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. ASTELLAS PHARMA EUROPE BV OLANDA P-RF 10 9.57 0.957000 0.418800 0.4188004 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg CUTIE X 1 BLIST. AL/PVC X 10 CAPS. SANDOZ SRL ROMANIA P-RF 10 3.59 0.359000 0.359000 0.3590005 J01AA02 DOXYCYCLINUM VIBRAMYCIN D COMPR. DISP. 100mg CUTIE X 1 BLIST. PVC/AL X 10 COMPR. DISP. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 10 10.48 1.048000 0.418800 0.4188006 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg CUTIE X 2 BLIST. X 10 CAPS. ANTIBIOTICE SA ROMANIA P-RF 20 3.17 0.158500 0.158500 0.1585007 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. SANDOZ SRL ROMANIA P-RF 20 2.73 0.136500 0.136500 0.1365008 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg CUTIE X 2 BLIST. X 10 CAPS. EUROPHARM SA ROMANIA P-RF 20 3.02 0.151000 0.151000 0.1510009 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ARENA GROUP SA ROMANIA P-RF 20 2.99 0.149500 0.149500 0.149500

10 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 1000000ui CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. ANTIBIOTICE SA ROMANIA P-RF 1 3.11 3.110000 3.110000 3.11000011 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 1 000 000ui CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. ANTIBIOTICE SA ROMANIA P-RF 1 3.11 3.110000 3.110000 3.11000012 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 400000ui CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. ANTIBIOTICE SA ROMANIA P-RF 1 1.39 1.390000 1.390000 1.39000013 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 400 000ui CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. ANTIBIOTICE SA ROMANIA P-RF 1 2.10 2.100000 1.668000 1.66800014 J01CE02 PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui CUTIE X 2 BLIST. X 10 COMPR. EUROPHARM SA ROMANIA P-RF 20 9.09 0.454500 0.345000 0.34500015 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. SANDOZ GMBH AUSTRIA P-RF 12 3.45 0.287500 0.287500 0.28750016 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. SANDOZ GMBH AUSTRIA P-RF 12 6.09 0.507500 0.507500 0.50750017 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml CUTIE X 1 FLACON X 60ML SANDOZ GMBH AUSTRIA P-RF 1 9.49 9.490000 9.490000 9.49000018 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. SANDOZ GMBH AUSTRIA P-RF 12 2.62 0.218333 0.218333 0.21833319 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI PULB. PT. SUSP. INJ. 1200000UI CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. ANTIBIOTICE S.A. ROMANIA P-RF 1 3.61 3.610000 3.610000 3.61000020 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui FLACON PULB. PT. SUSP. INJ. ANTIBIOTICE SA ROMANIA P-RF/S 1 1.39 1.390000 1.390000 1.39000021 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ANTIBIOTICE SA ROMANIA P-RF 10 34.70 3.470000 3.470000 3.47000022 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg CUTIE X 2 BLIST. X 10 COMPR. ARENA GROUP SA ROMANIA P-RF 20 7.07 0.353500 0.353500 0.35350023 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg CUTIE X 2 BLIST. X 10 COMPR. ANTIBIOTICE SA ROMANIA P-RF 20 9.58 0.479000 0.424200 0.42420024 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg CUTIE X 2 BLIST. X 10 COMPR. SANDOZ S.R.L. ROMANIA P-RF 20 8.43 0.421500 0.421500 0.42150025 J01FA01 ERYTHROMYCINUM ERITROMICINA EUROPHARM 200 mg COMPR. 200mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. EUROPHARM SA ROMANIA P-RF 20 10.09 0.504500 0.424200 0.42420026 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE SANDOZ S.R.L. ROMANIA P-RF 1 11.43 11.430000 11.430000 11.430000

27 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP SANDOZ SRL ROMANIA P-RF 1 22.40 22.400000 22.400000 22.400000

28 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 6 25.30 4.216666 4.216666 4.21666629 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE PLIVA LJUBLIJANA D.O.O. SLOVENIA P-RF 1 25.12 25.120000 19.596000 19.596000

30 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE PLIVA LJUBLIJANA D.O.O. SLOVENIA P-RF 1 48.48 48.480000 19.596000 19.596000

31 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE PLIVA LJUBLIJANA D.O.O. SLOVENIA P-RF 1 60.21 60.210000 19.596000 19.596000

32 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP SANDOZ SRL ROMANIA P-RF 1 34.28 34.280000 19.596000 19.596000

33 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. ZENTIVA S.A. ROMANIA P-RF 1 16.33 16.330000 16.330000 16.330000

34 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg CUTIE X 1 BLIST. X 6 COMPR. FILM. SANDOZ S.R.L. ROMANIA P-RF 6 48.70 8.116666 5.089999 5.08999935 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg CUTIE X 1 BLIST. AL/PVC X 6 CAPS. BALKANPHARMA RAZGRAD AD BULGARIA P-RF 6 25.45 4.241666 4.241666 4.24166636 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. PLIVA LJUBLIJANA D.O.O. SLOVENIA P-RF 6 37.90 6.316666 5.089999 5.08999937 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. TERAPIA SA ROMANIA P-RF 6 44.36 7.393333 5.089999 5.08999938 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. TERAPIA SA ROMANIA P-RF 6 44.36 7.393333 5.089999 5.08999939 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 1 63.37 63.370000 63.370000 63.370000

40 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF 3 38.08 12.693333 10.231999 10.231999

41 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. ZENTIVA AS CEHIA P-RF 3 25.58 8.526666 8.526666 8.52666642 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg CUTIE X 1 BLIST. X 3 COMPR. FILM. SANDOZ S.R.L. ROMANIA P-RF 3 48.70 16.233333 10.231999 10.231999

43 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. KRKA D.D. NOVO MESTO SLOVENIA P-RF 3 25.59 8.530000 8.530000 8.53000044 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. OZONE LABORATORIES LTD. MAREA BRITANIE P-RF 3 25.59 8.530000 8.530000 8.53000045 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. TERAPIA SA ROMANIA P-RF 3 37.07 12.356666 10.231999 10.231999

46 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. TERAPIA SA ROMANIA P-RF 3 37.07 12.356666 10.231999 10.231999Pagina 38 din 42

Page 103: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

47 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-RF 3 25.59 8.530000 8.530000 8.53000048 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. TERAPIA SA ROMANIA P-RF 3 44.51 14.836666 14.836666 14.836666

49 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. TERAPIA SA ROMANIA P-RF 3 44.51 14.836666 14.836666 14.836666

50 J01FA10 AZITHROMYCINUM SUMAMED (R) LIOF. PT. SOL. PERF. 500mg CUTIE X 5 FLAC. LIOF. PT. SOL. PERF. PLIVA LJUBLJANA D.O.O. SLOVENIA S/P-RF 5 161.37 32.274000 32.274000 32.274000

51 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. BAYER HEALTHCARE AG GERMANIA P-RF 7 84.50 12.071428 12.071428 12.071428

52 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 10 37.23 3.723000 3.723000 3.72300053 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 20 65.47 3.273500 3.273500 3.27350054 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. E.I.P.I.CO. MED S.R.L. ROMANIA P-RF 10 6.81 0.681000 0.570000 0.57000055 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. KRKA D.D. NOVO MESTO SLOVENIA P-RF 10 6.81 0.681000 0.570000 0.57000056 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg CUTIE X 2 BLIST. AL/PVC X 6 CAPS. EUROPHARM SA ROMANIA P-RF 12 8.01 0.667500 0.570000 0.57000057 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. AC HELCOR SRL ROMANIA P-RF 10 6.81 0.681000 0.570000 0.57000058 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 10 6.81 0.681000 0.570000 0.57000059 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 20 12.26 0.613000 0.570000 0.57000060 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. ALKALOID D.O.O. SLOVENIA P-RF 10 7.86 0.786000 0.570000 0.57000061 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. RANBAXY UK LIMITED MAREA BRITANIE P-RF 10 6.92 0.692000 0.570000 0.57000062 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. EUROPHARM SA ROMANIA P-RF 10 6.09 0.609000 0.570000 0.57000063 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 10 4.75 0.475000 0.475000 0.47500064 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 10 6.55 0.655000 0.570000 0.57000065 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 20 12.28 0.614000 0.570000 0.57000066 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA OZONE 250 mg COMPR. FILM. 250mg CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-RF 10 5.29 0.529000 0.529000 0.52900067 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. KRKA D.D. NOVO MESTO SLOVENIA P-RF 10 13.19 1.319000 0.776400 0.77640068 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. X 10 COMPR. FILM. E.I.P.I.CO. MED S.R.L. ROMANIA P-RF 10 13.19 1.319000 0.776400 0.77640069 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. AC HELCOR SRL ROMANIA P-RF 10 13.19 1.319000 0.776400 0.77640070 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. GEDEON RICHTER ROMANIA SA ROMANIA P-RF 10 13.19 1.319000 0.776400 0.77640071 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. X 10 COMPR. FILM. OZONE LABORATORIES LTD. MAREA BRITANIE P-RF 10 8.44 0.844000 0.776400 0.77640072 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. ALKALOID D.O.O. SLOVENIA P-RF 10 15.07 1.507000 0.776400 0.77640073 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. RANBAXY UK LIMITED MAREA BRITANIE P-RF 10 8.75 0.875000 0.776400 0.77640074 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ANTIBIOTICE SA ROMANIA P-RF 10 13.19 1.319000 0.776400 0.77640075 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. BAYER HEALTHCARE AG GERMANIA P-RF 3 27.57 9.190000 0.776400 0.77640076 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg CUTIE X 1 BLIST. X 10 COMPR. FILM. DAR AL DAWA PHARMA S.R.L. ROMANIA P-RF 10 13.19 1.319000 0.776400 0.77640077 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. EUROPHARM SA ROMANIA P-RF 10 9.21 0.921000 0.776400 0.77640078 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. DR. REDDY'S LABORATORIES ROMANIA P-RF 10 6.47 0.647000 0.647000 0.64700079 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 10 9.21 0.921000 0.776400 0.77640080 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 20 16.38 0.819000 0.776400 0.77640081 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA LPH 500 mg COMPR. FILM. 500mg CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. LABORMED PHARMA S.A. ROMANIA P-RF 10 8.44 0.844000 0.776400 0.77640082 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. KRKA D.D. NOVO MESTO SLOVENIA P-RF 10 38.41 3.841000 3.841000 3.84100083 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ARENA GROUP S.A. ROMANIA P-RF 10 37.23 3.723000 3.723000 3.72300084 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml CUTIE X 50 FIOLE X 10 ML KRKA D.D. SLOVENIA S 50 136.24 2.724800 2.724800 2.72480085 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml CUTIE X 5 FIOLE X 10 ML KRKA D.D. SLOVENIA S/P-RF 5 16.75 3.350000 3.269760 3.26976086 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. KRKA D.D. NOVO MESTO SLOVENIA S/P-RF 1 4.78 4.780000 3.269760 3.26976087 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. DEMO SA GRECIA S 10 162.21 16.221000 10.473600 10.473600

88 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. KRKA D.D. NOVO MESTO SLOVENIA S/P-RF 1 9.57 9.570000 9.570000 9.57000089 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML INFOMED FLUIDS SRL ROMANIA S 10 87.28 8.728000 8.728000 8.72800090 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml CUTIE X 5 FLACOANE X 200 ML BAYER HEALTHCARE AG GERMANIA S/P-RF 5 702.27 140.454000 18.835200 18.835200

91 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml CUTIE X 1 FLACON DIN STICLA X 200 ML KRKA D.D. SLOVENIA S/P-RF 1 19.26 19.260000 18.835200 18.835200Pagina 39 din 42

Page 104: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

92 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML INFOMED FLUIDS SRL ROMANIA S 10 156.96 15.696000 15.696000 15.696000

1 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 3 7,483.01 2494.336666 2494.336666 2494.336666

2 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 2 5,120.38 2560.190000 2560.190000 2560.190000

3 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,738.14 2369.070000 2369.070000 2369.070000

4 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,773.44 2386.720000 2386.720000 2386.720000

1 L01XC02 RITUXIMABUM**** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml CUTIE X 2 FLACOANE X 10 ML ROCHE REGISTRATION LTD. MAREA BRITANIE S 2 2,454.04 1227.020000 1227.020000 1227.020000

2 L01XC02 RITUXIMABUM**** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) ROCHE REGISTRATION LTD. MAREA BRITANIE S 1 6,028.99 6028.990000 6028.990000 6028.990000

3 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,270.02 567.505000 567.505000 567.505000

4 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

5 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

6 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,555.11 1138.777500 1138.777500 1138.777500

7 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

8 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

9 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 3 7,483.01 2494.336666 2494.336666 2494.336666

10 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 2 5,120.38 2560.190000 2560.190000 2560.190000

11 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,738.14 2369.070000 2369.070000 2369.070000

12 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,773.44 2386.720000 2386.720000 2386.720000

1 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,270.02 567.505000 567.505000 567.505000

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

4 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,555.11 1138.777500 1138.777500 1138.777500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

7 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 3 7,483.01 2494.336666 2494.336666 2494.336666

8 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 2 5,120.38 2560.190000 2560.190000 2560.190000

9 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,738.14 2369.070000 2369.070000 2369.070000

Tratamentul se initiaza de catre medicul in specialitatea dermatologie si obstetrica-ginecologie (pentru gonoree si infectia cu Chlamidia)

IMUNOSUPRESOARE SELECTIVE - G3125. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a

Tratamentul se prescrie și se monitorizează de către medicul în specialitatea gastro-enterologie și medicină internă (unități sanitare nominalizate de către Ministerul Sănătății Publice)

26. POLIARTITRITA REUMATOIDA - G31b

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienţii cu afectare renală), medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

27. ARTROPATIA PSORIAZICA - G31c

Pagina 40 din 42

Page 105: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

10 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,773.44 2386.720000 2386.720000 2386.720000

1 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,270.02 567.505000 567.505000 567.505000

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

4 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,555.11 1138.777500 1138.777500 1138.777500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

7 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 3 7,483.01 2494.336666 2494.336666 2494.336666

8 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 2 5,120.38 2560.190000 2560.190000 2560.190000

9 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,738.14 2369.070000 2369.070000 2369.070000

10 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,773.44 2386.720000 2386.720000 2386.720000

1 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,270.02 567.505000 567.505000 567.505000

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

4 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,555.11 1138.777500 1138.777500 1138.777500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

1 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,270.02 567.505000 567.505000 567.505000

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 2,264.85 566.212500 566.212500 566.212500

4 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,555.11 1138.777500 1138.777500 1138.777500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL WYETH EUROPA LIMITED MAREA BRITANIE P-RF/R 4 4,458.85 1114.712500 1114.712500 1114.712500

7 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 3 7,483.01 2494.336666 2494.336666 2494.336666

8 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. CENTOCOR B.V. OLANDA S 2 5,120.38 2560.190000 2560.190000 2560.190000

9 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,738.14 2369.070000 2369.070000 2369.070000

10 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL ABBOTT LABORATORIES LTD. MAREA BRITANIE P-RF/R 2 4,773.44 2386.720000 2386.720000 2386.720000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

28. SPONDILITA ANKILOZANTA - G 31d

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

29. ARTRITA JUVENILA - G 31e

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

30. PSORIAZIS CRONIC SEVER - G 31f

Pagina 41 din 42

Page 106: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

L04AA21 EFALIZUMABUM****

NOTA:

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii

- Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

NOTĂ: Medicamentele din această sublistă se eliberează prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

- Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MSP;

Pagina 42 din 42

Page 107: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

Nr.crt

Grupa

terapeutic

a

Denumire generica Denumire comerciala

Forma farmaceu

tica

Concentratie / U.T.

Firma Tara Ambalaj al U.T. Prescriere Cantitate

Pret cu

ridicata

maximal /

ambalaj

Pret cu

amanuntul maximal /

ambalaj

Pret cu amanun

tul maximal / U.T. = Pret de decontare / U.T.

1 A07AA11 RIFAXIMINUM NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml ALFA WASSERMANN SPA ITALIA CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML P-RF 1 14.10 19.06 19.0600002 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 27.93 36.53 3.0441663 D01AA AMPHOTERICINUM B4 FUNGIZONE PULB. LIOFILIZ. PT. SOL. INJ. 50mg/5ml CN Unifarm SA ROMANIA CUTIE X 1 FLACON X 5ML X 1 31.50 41.20 41.2000004 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.04 6.81 6.8100005 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 6.32 8.54 8.5400006 D01AC02 MICONAZOLUM MICONAL ECOBI CREMA 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 7.02 9.49 9.4900007 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA P-RF 1 6.54 8.84 8.8400008 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 4.72 6.38 6.3800009 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 5.61 7.58 7.580000

10 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 5.40 7.30 7.30000011 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 4.97 6.72 6.72000012 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 3.46 4.68 4.68000013 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF 1 4.96 6.70 6.70000014 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 15.55 21.02 21.020000

ANEXA 4

SECŢIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaţionale corespunzătoare medicamentelor de care beneficiaza asiguratii inclusi in

programele nationale de sănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS NR. 426/2009

VALABILĂ ÎNCEPÂND CU 1 OCTOMBRIE 2010

Pagina 1 din 64

Page 108: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

15 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 4.37 5.90 5.90000016 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 3.67 4.96 4.96000017 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G P-RF 1 3.10 4.19 4.19000018 G01AF04 MICONAZOLUM MICONAL ECOBI SOL. VAGINALA 2mg/ml FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE P-RF 5 13.28 17.95 3.59000019 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 14.29 19.32 19.32000020 G01AF04 MICONAZOLUM MICONAL ECOBI CREMA VAG. 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA P-RF 1 10.27 13.88 13.88000021 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 4.40 5.95 0.99166622 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 4.22 5.70 1.90000023 G01AF04 MICONAZOLUM MICONAL ECOBI OVULE 50mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE P-RF 15 6.64 8.97 0.59800024 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.25 7.09 0.35450025 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 241.98 295.41 0.29541026 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.57 7.53 0.37650027 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 257.10 313.87 0.31387028 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF 12 4.51 6.09 0.50750029 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.69 7.69 0.38450030 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 4.20 5.67 0.28350031 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.45 6.02 0.30100032 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.97 6.72 0.33600033 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.45 6.02 0.30100034 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. X 10 CAPS. P-RF/S 1000 295.57 360.83 0.36083035 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.08 6.87 0.68700036 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.57 6.18 0.61800037 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S 500 194.64 237.62 0.47524038 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.24 11.14 0.55700039 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.20 7.03 0.70300040 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.57 6.18 0.61800041 J01CF04 OXACILLINUM OXACILINA FORTE LPH 500 mg CAPS. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.57 6.18 0.61800042 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 3.94 5.32 5.32000043 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 250 mg PULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 1.29 1.74 1.74000044 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 2.45 3.31 3.31000045 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF 1 18.64 25.19 25.19000046 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S 50 632.35 727.41 14.54820047 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN™ SR COMPR. FILM. ELIB. PREL. 1062,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL. P-RF 28 53.40 67.52 2.41142848 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 156,25 mg/5 ml PULB. PT. SUSP. ORALA 125mg+31,25/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 11.00 14.87 14.87000049 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 8.63 11.66 11.66000050 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 375 mg COMPR. FILM. 250mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 16.71 22.59 1.41187551 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml PULB. PT. SUSP. ORALA 250mg+62,5mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF 1 16.31 22.05 22.05000052 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 17.74 23.98 23.98000053 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 312,5 mg/5 ml PULB. PT.SUSP. ORALA 312,5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE P-RF 1 16.77 22.67 22.67000054 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7.35 9.94 9.94000055 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 14.71 19.88 19.88000056 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA P-RF 1 7.35 9.94 9.94000057 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 625 mg COMPR. FILM. 500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 12.31 16.64 1.18857158 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 625 mg COMPR. FILM. 625mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM. P-RF 14 20.72 28.00 2.000000

Pagina 2 din 64

Page 109: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

59 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 625 mg COMPR. FILM. 500mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 21.96 29.68 1.85500060 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 12.20 16.49 1.17785761 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 24.41 32.99 1.17821462 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500/125 mg COMPR. FILM. 500/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 8.01 10.82 0.77285763 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 642,90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 26.16 34.22 34.22000064 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 26.16 34.22 34.22000065 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 1 g COMPR. FILM. 875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 19.45 26.29 1.87785766 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 29.85 39.04 2.78857167 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF 14 31.06 40.62 2.90142868 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 18.50 25.01 1.78642869 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 14.01 18.94 1.35285770 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO P-RF 14 19.45 26.29 1.87785771 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 1,2g PULB. PT. SOL. INJ./PERF. 1000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 53.40 67.52 6.75200072 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1.2g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF. P-RF/S 100 476.25 557.26 5.57260073 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1.2g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF. P-RF/S 50 245.45 299.64 5.99280074 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1,2g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF 1 5.08 6.87 6.87000075 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 2,2g PULB. PT. SOL. PERF. 2000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 1 14.50 19.60 19.60000076 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL INJ. / PERF. P-RF 1 4.98 6.73 6.73000077 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL INJ. / PERF. P-RF/S 100 442.85 520.86 5.20860078 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL INJ. / PERF. P-RF/S 50 229.56 280.25 5.60500079 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 400.26 474.43 39.53583380 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.28 27.41 27.41000081 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.60 125.94 25.18800082 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 195.64 238.84 23.88400083 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.55 53.04 53.04000084 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 195.64 238.84 47.76800085 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 385.73 458.60 45.86000086 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000087 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000088 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000089 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 264.66 323.10 26.92500090 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000091 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 264.79 323.26 26.93833392 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 691.34 791.71 65.97583393 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.83 53.41 53.41000094 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.99 240.48 48.09600095 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 388.17 461.26 46.12600096 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.85 53.43 53.43000097 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000098 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000099 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.944166

100 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.410000101 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.944166102 J01CR50 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G S/P-RF 1 28.66 37.49 37.490000

Pagina 3 din 64

Page 110: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

103 J01DD04 CEFTRIAXONUM OFRAMAX 1 g PULB. PT. SOL. INJ. I.M./I.V. 1g TERAPIA SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. S/P-RF 50 455.00 534.10 10.682000104 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 133.52 163.00 16.300000105 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.m. PULB.+SOLV. PT. SOL. INJ. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO P-RF 1 6.01 8.12 8.120000106 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.v. PULB.+SOLV. PT. SOL. INJ./PERF. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA S/P-RF 1 6.01 8.12 8.120000107 J01DD04 CEFTRIAXONUM SEFTRION 1 g PULB. PT. SOL. INJ./PERF. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 10.28 13.90 13.900000108 J01DD04 CEFTRIAXONUM OFRAMAX 250 mg PULB. PT. SOL. INJ. I.M./I.V. 250mg TERAPIA SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. S/P-RF 50 245.45 299.64 5.992800109 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF 50 261.80 319.61 6.392200110 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. S 100 503.88 587.38 5.873800111 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF 1 5.47 7.40 7.400000112 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. S/P-RF 10 54.50 68.91 6.891000113 J01DD04 CEFTRIAXONUM ROCEPHIN (R) PULB. PT. SOL. PERF. 2g ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ. S/P-RF 1 43.90 57.42 57.420000114 J01DD04 CEFTRIAXONUM MEDAXONE 2 g PULB. PT. SOL. INJ./PERF. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF. S/P-RF 10 275.31 336.10 33.610000115 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 227.91 278.23 27.823000116 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 50 411.44 486.62 9.732400117 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 100 790.75 900.07 9.000700118 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 1 8.72 11.79 11.790000119 J01DD04 CEFTRIAXONUM NOVOSEF 500 mg i.m. PULB. + SOLV. PT. SOL. INJ. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ. I.M.+ 1 FIOLA DIN STICLA P-RF 1 4.45 6.02 6.020000120 J01DD04 CEFTRIAXONUM NOVOSEF 500mg i.v. PULB. PT. SOL. INJ. I.V./PERF. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15ML CONTINAND PULB. PT. SOL INJ./PERF. + 1 FIOLA DIN STICLA I S/P-RF 1 4.45 6.02 6.020000121 J01DD04 CEFTRIAXONUM SEFTRION 500 mg PULB. PT. SOL. INJ./PERF. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 7.72 10.43 10.430000122 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 26.53 34.70 3.470000123 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 154.13 188.16 18.816000124 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 7.02 9.49 9.490000125 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 256.90 313.62 31.362000126 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF 1 20.02 27.06 27.060000127 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 11.58 15.65 15.650000128 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3.86 5.22 5.220000129 J01DE02 CEFPIROMUM CEFROM (R) 1 g PULB. PT. SOL. INJ./PERF. 1g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 59.78 75.59 75.590000130 J01DE02 CEFPIROMUM CEFROM (R) 2 g PULB. PT. SOL. INJ./PERF. 2g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 104.01 126.97 126.970000131 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 1,028.33 1,159.03 115.903000132 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 538.41 625.02 62.502000133 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTAN TEVA 250 mg/250mg PULB. PT. SUSP. PERF. 250mg/250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 145.91 178.13 17.813000134 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 444.48 522.63 52.263000135 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,066.20 1,200.31 48.012400136 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 145.91 178.13 35.626000137 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.628000138 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 145.91 178.13 35.626000139 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.628000140 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 296.27 361.69 36.169000141 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTAN TEVA 500 mg/500mg PULB. PT. SUSP. PERF. 500mg/500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.628000142 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 6.05 8.18 8.180000143 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.70 7.70 0.385000144 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.06 4.13 0.206500145 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.62 3.54 0.177000146 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.47 3.34 0.167000

Pagina 4 din 64

Page 111: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

147 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 3.51 4.75 4.750000148 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1,5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 7.27 9.83 0.614375149 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 10 20.58 27.81 2.781000150 J01FA06 ROXITHROMYCINUM ROXAMED (R) 150 COMPR. FILM. 150mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 11.24 15.19 1.519000151 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 29.85 39.05 39.050000152 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 18.07 24.42 24.420000153 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF 1 17.19 23.24 23.240000154 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 19.35 26.15 26.150000155 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 23.33 31.53 31.530000156 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.99 18.91 18.910000157 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 21.08 28.49 2.035000158 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 23.79 32.16 2.297142159 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 16.97 22.93 1.146500160 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 12.31 16.64 1.188571161 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.045714162 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.045714163 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 12.31 16.64 1.188571164 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.045714165 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 46.93 61.39 61.390000166 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 34.21 44.75 44.750000167 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 38.97 50.97 50.970000168 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 23.38 31.60 31.600000169 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 28.94 37.86 2.704285170 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 27.78 36.34 7.268000171 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 24.08 32.54 2.324285172 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.287142173 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF 5 13.57 18.34 3.668000174 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF 7 18.99 25.67 3.667142175 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 20.74 28.03 4.004285176 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 33.84 44.26 2.213000177 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.287142178 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 26.85 35.12 5.017142179 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 24.08 32.54 2.324285180 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 33.06 43.24 2.162000181 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.287142182 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF 1 41.03 53.67 53.670000183 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 16.57 22.40 22.400000184 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 18.72 25.30 4.216666185 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 18.59 25.12 25.120000186 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 37.06 48.48 48.480000187 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 46.03 60.21 60.210000188 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 26.21 34.28 34.280000189 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 12.08 16.33 16.330000190 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 37.23 48.70 8.116666

Pagina 5 din 64

Page 112: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

191 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 18.83 25.45 4.241666192 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 28.98 37.90 6.316666193 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 33.91 44.36 7.393333194 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 33.91 44.36 7.393333195 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 48.45 63.37 63.370000196 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 29.11 38.08 12.693333197 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 18.93 25.58 8.526666198 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 37.23 48.70 16.233333199 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 18.93 25.59 8.530000200 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 18.93 25.59 8.530000201 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 28.34 37.07 12.356666202 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 28.34 37.07 12.356666203 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 18.93 25.59 8.530000204 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 34.03 44.51 14.836666205 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 34.03 44.51 14.836666206 J01FA10 AZITHROMYCINUM SUMAMED (R) LIOF. PT. SOL. PERF. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF. S/P-RF 5 132.18 161.37 32.274000207 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 5.27 7.12 0.712000208 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S 50 31.64 41.38 0.827600209 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 7.08 9.57 0.957000210 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 4.99 6.75 0.675000211 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 2.62 3.54 3.540000212 J01GB06 AMIKACINUM BIODACYNA SOL. INJ. 1g/4ml CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 1G SOL. INJ. X 1 9.45 12.77 12.770000213 J01GB06 AMIKACINUM ORLOBIN SOL. INJ. 1g/4ml CN Unifarm SA ROMANIA CUTIE X 1 FLACON INJECTABIL X 4ML X 1 9.21 12.45 12.450000214 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 5.14 6.95 6.950000215 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 150mg/1,5ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 1,5 ML S/P-RF 1 14.14 19.11 19.110000216 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 17.91 24.21 24.210000217 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 5.61 7.58 7.580000218 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 36.96 48.34 4.834000219 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.78 19.97 1.997000220 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.38 11.33 1.133000221 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 5 20.26 27.38 5.476000222 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 10 38.52 50.38 5.038000223 J01MA01 OFLOXACINUM OFLOXIN (R) INF SOL. PERF. 200mg/100ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 14.97 20.23 20.230000224 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 66.83 84.50 12.071428225 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.46 37.23 3.723000226 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 51.78 65.47 3.273500227 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.681000228 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.681000229 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 5.93 8.01 0.667500230 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.681000231 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.681000232 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.07 12.26 0.613000233 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 5.82 7.86 0.786000234 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 5.12 6.92 0.692000

Pagina 6 din 64

Page 113: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

235 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.51 4.75 0.475000236 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.51 6.09 0.609000237 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.51 4.75 0.475000238 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.85 6.55 0.655000239 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.09 12.28 0.614000240 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA OZONE 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 3.91 5.29 0.529000241 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.319000242 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.319000243 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.319000244 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.319000245 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 6.24 8.44 0.844000246 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 11.15 15.07 1.507000247 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 6.47 8.75 0.875000248 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.319000249 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 20.40 27.57 9.190000250 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.79 6.47 0.647000251 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.319000252 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.81 9.21 0.921000253 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.79 6.47 0.647000254 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.81 9.21 0.921000255 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.12 16.38 0.819000256 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA LPH 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 6.24 8.44 0.844000257 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 29.37 38.41 3.841000258 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.46 37.23 3.723000259 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 111.60 136.24 2.724800260 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 12.39 16.75 3.350000261 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF 1 3.54 4.78 4.780000262 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 132.87 162.21 16.221000263 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 1 7.08 9.57 9.570000264 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 69.03 87.28 8.728000265 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 609.28 702.27 140.454000266 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF 1 14.25 19.26 19.260000267 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 128.57 156.96 15.696000268 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 20.57 27.80 2.780000269 J01MA06 NORFLOXACINUM H - NORFLOXACIN 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 13.00 17.57 0.878500270 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 11.62 15.70 0.785000271 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.57 6.18 0.618000272 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 13.00 17.57 0.878500273 J01MA06 NORFLOXACINUM EPINOR COMPR. FILM. 400mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 5.69 7.69 0.549285274 J01MA06 NORFLOXACINUM NORFLOXACINA TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA SA ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN AL-PEJD X 10 COMPR. FILM. P-RF 10 4.31 5.82 0.582000275 J01MA06 NORFLOXACINUM NOR QUIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S 20 13.00 17.57 0.878500276 J01MA06 NORFLOXACINUM NORFLOXACIN OZONE 400 mg COMPR. FILM. 400mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.22 5.70 0.570000277 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 23.25 31.43 4.490000278 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 25.82 33.77 4.824285

Pagina 7 din 64

Page 114: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

279 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 39.73 51.97 7.424285280 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 39.73 51.97 7.424285281 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA) S 1 37.70 49.31 49.310000282 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA) S 25 856.63 971.88 38.875200283 J01MA12 LEVOFLOXACINUM EVOLOX 5 mg/ml SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S 1 37.70 49.31 49.310000284 J01MA12 LEVOFLOXACINUM TAVANIC I.V. 500 mg SOL. PERF. 5mg/ml SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. P-RF/S 1 111.93 136.64 136.640000285 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 1 74.07 93.65 93.650000286 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 25 1,683.25 1,872.89 74.915600287 J01MA12 LEVOFLOXACINUM EVOLOX 5 mg/ml SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 74.07 93.65 93.650000288 J01MA12 LEVOFLOXACINUM TAVANIC I.V. 500 mg SOL. PERF. 5mg/ml TERAPIA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. P-RF/S 1 111.93 136.64 136.640000289 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 65.81 83.21 16.642000290 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 618.36 712.16 142.432000291 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ. S/P-RF 1 56.76 71.77 71.770000292 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 48.45 63.37 63.370000293 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 500 MG LIOF. PT. SOL. PERF./INJ. S/P-RF 1 39.19 51.26 51.260000294 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 24.22 32.74 32.740000295 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 117.89 143.92 143.920000296 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 100 1,602.67 1,785.06 17.850600297 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 50 816.34 927.96 18.559200298 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 10 173.07 211.29 21.129000299 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 150 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 150 2,388.98 2,642.14 17.614266300 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 5.87 7.94 7.940000301 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 6.20 8.38 0.419000302 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.70 7.70 0.256666303 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 79.10 100.01 8.334166304 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 6.73 9.09 9.090000305 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 77.56 98.07 8.172500306 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 6.57 8.88 8.880000307 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 10 37.31 48.80 4.880000308 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 10 36.89 48.25 4.825000309 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 227.58 277.83 13.891500310 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 877.37 994.48 994.480000311 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,599.57 1,781.68 178.168000312 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,599.57 1,781.68 178.168000313 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 15.11 20.42 2.042000314 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 5.93 8.01 0.801000315 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.08 6.86 0.686000316 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 9.31 12.59 1.259000317 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.08 6.86 0.686000318 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.77 9.15 0.915000319 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.19 235.85 8.423214320 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.90 25.55 6.387500321 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.07 43.26 6.180000322 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.22 82.46 5.153750

Pagina 8 din 64

Page 115: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

323 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 6.96 9.41 4.705000324 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 23.25 31.43 4.490000325 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.62 22.47 22.470000326 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.13 62.96 15.740000327 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 24.07 32.53 16.265000328 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.33 9.91 9.910000329 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.51 25.02 25.020000330 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.93 18.83 18.830000331 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.77 14.55 14.550000332 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.79 9.18 9.180000333 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 23.62 31.93 10.643333334 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.25 12.50 12.500000335 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.580000336 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.15 9.66 9.660000337 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.05 8.18 8.180000338 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.580000339 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.67 9.01 9.010000340 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.67 9.01 9.010000341 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.910000342 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.910000343 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 30.03 39.28 5.611428344 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 43.13 56.41 56.410000345 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.07 61.57 8.795714346 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.65 22.51 3.215714347 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 43.13 56.41 8.058571348 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.86 29.54 4.220000349 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 31.98 41.83 5.975714350 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.06 19.00 2.375000351 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.84 25.47 2.547000352 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 12.31 16.64 2.377142353 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.54 19.65 2.807142354 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.46 19.54 2.791428355 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.93 16.12 2.302857356 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.64 15.73 2.247142357 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.12 19.08 2.725714358 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.65 22.51 3.215714359 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.92 40.44 40.440000360 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 30.47 39.86 39.860000361 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.47 222.76 22.276000362 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 361.77 432.48 21.624000363 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 34.95 45.72 45.720000364 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 42.55 55.66 55.660000365 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 453.60 532.57 53.257000366 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 794.59 904.25 45.212500

Pagina 9 din 64

Page 116: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

367 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.53 53.01 53.010000368 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 132.87 162.21 162.210000369 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 137.11 167.39 167.390000370 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 768.92 876.27 87.627000371 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 60.69 76.74 5.116000372 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.09 52.44 3.496000373 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 98.07 124.00 8.266666374 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.09 52.44 3.496000375 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.09 52.44 3.496000376 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.09 52.44 3.496000377 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.09 52.44 3.496000378 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.08 52.43 3.495333379 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.596428380 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

381 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.788214382 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.360000383 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,694.20 2,974.83 2974.830000

384 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,199.64 1,345.76 1345.760000

385 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,556.55 1,734.79 1734.790000

386 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. + SOLV. PT. CONC. PT. SOL. PERF. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1FLAC.X 100MG PULB. + 1 FLAC. X 30 ML SOLVENT S 1 1,517.53 1,692.26 1692.260000

387 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S 1 1,455.35 1,624.48 1624.480000

388 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. S/P-RF 30 305.04 370.64 12.354666389 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. S 1500 89.81 113.56 0.075706390 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500 269.73 329.29 0.219526391 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML S 100 65.61 82.96 0.829600392 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500 433.63 510.81 0.340540393 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF 20 6.74 9.11 0.455500394 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 252.31 308.02 0.205346395 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 394.29 467.93 0.311953396 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 437.48 515.00 0.515000397 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.65 17.10 0.855000398 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500399 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.71 17.18 0.859000400 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.13 16.39 0.819500401 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 10.18 13.76 0.688000402 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 2.76 3.73 0.373000403 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.93 20.18 1.009000404 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.81 21.37 1.068500405 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 702.56 803.94 0.803940406 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.60 12.97 0.648500407 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500408 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 14.19 19.18 1.918000409 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 43.61 57.04 1.629714410 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.38 19.43 1.943000

Pagina 10 din 64

Page 117: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

411 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 231.25 282.31 56.462000412 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 2,205.36 2,442.00 17.442857413 J05AB04 RIBAVIRINUM COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 2,400.79 2,655.02 15.803690414 J05AB06 GANCICLOVIRUM CYMEVENE LIOF. PT. SOL. INJ. 500mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 92.58 117.06 117.060000415 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 79.41 100.40 10.040000416 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.776000417 J05AB15 BRIVUDINUM BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 271.79 331.80 47.400000418 J05AE01 SAQUINAVIRUM INVIRASE 200mg CAPS. 200mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 270 CAPS. P-RF/R 270 1,018.33 1,148.13 4.252333419 J05AE01 SAQUINAVIRUM INVIRASE 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 120 COMPR. FILM. P-RF/R 120 1,011.59 1,140.78 9.506500420 J05AE02 INDINAVIRUM CRIXIVAN 200mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 360 CAPS. P-RF/R 360 167.17 204.08 0.566888421 J05AE02 INDINAVIRUM CRIXIVAN 400mg CAPS. 400mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC DIN PEID. X 180 CAPS. P-RF/R 180 167.17 204.08 1.133777422 J05AE03 RITONAVIRUM** NORVIR 100 mg CAPS. MOI 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 FLAC. PEID X 84 CAPS. MOI P-RF/R 336 1,097.79 1,234.74 3.674821423 J05AE03 RITONAVIRUM** NORVIR 100 mg COMPR. FILM. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R 30 195.92 239.18 7.972666424 J05AE03 RITONAVIRUM** NORVIR 100 mg COMPR. FILM. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR.FILM. P-RF/R 60 386.22 459.13 7.652166425 J05AE03 RITONAVIRUM** NORVIR 100 mg COMPR. FILM. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 FLAC. PEID X 30 COMPR.FILM. P-RF/R 90 564.33 653.27 7.258555426 J05AE04 NELFINAVIRUM VIRACEPT 250 mg COMPR. FILM. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 270 COMPR. FILM. P-RF/R 270 1,018.33 1,148.13 4.252333427 J05AE06 LOPINAVIRUM+RITONAVIRUM** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. P-RF/R 120 1,560.98 1,739.62 14.496833428 J05AE06 LOPINAVIRUM+RITONAVIRUM** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML P-RF/R 5 1,484.44 1,656.19 331.238000429 J05AE07 FOSAMPRENAVIRUM** TELZIR 50mg/ml SUSP. ORALA 50mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII + P-RF/R 1 383.73 456.42 456.420000430 J05AE07 FOSAMPRENAVIRUM** TELZIR 700mg COMPR. FILM. 700mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII P-RF/R 60 1,216.79 1,364.45 22.740833431 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) P-RF/R 60 1,576.24 1,756.25 29.270833432 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 CAPS. P-RF/R 30 1,687.50 1,877.53 62.584333433 J05AE09 TIPRANAVIRUM** APTIVUS 250mg CAPS. MOI 250mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI P-RF/R 120 2,962.50 3,267.28 27.227333434 J05AE10 DARUNAVIRUM** PREZISTA 300mg COMPR. FILM. 300mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. P-RF/R 120 2,761.95 3,048.68 25.405666435 J05AE10 DARUNAVIRUM** PREZISTA 400mg COMPR. FILM. 400mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 2,010.50 2,229.60 37.160000436 J05AE10 DARUNAVIRUM** PREZISTA 600mg COMPR. FILM. 600mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 2,835.00 3,128.30 52.138333437 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. AL/PVC X 10 CAPS. S/P-RF 100 353.43 423.39 4.233900438 J05AF02 DIDANOSINUM VIDEX EC 250 mg CAPS. GASTROREZ. 250mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF 30 421.01 497.05 16.568333439 J05AF02 DIDANOSINUM VIDEX EC 400 mg CAPS. GASTROREZ. 400mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF 30 655.60 752.76 25.092000440 J05AF04 STAVUDINUM ZERIT 15 mg CAPS. 15mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLA/AL X 14 CAPS. P-RF/R 56 450.53 529.23 9.450535441 J05AF04 STAVUDINUM ZERIT 20 mg CAPS. 20mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 466.21 546.32 9.755714442 J05AF04 STAVUDINUM ZERIT 30 mg CAPS. 30mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 486.35 568.27 10.147678443 J05AF04 STAVUDINUM ZERIT 40 mg CAPS. 40mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 501.58 584.87 10.444107444 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 227.78 278.07 9.931071445 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 131.50 160.54 160.540000446 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 475.49 556.43 9.273833447 J05AF05 LAMIVUDINUM ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 103.77 126.68 126.680000448 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE P-RF/R 1 209.42 255.66 255.660000449 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. P-RF/R 60 785.75 894.62 14.910333450 J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE VIREAD 245mg COMPR. FILM. 245mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM P-RF/R 30 1,094.51 1,231.17 41.039000451 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 CAPS. P-RF/R 30 654.75 751.83 25.061000452 J05AG01 NEVIRAPINUM VIRAMUNE 200mg COMPR. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. X 10 COMPR. P-RF/R 60 623.74 718.03 11.967166453 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON P-RF/R 1 186.42 227.58 227.580000454 J05AG03 EFAVIRENZUM STOCRIN 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R 30 12.02 16.24 0.541333

Pagina 11 din 64

Page 118: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

455 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R 30 67.29 85.08 2.836000456 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 BLIST. AL PERFORAT X 30 COMPR. FILM. P-RF/R 30 67.29 85.08 2.836000457 J05AG04 ETRAVIRINUM INTELENCE COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR. P-RF/R 120 1,942.50 2,155.48 17.962333458 J05AR01 ZIDOVUDINUM+LAMIVUDINUM** COMBIVIR 150mg/300mg COMPR. FILM. 150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-RF/R 60 1,024.50 1,154.86 19.247666459 J05AR02 ABACAVIRUM+LAMIVUDINUM** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL ) P-RF/R 30 1,325.73 1,483.20 49.440000460 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 1,671.80 1,860.41 31.006833461 J05AX07 ENFUVIRTIDUM** FUZEON 90mg/ml PULB. + SOLV. PT. SOL. INJ. 90mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T P-RF/R 60 6,076.55 6,661.60 111.026666462 J05AX08 RALTEGRAVIRUM ISENTRESS 40mg COMPR. FILM. 400 mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE P-RF/R 60 3,472.56 3,823.25 63.720833463 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) P-RF/R 60 3,345.06 3,684.27 61.404500464 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) P-RF/R 60 3,345.06 3,684.27 61.404500465 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,765.85 1,962.93 1962.930000

466 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,905.00 2,114.60 2114.600000

467 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 190.36 232.39 232.390000468 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,501.72 3,855.02 3855.020000

469 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 397.50 471.43 471.430000470 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 476.25 557.26 557.260000471 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 463.96 543.87 543.870000472 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 765.00 872.00 872.000000473 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 922.50 1,043.68 1043.680000

474 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 897.93 1,016.89 1016.890000

475 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.96 126.39 126.390000476 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,530.00 8,245.85 8245.850000

477 J06BB16 PALIVIZUMABUM** SYNAGIS 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF 1 3,490.99 3,843.33 3843.330000

478 J06BB16 PALIVIZUMABUM** SYNAGIS 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF 1 2,114.12 2,342.54 2342.540000

479 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 417.54 493.27 98.654000480 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 266.43 325.26 325.260000481 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 213.65 260.83 260.830000482 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 161.71 197.42 197.420000483 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 998.84 1,126.89 225.378000484 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.62 512.98 512.980000485 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.13 425.24 425.240000486 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.30 317.78 317.780000487 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,652.47 1,839.35 367.870000488 P01BC02 MEFLOQUINUM4 ELOQUINE 250 mg COMPR. 250mg CN UNIFARM ROMANIA CUTIE X 10 BLIST. X 10 COMPR. X 100 140.25 171.22 1.712200489 S01AA23 NETILMICINUM NETTACIN (R) PICATURI OFT.-SOL. 0,3% S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 21.37 28.88 1.925333490 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 10.46 14.14 14.140000491 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR P-RF 1 23.99 32.42 32.420000492 S01AX17 LOMEFLOXACINUM OKACIN PICATURI OFT.-SOL. 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF 1 10.85 14.67 14.670000493 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 7.47 10.09 10.090000494 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 7.47 10.09 10.090000495 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0,1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 6.30 8.52 8.520000496 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 4.09 5.53 5.530000497 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 4.09 5.53 5.530000498 S03AAN2 NORFLOXACINUM NORFLOX PICATURI OFT./AURIC.-SOL. 0,3% CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML P-RF 1 3.51 4.75 4.750000

Pagina 12 din 64

Page 119: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

Atovaquona4

Flucytosinum4

Mupirocinum4

Paromomycinum4

Pentamidinum4

Primaquinum4

Pyrimerthaminum4

Pyrimethaminum+sulfadiazinum4

Trimethoprim4

1 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 6.73 9.09 0.4545002 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L 20 1.37 1.85 0.0925003 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 7.63 10.31 2.0620004 A11HA02 PYRIDOXINUM SICOVIT B6 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 5.15 6.96 1.3920005 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.48 2.00 0.1000006 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 44.33 57.99 0.0579907 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.94 2.62 0.0873338 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.83 2.47 0.0823339 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.74 3.70 0.123333

10 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.90 2.57 0.12850011 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 29.85 39.05 39.05000012 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 18.07 24.42 24.42000013 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF 1 17.19 23.24 23.24000014 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 19.35 26.15 26.15000015 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 23.33 31.53 31.53000016 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.99 18.91 18.91000017 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 21.08 28.49 2.03500018 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 23.79 32.16 2.29714219 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 16.97 22.93 1.14650020 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 12.31 16.64 1.18857121 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.04571422 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.04571423 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 12.31 16.64 1.18857124 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.04571425 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 46.93 61.39 61.39000026 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 34.21 44.75 44.75000027 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 38.97 50.97 50.97000028 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 23.38 31.60 31.60000029 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 28.94 37.86 2.704285

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

Pagina 13 din 64

Page 120: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

30 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 27.78 36.34 7.26800031 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 24.08 32.54 2.32428532 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.28714233 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF 5 13.57 18.34 3.66800034 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF 7 18.99 25.67 3.66714235 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 20.74 28.03 4.00428536 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 33.84 44.26 2.21300037 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.28714238 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 26.85 35.12 5.01714239 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 24.08 32.54 2.32428540 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 33.06 43.24 2.16200041 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.28714242 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF 1 41.03 53.67 53.67000043 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 100 277.24 338.46 3.38460044 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 50 139.39 170.17 3.40340045 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 10 29.07 38.02 3.80200046 J01GA01 STREPTOMYCINUM STREPTOMYCIN SULPHATE 1g PULB. PT. SOL. INJ. 1g CN UNIFARM S.A. ROMANIA CUTIE CU 50 FLAC. INJ. P-RF 50 56.33 71.23 1.42460047 J01GB04 KANAMYCINUM PAN - KANAMYCINE PULB. PT. SOL. INJ. 1g LAB. PANPHARMA FRANTA CUTIE X 50 FLAC. X 1 G P-RF/S 50 80.92 102.32 2.04640048 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 2.62 3.54 3.54000049 J01GB06 AMIKACINUM BIODACYNA SOL. INJ. 1g/4ml CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 1G SOL. INJ. X 1 9.45 12.77 12.77000050 J01GB06 AMIKACINUM ORLOBIN SOL. INJ. 1g/4ml CN Unifarm SA ROMANIA CUTIE X 1 FLACON INJECTABIL X 4ML X 1 9.21 12.45 12.45000051 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 5.14 6.95 6.95000052 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 36.96 48.34 4.83400053 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.78 19.97 1.99700054 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.38 11.33 1.13300055 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 5 20.26 27.38 5.47600056 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 10 38.52 50.38 5.03800057 J01MA01 OFLOXACINUM OFLOXIN (R) INF SOL. PERF. 200mg/100ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 14.97 20.23 20.23000058 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 66.83 84.50 12.07142859 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.46 37.23 3.72300060 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 51.78 65.47 3.27350061 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.68100062 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.68100063 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 5.93 8.01 0.66750064 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.68100065 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.04 6.81 0.68100066 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.07 12.26 0.61300067 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 5.82 7.86 0.78600068 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 5.12 6.92 0.69200069 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.51 4.75 0.47500070 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.51 6.09 0.60900071 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.51 4.75 0.47500072 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.85 6.55 0.65500073 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.09 12.28 0.614000

Pagina 14 din 64

Page 121: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

74 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA OZONE 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 3.91 5.29 0.52900075 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.31900076 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.31900077 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.31900078 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.31900079 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 6.24 8.44 0.84400080 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 11.15 15.07 1.50700081 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 6.47 8.75 0.87500082 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.31900083 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 20.40 27.57 9.19000084 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.79 6.47 0.64700085 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 9.76 13.19 1.31900086 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.81 9.21 0.92100087 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.79 6.47 0.64700088 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.81 9.21 0.92100089 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.12 16.38 0.81900090 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA LPH 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 6.24 8.44 0.84400091 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 29.37 38.41 3.84100092 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.46 37.23 3.72300093 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 111.60 136.24 2.72480094 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 12.39 16.75 3.35000095 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF 1 3.54 4.78 4.78000096 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 132.87 162.21 16.22100097 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 1 7.08 9.57 9.57000098 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 69.03 87.28 8.72800099 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 609.28 702.27 140.454000

100 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF 1 14.25 19.26 19.260000101 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 128.57 156.96 15.696000102 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 65.81 83.21 16.642000103 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 618.36 712.16 142.432000104 J04AB01 CICLOSERINUM HELPOCERIN CAPS. 250mg HELP PHARMACEUTICALS LTD. GRECIA CUTIE X 5 BLIST. X 10 CAPS. S/P-RF 50 189.92 231.86 4.637200105 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 100 424.13 500.45 5.004500106 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 50 218.98 267.33 5.346600107 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 163.14 199.16 0.199160108 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. S/P-RF 20 4.15 5.61 0.280500109 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S 1000 435.77 513.14 0.513140110 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. S/P-RF 10 4.79 6.47 0.647000111 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. S/P-RF 30 305.04 370.64 12.354666112 J04AB30 CAPREOMYCINUM4 HELPOMYCIN SOL. INJ. 1g CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 1 G PULB. PT. SOL. INJ X 1 37.79 49.43 49.430000113 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. S 1500 89.81 113.56 0.075706114 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500 269.73 329.29 0.219526115 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML S 100 65.61 82.96 0.829600116 J04AD01 PROTIONAMIDUM PROTIONAMIDA 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN POLISTIREN X 50 COMPR. FILM. S/P-RF 50 30.57 39.98 0.799600117 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500 433.63 510.81 0.340540

Pagina 15 din 64

Page 122: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

118 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF 20 6.74 9.11 0.455500119 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 252.31 308.02 0.205346120 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 394.29 467.93 0.311953121 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 437.48 515.00 0.515000

J04AA01 Acidum paraaminosalicilic (TBC multirezistent)4

1 J05AH01 ZANAMIVIRUM RELENZA 5 mg PULB. UNIDOZA DE INHALAT 5mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER P-RF 5 59.45 75.17 15.0340002 J05AH02 OSELTAMIVIRUM TAMIFLU 12 mg/ml PULB. PT. SUSP. ORALA 12mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE P-RF 1 60.01 75.88 75.8800003 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 37.85 49.51 4.9510004 J05AH02 OSELTAMIVIRUM TAMIFLU 45mg CAPS. 45mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 67.18 84.94 8.4940005 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF 10 60.01 75.88 7.588000

1 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 132.66 161.95 3.2390002 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 19.29 26.07 0.5214003 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 11.73 15.86 15.8600004 L01AA02 CHLORAMBUCILUM LEUKERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 5.23 7.07 0.2828005 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 6.89 9.31 0.3724006 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 92.45 116.89 116.8900007 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 11.58 15.65 0.6260008 L01AD02 LOMUSTINUM4 CEENU CAPS. MOI 40mg CN UNIFARM ROMANIA CUTIE X 1 BLIST. 20 CAPS. MOI X 20 396.67 470.52 23.5260009 L01AX03 TEMOZOLOMIDUM** TEMODAL 100 mg CAPS. 100mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 1,601.47 1,783.75 356.750000

10 L01AX03 TEMOZOLOMIDUM** TEMODAL 100 mg CAPS. 100mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 1,541.03 1,717.88 343.57600011 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SANDOZ 100 mg CAPS. 100 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 1,051.46 1,184.24 236.84800012 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE TEVA 100 mg CAPS. 100mg TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 1,051.46 1,184.24 236.84800013 L01AX03 TEMOZOLOMIDUM** TEMODAL 140mg CAPS. 140mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 2,513.68 2,778.07 555.61400014 L01AX03 TEMOZOLOMIDUM** TEMODAL 180 mg CAPS. 180mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 3,204.46 3,531.02 706.20400015 L01AX03 TEMOZOLOMIDUM** TEMODAL 20 mg CAPS. 20mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 350.46 420.15 84.03000016 L01AX03 TEMOZOLOMIDUM** TEMODAL 20 mg CAPS. 20mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 338.12 406.70 81.34000017 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SANDOZ 20 mg CAPS. 20 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 229.13 279.72 55.94400018 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE TEVA 20 mg CAPS. 20mg TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 229.13 279.72 55.94400019 L01AX03 TEMOZOLOMIDUM** TEMODAL 250 mg CAPS. 250mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 3,881.66 4,269.16 853.83200020 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SANDOZ 250 mg CAPS. 250 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 2,533.57 2,799.75 559.95000021 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE TEVA 250 mg CAPS. 250mg TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 2,533.57 2,799.75 559.95000022 L01AX03 TEMOZOLOMIDUM** TEMODAL 5 mg CAPS. 5mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 91.45 115.63 23.12600023 L01AX03 TEMOZOLOMIDUM** TEMODAL 2,5mg/ml PULB. PT. SOL. PERF. 2,5mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. P-RF/R 1 1,216.77 1,364.43 1364.430000

24 L01AX04 DACARBAZINUM DACARBAZINE 200 mg PULB. PT. SOL. INJ. 200mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 FLAC. PULB. PT. SOL. INJ. P-RF 10 171.06 208.83 20.88300025 L01BA01 METHOTREXATUM METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 16.86 22.79 1.13950026 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 70.74 89.44 89.44000027 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 86.43 109.28 109.28000028 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 101.49 123.90 123.900000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

Pagina 16 din 64

Page 123: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

29 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 332.01 400.04 400.04000030 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 197.01 240.51 48.10200031 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 9.84 13.30 13.30000032 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 17.59 23.77 2.37700033 L01BA04 PEMETREXEDUM**** ALIMTA 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 5,033.30 5,524.45 5524.450000

34 L01BB02 MERCAPTOPURINUM PURI - NETHOL COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF 25 35.47 46.39 1.85560035 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 76.07 96.18 3.84720036 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML S 1 1,432.50 1,599.58 1599.580000

37 L01BB05 FLUDARABINUM**** FLUDARA ORAL 10 mg COMPR. FILM. 10mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 1,676.31 1,865.33 93.26650038 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S 5 2,410.00 2,665.05 533.01000039 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 339.40 408.10 408.10000040 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML. SOL. INJ. S 1 76.16 96.30 96.30000041 L01BC01 CYTARABINUM CYTOSAR™ 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. + 1 FIOLA DIN STICLA INCOLORA X 5 ML SOLV. S 1 10.54 14.24 14.24000042 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ. S 10 97.34 123.08 12.30800043 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ. S 1 4.60 6.22 6.22000044 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 10 ML. SOL. INJ. S 1 45.11 59.00 59.00000045 L01BC01 CYTARABINUM DEPOCYTE 50mg SUSP. INJ. 50mg PACIRA LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML) S 1 6,954.30 7,618.35 7618.350000

46 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 14.10 19.06 19.06000047 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 3.48 4.71 4.71000048 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 89.92 113.69 113.69000049 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 7.08 9.57 9.57000050 L01BC02 FLUOROURACILUM EFUDIX UNGUENT 50 mg/g ICN HUNGARY CO. LTD. UNGARIA CUTIE X 1 TUB X 20 G UNGUENT S/P-RF 1 91.81 116.09 116.09000051 L01BC05 GEMCITABINUM** GEMCITABINA SINDAN 1 g PULB. PT. SOL. PERF. 1g ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S 1 504.00 587.51 587.51000052 L01BC05 GEMCITABINUM** DERCIN 1 g PULB. PT. SOL. PERF. 1g EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF. S 1 349.24 418.82 418.82000053 L01BC05 GEMCITABINUM** DAPLAX 1 g PULB. PT. SOL. PERF. 1g DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA S 1 646.00 742.29 742.29000054 L01BC05 GEMCITABINUM** GEMCITABINE POLPHARMA 1 g PULB. PT. SOL. PERF. 1g PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50ML CONTINAND 1 G GEMCITABINA PULB.PT. SOL. PERF. S 1 257.22 314.02 314.02000055 L01BC05 GEMCITABINUM** GEMCITABINE MEDAC 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA S 1 430.24 507.11 507.11000056 L01BC05 GEMCITABINUM** GEMCITABINE MYLAN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MYLAN S.A.S. FRANTA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA S 1 285.13 348.09 348.09000057 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S 1 371.28 442.85 442.85000058 L01BC05 GEMCITABINUM** NALLIAN1 g PULB. PT. SOL. PERF. 1g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1 G GEMCITABINA S 1 300.25 365.42 365.42000059 L01BC05 GEMCITABINUM** GEMCITIN 1 g PULB. PT. SOL. PERF. 1g ICN POLFA RZESZOW S.A. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S 1 275.96 336.89 336.89000060 L01BC05 GEMCITABINUM** GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA S 1 320.78 387.80 387.80000061 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 1000 mg PULB. PT. SOL. PERF. 1000mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF. S 1 320.78 387.80 387.80000062 L01BC05 GEMCITABINUM** GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S 1 285.13 348.09 348.09000063 L01BC05 GEMCITABINUM** GEMCITABINE MEDAC 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CONTINAND 1500 MG GEMCITABINA S 1 630.55 725.45 725.45000064 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1500MG GEMCITABINA S 1 541.91 628.83 628.83000065 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 2000 mg PULB. PT. SOL. PERF. 2000mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF. S 1 613.24 706.58 706.58000066 L01BC05 GEMCITABINUM** GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA S 1 548.42 635.93 635.93000067 L01BC05 GEMCITABINUM** GEMCITABINA SINDAN 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S 1 117.70 143.69 143.69000068 L01BC05 GEMCITABINUM** DERCIN 200 mg PULB. PT. SOL. PERF. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF. S 1 71.51 90.42 90.42000069 L01BC05 GEMCITABINUM** DAPLAX 200 mg PULB. PT. SOL. PERF. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA S 1 143.28 174.92 174.92000070 L01BC05 GEMCITABINUM** GEMCITABINE POLPHARMA 200 mg PULB. PT. SOL. PERF. 200mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10ML CONTINAND 200MG GEMCITABINA PULB.PT. SOL. PERF. S 1 53.32 67.42 67.42000071 L01BC05 GEMCITABINUM** GITRABIN 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA (CAPACITATE 10ML )CONTINAND PULB. PT SOL. PERF. S 1 62.64 79.20 79.20000072 L01BC05 GEMCITABINUM** GEMCITABINE MEDAC 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA S 1 94.50 119.48 119.480000

Pagina 17 din 64

Page 124: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

73 L01BC05 GEMCITABINUM** GEMCITABINE MYLAN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MYLAN S.A.S. FRANTA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA S 1 62.64 79.20 79.20000074 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA S 1 76.39 96.59 96.59000075 L01BC05 GEMCITABINUM** NALLIAN 200 mg PULB. PT. SOL. PERF. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA S 1 61.12 77.28 77.28000076 L01BC05 GEMCITABINUM** GEMCITIN 200 mg PULB. PT. SOL. PERF. 200mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S 1 56.09 70.92 70.92000077 L01BC05 GEMCITABINUM** GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 MG GEMCITABINA S 1 67.26 85.04 85.04000078 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 200 mg PULB. PT. SOL. PERF. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF. S 1 67.76 85.68 85.68000079 L01BC05 GEMCITABINUM** GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA S 1 62.64 79.20 79.20000080 L01BC06 CAPECITABINUM XELODA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM. P-RF/R 60 239.55 292.44 4.87400081 L01BC06 CAPECITABINUM XELODA 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM. P-RF/R 120 1,474.75 1,645.63 13.71358382 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 120 1,966.09 2,181.19 18.17658383 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 36 610.81 703.93 19.55361184 L01CA01 VINBLASTINUM4 VINBLASTINE PCH SOL. INJ. 1mg/ml CN Unifarm SA ROMANIA CUTIE X 1 FLACON X 10 ML X 1 34.30 44.87 44.87000085 L01CA02 VINCRISTINUM SINDOVIN 1 mg LIOF. PT. SOL. INJ./PERF. I.V. 1mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V. S 1 20.61 27.86 27.86000086 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 194.63 237.60 237.60000087 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 291.91 356.36 356.36000088 L01CA04 VINORELBINUM NAVELBINE (R) SOL. INJ. 10mg/ml LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML S 10 1,018.59 1,148.41 114.84100089 L01CA04 VINORELBINUM VINORELBIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 1 71.96 90.99 90.99000090 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF. S 1 71.96 90.99 90.99000091 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S 1 71.97 91.00 91.00000092 L01CA04 VINORELBINUM TELBINE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 1 71.96 90.99 90.99000093 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 1 71.97 91.00 91.00000094 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 10 474.76 555.64 55.56400095 L01CA04 VINORELBINUM VINORELBIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 351.25 421.01 421.01000096 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF. S 1 351.25 421.01 421.01000097 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 447.90 526.36 526.36000098 L01CA04 VINORELBINUM TELBINE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 351.25 421.01 421.01000099 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 50mg/5ml CONC. PT. SOL. PERF. 50mg/5ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 351.22 420.98 420.980000

100 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 50mg/5ml CONC. PT. SOL. PERF. 50mg/5ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 10 1,920.14 2,131.11 213.111000101 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF 10 310.63 376.74 37.674000102 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF 20 307.84 373.70 18.685000103 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 38.95 50.95 50.950000104 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 32.75 42.84 42.840000105 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 31.89 41.71 41.710000106 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S 1 60.93 77.04 77.040000107 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. S 1 356.22 426.43 426.430000108 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 16,7 ML CONC. PT. SOL. PERF. S 1 356.19 426.40 426.400000109 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 4 FLAC. X 16,7 ML S 4 1,262.62 1,414.41 353.602500110 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S 1 338.13 406.71 406.710000111 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S 5 1,570.63 1,750.14 350.028000112 L01CD01 PACLITAXELUM** PACLITAXEL PHARMASWISS 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE X 1 FLAC.DIN STICLA INCOLORA CONTINAND 16,7 ML CONC. PT. SOL. PERFZ. S 1 338.41 407.02 407.020000113 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF. S 1 356.19 426.40 426.400000114 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. S 1 558.06 646.44 646.440000115 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S 1 830.20 943.07 943.070000116 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S 1 558.17 646.56 646.560000

Pagina 18 din 64

Page 125: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

117 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 MG CONC. PT. SOL. PERF. S 1 558.06 646.44 646.440000118 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. S 1 907.35 1,027.16 1027.160000

119 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 50 ML CONC. PT. SOL. PERF. S 1 1,098.13 1,235.11 1235.110000

120 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 1,098.15 1,235.14 1235.140000

121 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML S 1 1,008.60 1,137.53 1137.530000

122 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 1,098.15 1,235.14 1235.140000

123 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 1,008.56 1,137.48 1137.480000

124 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 5 4,922.80 5,404.01 1080.802000

125 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF. S 1 1,098.13 1,235.11 1235.110000

126 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. S 1 114.65 139.97 139.970000127 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 114.68 140.00 140.000000128 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 10 FLAC. X 5 ML S 10 977.63 1,103.77 110.377000129 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 114.68 140.00 140.000000130 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 105.91 129.29 129.290000131 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 5 502.81 586.21 117.242000132 L01CD01 PACLITAXELUM** PACLITAXEL PHARMASWISS 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE X 1 FLAC.DIN STICLA INCOLORA CONTINAND 5 ML CONC. PT. SOL. PERFZ. S 1 105.55 128.85 128.850000133 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF. S 1 114.65 139.97 139.970000134 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF. S 1 356.22 426.43 426.430000135 L01CD02 DOCETAXELUM** TAXOTERE 20 mg CONC. + SOLV. PT. SOL. PERF. 20mg AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV. S 1 544.00 631.11 631.110000136 L01CD02 DOCETAXELUM** TAXOTERE 20 mg/1ml CONC. PT. SOL. PERF. 20mg/1ml AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF. S 1 544.00 631.11 631.110000137 L01CD02 DOCETAXELUM** DOCETAXEL TEVA 20mg/0,5ml CONC. + SOLV. PT. SOL. PERF. 20mg/0,5ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV. S 1 364.05 434.96 434.960000138 L01CD02 DOCETAXELUM** DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF. P-RF/R 1 364.05 434.96 434.960000139 L01CD02 DOCETAXELUM** DOCETAXEL ACTAVIS 20 mg/0,5 ml CONC. + SOLV. PT. SOL. PERF. 20mg/0,5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL. S 1 364.00 434.91 434.910000140 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LTD MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF. S/P-RF 1 364.05 434.96 434.960000141 L01CD02 DOCETAXELUM** TAXOTERE 80 mg CONC. + SOLV. PT. SOL. PERF. 80mg AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV. S 1 2,086.02 2,311.91 2311.910000

142 L01CD02 DOCETAXELUM** TAXOTERE 80 mg/4ml CONC. PT. SOL. PERF. 80mg/4ml AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF. S 1 2,086.02 2,311.91 2311.910000

143 L01CD02 DOCETAXELUM** DOCETAXEL TEVA 80mg/2ml CONC. + SOLV. PT. SOL. PERF. 80mg/2ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV. S 1 1,366.41 1,527.54 1527.540000

144 L01CD02 DOCETAXELUM** DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF. P-RF/R 1 1,366.41 1,527.54 1527.540000

145 L01CD02 DOCETAXELUM** DOCETAXEL ACTAVIS 80 mg/2 ml CONC. + SOLV. PT. SOL. PERF. 80mg/2ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE S 1 1,366.31 1,527.43 1527.430000

146 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LTD MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF. S/P-RF 1 1,366.40 1,527.53 1527.530000

147 L01DA01 DACTINOMICINUM4 COSMOGEN LYOVAC 0,5 mg SOL. INJ. 0,5mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 3 ML SOL. INJ X 1 101.11 123.43 123.430000148 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA) S 1 28.15 36.82 36.820000149 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S 1 28.48 37.25 37.250000150 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN S 1 27.11 35.46 35.460000151 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1,442.08 1,610.02 1610.020000

152 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. S 1 66.30 83.83 83.830000153 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML S 1 3,560.19 3,918.76 3918.760000

154 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA) S 1 109.90 134.17 134.170000155 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S 1 113.87 139.01 139.010000156 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ. S 1 89.01 112.55 112.550000157 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA S 1 105.41 128.69 128.690000158 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) S 1 216.48 264.28 264.280000159 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 453.47 532.43 532.430000160 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA S 1 450.00 528.65 528.650000

Pagina 19 din 64

Page 126: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

161 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML) S 1 37.94 49.62 49.620000162 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 48.55 63.51 63.510000163 L01DB03 EPIRUBICINUM EPISINDAN 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S 1 42.64 55.77 55.770000164 L01DB03 EPIRUBICINUM FARMORUBICIN RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ. S 1 59.57 75.32 75.320000165 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ. S 1 42.39 55.45 55.450000166 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA S 1 39.90 52.19 52.190000167 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ. S 1 586.75 677.71 677.710000168 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML) S 1 396.45 470.28 470.280000169 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ. S 1 771.63 879.23 879.230000170 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA S 1 770.00 877.45 877.450000171 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) S 1 81.76 103.38 103.380000172 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ. S 1 83.19 105.18 105.180000173 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA S 1 80.64 101.96 101.960000174 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) S 1 196.91 240.39 240.390000175 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML S 1 231.23 282.29 282.290000176 L01DB03 EPIRUBICINUM EPISINDAN 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S 1 233.10 284.57 284.570000177 L01DB03 EPIRUBICINUM FARMORUBICIN (R) RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ. S 1 261.21 318.89 318.890000178 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ. S 1 204.19 249.27 249.270000179 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA S 1 198.00 241.72 241.720000180 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 202.85 247.64 247.640000181 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 143.01 174.59 174.590000182 L01DB07 MITOXANTRONUM** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S 1 554.24 642.27 642.270000183 L01DC01 BLEOMYCINUM SULFAS BLEOCIN LIOF. PT. SOL. INJ. 15mg EURO NIPPON KAYAKU GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 60.40 76.37 76.370000184 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S 1 9.15 12.37 12.370000185 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S 1 7.73 10.45 10.450000186 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML S 1 8.87 11.99 11.990000187 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S 1 22.00 29.74 29.740000188 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S 1 31.50 41.20 41.200000189 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S 1 24.35 32.91 32.910000190 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S 1 62.36 78.85 78.850000191 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S 1 47.33 61.91 61.910000192 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S 1 49.89 65.25 65.250000193 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S 1 177.65 216.88 216.880000194 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S 1 132.49 161.75 161.750000195 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S 1 132.72 162.03 162.030000196 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S 1 21.81 29.48 29.480000197 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 18.00 24.33 24.330000198 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 100 MG OXALIPLATINA S 1 1,528.47 1,704.18 1704.180000

199 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF. S 1 1,528.47 1,704.18 1704.180000

200 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF. S 1 1,003.78 1,132.27 1132.270000

201 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT S 1 869.59 986.00 986.000000202 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA S 1 975.63 1,101.59 1101.590000

203 L01XA03 OXALIPLATINUM OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF. S 1 905.10 1,024.71 1024.710000

204 L01XA03 OXALIPLATINUM OXALIPLATIN MEDICO UNO 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA S 1 1,003.25 1,131.69 1131.690000

Pagina 20 din 64

Page 127: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

205 L01XA03 OXALIPLATINUM OXALIPLATIN PHARMASWISS 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA S 1 876.23 993.24 993.240000206 L01XA03 OXALIPLATINUM REZIDOL 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA S 1 1,003.25 1,131.69 1131.690000

207 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml PULB. PT. SOL. INJ. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 50 ML X 100 MG OXALIPLATINA S 1 571.00 660.54 660.540000208 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA S 1 905.10 1,024.71 1024.710000

209 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT S 1 1,605.35 1,787.98 1787.980000

210 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF. S 1 779.40 887.70 887.700000211 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 50 MG OXALIPLATINA S 1 779.40 887.70 887.700000212 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF. S 1 517.05 601.73 601.730000213 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI S 1 456.28 535.50 535.500000214 L01XA03 OXALIPLATINUM OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF. S 1 467.55 547.78 547.780000215 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 502.81 586.21 586.210000216 L01XA03 OXALIPLATINUM OXALIPLATIN MEDICO UNO 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA S 1 516.63 601.28 601.280000217 L01XA03 OXALIPLATINUM OXALIPLATIN PHARMASWISS 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 451.30 530.07 530.070000218 L01XA03 OXALIPLATINUM REZIDOL 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 514.50 598.96 598.960000219 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml PULB. PT. SOL. INJ. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 30 ML X 50 MG OXALIPLATINA S 1 297.00 362.58 362.580000220 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA S 1 467.55 547.78 547.780000221 L01XC02 RITUXIMABUM**** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 2,216.41 2,454.04 1227.020000

222 L01XC02 RITUXIMABUM**** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 5,496.18 6,028.99 6028.990000

223 L01XC03 TRASTUZUMABUM**** HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 2,615.66 2,889.22 2889.220000

224 L01XC04 ALEMTUZUMABUM**** MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML S 3 4,912.14 5,392.39 1797.463333

225 L01XC04 ALEMTUZUMABUM**** MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML S 3 4,911.76 5,391.97 1797.323333

226 L01XC06 CETUXIMABUM**** ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. S 1 869.22 985.60 985.600000227 L01XC07 BEVACIZUMABUM**** AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. S 1 1,329.48 1,487.28 1487.280000

228 L01XC07 BEVACIZUMABUM**** AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. S 1 5,234.33 5,743.58 5743.580000

229 L01XE01 IMATINIBUM**** GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. P-RF/R 120 9,011.69 9,860.90 82.174166230 L01XE03 ERLOTINIBUM**** TARCEVA 100 mg COMPR. FILM. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R 30 6,289.99 6,894.25 229.808333231 L01XE03 ERLOTINIBUM**** TARCEVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R 30 8,371.47 9,163.06 305.435333232 L01XE03 ERLOTINIBUM**** TARCEVA 25 mg COMPR. FILM. 25mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R 30 1,906.92 2,116.70 70.556666233 L01XE04 SUNITINIBUM**** SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 5,030.65 5,521.57 184.052333234 L01XE04 SUNITINIBUM**** SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 10,031.31 10,972.29 365.743000235 L01XE04 SUNITINIBUM**** SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 20,032.63 21,873.74 729.124666236 L01XE05 SORAFENIBUM**** NEXAVAR 200 mg COMPR. FILM. 200mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM. P-RF/R 112 14,553.83 15,901.84 141.980714237 L01XE06 DASATINIBUM**** SPRYCEL 100mg COMPR. FILM. 100 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-RF/R 30 16,273.71 17,776.52 592.550666238 L01XE06 DASATINIBUM**** SPRYCEL 20mg COMPR. FILM. 20 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 7,679.81 8,409.15 140.152500239 L01XE06 DASATINIBUM**** SPRYCEL 50mg COMPR. FILM. 50 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 15,329.65 16,747.49 279.124833240 L01XE06 DASATINIBUM**** SPRYCEL 70mg COMPR. FILM. 70 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 15,329.65 16,747.49 279.124833241 L01XE09 TEMSIROLIMUSUM TORISEL 25mg/ml CONC. + SOLV. PT. SOL. PERF. 25mg/ml WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT S 1 3,728.46 4,102.18 4102.180000

242 L01XX02 ASPARAGINAZUM ASPARAGINASE 10000 MEDAC LIOF. PT. SOL. INJ./PERF. 10000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF. S 5 1,169.00 1,312.36 262.472000243 L01XX02 ASPARAGINAZUM ONCASPAR PULB. PT. SOL. INJ. 3750U.I. CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ. P-RF 1 4,477.71 4,918.86 4918.860000

244 L01XX02 ASPARAGINAZUM ASPARAGINASE 5000 MEDAC LIOF. PT. SOL. INJ./PERF. 5000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF. S 5 752.50 858.38 171.676000245 L01XX05 HYDROXYCARBAMIDUM HYDREA CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF 100 65.56 82.90 0.829000246 L01XX11 ESTRAMUSTINUM ESTRACYT CAPS. 140mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 100 CAPS. P-RF 100 344.77 413.95 4.139500247 L01XX14 TRETINOINUM4 VESANOID 10 mg CAPS. MOI 10mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI X 100 744.51 849.67 8.496700248 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 1,579.21 1,759.49 175.949000

Pagina 21 din 64

Page 128: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

249 L01XX17 TOPOTECAMUM TOPOTECAN TEVA 1 mg/1ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML P-RF/R 1 169.85 207.35 207.350000250 L01XX17 TOPOTECAMUM HYCAMTIN 4 mg PULB.CONC.SOL.PERF. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 980.22 1,106.59 1106.590000

251 L01XX17 TOPOTECAMUM TOPOTECAN ACTAVIS CONC. PT. SOL. PERF. 4 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X FLACON STICLA X 4MG P-RF/R 1 647.64 744.08 744.080000252 L01XX17 TOPOTECAMUM TOPOTECAN TEVA 4 mg/4ml CONC. PT. SOL. PERF. 4mg/4ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML P-RF/R 1 647.63 744.07 744.070000253 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 4 mg PULB. PT. CONC. PT. SOL. PERF. 4mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. CONC. PT. SOL. PERF. S 1 646.25 742.56 742.560000254 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. S 1 425.25 501.67 501.670000255 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. S 1 638.07 733.65 733.650000256 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF. S 1 637.96 733.53 733.530000257 L01XX19 IRINOTECANUM IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 5 ML CONC. PR. SOL. PERF. S 1 425.25 501.67 501.670000258 L01XX19 IRINOTECANUM TEKAZOL 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN S 1 425.25 501.67 501.670000259 L01XX19 IRINOTECANUM IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT S 1 425.25 501.67 501.670000260 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF. S 1 2,124.40 2,353.75 2353.750000

261 L01XX19 IRINOTECANUM IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 15 ML CONC. PR. SOL. PERF. S 1 1,391.36 1,554.73 1554.730000

262 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S 1 166.73 203.54 203.540000263 L01XX19 IRINOTECANUM IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF. S 1 166.73 203.54 203.540000264 L01XX19 IRINOTECANUM TEKAZOL 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN S 1 166.73 203.54 203.540000265 L01XX19 IRINOTECANUM IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT S 1 166.73 203.54 203.540000266 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ. S 1 2,006.25 2,224.96 2224.960000

267 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R 100 2,561.51 2,830.20 28.302000268 L01XX32 BORTEZOMIBUM**** VELCADE 3,5 mg PULB. PT. SOL. INJ. 3,5mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT S 1 4,576.46 5,026.50 5026.500000

269 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 97.52 123.30 4.110000270 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA S/P-RF 1 875.80 992.77 992.770000271 L02AE02 LEUPRORELINUM** ELIGARD 22,5 mg LIOF. SI SOLV. PT. SOL. INJ. 22,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE S 1 1,017.96 1,147.73 1147.730000

272 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB S/P-RF 1 358.46 428.87 428.870000273 L02AE02 LEUPRORELINUM** ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ 45mg ASTELLAS PHARMA EUROPE BV OLANDA O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B) S 1 2,026.12 2,246.62 2246.620000

274 L02AE02 LEUPRORELINUM** ELIGARD 7,5 mg LIOF. SI SOLV. PT. SOL. INJ. 7,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE S 1 368.43 439.74 439.740000275 L02AE03 GOSERELINUM** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT S 1 1,038.37 1,169.98 1169.980000

276 L02AE03 GOSERELINUM** ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 364.69 435.66 435.660000277 L02AE04 TRIPTORELINUM** DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0,1mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 110.01 134.30 19.185714278 L02AE04 TRIPTORELINUM** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 7 190.39 232.43 33.204285279 L02AE04 TRIPTORELINUM** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 722.28 825.44 29.480000280 L02AE04 TRIPTORELINUM** DIPHERELINE (R) 11,25 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11,25mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 1,049.58 1,182.19 1182.190000

281 L02AE04 TRIPTORELINUM** DIPHERELINE (R) 3,75 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3,75mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 368.41 439.72 439.720000282 L02BA01 TAMOXIFENUM TAMOXIFEN 10 TEVA COMPR. 10mg PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF/S 100 16.08 21.73 0.217300283 L02BA01 TAMOXIFENUM TAMONEPRIN (R) 10 mg COMPR. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 60 COMPR. P-RF 60 21.32 28.81 0.480166284 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF/S 100 39.69 51.91 0.519100285 L02BA03 FULVESTRANTUM** FASLODEX 250mg/5ml SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC P-RF 1 1,548.32 1,725.82 1725.820000

286 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 219.86 268.40 2.684000287 L02BB01 FLUTAMIDUM FLUTAMIDE CSC 250 mg COMPR. FILM. 250mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM. P-RF 30 33.43 43.73 1.457666288 L02BB01 FLUTAMIDUM FLUTASIN 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR. P-RF 30 30.75 40.22 1.340666289 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 589.35 680.54 24.305000290 L02BB03 BICALUTAMIDUM YONISTIB 150 mg COMPR. FILM. 150mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 393.55 467.12 16.682857291 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L 28 287.42 350.88 12.531428292 L02BB03 BICALUTAMIDUM BICALUTAMIDA SANDOZ 50 mg COMPR. FILM. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 200.16 244.36 8.145333

Pagina 22 din 64

Page 129: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

293 L02BB03 BICALUTAMIDUM BICALTON 50 mg COMPR. FILM. 50mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 185.84 226.87 8.102500294 L02BB03 BICALUTAMIDUM BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 186.82 228.07 8.145357295 L02BB03 BICALUTAMIDUM BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 28 COMPR. FILM. P-6L 28 186.82 228.07 8.145357296 L02BB03 BICALUTAMIDUM CALUMID COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. P-6L 30 200.21 244.42 8.147333297 L02BB03 BICALUTAMIDUM YONISTIB 50 mg COMPR. FILM. 50mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 186.86 228.12 8.147142298 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 123.71 151.03 3.775750299 L02BG03 ANASTROZOLUM ARIMIDEX COMPR. FILM. 1mg ACTAVIS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L 28 449.86 528.50 18.875000300 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 332.86 400.97 14.320357301 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 354.49 424.54 14.151333302 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 543.74 630.83 12.616600303 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P-6L 84 849.95 964.60 11.483333304 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P-6L 98 938.91 1,061.56 10.832244305 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 957.44 1,081.76 10.817600306 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P-6L/S 300 2,671.67 2,950.27 9.834233307 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 237.91 290.44 14.522000308 L02BG03 ANASTROZOLUM ENZAMIDEX 1mg COMPR. FILM. 1mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 243.57 297.35 9.911666309 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. P-6L 30 226.88 276.97 9.232333310 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L 90 965.85 1,090.93 12.121444311 L02BG03 ANASTROZOLUM ANASTROZOLE MEDICO UNO 1 mg COMPR. FILM. 1mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 253.38 309.33 11.047500312 L02BG03 ANASTROZOLUM OZOLAN 1 mg COMPR. FILM. 1mg S.C. CORIS PHARMA S.R.L. ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 292.19 356.71 12.739642313 L02BG03 ANASTROZOLUM ANASTROZOL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 207.34 253.12 9.040000314 L02BG03 ANASTROZOLUM ANASTROZOL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 222.14 271.19 9.039666315 L02BG04 LETROZOLUM FEMARA 2,5 mg COMPR. FILM. 2,5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 472.53 553.21 18.440333316 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF 30 309.46 375.46 12.515333317 L02BG06 EXEMESTANUM EXEMESTAN TEVA 25 mg COMPR. FILM. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM P-RF 30 201.15 245.56 8.185333318 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 417.54 493.27 98.654000319 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 266.43 325.26 325.260000320 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 213.65 260.83 260.830000321 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 161.71 197.42 197.420000322 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 998.84 1,126.89 225.378000323 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.62 512.98 512.980000324 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.13 425.24 425.240000325 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.30 317.78 317.780000326 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,652.47 1,839.35 367.870000327 L03AA13 PEGFILGRASTIMUM*** NEULASTA 6mg SOL. INJ. 6mg AMGEN EUROPE B.V. OLANDA CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. P-RF/R 1 3,866.55 4,252.70 4252.700000

328 L03AB04 INTERFERONUM ALFA 2A*** ROFERON A SOL. INJ. 18Mui/0,6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF 1 353.84 423.84 423.840000329 L03AB04 INTERFERONUM ALFA 2A*** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF 1 68.99 87.23 87.230000330 L03AB04 INTERFERONUM ALFA 2A*** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF 1 149.73 182.79 182.790000331 L03AB05 INTERFERONUM ALFA 2B*** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 414.35 489.79 489.790000332 L03AB05 INTERFERONUM ALFA 2B*** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 672.26 770.91 770.910000333 M05BA02 ACIDUM CLODRONICUM** SINDRONAT (R) 400 mg CAPS. 400mg ACTAVIS S.R.L. ROMANIA CUTIE X 12 BLIST. X 10 CAPS. P-6L 120 290.44 354.57 2.954750334 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 400 mg CAPS. 400mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 1 FLAC. PEID X 100 CAPS. P-6L 100 511.32 595.49 5.954900335 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 800 mg COMPR. FILM. 800mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 635.33 730.66 12.177666336 M05BA02 ACIDUM CLODRONICUM** SINDRONAT (R) 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S 1 20.70 27.98 27.980000

Pagina 23 din 64

Page 130: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

337 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 60 mg/ml CONC. PT. SOL. PERF. 60mg/ml BAYER SCHERING PHARMA AG FINLANDA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 153.71 187.65 37.530000338 M05BA03 ACIDUM PAMIDRONICUM** AREDIA (R) 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV. S/P-RF 4 594.52 686.18 171.545000339 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML S/P-RF 1 110.48 134.87 134.870000340 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML S/P-RF 1 185.36 226.29 226.290000341 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 152.52 186.20 186.200000342 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML S/P-RF 1 361.08 431.73 431.730000343 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 237.26 289.65 289.650000344 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML S/P-RF 1 528.74 614.48 614.480000345 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 105.68 129.02 129.020000346 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S 28 961.89 1,086.61 38.807500347 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 353.75 423.74 423.740000348 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S 1 899.32 1,018.41 1018.410000

349 M05BA08 ACIDUM ZOLEDRONICUM** ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV. S 1 1,095.93 1,232.72 1232.720000

350 M05BA08 ACIDUM ZOLEDRONICUM** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. S 1 1,396.48 1,560.32 1560.320000

351 V03AF01 MESNUM UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML S 15 44.77 58.56 3.904000352 V03AF03 CALCII FOLINAS CALCIUM FOLINAT "EBEWE" 15 mg CAPS. 15mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X1 FLAC. X 20 CAPS. P-6L 20 29.04 37.99 1.899500353 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 141.82 173.14 34.628000354 V03AF03 CALCII FOLINAS LEUCOVORIN-TEVA 100 mg/10 ml SOL. INJ. 10mg/ml TEVA PHARM. IND. LTD. OLANDA CUTIE X 1 FLACON X 10 ML S/P-RF 1 29.43 38.50 38.500000355 V03AF03 CALCII FOLINAS FOLCASIN (R) 100 mg/10 ml SOL. INJ. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML S/P-RF 1 29.40 38.46 38.460000356 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S 1 29.43 38.50 38.500000357 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 3 ML S/P-RF 5 50.10 63.35 12.670000358 V03AF03 CALCII FOLINAS FOLCASIN (R) 30 mg/10 ml SOL. INJ. 3mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML S/P-RF 1 13.50 18.24 18.240000359 V03AF05 AMIFOSTINUM** ETHYOL LIOF. PT. SOL. PERF. 375mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. PERF. S 5 1,998.02 2,215.99 443.198000360 V03AF05 AMIFOSTINUM** ETHYOL (R) LIOF. PT. SOL. PERF. 500mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF. S 3 1,878.79 2,086.03 695.343333

L01DC03 Mitomicinum4

L01XB01 Procarbazinum4

1 L03AB07 INTERFERONUM BETA 1A**** AVONEX 30 mcg BIO-SET PULB. + SOLV. PT. SOL. INJ. 30mcg (6 mil. UI) BIOGEN IDEC LIMITED MAREA BRITANIE CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT P-RF/R 4 3,078.06 3,393.24 848.3100002 L03AB07 INTERFERONUM BETA 1A**** REBIF 44 micrograme SOL. INJ. 44mcg SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. P-RF/R 12 4,173.75 4,587.54 382.2950003 L03AB08 INTERFERONUM BETA 1-B**** BETAFERON 250mcg/ml PULB. + SOLV. PT. SOL. INJ. 250mcg/ml BAYER SCHERING AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. P-RF/P 15 3,293.47 3,628.04 241.8693334 L03AB08 INTERFERONUM BETA 1-B**** EXTAVIA 250 mcg/ ml PULB+SOLV.PT.SOL.INJ 250mcg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT P-RF/R 15 3,497.99 3,850.96 256.7306665 L03AX13 GLATIRAMER ACETAT**** COPAXONE SOL. INJ. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX S/P-RF 28 3,075.91 3,390.90 121.1035716 L04AA23 NATALIZUMABUM**** TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml ELAN PHARMA INTERNATIONAL LTD IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S 1 6,935.69 7,598.06 7598.060000

7 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 63.84 80.72 0.807200

1 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF 1 43.22 56.53 56.5300002 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 159.42 194.62 38.924000

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE Subprogramul de tratament al sclerozei multiple

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT Tratamentul medicamentos al bolnavilor cu diabet zaharat

Pagina 24 din 64

Page 131: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

3 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 95.74 121.06 24.2120004 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml OPTISET SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 95.74 121.06 24.2120005 A10AB01 INSULINE UMANE ACTRAPID PENFILL 100 UI/ml SOL. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 98.81 124.93 24.9860006 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 90.76 114.76 22.9520007 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 137.21 167.51 33.5020008 A10AB04 INSULINUM LISPRO** HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. P-RF 5 128.65 157.06 31.4120009 A10AB04 INSULINUM LISPRO** HUMALOG KWIKPEN100U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF 5 156.14 190.62 38.124000

10 A10AB05 INSULINUM ASPART** NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100Uml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 130.25 159.01 31.80200011 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN FLACON 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON X 10 ML SOL. INJ. P-RF 1 79.08 99.99 99.99000012 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (OPTISET®) X 3 ML SOL. INJ. P-RF 5 138.81 169.46 33.89200013 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 130.25 159.01 31.80200014 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ. P-RF 5 130.25 159.01 31.80200015 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ. P-RF 1 43.22 56.53 56.53000016 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 98.77 124.89 24.97800017 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 133.94 163.51 32.70200018 A10AC01 INSULINE UMANE INSULATARD PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 98.81 124.93 24.98600019 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 90.76 114.76 22.95200020 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF 5 137.21 167.51 33.50200021 A10AC04 INSULINUM LISPRO** HUMALOG BASAL KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ. P-RF 5 156.14 190.62 38.12400022 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ. P-RF 1 43.22 56.53 56.53000023 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 159.42 194.62 38.92400024 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 98.77 124.89 24.97800025 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 98.77 124.89 24.97800026 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 95.74 121.06 24.21200027 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 133.94 163.51 32.70200028 A10AD01 INSULINE UMANE MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 104.82 127.97 25.59400029 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 90.76 114.76 22.95200030 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF 5 137.21 167.51 33.50200031 A10AD04 INSULINUM LISPRO** HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 134.41 164.09 32.81800032 A10AD04 INSULINUM LISPRO** HUMALOG MIX25 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ. P-RF 5 135.71 165.68 33.13600033 A10AD04 INSULINUM LISPRO** HUMALOG MIX25 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF 5 156.14 190.62 38.12400034 A10AD04 INSULINUM LISPRO** HUMALOG MIX50 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF 5 156.14 190.62 38.12400035 A10AD05 INSULINUM ASPART** NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 140.25 171.22 34.24400036 A10AE04 INSULINUM GLARGINE** LANTUS 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ. P-RF 1 153.63 187.55 187.55000037 A10AE04 INSULINUM GLARGINE** LANTUS OptiSet SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 224.40 273.95 54.79000038 A10AE04 INSULINUM GLARGINE** LANTUS 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF 5 224.40 273.95 54.79000039 A10AE04 INSULINUM GLARGINE** LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 224.40 273.95 54.79000040 A10AE05 INSULINUM DETEMIR** LEVEMIR PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 244.97 299.06 59.81200041 A10BA02 METFORMINUM SIOFOR 1000 COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P-RF 60 13.38 18.09 0.30150042 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM P-RF/S 120 15.89 21.48 0.17900043 A10BA02 METFORMINUM METFORMIN TEVA 1000 mg COMPR. FILM. 1000mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 6.30 8.52 0.14200044 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 6.89 9.31 0.31033345 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 6.89 9.31 0.31033346 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-6L 60 20.69 27.97 0.466166

Pagina 25 din 64

Page 132: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

47 A10BA02 METFORMINUM METFORMIN BLUEFISH 1000 mg COMPR. FILM. 1000mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 12.21 16.50 0.27500048 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 6.62 8.95 0.29833349 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 13.24 17.90 0.29833350 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR. P-RF 50 18.61 25.15 0.50300051 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. P-RF/S 200 71.14 89.95 0.44975052 A10BA02 METFORMINUM MEGUAN (R) 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 3.24 4.38 0.21900053 A10BA02 METFORMINUM METFOGAMMA (R) 500 COMPR. FILM. 500mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVDC-PVC X 10 COMPR. FILM. P-RF/S 120 7.95 10.74 0.08950054 A10BA02 METFORMINUM METFORMIN LPH (R) 500 mg COMPR. FILM. 500mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 2.94 3.98 0.13266655 A10BA02 METFORMINUM DIPIMET 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 2.84 3.84 0.12800056 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL. P-RF 30 11.31 15.28 0.50933357 A10BA02 METFORMINUM METFORMIN-TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 4.07 5.50 0.09166658 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL ORALA P-RF 30 2.85 3.85 0.12833359 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 2.85 3.85 0.12833360 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P-RF 30 11.31 15.28 0.50933361 A10BA02 METFORMINUM METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 1.38 1.86 0.09300062 A10BA02 METFORMINUM METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2.07 2.80 0.09333363 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2.55 3.44 0.11466664 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 5.08 6.87 0.11450065 A10BA02 METFORMINUM METFORMIN ARENA 500 MG COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF 60 3.57 4.82 0.08033366 A10BA02 METFORMINUM SIOFOR (R) 850 COMPR. FILM. 850mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 13.42 18.14 0.30233367 A10BA02 METFORMINUM GLUCOPHAGE 850 mg COMPR. FILM. 850mg MERCK SANTE FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S 100 18.65 25.21 0.25210068 A10BA02 METFORMINUM MEGUAN (R) 850 mg COMPR. FILM. 850mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 5.65 7.63 0.38150069 A10BA02 METFORMINUM MEDIFOR 850 COMPR. FILM. 850mg STD CHEMICALS LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 56 6.73 9.09 0.16232170 A10BA02 METFORMINUM METFORMIN LPH (R) 850 mg COMPR. FILM. 850mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 3.64 4.92 0.16400071 A10BA02 METFORMINUM METFOGAMMA 850 COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S 120 13.51 18.26 0.15216672 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 4.89 6.61 0.22033373 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 4.89 6.61 0.22033374 A10BA02 METFORMINUM METFORMIN-TEVA 850 mg COMPR. FILM. 850mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 5.82 7.86 0.13100075 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 2.19 2.96 0.14800076 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 3.28 4.44 0.14800077 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 6.57 8.88 0.14800078 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 10.94 14.79 0.14790079 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 3.59 4.85 0.16166680 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 7.17 9.69 0.16150081 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. P-RF 15 3.83 5.18 0.34533382 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 200 BLIST. AL/PVC X 5 COMPR. P-RF/S 1000 245.45 299.64 0.29964083 A10BA03 BUFORMINUM SILUBIN RETARD DRAJ. RET. 100mg DITA IMPORT EXPORT SRL ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF 60 14.10 19.06 0.31766684 A10BB01 GLIBENCLAMIDUM MANINIL 1,75 mg COMPR. 1,75mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR. P-RF/S 120 8.72 11.79 0.09825085 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 1,75 mg COMPR. 1,75mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 3.11 4.21 0.07016686 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100 8.58 11.59 0.11590087 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 55.44 70.10 0.07010088 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.50 2.03 0.06766689 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ATB 1,75 MG COMPR. 1,75 mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.41 1.91 0.06366690 A10BB01 GLIBENCLAMIDUM MANINIL 3,5 mg COMPR. 3,5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR. P-RF/S 120 6.32 8.54 0.071166

Pagina 26 din 64

Page 133: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

91 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100 10.62 14.35 0.14350092 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 3,5 mg COMPR. 3,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 2.26 3.05 0.05083393 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.14 5.59 0.18633394 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 76.26 96.42 0.09642095 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ATB 3,5 MG COMPR. 3,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.01 1.37 0.04566696 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 100 COMPR. P-RF/S 100 2.74 3.71 0.03710097 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.24 5.73 0.19100098 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E P-RF 30 35.28 46.14 1.53800099 A10BB07 GLIPIZIDUM GLUCOTROL XL 5mg COMPR. FILM. ELIB. MODIF. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL P-RF 30 17.64 23.84 0.794666

100 A10BB07 GLIPIZIDUM GLIPIZID LPH 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 11.46 15.49 0.516333101 A10BB07 GLIPIZIDUM GLIPIZIDA ATB 5mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11.46 15.49 0.516333102 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 20.34 27.49 0.458166103 A10BB09 GLICLAZIDUM DIAPREL MR COMPR. ELIB. MODIF. 30mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF 60 18.63 25.18 0.419666104 A10BB09 GLICLAZIDUM GLICLAZID MR LPH 30 mg COMPR. ELIB. PREL. 30mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 60 12.12 16.38 0.273000105 A10BB09 GLICLAZIDUM GLICLAZIDA EP ANTIBIOTICE 30 mg COMPR. ELIB. PREL. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF 30 6.01 8.12 0.270666106 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 1.98 2.68 0.268000107 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 20 3.98 5.38 0.269000108 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 30 5.96 8.06 0.268666109 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 60 12.08 16.33 0.272166110 A10BB09 GLICLAZIDUM DIABREZIDE COMPR. 80mg L. MOLTENI ITALIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. P-RF 40 9.69 13.10 0.327500111 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-RF 30 9.69 13.10 0.436666112 A10BB09 GLICLAZIDUM GLICLAZID LPH COMPR. 80mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 13.09 17.69 0.294833113 A10BB12 GLIMEPIRIDUM MEGLIMID 1 mg COMPR. 1mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.72 9.08 0.302666114 A10BB12 GLIMEPIRIDUM AMYX 1 COMPR. 1 mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 3.10 4.19 0.139666115 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 3.10 4.19 0.139666116 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 3.02 4.08 0.136000117 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.02 4.08 0.136000118 A10BB12 GLIMEPIRIDUM TINERIL 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 3.10 4.19 0.139666119 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 1 mg COMPR. 1mg AAA-PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.10 4.19 0.139666120 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 1 mg COMPR. 1mg AAA-PHARMA GMBH GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. P-RF/S 120 12.40 16.76 0.139666121 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 3.06 4.14 0.138000122 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 4.78 6.46 0.215333123 A10BB12 GLIMEPIRIDUM MEGLIMID 2 mg COMPR. 2mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 13.32 18.00 0.600000124 A10BB12 GLIMEPIRIDUM AMYX 2 COMPR. 2mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 5.35 7.23 0.241000125 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 2 mg COMPR. 2mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.35 7.23 0.241000126 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.10 6.89 0.229666127 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 5.10 6.89 0.229666128 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 2 mg COMPR. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.35 7.23 0.241000129 A10BB12 GLIMEPIRIDUM TINERIL 2 mg COMPR. 2mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.35 7.23 0.241000130 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 2 mg COMPR. 2mg AAA-PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.35 7.23 0.241000131 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 2 mg COMPR. 2mg AAA-PHARMA GMBH GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. P-RF/S 120 21.37 28.88 0.240666132 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 5.33 7.21 0.240333133 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 8.22 11.11 0.370333134 A10BB12 GLIMEPIRIDUM MEGLIMID 3 mg COMPR. 3mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 18.44 24.93 0.831000

Pagina 27 din 64

Page 134: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

135 A10BB12 GLIMEPIRIDUM AMYX 3 COMPR. 3mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 9.99 13.50 0.450000136 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.99 13.50 0.450000137 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 9.53 12.88 0.429333138 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 9.53 12.88 0.429333139 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 3 mg COMPR. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.99 13.50 0.450000140 A10BB12 GLIMEPIRIDUM TINERIL 3 mg COMPR. 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.99 13.50 0.450000141 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 3 mg COMPR. 3mg AAA-PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 9.99 13.50 0.450000142 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 3 mg COMPR. 3mg AAA-PHARMA GMBH GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. P-RF/S 120 39.92 52.22 0.435166143 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 3 mg COMPR. 3mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 9.92 13.41 0.447000144 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 15.35 20.75 0.691666145 A10BB12 GLIMEPIRIDUM AMYX 4 COMPR. 4mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 10.62 14.35 0.478333146 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 9.97 13.47 0.449000147 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST AL/PVC X 10 COMPR. P-RF 30 9.97 13.47 0.449000148 A10BB12 GLIMEPIRIDUM TINERIL 4 mg COMPR 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.62 14.35 0.478333149 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 4 mg COMPR. 4mg AAA-PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.62 14.35 0.478333150 A10BB12 GLIMEPIRIDUM GLIMEGAMMA AAA-PHARMA 4 mg COMPR. 4mg AAA-PHARMA GMBH GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. P-RF/S 120 42.44 55.51 0.462583151 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 4mg COMPR. 4mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 10.62 14.35 0.478333152 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 16.32 22.06 0.735333153 A10BB12 GLIMEPIRIDUM AMARYL 6 mg COMPR. 6mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-RF 30 19.04 25.73 0.857666154 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS. P-RF/S 500 177.75 217.00 0.434000155 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS. P-RF 20 7.89 10.66 0.533000156 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIBOMET (R) COMPR. FILM. 2,5mg/400mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM. P-RF 60 19.01 25.70 0.428333157 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIFORMIN COMPR. FILM. 400mg + 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 60 19.01 25.70 0.428333158 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 20.38 27.55 0.459166159 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 20.38 27.55 0.459166160 A10BD03 COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 2mg/1000mg COMPR. FILM. 2mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) P-RF 56 98.09 124.02 2.214642161 A10BD03 COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 4mg/1000mg COMPR. FILM. 4mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) P-RF 56 161.48 197.13 3.520178162 A10BD04 COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)*** AVAGLIM 4mg/4mg COMPR. FILM. 4mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) P-RF 28 93.50 118.22 4.222142163 A10BD04 COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)*** AVAGLIM 8mg/4mg COMPR. FILM. 8mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) P-RF 28 168.82 206.09 7.360357164 A10BD05 COMBINATII ( PIOGLITAZONUM + METFORMINUM)*** COMPETACT COMPR. FILM. 15mg/850mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL ) P-RF 56 159.35 194.53 3.473750165 A10BF01 ACARBOSUM GLUCOBAY (R) 100 COMPR. 100mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 67.34 85.15 0.709583166 A10BF01 ACARBOSUM GLUCOBAY (R) 50 COMPR. 50mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 48.55 63.51 0.529250167 A10BG02 ROSIGLITAZONUM*** AVANDIA 4mg COMPR. FILM. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR.FILM. (BLIST.OPAC AL/PVC) P-RF 28 79.40 100.39 3.585357168 A10BG03 PIOGLITAZONUM*** ACTOS 15mg COMPR. 15mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR. (BLIST. AL/AL) P-RF 28 105.32 128.58 4.592142169 A10BG03 PIOGLITAZONUM*** ACTOS 30mg COMPR. 30mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) P-RF 28 158.50 193.50 6.910714170 A10BG03 PIOGLITAZONUM*** ACTOS 45mg COMPR. 45mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) P-RF 28 205.93 251.40 8.978571171 A10BH01 SITAGLIPTINUM*** JANUVIA 100mg COMPR. FILM. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) P-RF 28 160.36 195.77 6.991785172 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 15.16 20.49 0.683000173 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 45.49 59.50 0.661111174 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF 120 59.59 75.34 0.627833175 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF 270 131.67 160.74 0.595333176 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 20.11 27.18 0.906000177 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 59.27 74.94 0.832666178 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF 120 79.03 99.92 0.832666

Pagina 28 din 64

Page 135: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

179 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF 270 174.64 213.20 0.789629180 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 24.58 33.22 1.107333181 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 72.45 91.60 1.017777182 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF 120 96.59 122.13 1.017750183 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF 270 213.40 260.52 0.964888184 A10BX04 EXENATIDUM*** BYETTA 10mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 392.78 466.28 466.280000185 A10BX04 EXENATIDUM*** BYETTA 5mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 336.00 404.39 404.390000186 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 21.20 28.66 0.573200187 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 39.78 52.03 0.520300188 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 30 38.03 49.74 1.658000189 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 113.65 138.75 1.387500190 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 60 70.97 89.74 1.495666191 A11DBN1 COMBINATII** MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 20 14.97 20.23 1.011500192 A11DBN1 COMBINATII** MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 100 66.55 84.15 0.841500193 A11DBN1 COMBINATII** MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 50 35.76 46.78 0.935600194 A11DBN1 COMBINATII** MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 25 65.92 83.35 3.334000195 A11DBN1 COMBINATII** MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 13.67 18.47 3.694000196 A11DBN1 COMBINATII** MILGAMMA (R) NA SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML P-RF 5 13.67 18.47 3.694000197 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 66.55 84.15 0.841500198 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 14.97 20.23 1.011500199 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 35.76 46.78 0.935600200 FARA ATC FARA DCI Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMA FARA CONCENTRATIE FARA PRODUCATOR ROMANIA FARA FORMA AMB X 1 1.20 1.20 1.200000

H04AA01 GLUCAGONUM

1 B02BD02 FACTOR VIII DE COAGULARE** OCTANATE 1000 PULB. + SOLV. PT. SOL. INJ. 1000 UI OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 SET DE RECONSTITUIRE SI ADM. S 1 1,432.50 1,599.58 1599.580000

2 B02BD02 FACTOR VIII DE COAGULARE** FANHDI 100ui/ml PULB+SOLV.PT.SOL.INJ 1000ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL S 1 1,782.27 1,980.82 1980.820000

3 B02BD02 FACTOR VIII DE COAGULARE** HAEMOCTIN (R) SDH 1000 LIOF. + SOLV. PT. SOL. INJ. 1000UI BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SERINGA + 1 CANULA DE TRANSFER + 1 AC CU FILTRU + S 1 2,055.80 2,278.97 2278.970000

4 B02BD02 FACTOR VIII DE COAGULARE** OCTANATE 250 PULB. + SOLV. PT. SOL. INJ. 250 U.I. OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU 250 U.I. PULB. + CUTIE X 1 SET DE RECONSTITUIRE SI ADM. S 1 380.62 453.03 453.0300005 B02BD02 FACTOR VIII DE COAGULARE** HAEMOCTIN (R) SDH 250 LIOF. + SOLV. PT. SOL. INJ. 250UI BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERINGA + 1 CANULA DE TRANSFER + 1 AC CU FILTRU + 1 S 1 536.45 622.88 622.8800006 B02BD02 FACTOR VIII DE COAGULARE** FANHDI 25 ui/ml PULB+SOLV.PT.SOL.INJ 250ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL S 1 468.00 548.27 548.2700007 B02BD02 FACTOR VIII DE COAGULARE** OCTANATE 500 PULB. + SOLV. PT. SOL. INJ. 500 UI OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 500 UI PULB. + 1 SET DE RECONSTITUIRE SI ADM. S 1 731.25 835.21 835.2100008 B02BD02 FACTOR VIII DE COAGULARE** HAEMOCTIN (R) SDH 500 LIOF. + SOLV. PT. SOL. INJ. 500UI BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SERINGA + 1 CANULA DE TRANSFER + 1 AC CU FILTRU + S 1 1,042.90 1,174.91 1174.910000

9 B02BD02 FACTOR VIII DE COAGULARE** FANHDI 50 ui/ml PULB+SOLV.PT.SOL.INJ 500ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL S 1 906.09 1,025.79 1025.790000

10 B02BD02 MOROCTOCOG ALFA** REFACTO 1000UI PULB. + SOL. PT. SOL. INJ. 1000 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 2,464.60 2,724.56 2724.560000

11 B02BD02 MOROCTOCOG ALFA** REFACTO 2000UI PULB. + SOL. PT. SOL. INJ. 2000 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 4,899.20 5,378.28 5378.280000

12 B02BD02 MOROCTOCOG ALFA** REFACTO 250UI PULB. + SOL. PT. SOL. INJ. 250 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 638.64 734.27 734.27000013 B02BD02 MOROCTOCOG ALFA** REFACTO 500UI PULB. + SOL. PT. SOL. INJ. 500 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 1,247.32 1,397.73 1397.730000

14 B02BD02 OCTOCOG ALFA** ADVATE 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 3,063.60 3,377.47 3377.470000

15 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 2,654.95 2,932.05 2932.050000

16 B02BD02 OCTOCOG ALFA** ADVATE 1500UI PULB+SOLV.PT.SOL.INJ 1500UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 4,811.25 5,282.41 5282.410000

17 B02BD02 OCTOCOG ALFA** ADVATE 2000UI PULB+SOLV.PT.SOL.INJ. 2000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 6,405.00 7,019.60 7019.600000

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.1: HEMOFILIE SI TALASEMIE

Pagina 29 din 64

Page 136: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

18 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 5,593.51 6,135.08 6135.080000

19 B02BD02 OCTOCOG ALFA** ADVATE 250UI PULB+SOLV.PT.SOL.INJ. 250 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 788.40 897.51 897.51000020 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 725.39 828.83 828.83000021 B02BD02 OCTOCOG ALFA** ADVATE 3000UI PULB+SOLV.PT.SOL.INJ. 3000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 9,592.50 10,493.98 10493.980000

22 B02BD02 OCTOCOG ALFA** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 1,623.75 1,808.04 1808.040000

23 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 1,409.34 1,574.33 1574.330000

24 B02BD02 OCTOCOG ALFA** RECOMBINATE 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF 1 2,322.73 2,569.93 2569.930000

25 B02BD02 OCTOCOG ALFA** RECOMBINATE 250 UI PULB+SOLV. PT. SOL. INJ. 250UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF 1 602.85 695.26 695.26000026 B02BD02 OCTOCOG ALFA** RECOMBINATE 500 UI PULB+SOLV. PT. SOL. INJ. 500UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF 1 1,176.38 1,320.40 1320.400000

27 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 1000 U FEIBA LIOF. + SOLV. PT. SOL. INJ./PERF. 1000 U/20 ml BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM. S 1 2,792.50 3,081.98 3081.980000

28 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 500 U FEIBA LIOF. + SOLV. PT. SOL. INJ./PERF. 500 U/20ml BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM. S 1 1,420.53 1,586.53 1586.530000

29 B02BD04 FACTOR IX DE COAGULARE** OCTANINE F 1000 PULB. LIOF. + SOLV. 1000 UI OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. LIOF. 1000 UI + 1 FLAC. SOLVENT X 5 ML + 1 SET DE RECONSTITUIRE SI DE ADMINISTRARE S 1 1,645.00 1,831.20 1831.200000

30 B02BD04 FACTOR IX DE COAGULARE** IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMI S 1 1,601.62 1,783.92 1783.920000

31 B02BD04 FACTOR IX DE COAGULARE** OCTANINE F 250 LIOF. + SOLV. PT. SOL. PERF. 250 UI OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN S 1 496.73 579.59 579.59000032 B02BD04 FACTOR IX DE COAGULARE** OCTANINE F 500 LIOF. + SOLV. PT. SOL. PERF. 500 UI OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN S 1 837.50 951.03 951.03000033 B02BD04 FACTOR IX DE COAGULARE** IMMUNINE 600 UI PULB.+SOLV. PT. SOL. INJ./PERF. 600UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 5 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMIN S 1 900.09 1,019.25 1019.250000

34 B02BD04 NONACOG ALPHA** BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. P-RF 1 2,542.88 2,809.89 2809.890000

35 B02BD04 NONACOG ALPHA** BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. S 1 5,055.76 5,548.93 5548.930000

36 B02BD04 NONACOG ALPHA** BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. P-RF 1 719.48 822.38 822.38000037 B02BD04 NONACOG ALPHA** BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. P-RF 1 1,286.44 1,440.37 1440.370000

38 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 1000 UI LIOF. + SOLV. PT. SOL. INJ./PERF. 1000UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE S 1 1,117.82 1,256.57 1256.570000

39 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 250 UI LIOF. + SOLV. PT. SOL. INJ./PERF. 250UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE S 1 299.17 365.22 365.22000040 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 500 UI LIOF. + SOLV. PT. SOL. INJ./PERF. 500UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE S 1 573.93 663.73 663.73000041 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** HAEMATE P 500 UI LIOF. SI SOLV. PT. SOL. INJ./PERF. FARA CONCENTRATIE CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT. S 1 1,680.00 1,869.35 1869.350000

42 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** WILATE 450 U.I./400 U.I. PULB+SOLV. PT. SOL. INJ. 450U.I./400U.I. OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S S 1 1,005.38 1,134.01 1134.010000

43 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** WILATE 900 U.I./800 U.I. PULB+SOLV. PT. SOL. INJ. 900U.I./800U.I. OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S S 1 1,980.00 2,196.35 2196.350000

44 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 5,482.75 6,014.35 6014.350000

45 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 13,924.31 15,215.65 15215.650000

46 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 2,756.38 3,042.60 3042.600000

47 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. S/P-RF 10 110.37 134.74 13.47400048 V03AC03 DEFERASIROXUM**** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 685.99 785.88 28.06714249 V03AC03 DEFERASIROXUM**** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1,458.00 1,627.37 58.12035750 V03AC03 DEFERASIROXUM**** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 2,653.95 2,930.96 104.677142

1 D05BB02 ACITRETINUM NEOTIGASON 10 mg CAPS. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 30 58.98 74.57 2.4856662 D06AA04 TETRACYCLINUM TETRACICLINA CLORHIDRAT UNGUENT 3% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 12 G P-RF 1 4.85 6.55 6.5500003 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 11.21 15.15 15.1500004 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 11.21 15.15 15.1500005 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA BORCAN X 500 G CREMA X 1 138.79 169.44 169.4400006 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 16.04 21.68 21.6800007 D07CC01 COMBINATII DIPROGENTA (R) UNGUENT 0,5mg/1mg pe gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 9.23 12.48 12.480000

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.2: EPIDERMOLIZA BULOASA

Pagina 30 din 64

Page 137: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

8 D07CC01 COMBINATII DIPROGENTA (R) CREMA 0,5mg/1mg pe gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 9.23 12.48 12.4800009 D07CC01 COMBINATII BELOGENT CREMA FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 15 G CREMA P-RF 1 8.09 10.94 10.940000

10 D07CC01 COMBINATII BELOGENT UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 8.09 10.94 10.94000011 D07CC01 COMBINATII BELOGENT CREMA FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 30 G CREMA P-RF 1 9.26 12.51 12.51000012 D07CC01 COMBINATII BELOGENT UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-RF 1 9.26 12.51 12.51000013 D07CC01 COMBINATII TRIDERM UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 11.24 15.19 15.19000014 D07CC01 COMBINATII TRIDERM (R) CREMA FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB AL X 15 G P-RF 1 11.24 15.19 15.19000015 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 17.59 23.77 23.77000016 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.35 3.17 0.15850017 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. X 10 CAPS. P-RF/S 1000 110.68 135.12 0.13512018 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.02 2.73 0.13650019 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.23 3.02 0.15100020 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.21 2.99 0.14950021 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S 500 52.09 65.86 0.13172022 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.05 2.77 0.13850023 N03AB02 PHENYTOINUM PHENHYDAN (R)SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA CUTIE X 5 FIOLE X 5ML P-RF 5 53.44 67.57 13.514000

J01XC01 ACIDUM FUSIDICUM

1 C02KX01 BOSENTANUM** TRACLEER 125 mg COMPR. FILM. 125mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R 56 9,507.49 10,401.33 185.7380352 C02KX01 BOSENTANUM** TRACLEER 62,5 mg COMPR. FILM. 62,5mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R 56 9,179.13 10,043.42 179.3467853 G04BE03 SILDENAFILUM** REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. P-RF/R 90 1,869.20 2,075.58 23.062000

1 A09AA02 PANCREATINUM** KREON 10000 CAPS. GASTROREZ. 150mg SOLVAY PHARMACEUTICALS BV GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC 20 21.60 21.60 1.0800002 A09AA02 PANCREATINUM** KREON 25000 CAPS. GASTROREZ. 300mg SOLVAY PHARMACEUTICALS BV GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC 20 33.00 33.00 1.6500003 A09AA02 PANCREATINUM** MEZYM FORTE 25000 CAPS. CU MINI-COMPR. GASTROREZ. 356,100mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ. OTC 20 42.40 42.40 2.1200004 A09AA02 PANCREATINUM** KREON 40000 CAPS. GASTROREZ. 400mg SOLVAY PHARMACEUTICALS BV GERMANIA FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L 50 110.91 135.40 2.7080005 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 29.85 39.05 39.0500006 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 18.07 24.42 24.4200007 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF 1 17.19 23.24 23.2400008 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 19.35 26.15 26.1500009 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 23.33 31.53 31.530000

10 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.99 18.91 18.91000011 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 21.08 28.49 2.03500012 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 23.79 32.16 2.29714213 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 16.97 22.93 1.14650014 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 12.31 16.64 1.18857115 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.04571416 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.045714

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.3: HIPERTENSIUNE PULMONARA

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.4: MUCOVISCIDOZA

Pagina 31 din 64

Page 138: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

17 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 12.31 16.64 1.18857118 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.83 14.64 1.04571419 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 46.93 61.39 61.39000020 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 34.21 44.75 44.75000021 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 38.97 50.97 50.97000022 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 23.38 31.60 31.60000023 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 28.94 37.86 2.70428524 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 27.78 36.34 7.26800025 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 24.08 32.54 2.32428526 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.28714227 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF 5 13.57 18.34 3.66800028 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF 7 18.99 25.67 3.66714229 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 20.74 28.03 4.00428530 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 33.84 44.26 2.21300031 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.28714232 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 26.85 35.12 5.01714233 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 24.08 32.54 2.32428534 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 33.06 43.24 2.16200035 J01FA09 CLARITHROMYCINUM CLARITROMICINA LPH 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.69 32.02 2.28714236 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF 1 41.03 53.67 53.67000037 J01GB01 TOBRAMYCINUM** TOBI (R) SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N P-RF 28 8,093.09 8,859.63 316.41535738 R05CB13 DORNAZA ALFA** PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL S/P-RF 6 550.37 638.05 106.341666

1 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,765.85 1,962.93 1962.930000

2 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,905.00 2,114.60 2114.600000

3 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 190.36 232.39 232.3900004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,501.72 3,855.02 3855.020000

5 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 397.50 471.43 471.4300006 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 476.25 557.26 557.2600007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 463.96 543.87 543.8700008 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 765.00 872.00 872.0000009 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 922.50 1,043.68 1043.680000

10 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 897.93 1,016.89 1016.890000

11 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.96 126.39 126.39000012 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,530.00 8,245.85 8245.850000

13 N07XX02 RILUZOLUM** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. P-RF/R 56 882.76 1,000.36 17.863571

1 M05BA03 ACIDUM PAMIDRONICUM AREDIA (R) 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV. S/P-RF 4 594.52 686.18 171.545000

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATORII

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.6: OSTEOGENEZA IMPERFECTA

Pagina 32 din 64

Page 139: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

2 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML S/P-RF 1 110.48 134.87 134.8700003 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML S/P-RF 1 185.36 226.29 226.2900004 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 152.52 186.20 186.2000005 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML S/P-RF 1 361.08 431.73 431.7300006 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 237.26 289.65 289.6500007 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML S/P-RF 1 528.74 614.48 614.480000

1 H01AC01 SOMATROPINUM** OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 666.01 764.10 764.1000002 H01AC01 SOMATROPINUM** NORDITROPIN FLEXPRO 10 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 10mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 1,545.50 1,722.75 1722.750000

3 H01AC01 SOMATROPINUM** NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF 1 1,173.98 1,317.79 1317.790000

4 H01AC01 SOMATROPINUM** ZOMACTON LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) FERING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF 1 392.10 465.54 465.5400005 H01AC01 SOMATROPINUM** GENOTROPIN (R) 16 ui (5,3 mg) PULB. + SOLV. PT. SOL. INJ. 5,3mg/ml (16ui) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF 1 473.71 554.49 554.4900006 H01AC01 SOMATROPINUM** OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 408.26 483.15 483.1500007 H01AC01 SOMATROPINUM** NORDITROPIN FLEXPRO 5 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 5mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 787.75 896.80 896.800000

1 A16AB04 AGALSIDASUM BETA** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 13,764.95 15,041.97 15041.970000

1 A16AB07 ALGLUCOSIDASUM ALPHA** MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. S 1 2,259.46 2,500.97 2500.970000

1 A16AX04 NITISINONUM ORFADIN 10mg CAPS. 10mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 12,772.94 13,960.67 232.6778332 A16AX04 NITISINONUM ORFADIN 2mg CAPS. 2mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 3,513.86 3,868.26 64.4710003 A16AX04 NITISINONUM ORFADIN 5mg CAPS. 5mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 6,997.72 7,665.68 127.761333

1 B01AD10 DROTRECOGINUM ALFA** XIGRIS 5mg PULB. PT. SOL. PERF. 5mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. X 5 MG PULB. PT. SOL. PERF. S 1 677.08 776.17 776.170000

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.7: SINDROM PRADER WILLI

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.8: BOALA FABRY

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.9: BOALA POMPE

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.10: TIROZINEMIE

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.11: SEPSIS SEVER

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

Pagina 33 din 64

Page 140: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

1 A11CC02 DIHYDROTACHYSTEROLUM A.T. 10 (R) PICATURI ORALE-SOL. 1mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML P-6L 1 19.18 25.93 25.9300002 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 25.65 33.55 0.6710003 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 23.17 31.32 1.0440004 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 60.74 76.80 0.7680005 G03CA03 ESTRADIOLUM OESTROGEL (R) GEL 0,06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G P-6L 1 12.25 16.56 16.5600006 G03CA03 ESTRADIOLUM ESTREVA (R) GEL 0,1% LAB. THERAMEX MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G P-6L 1 21.71 29.34 29.3400007 G03CA03 ESTRADIOLUM CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 25.42 33.25 8.3125008 G03DC05 TIBOLONUM LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 57.46 72.65 2.5946429 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 28 56.17 71.02 2.536428

10 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 84 147.73 180.35 2.14702311 G03FA15 ESTRADIOLUMVALERAT+DIENOGEST KLIMODIEN DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. P-RF 28 26.09 34.12 1.21857112 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 98.61 124.68 4.45285713 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 3,057.85 3,371.21 1685.605000

14 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 24.08 32.54 0.65080015 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 21.88 29.57 1.47850016 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 4.82 6.52 0.21733317 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 6.50 8.78 8.78000018 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 15.11 20.42 20.42000019 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 22.89 30.94 30.94000020 H03AA01 LEVOTHYROXINUM THYRO - 4 0,1 mg COMPR. 0,1mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-6L 100 5.62 7.60 0.07600021 H03AA01 LEVOTHYROXINUM THYRO - 4 0,2 mg COMPR. 0,2mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-6L 100 7.02 9.49 0.09490022 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.63 11.66 0.11660023 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 9.21 12.45 0.12450024 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 17.83 24.10 0.24100025 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 7.02 9.49 0.09490026 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 6.11 8.26 0.08260027 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 6.20 8.38 0.08380028 H03AAN1 LEVOTIROXINUM+KALII IODIDUM JODTHYROX (R) 100/130,8 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 2 BLIST. PP/AL X 25 COMPR. P-6L 50 10.90 14.73 0.29460029 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 12.45 16.83 0.16830030 H03BB02 THIAMAZOLUM THYROZOL (R) 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 15.51 20.96 0.41920031 H03BB02 THIAMAZOLUM THYROZOL (R) 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 18.84 25.47 0.50940032 H03BB02 THIAMAZOLUM THYROZOL (R) 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 22.78 30.79 0.30790033 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 9.11 12.31 0.12310034 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 9.11 12.31 0.12310035 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 14.19 19.18 0.19180036 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 14.19 19.18 0.19180037 H05AA02 TERIPARATIDUM** FORSTEO 20µg/80µg SOL. INJ. 20µg/80µl ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 ΜG/80ΜL) P-RF 1 1,470.23 1,640.70 1640.700000

38 H05BA01 CALCITONINUM (SOMON) NYLEX 100 UI/doza SPRAY NAZ.,SOL. 100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL. P-RF 1 36.88 48.24 48.24000039 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SPRAY NAZAL - SOL. 200UI/doza PROEL E.P. CORONIS SA GRECIA CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML P-RF 1 56.25 71.12 71.12000040 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 23.88 32.28 6.45600041 H05BA01 CALCITONINUM (SOMON) TONOCALCIN 100 UI SOL. INJ. 100UI ALFA WASSERMANN SPA ITALIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 53.59 67.76 13.55200042 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 26.29 34.39 6.87800043 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 36.81 48.15 1.71964244 M05BA04 ACIDUM ALENDRONICUM** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L 2 28.32 37.04 18.520000

Pagina 34 din 64

Page 141: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

45 M05BA04 ACIDUM ALENDRONICUM** ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 9.46 12.79 6.39500046 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 36.81 48.15 12.03750047 M05BA04 ACIDUM ALENDRONICUM** RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 36.35 47.54 11.88500048 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 107.81 131.62 10.96833349 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 18.40 24.87 12.43500050 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L 4 18.24 24.65 6.16250051 M05BA04 ACIDUM ALENDRONICUM** TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 36.81 48.15 12.03750052 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 18.28 24.71 12.35500053 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 36.58 47.85 11.96250054 M05BA04 ACIDUM ALENDRONICUM** INSTREL 70 mg COMPR. 70mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF 4 36.35 47.54 11.88500055 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 105.68 129.02 129.02000056 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S 28 961.89 1,086.61 38.80750057 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 353.75 423.74 423.74000058 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S 1 899.32 1,018.41 1018.410000

59 M05BA07 ACIDUM RISEDRONICUM** RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 64.66 81.75 20.43750060 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 66.48 84.06 21.01500061 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L 4 57.24 72.38 18.09500062 M05BA07 ACIDUM RISEDRONICUM** ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-6L 4 88.07 111.35 27.83750063 M05BA07 ACIDUM RISEDRONICUM** LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 27.84 36.41 9.10250064 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 35 mg COMPR. FILM. 35mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L 4 57.24 72.38 18.09500065 M05BA07 ACIDUM RISEDRONICUM** OSTEORON 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 57.24 72.38 18.09500066 M05BA07 ACIDUM RISEDRONICUM** OSODENS 35 mg COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 57.24 72.38 18.09500067 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 57.24 72.38 2.58500068 M05BA07 ACIDUM RISEDRONICUM** ACTONEL 75 mg COMPR. FILM. 75mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L 2 104.72 127.84 63.92000069 M05BA08 ACIDUM ZOLEDRONICUM** ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV. S 1 1,095.93 1,232.72 1232.720000

70 M05BA08 ACIDUM ZOLEDRONICUM** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. S 1 1,396.48 1,560.32 1560.320000

71 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 70.90 89.64 22.41000072 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 36.08 47.19 23.59500073 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 36.08 47.19 23.59500074 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 70.90 89.64 22.41000075 M05BX03 STRONTIUM RANELATUM OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 14 82.63 104.48 7.46285776 M05BX03 STRONTIUM RANELATUM OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 28 142.68 174.18 6.220714

V09FX03 NATRIIIODIUM (131I)V10XA01 NATRIIIODIUM (131I)

1 A04AA01 ONDANSETRONUM** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 14.06 19.00 1.9000002 A04AA01 ONDANSETRONUM** ZOFRAN 4 mg COMPR. FILM. 4mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. P-RF 10 52.35 66.19 6.6190003 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN POLIAMIDA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 14.15 19.12 1.9120004 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE P-RF 10 14.15 19.12 1.9120005 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 24.59 33.24 3.3240006 A04AA01 ONDANSETRONUM** ONDARAN MD 8 mg COMPR. ORODISPERSABILE 8mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FOLE PA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 24.77 33.48 3.348000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.1: TRANSPLANT MEDULAR

Pagina 35 din 64

Page 142: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

7 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 17.56 23.73 4.7460008 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF 5 17.56 23.74 4.7480009 A04AA01 ONDANSETRONUM** ZOFRAN 4mg/2ml SOL. INJ. 4mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 111.72 136.39 27.278000

10 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 33.38 43.66 8.73200011 A04AA01 ONDANSETRONUM** EMESET 8 mg/4 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF 5 33.37 43.65 8.73000012 A04AA01 ONDANSETRONUM** ZOFRAN 8mg/4ml SOL. INJ. 8mg/4ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ. S/P-RF 5 143.88 175.65 35.13000013 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.32 54.05 0.90083314 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 98.05 123.98 1.23980015 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.41 71.32 1.42640016 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.26 68.61 1.37220017 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.37 35.80 1.79000018 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 66.64 84.26 8.42600019 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 80.01 101.17 20.23400020 B02AA02 ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 9.45 12.77 2.55400021 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 5,482.75 6,014.35 6014.350000

22 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 13,924.31 15,215.65 15215.650000

23 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 2,756.38 3,042.60 3042.600000

24 B03XA01 EPOETINUM ALFA BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,547.25 1,724.65 287.44166625 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 178.50 217.91 36.31833326 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 354.91 425.00 70.83333327 B03XA01 EPOETINUM ALFA BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 686.60 786.55 786.55000028 B03XA01 EPOETINUM ALFA EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 659.85 757.39 126.23166629 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 517.73 602.48 100.41333330 B03XA01 EPOETINUM ALFA EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,203.96 1,350.47 1350.470000

31 B03XA01 EPOETINUM ALFA BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 875.33 992.26 992.26000032 B03XA01 EPOETINUM ALFA EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1,203.96 1,350.47 1350.470000

33 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 680.51 779.91 129.98500034 B03XA01 EPOETINUM ALFA BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 843.24 957.28 159.54666635 B03XA01 EPOETINUM BETA NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,112.92 2,341.24 390.20666636 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 228.74 279.25 46.54166637 B03XA01 EPOETINUM BETA NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 446.84 525.21 87.53500038 B03XA01 EPOETINUM BETA NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,040.18 1,171.95 1171.950000

39 B03XA01 EPOETINUM BETA NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 863.09 978.92 163.15333340 B03XA01 EPOETINUM BETA NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,071.08 1,205.63 200.93833341 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 117.62 143.59 23.93166642 J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM TIMENTIN 3,2 g PULB. PT. SOL. INJ./PERF. 3,2g BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 212.11 258.95 25.89500043 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 400.26 474.43 39.53583344 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.28 27.41 27.41000045 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.60 125.94 25.18800046 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 195.64 238.84 23.88400047 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.55 53.04 53.04000048 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 195.64 238.84 47.76800049 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 385.73 458.60 45.86000050 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.910000

Pagina 36 din 64

Page 143: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

51 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000052 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000053 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 264.66 323.10 26.92500054 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000055 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 264.79 323.26 26.93833356 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 691.34 791.71 65.97583357 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.83 53.41 53.41000058 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.99 240.48 48.09600059 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 388.17 461.26 46.12600060 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.85 53.43 53.43000061 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000062 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000063 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416664 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000065 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416666 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 1,028.33 1,159.03 115.90300067 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 538.41 625.02 62.50200068 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTAN TEVA 250 mg/250mg PULB. PT. SUSP. PERF. 250mg/250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 145.91 178.13 17.81300069 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 444.48 522.63 52.26300070 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,066.20 1,200.31 48.01240071 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 145.91 178.13 35.62600072 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.62800073 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 145.91 178.13 35.62600074 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.62800075 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 296.27 361.69 36.16900076 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTAN TEVA 500 mg/500mg PULB. PT. SUSP. PERF. 500mg/500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.62800077 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ. S/P-RF 1 56.76 71.77 71.77000078 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 48.45 63.37 63.37000079 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 500 MG LIOF. PT. SOL. PERF./INJ. S/P-RF 1 39.19 51.26 51.26000080 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 24.22 32.74 32.74000081 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 117.89 143.92 143.92000082 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 877.37 994.48 994.48000083 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,599.57 1,781.68 178.16800084 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,599.57 1,781.68 178.16800085 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.19 235.85 8.42321486 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.90 25.55 6.38750087 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.07 43.26 6.18000088 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.22 82.46 5.15375089 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 6.96 9.41 4.70500090 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 23.25 31.43 4.49000091 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.62 22.47 22.47000092 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.13 62.96 15.74000093 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 24.07 32.53 16.26500094 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.33 9.91 9.910000

Pagina 37 din 64

Page 144: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

95 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.51 25.02 25.02000096 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.93 18.83 18.83000097 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.77 14.55 14.55000098 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.79 9.18 9.18000099 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 23.62 31.93 10.643333

100 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.25 12.50 12.500000101 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.580000102 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.15 9.66 9.660000103 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.05 8.18 8.180000104 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.580000105 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.67 9.01 9.010000106 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.67 9.01 9.010000107 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.910000108 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.910000109 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 30.03 39.28 5.611428110 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 43.13 56.41 56.410000111 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.07 61.57 8.795714112 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.65 22.51 3.215714113 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 43.13 56.41 8.058571114 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.86 29.54 4.220000115 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 31.98 41.83 5.975714116 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.06 19.00 2.375000117 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.84 25.47 2.547000118 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 12.31 16.64 2.377142119 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.54 19.65 2.807142120 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.46 19.54 2.791428121 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.93 16.12 2.302857122 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.64 15.73 2.247142123 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.12 19.08 2.725714124 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.65 22.51 3.215714125 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.92 40.44 40.440000126 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 30.47 39.86 39.860000127 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.47 222.76 22.276000128 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 361.77 432.48 21.624000129 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 34.95 45.72 45.720000130 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 42.55 55.66 55.660000131 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 453.60 532.57 53.257000132 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 794.59 904.25 45.212500133 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.53 53.01 53.010000134 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 132.87 162.21 162.210000135 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 137.11 167.39 167.390000136 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 768.92 876.27 87.627000137 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.596428138 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

Pagina 38 din 64

Page 145: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

139 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.788214140 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.360000141 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,694.20 2,974.83 2974.830000

142 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,199.64 1,345.76 1345.760000

143 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,556.55 1,734.79 1734.790000

144 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.65 17.10 0.855000145 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500146 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.71 17.18 0.859000147 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.13 16.39 0.819500148 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 10.18 13.76 0.688000149 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 2.76 3.73 0.373000150 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.93 20.18 1.009000151 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.81 21.37 1.068500152 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 702.56 803.94 0.803940153 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.60 12.97 0.648500154 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500155 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 14.19 19.18 1.918000156 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 43.61 57.04 1.629714157 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.38 19.43 1.943000158 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 231.25 282.31 56.462000159 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 79.41 100.40 10.040000160 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.776000161 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,765.85 1,962.93 1962.930000

162 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,905.00 2,114.60 2114.600000

163 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 190.36 232.39 232.390000164 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,501.72 3,855.02 3855.020000

165 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 397.50 471.43 471.430000166 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 476.25 557.26 557.260000167 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 463.96 543.87 543.870000168 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 765.00 872.00 872.000000169 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 922.50 1,043.68 1043.680000

170 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 897.93 1,016.89 1016.890000

171 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.96 126.39 126.390000172 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,530.00 8,245.85 8245.850000

173 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 19.29 26.07 0.521400174 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 11.73 15.86 15.860000175 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 6.89 9.31 0.372400176 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 92.45 116.89 116.890000177 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 11.58 15.65 0.626000178 L01BA01 METHOTREXATUM METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 16.86 22.79 1.139500179 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 70.74 89.44 89.440000180 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 86.43 109.28 109.280000181 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 101.49 123.90 123.900000182 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 332.01 400.04 400.040000

Pagina 39 din 64

Page 146: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

183 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 197.01 240.51 48.102000184 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 9.84 13.30 13.300000185 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 17.59 23.77 2.377000186 L01BB05 FLUDARABINUM FLUDARA ORAL 10 mg COMPR. FILM. 10mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 1,676.31 1,865.33 93.266500187 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S 5 2,410.00 2,665.05 533.010000188 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 339.40 408.10 408.100000189 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF 10 310.63 376.74 37.674000190 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF 20 307.84 373.70 18.685000191 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 38.95 50.95 50.950000192 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 32.75 42.84 42.840000193 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 31.89 41.71 41.710000194 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S 1 60.93 77.04 77.040000195 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 202.85 247.64 247.640000196 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 143.01 174.59 174.590000197 L01DB07 MITOXANTRONUM** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S 1 554.24 642.27 642.270000198 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S 1 9.15 12.37 12.370000199 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S 1 7.73 10.45 10.450000200 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML S 1 8.87 11.99 11.990000201 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S 1 22.00 29.74 29.740000202 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S 1 31.50 41.20 41.200000203 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S 1 24.35 32.91 32.910000204 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S 1 62.36 78.85 78.850000205 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S 1 47.33 61.91 61.910000206 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S 1 49.89 65.25 65.250000207 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S 1 177.65 216.88 216.880000208 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S 1 132.49 161.75 161.750000209 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S 1 132.72 162.03 162.030000210 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S 1 21.81 29.48 29.480000211 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 18.00 24.33 24.330000212 L01XC02 RITUXIMABUM** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 2,216.41 2,454.04 1227.020000

213 L01XC02 RITUXIMABUM** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 5,496.18 6,028.99 6028.990000

214 L01XC04 ALEMTUZUMABUM** MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML S 3 4,912.14 5,392.39 1797.463333

215 L01XC04 ALEMTUZUMABUM** MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML S 3 4,911.76 5,391.97 1797.323333

216 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 417.54 493.27 98.654000217 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 266.43 325.26 325.260000218 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 213.65 260.83 260.830000219 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 161.71 197.42 197.420000220 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 998.84 1,126.89 225.378000221 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.62 512.98 512.980000222 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.13 425.24 425.240000223 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.30 317.78 317.780000224 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,652.47 1,839.35 367.870000225 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 556.41 644.64 5.372000226 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 451.87 530.69 5.306900

Pagina 40 din 64

Page 147: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

227 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 1,039.55 1,171.26 9.760500228 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 451.87 530.69 10.613800229 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.19 356.71 7.134200230 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 301.60 366.89 3.668900231 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.19 356.71 3.567100232 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 301.60 366.89 7.337800233 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 298.03 363.84 7.276800234 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 301.60 366.89 7.337800235 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 488.21 570.30 19.010000236 L04AB01 ETANERCEPTUM** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2,047.58 2,270.02 567.505000237 L04AB01 ETANERCEPTUM** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2,042.84 2,264.85 566.212500238 L04AB01 ETANERCEPTUM** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,042.84 2,264.85 566.212500239 L04AB01 ETANERCEPTUM** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4,143.99 4,555.11 1138.777500

240 L04AB01 ETANERCEPTUM** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,055.68 4,458.85 1114.712500

241 L04AB01 ETANERCEPTUM** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,055.68 4,458.85 1114.712500

242 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 396.53 470.37 9.407400243 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 357.25 427.55 427.550000244 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.22 137.00 2.740000245 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 74.26 93.90 1.878000246 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 112.35 137.16 2.743200247 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 238.75 291.47 5.829400248 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 155.18 189.45 3.789000249 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 249.41 304.48 6.089600250 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204.43 249.57 4.991400251 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 204.91 250.15 5.003000252 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.19 162.60 3.252000253 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 401.66 475.96 9.519200254 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 362.95 433.77 8.675400255 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.06 290.63 5.812600256 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,861.28 2,066.95 41.339000257 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,711.22 1,903.38 38.067600258 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,541.64 1,718.54 171.854000259 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 13.97 18.88 0.629333260 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 4.65 6.29 0.629000261 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 24.03 32.48 0.649600262 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 4.65 6.29 0.629000263 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 13.95 18.86 0.628666264 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 7.16 9.68 0.968000265 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 5.47 7.40 1.480000266 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 30.15 39.43 1.314333267 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 12.84 17.35 1.735000268 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 24.72 33.41 1.670500269 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 36.15 47.28 1.576000270 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 56.52 71.47 1.429400

Pagina 41 din 64

Page 148: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

271 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 5.72 7.73 7.730000272 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 3.71 5.02 5.020000273 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 79.25 100.21 100.210000274 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 9.30 12.57 12.570000275 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 16.25 21.97 2.197000276 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 24.77 33.48 1.116000277 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 15.54 21.00 2.100000278 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 31.70 41.47 1.382333279 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 19.25 26.02 2.602000280 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 37.06 48.48 2.424000281 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.22 68.55 2.285000282 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 84.78 107.20 2.144000283 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 20.80 28.12 2.812000284 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 20.30 27.44 2.744000285 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 40.57 53.07 1.769000286 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 14.83 20.05 2.005000287 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 39.53 51.71 1.723666288 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 24.03 32.48 3.248000289 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 44.57 58.30 2.915000290 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 61.64 77.94 2.598000291 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 95.79 121.12 2.422400292 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 20.61 27.86 2.786000293 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 60.34 76.29 2.543000294 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.72 11.79 0.589500295 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 5.82 0.291000296 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 5.82 0.291000297 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 8.50 11.49 0.383000298 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.84 3.84 0.384000299 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.84 3.84 0.384000300 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 7.66 0.383000301 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000302 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2.84 3.84 0.384000303 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 7.86 10.62 0.354000304 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000305 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 7.66 0.383000306 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000307 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.82 3.81 0.381000308 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.64 8.97 0.448500309 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000310 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 7.27 9.82 1.964000311 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.67 13.07 2.614000312 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 111.95 136.67 1.366700313 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 9.06 12.25 2.450000314 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 5.67 7.66 1.532000

Pagina 42 din 64

Page 149: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

315 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 5.59 7.55 1.510000316 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.64 4.92 0.984000317 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 8.48 11.46 2.292000318 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.61 4.88 0.976000319 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 4.11 5.56 1.112000320 R05CB13 DORNAZA ALFA** PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL S/P-RF 6 550.37 638.05 106.341666321 V03AC03 DEFERASIROXUM** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 685.99 785.88 28.067142322 V03AC03 DEFERASIROXUM** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1,458.00 1,627.37 58.120357323 V03AC03 DEFERASIROXUM** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 2,653.95 2,930.96 104.677142324 V03AF01 MESNUM UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML S 15 44.77 58.56 3.904000

L04AA04

1 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 66.64 84.26 8.4260002 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 80.01 101.17 20.2340003 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 113.30 138.32 1.3832004 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 400.26 474.43 39.5358335 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.28 27.41 27.4100006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.60 125.94 25.1880007 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 195.64 238.84 23.8840008 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.55 53.04 53.0400009 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 195.64 238.84 47.768000

10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 385.73 458.60 45.86000011 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000012 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000013 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000014 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 264.66 323.10 26.92500015 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000016 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 264.79 323.26 26.93833317 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 691.34 791.71 65.97583318 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.83 53.41 53.41000019 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.99 240.48 48.09600020 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 388.17 461.26 46.12600021 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.85 53.43 53.43000022 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000023 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000024 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416625 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000026 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416627 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 154.13 188.16 18.81600028 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 7.02 9.49 9.49000029 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 256.90 313.62 31.36200030 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF 1 20.02 27.06 27.060000

IMUNOGLOBULINA ANTILIMFOCITE UMANE

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.2: TRANSPLANT DE CORD

Pagina 43 din 64

Page 150: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

31 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 11.58 15.65 15.65000032 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3.86 5.22 5.22000033 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTAN TEVA 250 mg/250mg PULB. PT. SUSP. PERF. 250mg/250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 145.91 178.13 17.81300034 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 444.48 522.63 52.26300035 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,066.20 1,200.31 48.01240036 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 145.91 178.13 35.62600037 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.62800038 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 145.91 178.13 35.62600039 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.62800040 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 296.27 361.69 36.16900041 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTAN TEVA 500 mg/500mg PULB. PT. SUSP. PERF. 500mg/500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 291.84 356.28 35.62800042 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 877.37 994.48 994.48000043 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,599.57 1,781.68 178.16800044 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,599.57 1,781.68 178.16800045 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.19 235.85 8.42321446 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.90 25.55 6.38750047 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.07 43.26 6.18000048 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.22 82.46 5.15375049 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 6.96 9.41 4.70500050 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 23.25 31.43 4.49000051 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.62 22.47 22.47000052 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.13 62.96 15.74000053 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 24.07 32.53 16.26500054 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.33 9.91 9.91000055 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.51 25.02 25.02000056 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.93 18.83 18.83000057 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.77 14.55 14.55000058 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.79 9.18 9.18000059 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 23.62 31.93 10.64333360 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.25 12.50 12.50000061 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000062 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.15 9.66 9.66000063 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.05 8.18 8.18000064 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000065 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.67 9.01 9.01000066 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.67 9.01 9.01000067 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.91000068 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.91000069 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 30.03 39.28 5.61142870 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 43.13 56.41 56.41000071 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.07 61.57 8.79571472 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.65 22.51 3.21571473 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 43.13 56.41 8.05857174 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.86 29.54 4.220000

Pagina 44 din 64

Page 151: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

75 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 31.98 41.83 5.97571476 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.06 19.00 2.37500077 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.84 25.47 2.54700078 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 12.31 16.64 2.37714279 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.54 19.65 2.80714280 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.46 19.54 2.79142881 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.93 16.12 2.30285782 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.64 15.73 2.24714283 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.12 19.08 2.72571484 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.65 22.51 3.21571485 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.92 40.44 40.44000086 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 30.47 39.86 39.86000087 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.47 222.76 22.27600088 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 361.77 432.48 21.62400089 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 34.95 45.72 45.72000090 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 42.55 55.66 55.66000091 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 453.60 532.57 53.25700092 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 794.59 904.25 45.21250093 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.53 53.01 53.01000094 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 132.87 162.21 162.21000095 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 137.11 167.39 167.39000096 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 768.92 876.27 87.62700097 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.59642898 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

99 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.788214100 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.360000101 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.776000102 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 556.41 644.64 5.372000103 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 451.87 530.69 5.306900104 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 1,039.55 1,171.26 9.760500105 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 451.87 530.69 10.613800106 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.19 356.71 7.134200107 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 301.60 366.89 3.668900108 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.19 356.71 3.567100109 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 301.60 366.89 7.337800110 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 298.03 363.84 7.276800111 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 301.60 366.89 7.337800112 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 396.53 470.37 9.407400113 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 357.25 427.55 427.550000114 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.22 137.00 2.740000115 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 74.26 93.90 1.878000116 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 112.35 137.16 2.743200117 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 238.75 291.47 5.829400118 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 155.18 189.45 3.789000

Pagina 45 din 64

Page 152: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

119 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 249.41 304.48 6.089600120 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204.43 249.57 4.991400121 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 204.91 250.15 5.003000122 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.19 162.60 3.252000123 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 401.66 475.96 9.519200124 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 362.95 433.77 8.675400125 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.06 290.63 5.812600126 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,861.28 2,066.95 41.339000127 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,711.22 1,903.38 38.067600128 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,541.64 1,718.54 171.854000

B05AA06 POLYGELINUML04AA04

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.32 54.05 0.9008332 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 98.05 123.98 1.2398003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.41 71.32 1.4264004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.26 68.61 1.3722005 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.37 35.80 1.7900006 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 57.55 72.76 7.2760007 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 118.14 144.23 14.4230008 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 153.54 187.44 18.7440009 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 39.81 52.07 26.035000

10 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 66.64 84.26 8.42600011 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 80.01 101.17 20.23400012 B01AC11 ILOPROSTUM** VENTAVIS 10mcg/ml SOL. DE INHALAT PRIN NEBULIZ. 10mcg/ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ. S 30 1,942.50 2,155.48 71.84933313 B01AC11 ILOPROSTUM** ILOMEDIN 20 CONC. PT. SOL. PERF. 20mcg/ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ. S/P-RF 5 762.93 869.75 173.95000014 B01AD02 ALTEPLASUM** ACTILYSE PULB+SOLV. PT. SOL. INJ 50mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER S 1 1,487.46 1,659.48 1659.480000

15 B02AA02 ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 9.45 12.77 2.55400016 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 5,482.75 6,014.35 6014.350000

17 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 13,924.31 15,215.65 15215.650000

18 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 2,756.38 3,042.60 3042.600000

19 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 15.62 21.11 1.05550020 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg TEVA PHARMACEUTICAL S.R.L. UNGARIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 105.01 128.20 4.27333321 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg FERRING GMBH GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 159.61 194.85 6.49500022 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 159.59 194.83 6.49433323 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 81.45 102.98 3.43266624 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 400.26 474.43 39.53583325 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.28 27.41 27.41000026 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.60 125.94 25.18800027 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 195.64 238.84 23.88400028 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.55 53.04 53.040000

IMUNOGLOBULINA ANTILIMFOCITE UMANE**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.3: TRANSPLANT HEPATIC

Pagina 46 din 64

Page 153: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

29 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 195.64 238.84 47.76800030 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 385.73 458.60 45.86000031 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000032 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000033 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000034 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 264.66 323.10 26.92500035 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000036 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 264.79 323.26 26.93833337 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 691.34 791.71 65.97583338 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.83 53.41 53.41000039 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.99 240.48 48.09600040 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 388.17 461.26 46.12600041 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.85 53.43 53.43000042 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000043 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000044 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416645 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000046 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416647 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 877.37 994.48 994.48000048 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,599.57 1,781.68 178.16800049 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,599.57 1,781.68 178.16800050 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.59642851 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

52 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.78821453 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.36000054 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,199.64 1,345.76 1345.760000

55 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,556.55 1,734.79 1734.790000

56 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.77600057 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) P-RF/S 1 7,255.00 7,946.10 7946.100000

58 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 417.54 493.27 98.65400059 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 266.43 325.26 325.26000060 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 213.65 260.83 260.83000061 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 161.71 197.42 197.42000062 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 998.84 1,126.89 225.37800063 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.62 512.98 512.98000064 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.13 425.24 425.24000065 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.30 317.78 317.78000066 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,652.47 1,839.35 367.87000067 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 556.41 644.64 5.37200068 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 451.87 530.69 5.30690069 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 1,039.55 1,171.26 9.76050070 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 451.87 530.69 10.61380071 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.19 356.71 7.13420072 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 301.60 366.89 3.668900

Pagina 47 din 64

Page 154: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

73 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.19 356.71 3.56710074 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 301.60 366.89 7.33780075 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 298.03 363.84 7.27680076 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 301.60 366.89 7.33780077 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 488.21 570.30 19.01000078 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 396.53 470.37 9.40740079 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 357.25 427.55 427.55000080 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.22 137.00 2.74000081 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 74.26 93.90 1.87800082 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 112.35 137.16 2.74320083 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 238.75 291.47 5.82940084 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 155.18 189.45 3.78900085 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 249.41 304.48 6.08960086 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204.43 249.57 4.99140087 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 204.91 250.15 5.00300088 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.19 162.60 3.25200089 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 401.66 475.96 9.51920090 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 362.95 433.77 8.67540091 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.06 290.63 5.81260092 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,861.28 2,066.95 41.33900093 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,711.22 1,903.38 38.06760094 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,541.64 1,718.54 171.854000

J06BB04

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.32 54.05 0.9008332 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 98.05 123.98 1.2398003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.41 71.32 1.4264004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.26 68.61 1.3722005 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.37 35.80 1.7900006 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 25.65 33.55 0.6710007 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 23.17 31.32 1.0440008 B01AB04 DALTEPARINUM FRAGMIN 10000 UI/0,4 ml SOL. INJ. 10000UI/0,4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF 5 102.95 125.68 25.1360009 B01AB04 DALTEPARINUM FRAGMIN 10000 UI/ml SOL. INJ. 10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML S/P-RF 10 218.06 266.21 26.621000

10 B01AB04 DALTEPARINUM FRAGMIN 12500 UI/0,5 ml SOL. INJ. 12500 UI/0,5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF 5 139.64 170.47 34.09400011 B01AB04 DALTEPARINUM FRAGMIN15000 UI/0,6 ml SOL. INJ. 15000ui/0,6ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. S/P-RF 5 169.06 206.39 41.27800012 B01AB04 DALTEPARINUM FRAGMIN 18000 UI/0,72 ml SOL. INJ. 18000 UI/0,72ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF 5 192.26 234.71 46.94200013 B01AB04 DALTEPARINUM FRAGMIN 2500 UI/0,2 ml SOL. INJ. 2500ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 61.22 77.41 7.74100014 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 116.17 141.82 14.18200015 B01AB04 DALTEPARINUM FRAGMIN 7500 UI/0,3 ml SOL. INJ. 7500ui/0,3ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML S/P-RF 10 165.89 202.52 20.25200016 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 57.55 72.76 7.27600017 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 118.14 144.23 14.423000

PROTEINA PLASMATICA UMANA**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

Pagina 48 din 64

Page 155: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

18 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 153.54 187.44 18.74400019 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 39.81 52.07 26.03500020 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 66.64 84.26 8.42600021 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 80.01 101.17 20.23400022 B03XA01 EPOETINUM ALFA BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,547.25 1,724.65 287.44166623 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 178.50 217.91 36.31833324 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 354.91 425.00 70.83333325 B03XA01 EPOETINUM ALFA BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 686.60 786.55 786.55000026 B03XA01 EPOETINUM ALFA EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 659.85 757.39 126.23166627 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 517.73 602.48 100.41333328 B03XA01 EPOETINUM ALFA EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,203.96 1,350.47 1350.470000

29 B03XA01 EPOETINUM ALFA BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 875.33 992.26 992.26000030 B03XA01 EPOETINUM ALFA EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1,203.96 1,350.47 1350.470000

31 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 680.51 779.91 129.98500032 B03XA01 EPOETINUM ALFA BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 843.24 957.28 159.54666633 B03XA01 EPOETINUM BETA NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,112.92 2,341.24 390.20666634 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 228.74 279.25 46.54166635 B03XA01 EPOETINUM BETA NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 446.84 525.21 87.53500036 B03XA01 EPOETINUM BETA NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,040.18 1,171.95 1171.950000

37 B03XA01 EPOETINUM BETA NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 863.09 978.92 163.15333338 B03XA01 EPOETINUM BETA NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,071.08 1,205.63 200.93833339 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 117.62 143.59 23.93166640 H01CB02 OCTREOTIDUM** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 124.73 152.27 30.45400041 H01CB02 OCTREOTIDUM** SANDOSTATIN LAR 10 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 2,162.31 2,395.07 2395.070000

42 H01CB02 OCTREOTIDUM** SANDOSTATIN LAR 20 mg PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 3,470.32 3,820.80 3820.800000

43 H01CB02 OCTREOTIDUM** SANDOSTATIN LAR 30 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 4,805.98 5,276.67 5276.670000

44 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 400.26 474.43 39.53583345 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.28 27.41 27.41000046 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.60 125.94 25.18800047 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 195.64 238.84 23.88400048 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.55 53.04 53.04000049 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 195.64 238.84 47.76800050 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 385.73 458.60 45.86000051 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000052 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000053 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000054 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 264.66 323.10 26.92500055 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000056 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 264.79 323.26 26.93833357 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 691.34 791.71 65.97583358 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.83 53.41 53.41000059 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.99 240.48 48.09600060 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 388.17 461.26 46.12600061 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.85 53.43 53.430000

Pagina 49 din 64

Page 156: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

62 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000063 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000064 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416665 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000066 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416667 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 117.89 143.92 143.92000068 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 877.37 994.48 994.48000069 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,599.57 1,781.68 178.16800070 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,599.57 1,781.68 178.16800071 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 15.11 20.42 2.04200072 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 5.93 8.01 0.80100073 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.08 6.86 0.68600074 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 9.31 12.59 1.25900075 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.08 6.86 0.68600076 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.77 9.15 0.91500077 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.19 235.85 8.42321478 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.90 25.55 6.38750079 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.07 43.26 6.18000080 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.22 82.46 5.15375081 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 6.96 9.41 4.70500082 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 23.25 31.43 4.49000083 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.62 22.47 22.47000084 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.13 62.96 15.74000085 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 24.07 32.53 16.26500086 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.33 9.91 9.91000087 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.51 25.02 25.02000088 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.93 18.83 18.83000089 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.77 14.55 14.55000090 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.79 9.18 9.18000091 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 23.62 31.93 10.64333392 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.25 12.50 12.50000093 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000094 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.15 9.66 9.66000095 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.05 8.18 8.18000096 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000097 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.67 9.01 9.01000098 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.67 9.01 9.01000099 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.910000

100 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.910000101 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 30.03 39.28 5.611428102 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 43.13 56.41 56.410000103 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.07 61.57 8.795714104 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.65 22.51 3.215714105 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 43.13 56.41 8.058571

Pagina 50 din 64

Page 157: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

106 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.86 29.54 4.220000107 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 31.98 41.83 5.975714108 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.06 19.00 2.375000109 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.84 25.47 2.547000110 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 12.31 16.64 2.377142111 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.54 19.65 2.807142112 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.46 19.54 2.791428113 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.93 16.12 2.302857114 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.64 15.73 2.247142115 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.12 19.08 2.725714116 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.65 22.51 3.215714117 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.92 40.44 40.440000118 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 30.47 39.86 39.860000119 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.47 222.76 22.276000120 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 361.77 432.48 21.624000121 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 34.95 45.72 45.720000122 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 42.55 55.66 55.660000123 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 453.60 532.57 53.257000124 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 794.59 904.25 45.212500125 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.53 53.01 53.010000126 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 132.87 162.21 162.210000127 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 137.11 167.39 167.390000128 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 768.92 876.27 87.627000129 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 60.69 76.74 5.116000130 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.09 52.44 3.496000131 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 98.07 124.00 8.266666132 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.09 52.44 3.496000133 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.09 52.44 3.496000134 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.09 52.44 3.496000135 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.09 52.44 3.496000136 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.08 52.43 3.495333137 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.596428138 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

139 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.788214140 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.360000141 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,199.64 1,345.76 1345.760000

142 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,556.55 1,734.79 1734.790000

143 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.65 17.10 0.855000144 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500145 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.71 17.18 0.859000146 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.13 16.39 0.819500147 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 10.18 13.76 0.688000148 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 2.76 3.73 0.373000149 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.93 20.18 1.009000

Pagina 51 din 64

Page 158: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

150 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.81 21.37 1.068500151 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 702.56 803.94 0.803940152 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.60 12.97 0.648500153 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500154 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 14.19 19.18 1.918000155 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 43.61 57.04 1.629714156 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.38 19.43 1.943000157 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 231.25 282.31 56.462000158 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 79.41 100.40 10.040000159 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.776000160 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,765.85 1,962.93 1962.930000

161 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,905.00 2,114.60 2114.600000

162 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 190.36 232.39 232.390000163 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,501.72 3,855.02 3855.020000

164 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 397.50 471.43 471.430000165 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 476.25 557.26 557.260000166 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 463.96 543.87 543.870000167 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 765.00 872.00 872.000000168 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 922.50 1,043.68 1043.680000

169 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 897.93 1,016.89 1016.890000

170 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.96 126.39 126.390000171 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,530.00 8,245.85 8245.850000

172 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 19.29 26.07 0.521400173 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 11.73 15.86 15.860000174 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 417.54 493.27 98.654000175 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 266.43 325.26 325.260000176 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 213.65 260.83 260.830000177 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 161.71 197.42 197.420000178 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 998.84 1,126.89 225.378000179 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.62 512.98 512.980000180 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.13 425.24 425.240000181 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.30 317.78 317.780000182 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,652.47 1,839.35 367.870000183 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 556.41 644.64 5.372000184 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 451.87 530.69 5.306900185 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 1,039.55 1,171.26 9.760500186 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 451.87 530.69 10.613800187 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.19 356.71 7.134200188 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 301.60 366.89 3.668900189 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.19 356.71 3.567100190 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 301.60 366.89 7.337800191 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 298.03 363.84 7.276800192 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 301.60 366.89 7.337800193 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 488.21 570.30 19.010000

Pagina 52 din 64

Page 159: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

194 L04AC02 BASILIXIMABUM** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 4,257.52 4,678.85 4678.850000

195 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 396.53 470.37 9.407400196 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 357.25 427.55 427.550000197 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.22 137.00 2.740000198 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 74.26 93.90 1.878000199 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 112.35 137.16 2.743200200 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 238.75 291.47 5.829400201 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 155.18 189.45 3.789000202 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 249.41 304.48 6.089600203 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204.43 249.57 4.991400204 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 204.91 250.15 5.003000205 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.19 162.60 3.252000206 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 401.66 475.96 9.519200207 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 362.95 433.77 8.675400208 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.06 290.63 5.812600209 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,861.28 2,066.95 41.339000210 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,711.22 1,903.38 38.067600211 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,541.64 1,718.54 171.854000212 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 63.84 80.72 0.807200213 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 36.81 48.15 1.719642214 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L 2 28.32 37.04 18.520000215 M05BA04 ACIDUM ALENDRONICUM ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 9.46 12.79 6.395000216 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 36.81 48.15 12.037500217 M05BA04 ACIDUM ALENDRONICUM RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 36.35 47.54 11.885000218 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 107.81 131.62 10.968333219 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 18.40 24.87 12.435000220 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L 4 18.24 24.65 6.162500221 M05BA04 ACIDUM ALENDRONICUM TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 36.81 48.15 12.037500222 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 18.28 24.71 12.355000223 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 36.58 47.85 11.962500224 M05BA04 ACIDUM ALENDRONICUM INSTREL 70 mg COMPR. 70mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF 4 36.35 47.54 11.885000225 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS 5 5.76 7.78 1.556000

B05AA06 POLYGELINUML04AA04

1 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 66.64 84.26 8.4260002 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 80.01 101.17 20.2340003 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 877.37 994.48 994.4800004 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,599.57 1,781.68 178.1680005 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,599.57 1,781.68 178.1680006 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.596428

IMUNOGLOBULINA ANTILIMFOCITE UMANE**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.5: TRANSPLANT CELULE PANCREATICE

Pagina 53 din 64

Page 160: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

7 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

8 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.7882149 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.360000

10 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.776000B05AA06 POLYGELINUM

1 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 57.55 72.76 7.2760002 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 118.14 144.23 14.4230003 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 153.54 187.44 18.7440004 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 39.81 52.07 26.0350005 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 66.64 84.26 8.4260006 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 80.01 101.17 20.2340007 B02AA02 ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 9.45 12.77 2.5540008 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 113.30 138.32 1.3832009 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 400.26 474.43 39.535833

10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.28 27.41 27.41000011 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.60 125.94 25.18800012 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 195.64 238.84 23.88400013 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.55 53.04 53.04000014 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 195.64 238.84 47.76800015 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 385.73 458.60 45.86000016 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000017 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000018 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000019 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 264.66 323.10 26.92500020 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.87 30.91 30.91000021 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 264.79 323.26 26.93833322 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 691.34 791.71 65.97583323 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.83 53.41 53.41000024 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.99 240.48 48.09600025 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 388.17 461.26 46.12600026 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.85 53.43 53.43000027 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000028 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000029 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416630 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.83 53.41 53.41000031 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 459.80 539.33 44.94416632 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 877.37 994.48 994.48000033 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,599.57 1,781.68 178.16800034 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,599.57 1,781.68 178.16800035 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.19 235.85 8.42321436 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.90 25.55 6.387500

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.6: TRANSPLANT PULMONAR

Pagina 54 din 64

Page 161: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

37 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.07 43.26 6.18000038 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.22 82.46 5.15375039 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 6.96 9.41 4.70500040 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 23.25 31.43 4.49000041 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.62 22.47 22.47000042 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.13 62.96 15.74000043 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 24.07 32.53 16.26500044 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.33 9.91 9.91000045 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.51 25.02 25.02000046 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.93 18.83 18.83000047 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.77 14.55 14.55000048 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.79 9.18 9.18000049 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 23.62 31.93 10.64333350 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.25 12.50 12.50000051 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000052 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.15 9.66 9.66000053 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.05 8.18 8.18000054 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000055 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.67 9.01 9.01000056 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.67 9.01 9.01000057 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.91000058 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.91000059 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 30.03 39.28 5.61142860 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 43.13 56.41 56.41000061 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.07 61.57 8.79571462 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.65 22.51 3.21571463 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 43.13 56.41 8.05857164 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.86 29.54 4.22000065 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 31.98 41.83 5.97571466 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.06 19.00 2.37500067 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.84 25.47 2.54700068 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 12.31 16.64 2.37714269 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.54 19.65 2.80714270 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.46 19.54 2.79142871 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.93 16.12 2.30285772 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.64 15.73 2.24714273 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.12 19.08 2.72571474 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.65 22.51 3.21571475 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.92 40.44 40.44000076 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 30.47 39.86 39.86000077 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.47 222.76 22.27600078 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 361.77 432.48 21.62400079 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 34.95 45.72 45.72000080 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 42.55 55.66 55.660000

Pagina 55 din 64

Page 162: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

81 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 453.60 532.57 53.25700082 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 794.59 904.25 45.21250083 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.53 53.01 53.01000084 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 132.87 162.21 162.21000085 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 137.11 167.39 167.39000086 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 768.92 876.27 87.62700087 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.59642888 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

89 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.78821490 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.36000091 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.65 17.10 0.85500092 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.36150093 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.71 17.18 0.85900094 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.13 16.39 0.81950095 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 10.18 13.76 0.68800096 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 2.76 3.73 0.37300097 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.93 20.18 1.00900098 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.81 21.37 1.06850099 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 702.56 803.94 0.803940

100 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.60 12.97 0.648500101 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500102 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 14.19 19.18 1.918000103 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 43.61 57.04 1.629714104 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.38 19.43 1.943000105 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 231.25 282.31 56.462000106 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.776000107 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 556.41 644.64 5.372000108 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 451.87 530.69 5.306900109 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 1,039.55 1,171.26 9.760500110 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 451.87 530.69 10.613800111 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.19 356.71 7.134200112 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 301.60 366.89 3.668900113 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.19 356.71 3.567100114 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 301.60 366.89 7.337800115 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 298.03 363.84 7.276800116 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 301.60 366.89 7.337800117 L04AC02 BASILIXIMABUM** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 4,257.52 4,678.85 4678.850000

118 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 396.53 470.37 9.407400119 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 357.25 427.55 427.550000120 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.22 137.00 2.740000121 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 74.26 93.90 1.878000122 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 112.35 137.16 2.743200123 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 238.75 291.47 5.829400124 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 155.18 189.45 3.789000

Pagina 56 din 64

Page 163: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

125 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 249.41 304.48 6.089600126 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 63.84 80.72 0.807200127 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 13.97 18.88 0.629333128 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 4.65 6.29 0.629000129 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 24.03 32.48 0.649600130 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 4.65 6.29 0.629000131 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 13.95 18.86 0.628666132 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 7.16 9.68 0.968000133 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 5.47 7.40 1.480000134 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 30.15 39.43 1.314333135 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 12.84 17.35 1.735000136 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 24.72 33.41 1.670500137 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 36.15 47.28 1.576000138 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 56.52 71.47 1.429400139 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 5.72 7.73 7.730000140 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 3.71 5.02 5.020000141 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 79.25 100.21 100.210000142 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 9.30 12.57 12.570000143 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 16.25 21.97 2.197000144 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 24.77 33.48 1.116000145 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 15.54 21.00 2.100000146 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 31.70 41.47 1.382333147 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 19.25 26.02 2.602000148 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 37.06 48.48 2.424000149 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.22 68.55 2.285000150 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 84.78 107.20 2.144000151 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 20.80 28.12 2.812000152 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 20.30 27.44 2.744000153 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 40.57 53.07 1.769000154 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 14.83 20.05 2.005000155 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 39.53 51.71 1.723666156 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 24.03 32.48 3.248000157 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 44.57 58.30 2.915000158 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 61.64 77.94 2.598000159 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 95.79 121.12 2.422400160 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 20.61 27.86 2.786000161 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 60.34 76.29 2.543000162 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.72 11.79 0.589500163 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 5.82 0.291000164 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 5.82 0.291000165 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 8.50 11.49 0.383000166 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.84 3.84 0.384000167 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.84 3.84 0.384000168 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 7.66 0.383000

Pagina 57 din 64

Page 164: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

169 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000170 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2.84 3.84 0.384000171 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 7.86 10.62 0.354000172 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000173 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 7.66 0.383000174 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000175 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.82 3.81 0.381000176 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.64 8.97 0.448500177 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 7.66 0.383000178 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 7.27 9.82 1.964000179 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.67 13.07 2.614000180 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 111.95 136.67 1.366700181 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 9.06 12.25 2.450000182 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 5.67 7.66 1.532000183 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 5.59 7.55 1.510000184 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.64 4.92 0.984000185 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 8.48 11.46 2.292000186 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.61 4.88 0.976000187 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 4.11 5.56 1.112000

L04AA04

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.32 54.05 0.9008332 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 98.05 123.98 1.2398003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.41 71.32 1.4264004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.26 68.61 1.3722005 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.37 35.80 1.7900006 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,547.25 1,724.65 287.4416667 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 178.50 217.91 36.3183338 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 354.91 425.00 70.8333339 B03XA01 EPOETINUM ALFA** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 686.60 786.55 786.550000

10 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 659.85 757.39 126.23166611 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 517.73 602.48 100.41333312 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,203.96 1,350.47 1350.470000

13 B03XA01 EPOETINUM ALFA** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 875.33 992.26 992.26000014 B03XA01 EPOETINUM ALFA** EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1,203.96 1,350.47 1350.470000

15 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 680.51 779.91 129.98500016 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 843.24 957.28 159.54666617 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,112.92 2,341.24 390.20666618 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 228.74 279.25 46.54166619 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 446.84 525.21 87.53500020 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,040.18 1,171.95 1171.950000

IMUNOGLOBULINA ANTILIMFOCITE UMANE**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

Pagina 58 din 64

Page 165: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

21 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 863.09 978.92 163.15333322 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,071.08 1,205.63 200.93833323 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 117.62 143.59 23.93166624 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,869.34 3,165.73 791.43250025 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 323.47 390.73 97.68250026 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,274.59 4,697.46 1174.365000

27 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 466.22 546.33 136.58250028 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 608.26 701.15 175.28750029 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 1,986.65 2,203.60 2203.600000

30 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 889.10 1,007.27 251.81750031 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,172.36 1,316.02 329.00500032 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,291.09 3,625.44 3625.440000

33 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,454.09 1,623.11 405.77750034 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,738.20 1,932.79 483.19750035 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,304.56 2,550.12 637.53000036 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 24.08 32.54 0.65080037 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 21.88 29.57 1.47850038 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 4.82 6.52 0.21733339 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 6.50 8.78 8.78000040 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 15.11 20.42 20.42000041 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 22.89 30.94 30.94000042 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.48 2.00 0.10000043 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 44.33 57.99 0.05799044 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.94 2.62 0.08733345 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.83 2.47 0.08233346 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.74 3.70 0.12333347 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.90 2.57 0.12850048 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 6.05 8.18 8.18000049 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.70 7.70 0.38500050 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.06 4.13 0.20650051 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.62 3.54 0.17700052 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.47 3.34 0.16700053 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 3.51 4.75 4.75000054 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.19 235.85 8.42321455 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.90 25.55 6.38750056 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.07 43.26 6.18000057 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.22 82.46 5.15375058 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 6.96 9.41 4.70500059 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 23.25 31.43 4.49000060 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.62 22.47 22.47000061 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.13 62.96 15.74000062 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 24.07 32.53 16.26500063 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.33 9.91 9.91000064 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.51 25.02 25.020000

Pagina 59 din 64

Page 166: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

65 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.93 18.83 18.83000066 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.77 14.55 14.55000067 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.79 9.18 9.18000068 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 23.62 31.93 10.64333369 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.25 12.50 12.50000070 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000071 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.15 9.66 9.66000072 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.05 8.18 8.18000073 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.87 6.58 6.58000074 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.67 9.01 9.01000075 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.67 9.01 9.01000076 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.91000077 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.33 9.91 9.91000078 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 30.03 39.28 5.61142879 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 43.13 56.41 56.41000080 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.07 61.57 8.79571481 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.65 22.51 3.21571482 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 43.13 56.41 8.05857183 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.86 29.54 4.22000084 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 31.98 41.83 5.97571485 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.06 19.00 2.37500086 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.84 25.47 2.54700087 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 12.31 16.64 2.37714288 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.54 19.65 2.80714289 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.46 19.54 2.79142890 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.93 16.12 2.30285791 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.64 15.73 2.24714292 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.12 19.08 2.72571493 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.65 22.51 3.21571494 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.92 40.44 40.44000095 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 30.47 39.86 39.86000096 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.47 222.76 22.27600097 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 361.77 432.48 21.62400098 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 34.95 45.72 45.72000099 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 42.55 55.66 55.660000

100 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 453.60 532.57 53.257000101 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 794.59 904.25 45.212500102 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.53 53.01 53.010000103 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 132.87 162.21 162.210000104 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 137.11 167.39 167.390000105 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 768.92 876.27 87.627000106 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,550.96 3,908.70 139.596428107 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,198.42 2,434.43 2434.430000

108 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 910.02 1,030.07 36.788214

Pagina 60 din 64

Page 167: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

109 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 457.07 536.36 536.360000110 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,694.20 2,974.83 2974.830000

111 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.65 17.10 0.855000112 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500113 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.71 17.18 0.859000114 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.13 16.39 0.819500115 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 10.18 13.76 0.688000116 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 2.76 3.73 0.373000117 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.93 20.18 1.009000118 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.81 21.37 1.068500119 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 702.56 803.94 0.803940120 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.60 12.97 0.648500121 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.35 7.23 0.361500122 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 14.19 19.18 1.918000123 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 43.61 57.04 1.629714124 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.38 19.43 1.943000125 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 231.25 282.31 56.462000126 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,851.75 5,326.56 88.776000127 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 227.78 278.07 9.931071128 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 131.50 160.54 160.540000129 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 475.49 556.43 9.273833130 J05AF05 LAMIVUDINUM ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 103.77 126.68 126.680000131 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 556.41 644.64 5.372000132 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 451.87 530.69 5.306900133 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 1,039.55 1,171.26 9.760500134 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 451.87 530.69 10.613800135 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.19 356.71 7.134200136 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 301.60 366.89 3.668900137 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.19 356.71 3.567100138 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 301.60 366.89 7.337800139 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 298.03 363.84 7.276800140 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 301.60 366.89 7.337800141 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 488.21 570.30 19.010000142 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 396.53 470.37 9.407400143 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 357.25 427.55 427.550000144 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.22 137.00 2.740000145 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 74.26 93.90 1.878000146 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 112.35 137.16 2.743200147 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 238.75 291.47 5.829400148 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 155.18 189.45 3.789000149 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 249.41 304.48 6.089600150 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204.43 249.57 4.991400151 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 204.91 250.15 5.003000152 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.19 162.60 3.252000

Pagina 61 din 64

Page 168: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

153 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 401.66 475.96 9.519200154 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 362.95 433.77 8.675400155 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.06 290.63 5.812600156 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,861.28 2,066.95 41.339000157 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,711.22 1,903.38 38.067600158 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,541.64 1,718.54 171.854000159 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 63.84 80.72 0.807200

1 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 25.65 33.55 0.6710002 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 23.17 31.32 1.0440003 A11CC04 CALCITRIOLUM** ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 60.74 76.80 0.7680004 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 393.50 467.07 16.6810715 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF 28 817.44 929.16 33.1842856 A11CC07 PARICALCITOLUM** ZEMPLAR 4mcg CAPS. MOI 4mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 1,558.47 1,736.88 62.0314287 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 399.75 473.88 94.7760008 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 790.75 900.07 180.0140009 B01AB01 HEPARINUM** HEPARINE SODIQUE PANPHARMA SOL. INJ. 5000ui/ml LAB. PANPHARMA FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. S 10 104.72 127.84 12.784000

10 B01AB01 HEPARINUM** HEPARIN SODIUM 25.000 U.I./5ml SOL. INJ. 25.000U.I./5ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FLAC. INJ. P-RF 10 127.16 155.24 15.52400011 B01AB05 ENOXAPARINUM** CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 57.55 72.76 7.27600012 B01AB05 ENOXAPARINUM** CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 118.14 144.23 14.42300013 B01AB05 ENOXAPARINUM** CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 153.54 187.44 18.74400014 B01AB05 ENOXAPARINUM** CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 39.81 52.07 26.03500015 B01AB06 NADROPARINUM** FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0,3ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,3 ML S/P-RF 10 59.51 75.24 7.52400016 B01AB06 NADROPARINUM** FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,4 ML S/P-RF 10 81.64 103.22 10.32200017 B01AB06 NADROPARINUM** FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza SOL. INJ. 9500 UI AFXa/1 ml GLAXO GROUP LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ. S 10 757.85 864.21 86.42100018 B01AB06 NADROPARINUM** FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,6 ML S/P-RF 10 108.25 132.15 13.21500019 B01AB06 NADROPARINUM** FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AXa/0,8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,8 ML S/P-RF 10 155.07 189.31 18.93100020 B01AB08 REVIPARINUM** CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 66.64 84.26 8.42600021 B01AB08 REVIPARINUM** CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 80.01 101.17 20.23400022 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA) S/P-RF 2 58.11 73.48 36.74000023 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA) S/P-RF 2 81.40 102.92 51.46000024 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA) S/P-RF 2 103.85 126.78 63.39000025 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) S/P-RF 10 455.77 534.94 53.49400026 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF 2 19.29 26.07 13.03500027 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA) S/P-RF 10 984.06 1,110.78 111.07800028 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF 2 26.78 35.03 17.51500029 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 122.39 149.42 29.88400030 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,547.25 1,724.65 287.44166631 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 178.50 217.91 36.31833332 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 354.91 425.00 70.83333333 B03XA01 EPOETINUM ALFA** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 686.60 786.55 786.55000034 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 659.85 757.39 126.231666

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

Pagina 62 din 64

Page 169: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

35 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 517.73 602.48 100.41333336 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,203.96 1,350.47 1350.470000

37 B03XA01 EPOETINUM ALFA** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 875.33 992.26 992.26000038 B03XA01 EPOETINUM ALFA** EPREX 40000 UI SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1,203.96 1,350.47 1350.470000

39 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 680.51 779.91 129.98500040 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 843.24 957.28 159.54666641 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,112.92 2,341.24 390.20666642 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 228.74 279.25 46.54166643 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 446.84 525.21 87.53500044 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,040.18 1,171.95 1171.950000

45 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 863.09 978.92 163.15333346 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,071.08 1,205.63 200.93833347 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 117.62 143.59 23.93166648 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,869.34 3,165.73 791.43250049 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 323.47 390.73 97.68250050 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,274.59 4,697.46 1174.365000

51 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 466.22 546.33 136.58250052 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 608.26 701.15 175.28750053 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 1,986.65 2,203.60 2203.600000

54 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 889.10 1,007.27 251.81750055 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,172.36 1,316.02 329.00500056 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,291.09 3,625.44 3625.440000

57 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,454.09 1,623.11 405.77750058 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,738.20 1,932.79 483.19750059 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,304.56 2,550.12 637.53000060 H05BX01 CINACALCETUM**** MIMPARA 30 mg COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 752.42 858.29 30.65321461 H05BX01 CINACALCETUM**** MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 1,380.00 1,542.35 55.08392862 H05BX01 CINACALCETUM**** MIMPARA 90 mg COMPR. FILM. 90mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 1,963.28 2,178.13 77.79035763 V03AE02 SEVELAMER** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 697.38 798.29 4.434944

B05DB COMBINATII

1 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 4 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. P-RF 28 248.95 303.92 10.8542852 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. P-RF 14 166.99 203.86 14.5614283 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS 50 18.02 24.35 0.4870004 N07BC02 METHADONUM SUBSTIDON 20 mg COMPR. 20mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 20 18.57 25.10 1.2550005 N07BC02 METHADONUM SUBSTIDON 20 mg COMPR. 20mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 46.43 60.73 1.2146006 N07BC02 METHADONUM SUBSTIDON 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 20 4.64 6.27 0.3135007 N07BC02 METHADONUM SUBSTIDON 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 11.61 15.69 0.3138008 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg COMPR. SUBLING. 2mg/0,5mg SP EUROPE BELGIA CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC) P-TS; S 7 22.00 29.74 4.2485719 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg COMPR. SUBLING. 8mg/2mg SP EUROPE BELGIA CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC) P-TS; S 7 84.92 107.37 15.338571

P11: PROGRAM NATIONAL DE SANATATE MINTALASUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

Pagina 63 din 64

Page 170: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

NOTA

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

Medicamentele din această sublistă se eliberează atât prin farmacii cu circuit închis cât și prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii Publice;

Pagina 64 din 64

Page 171: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

ANEXA 5

Nr. crt cod_atc dci den_com forma_farm conc firma_det tara_det ambalaj pres cant_fl

PRET AMANUN

TUL MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

Val suportata de CNAS/UT (RON)Legea nr. 95/2006 art 213 alin.1 lit. a) si f)

VAL.SUPORTATAT CNAS/ UT

(RON) PT. ADULTI

1 A03AD02 DROTAVERINUM NO - SPA 40 mg/2 ml SOL. INJ. 40mg/2ml CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ. P-RF 25 24.44 0.977600 0.977600 0.9776002 A03BA01 ATROPINUM SULFAT DE ATROPINA ZENTIVA 1 mg/ml SOL. INJ. 1mg/ml NYCOMED GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S 5 2.99 0.598000 0.598000 0.5980003 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 3.34 0.668000 0.668000 0.6680004 A03DA02 COMBINATII PIAFEN COMPR. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.54 0.177000 0.177000 0.1770005 A03DA02 COMBINATII ALGIFEN COMPRIMATE COMPR. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.01 0.300500 0.212400 0.2124006 A03DA02 COMBINATII ALGIFEN SOLUTIE INJECTABILA SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 10.17 2.034000 2.034000 2.0340007 A03DA02 COMBINATII PIAFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII X 3 SUPOZ. P-RF 6 2.23 0.371666 0.371666 0.3716668 A05BAN3 COMBINATII ASPATOFORT (R) SOL. INJ. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 10 ML P-RF 10 20.23 2.023000 2.023000 2.0230009 A06AD65 COMBINATII FORTRANS (R) PULB. PT. SOL. ORALA FARA CONCENTRATIE BEAUFOUR IPSEN INT. FRANTA CUTIE X 4 PLICURI DIN HARTIE/AL/PE A CATE 74 G PULB. PT. SOL. ORALA P-RF 4 38.66 9.665000 9.163999 9.163999

10 A06AD65 COMBINATII ENDOFALK PULB. PT. SOL. ORALA FARA CONCENTRATIE DR. FALK PHARMA GMBH GERMANIA CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA P-RF 6 45.82 7.636666 7.636666 7.63666611 A07AX03 NIFUROXAZIDUM ERCEFURYL (R) 200 mg CAPS. 200mg SANOFI-SYNTHELABO OTC FRANTA CUTIE X 2 BLIST. X 14 CAPS. P-RF 28 11.37 0.406071 0.406071 0.40607112 A11CA01 RETINOLUM VITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL. 20mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L 1 2.47 2.470000 2.470000 2.47000013 A11CA01 RETINOLUM VITAMINA A FORTE CAPS. MOI 50000ui BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L 30 5.50 0.183333 0.084000 0.08400014 A11CA01 RETINOLUM VITAMIN A 50000 ui CAPS. 50000ui PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L 24 1.68 0.070000 0.070000 0.07000015 A11CC02 DIHYDROTACHYSTEROLUM A.T. 10 (R) PICATURI ORALE-SOL. 1mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML P-6L 1 25.93 25.930000 25.930000 25.93000016 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 76.80 0.768000 0.768000 0.76800017 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 1000 COMPR. 1000UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 8.26 0.275333 0.275333 0.27533318 A11CC05 COLECALCIFEROLUM VITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL. 0,45mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L 1 5.04 5.040000 5.040000 5.04000019 A11CC05 COLECALCIFEROLUM VIGANTOL OIL PIC. ORALE, SOL. 0,5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR P-6L 1 6.35 6.350000 6.350000 6.35000020 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 500 COMPR. 500UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.69 0.223000 0.223000 0.22300021 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 1000 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 8.00 0.266666 0.266666 0.26666622 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 500 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.43 0.214333 0.214333 0.21433323 A11DA01 THIAMINUM SICOVIT (R) B1 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6.96 1.392000 1.392000 1.392000

SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECÂT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII PÂNĂ LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENŢI

SAU UCENICI DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LĂUZE DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE

VALABILĂ ÎNCEPÂND CU 1 OCTOMBRIE 2010

Pagina 1 din 9

Page 172: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

24 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 28.66 0.573200 0.573200 0.57320025 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 52.03 0.520300 0.520300 0.52030026 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 30 49.74 1.658000 1.658000 1.65800027 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 138.75 1.387500 1.387500 1.38750028 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 60 89.74 1.495666 1.495666 1.49566629 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 20 20.23 1.011500 1.009800 1.00980030 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 100 84.15 0.841500 0.841500 0.84150031 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 50 46.78 0.935600 0.935600 0.93560032 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 25 83.35 3.334000 3.334000 3.33400033 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 18.47 3.694000 3.694000 3.69400034 A11DBN1 COMBINATII MILGAMMA (R) NA SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML P-RF 5 18.47 3.694000 3.694000 3.69400035 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 11.14 0.557000 0.532320 0.53232036 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. X 20 COMPR. FILM. P-6L 100 44.36 0.443600 0.443600 0.44360037 A11GA01 ACIDUM ASCORBICUM VITAMINA C ARENA 750 mg SOL. INJ. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. P-RF 5 25.24 5.048000 5.048000 5.04800038 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 9.09 0.454500 0.111000 0.11100039 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L 20 1.85 0.092500 0.092500 0.09250040 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 10.31 2.062000 2.062000 2.06200041 A11HA02 PYRIDOXINUM SICOVIT B6 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6.96 1.392000 1.392000 1.39200042 A11HA03 TOCOFEROLUM VITAMINA E 400 mg CAPS. MOI 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L 24 9.34 0.389166 0.389166 0.38916643 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ. P-RF 5 15.89 3.178000 1.009800 1.00980044 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU 10% SOL. INJ. 10% B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF 20 16.83 0.841500 0.841500 0.84150045 A14AA03 METANDIENONUM NAPOSIM 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.08 0.254000 0.254000 0.25400046 A16AA01 LEVOCARNITINUM CARNIL (R) SOL. ORALA 100mg/ml ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML P-6L 10 29.81 2.981000 2.192400 2.19240047 A16AA01 LEVOCARNITINUM MIOCOR SOL. ORALA 10% ECOBI PHARMACEUTICI ITALIA CUTIE X 10 FLACOANE X 10ML P-6L 10 18.27 1.827000 1.827000 1.82700048 A16AXN1 DIVERSE ACTOVEGIN (R) DRAJ. 200mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ. P-6L 50 144.74 2.894800 2.894800 2.89480049 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 200mg/5ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML P-RF 5 108.46 21.692000 21.692000 21.69200050 B02BX01 ETAMSYLATUM ETAMSILAT 250mg/2ml SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 6.72 1.344000 1.344000 1.34400051 B02BX02 CARBAZOCHROMI SALICYLAS ADRENOSTAZIN SOL. INJ. 0,3mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 5 ML P-RF 5 8.35 1.670000 1.670000 1.67000052 B03AA03 FERROSI GLUCONAS ASCOFER COMPR. FARA CONCENTRATIE ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR. P-6L 20 3.99 0.199500 0.199500 0.19950053 B03AA03 FERROSI GLUCONAS ALOFER 80,5 mg COMPR. EFF. 80,5mg ART MED INTERNATIONAL SRL ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF. P-6L 1 20.96 20.960000 20.960000 20.96000054 B03ABN1 FERROCHOLINATUM FER-SOL SOL. ORALA IN PICATURI 24mg Fe/ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE P-6L 1 3.33 3.330000 3.330000 3.33000055 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL. P-6L 100 27.50 0.275000 0.275000 0.27500056 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 30 10.68 0.356000 0.330000 0.33000057 B03AD03 COMBINATII FERRO SANOL GYN CAPS. FARA CONCENTRATIE SCHWARZ PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PE X 10 CAPS. P-6L 50 37.14 0.742800 0.742800 0.74280058 B03AD03 COMBINATII TARDYFERON FOL (R) DRAJ. ELIB. PREL. FARA CONCENTRATIE LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 14.99 0.499666 0.499666 0.49966659 B03AD04 COMBINATII MALTOFER FOL COMPR. MAST. FARA CONCENTRATIE VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST. P-6L 30 17.83 0.594333 0.594333 0.59433360 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. MOI P-RF 100 43.09 0.430900 0.430900 0.43090061 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI P-RF 50 24.24 0.484800 0.484800 0.48480062 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. MOI P-RF 20 10.48 0.524000 0.517080 0.51708063 B03AE10 COMBINATII TOT'HEMA SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA FRANTA CUTIE X 20 FIOLE X 10 ML P-6L 20 17.69 0.884500 0.884500 0.88450064 B03BA01 CYANOCOBALAMINUM SICOVIT B12 50mcg/ml SOL. INJ. 50mcg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 6.96 1.392000 1.392000 1.39200065 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 84.15 0.841500 0.841500 0.84150066 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 20.23 1.011500 1.009800 1.00980067 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 46.78 0.935600 0.935600 0.93560068 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 84.15 0.841500 0.841500 0.841500

Pagina 2 din 9

Page 173: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

69 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 20.23 1.011500 1.009800 1.00980070 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 46.78 0.935600 0.935600 0.93560071 C01EA01 ALPROSTADILUM** ALPROSTADIL "PINT" 500 mcg CONC. PT. SOL. PERF. 500mcg TARUS MEDIA S.R.L. ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S 5 1,599.60 319.920000 319.920000 319.92000072 C04AE01 CODERGOCRINUM SECATOXIN SOL. ORALA IN PICATURI 1mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 10 ML + PICATOR P-6L 1 2.19 2.190000 2.190000 2.19000073 C04AE01 CODERGOCRINUM REDERGIN 1 mg/ml PICATURI ORALE-SOL. 0,1% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON X 50 ML P-6L 1 11.79 11.790000 6.528000 6.52800074 C04AE01 CODERGOCRINUM CO-DERGOCRIN SOL. ORALA IN PICATURI 0,1% TERAPIA SA ROMANIA CUTIE X 1 FLACON CU DOP PICATOR X 50 ML PIC.ORALE, SOL. P-6L 1 5.44 5.440000 5.440000 5.44000075 C05AA01 COMBINATII HEMORZON UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 8.18 8.180000 8.180000 8.18000076 C05AA08 COMBINATII ULTRAPROCT (R) UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF 1 14.55 14.550000 14.550000 14.55000077 C05AA08 COMBINATII ULTRAPROCT (R) SUPOZ. FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 2 FOLII X 5 SUPOZ. P-RF 10 12.90 1.290000 1.290000 1.29000078 C05AD01 COMBINATII DOXIPROCT UNGUENT RECTAL FARA CONCENTRATIE OM PHARMA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 22.26 22.260000 22.260000 22.26000079 C05AD01 COMBINATII DOXIPROCT PLUS UNGUENT RECTAL FARA CONCENTRATIE OM PORTUGUESA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 20 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 22.42 22.420000 22.420000 22.42000080 C05BX01 CALCII DOBESILAS DOXILEK CAPS. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L 30 21.42 0.714000 0.714000 0.71400081 C05CA54 TROXERUTINUM (COMBINATII) GINKOR FORT CAPS. FARA CONCENTRATIE BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 25.67 0.855666 0.855666 0.85566682 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 100mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 7.86 0.786000 0.786000 0.78600083 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 200mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 11.06 1.106000 1.106000 1.10600084 C07NAN1 COMBINATII DISTONOVAL COMPR. FARA CONCENTRATIE FABIOL S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 3.84 0.192000 0.192000 0.19200085 C07NAN1 COMBINATII DISTONOCALM (R) COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.90 0.196666 0.196666 0.19666686 C08CA06 NIMODIPINUM NIMOTOP (R) COMPR. FILM. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 112.34 1.123400 1.123400 1.12340087 C08CA06 NIMODIPINUM NIMOTOP (R) SOL. PERF. 10mg/50ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA S 5 303.02 60.604000 60.604000 60.60400088 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 46.58 3.327142 3.327142 3.32714289 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 87.63 3.129642 3.129642 3.12964290 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 165.46 2.954642 2.954642 2.95464291 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 288.61 2.945000 2.945000 2.94500092 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 22.00 1.571428 1.534163 1.53416293 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 42.21 1.507500 1.507500 1.50750094 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 79.87 1.426250 1.426250 1.42625095 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 125.29 1.278469 1.278469 1.27846996 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 28.86 2.061428 2.061428 2.06142897 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 55.40 1.978571 1.978571 1.97857198 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 104.50 1.866071 1.866071 1.86607199 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 173.39 1.769285 1.769285 1.769285

100 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 38.17 2.726428 2.726428 2.726428101 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 28 72.11 2.575357 2.575357 2.575357102 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 56 134.68 2.405000 2.405000 2.405000103 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 98 231.54 2.362653 2.362653 2.362653104 D01AC05 ISOCONAZOLUM TRAVOGEN CREMA 10mg/1g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 11.59 11.590000 11.590000 11.590000105 D01AC08 KETOCONAZOLUM NIZORAL CREMA 2% JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 TUB X 15 G P-RF 1 9.11 9.110000 7.104000 7.104000106 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA 2% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB PEJD X 15 G P-RF 1 8.23 8.230000 7.104000 7.104000107 D01AC08 KETOCONAZOLUM KEFUNGIN 2mg/100mg CREMA 2mg/100mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 5.92 5.920000 5.920000 5.920000108 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA CREMA 20mg/g SC HYPERION SA ROMANIA CUTIE X 1 TUB DIN AL X 20 MG CREMA P-RF 1 7.92 7.920000 7.920000 7.920000109 D01AC08 KETOCONAZOLUM KETOCONAZOL MK CREMA 2% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 7.67 7.670000 7.670000 7.670000110 D01AC52 COMBINATII MYCOHEAL (R) HC CREMA FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 6.39 6.390000 6.390000 6.390000111 D05AXN1 COMBINATII ASORIAN SOL. CUT. FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 10.14 10.140000 10.140000 10.140000112 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 20.63 20.630000 20.630000 20.630000113 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 20.63 20.630000 20.630000 20.630000

Pagina 3 din 9

Page 174: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

114 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 31.76 31.760000 31.760000 31.760000115 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 31.76 31.760000 31.760000 31.760000116 D07AC04 FLUOCINOLONI ACETONIDUM FLUOCINOLON ACETONID 0,025% UNGUENT 0,025% LAROPHARM SRL ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 7.37 7.370000 7.370000 7.370000117 D07AC05 FLUOCORTOLONUM ULTRALAN CREMA CREMA 0,25% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G P-RF 1 12.28 12.280000 12.280000 12.280000118 D07AC05 FLUOCORTOLONUM ULTRALAN UNGUENT UNGUENT 0,25% SCHERING AG GERMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 12.76 12.760000 12.760000 12.760000119 D07CB01 COMBINATII NIDOFLOR CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.37 7.370000 7.370000 7.370000120 D07CB01 COMBINATII PANDERM UNGUENT FARA CONCENTRATIE GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.64 7.640000 7.640000 7.640000121 D07CC02 COMBINATII FLUOCINOLON G MK CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 1.48 1.480000 1.480000 1.480000122 D07CC02 COMBINATII FLUOCINOLON N UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 7.37 7.370000 7.370000 7.370000123 D07XB02 COMBINATII TRIAMCINOLON S CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.37 7.370000 7.370000 7.370000124 D07XC01 COMBINATII DIPROSALIC SOL. CUT. FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR P-RF 1 16.12 16.120000 16.120000 16.120000125 D07XC01 COMBINATII BELOSALIC SOL. CUT. FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLAC. PEID X 50 ML, PREVAZUT CU PICURATOR P-RF 1 20.96 20.960000 20.960000 20.960000126 D07XC01 COMBINATII DIPROSALIC UNGUENT FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.74 10.740000 10.740000 10.740000127 D07XC01 COMBINATII BELOSALIC UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 30 G P-RF 1 12.90 12.900000 12.900000 12.900000128 D07XDN1 COMBINATII FLUOCINOLON D MK CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20G P-RF 1 3.88 3.880000 3.880000 3.880000129 D10AD01 TRETINOINUM RETIN - A (R) CREMA 0,05% JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 TUB X 30 G P-RF 1 13.98 13.980000 13.980000 13.980000130 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30ml PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT. P-RF 1 8.07 8.070000 8.070000 8.070000131 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30ml PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT. P-RF 1 20.97 20.970000 20.970000 20.970000132 D10AF52 COMBINATII ZINERYT PULB. + SOLV. SOL. CUT. 40mg/12mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA P-RF 1 32.42 32.420000 32.420000 32.420000133 D11AX15 PIMECROLIMUS ELIDEL 1% CREMA 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB AL X 15 G CREMA P-RF 1 82.76 82.760000 82.760000 82.760000134 G01AF01 METRONIDAZOLUM FLAGYL OVULE 500mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST. X 5 OVULE P-RF 10 8.54 0.854000 0.854000 0.854000135 G01AX12 CICLOPIROXUM DAFNEGIN CREMA VAG. 1% POLICHEM SA LUXEMBURG CUTIE X 1 TUB DIN AL X 78G CREMA VAG.+ 17 APLICATOARE DIN PE P-6L 1 38.02 38.020000 38.020000 38.020000136 G01AX12 CICLOPIROXUM DAFNEGIN OVULE 100mg POLICHEM SA LUXEMBURG CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE P-6L 6 38.02 6.336666 6.336666 6.336666137 G01AXN1 COMBINATII COLPOSEPTINE (R) COMPR. VAG. FARA CONCENTRATIE LAB. THERAMEX MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG. P-RF 18 17.61 0.978333 0.978333 0.978333138 G01BDN1 COMBINATII TERGYNAN COMPR. VAG. FARA CONCENTRATIE LAB. BOUCHARA-RECORDATI FRANTA CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF 10 21.85 2.185000 2.185000 2.185000139 G03AC06 MEDROXYPROGESTERONUM DEPO-PROVERA SUSP. INJ. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 1 ML SUSP. INJ. S/P-RF 1 13.07 13.070000 13.070000 13.070000140 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 31.43 3.143000 3.143000 3.143000141 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000 LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml NV ORGANON OLANDA CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP S/P-RF 3 42.66 14.220000 14.220000 14.220000142 G03GA02 MENOTROPINUM MENOPUR LIOF. + SOLV. PT. SOL. INJ. FARA CONCENTRATIE FERRING GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF 10 835.13 83.513000 83.513000 83.513000143 G04BCN1 COMBINATII URALYT-U GRANULE FARA CONCENTRATIE MADAUS GMBH GERMANIA CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO P-6L 1 56.80 56.800000 56.800000 56.800000144 H03AA03 COMBINATII NOVOTHYRAL (R) 100 COMPR. 100mcg+20mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 28.88 0.288800 0.288800 0.288800145 J01CR50 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G S/P-RF 1 37.49 37.490000 37.490000 37.490000146 J01DB04 CEFAZOLINUM LYZOLIN PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB. S/P-RF 1 3.44 3.440000 3.440000 3.440000147 J01DE02 CEFPIROMUM CEFROM (R) 1 g PULB. PT. SOL. INJ./PERF. 1g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 75.59 75.590000 75.590000 75.590000148 J01DE02 CEFPIROMUM CEFROM (R) 2 g PULB. PT. SOL. INJ./PERF. 2g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 126.97 126.970000 126.970000 126.970000149 J01EB05 SULFAFURAZOLUM SULFAFURAZOL COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.87 0.243500 0.243500 0.243500150 J01FA06 ROXITHROMYCINUM ROXAMED (R) 150 COMPR. FILM. 150mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 15.19 1.519000 1.519000 1.519000151 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 7.12 0.712000 0.712000 0.712000152 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S 50 41.38 0.827600 0.810000 0.810000153 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 9.57 0.957000 0.810000 0.810000154 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 6.75 0.675000 0.675000 0.675000155 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 150mg/1,5ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 1,5 ML S/P-RF 1 19.11 19.110000 19.110000 19.110000156 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 24.21 24.210000 24.210000 24.210000157 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 7.58 7.580000 7.580000 7.580000158 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 100 1,785.06 17.850600 17.850600 17.850600

Pagina 4 din 9

Page 175: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

159 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 50 927.96 18.559200 18.559200 18.559200160 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 10 211.29 21.129000 21.129000 21.129000161 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,908.70 139.596428 139.596428 139.596428162 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,434.43 2434.430000 2434.430000 2434.430000163 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 1,030.07 36.788214 36.788214 36.788214164 M01AA01 PHENYLBUTAZONUM FENILBUTAZONA 250 mg SUPOZ. 250mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 5.55 0.555000 0.555000 0.555000165 M01AB55 COMBINATII NEODOLPASSE SOL. PERF. FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 10 FLACOANE X 250 ML S 10 218.59 21.859000 21.859000 21.859000166 M01AB55 COMBINATII ACECLOFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L 6 4.59 0.765000 0.765000 0.765000167 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. 75mg+0,200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 20 28.49 1.424500 1.424500 1.424500168 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. 75mg+0,200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 10 16.61 1.661000 1.661000 1.661000169 M01AE01 IBUPROFENUM IBALGIN BABY SUSP. ORALA 100mg/5ml ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA P-RF 1 9.86 9.860000 9.860000 9.860000170 M01AE01 IBUPROFENUM PADUDEN (R) SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-6L 10 13.98 1.398000 1.398000 1.398000171 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 400mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 12 COMPR. FILM. P-6L 24 6.06 0.252500 0.171000 0.171000172 M01AE01 IBUPROFENUM REUPROFEN (R) 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 7.57 0.252333 0.171000 0.171000173 M01AE01 IBUPROFENUM IBUPROFEN 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.85 0.142500 0.142500 0.142500174 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 20 COMPR. FILM. P-6L 20 10.22 0.511000 0.171000 0.171000175 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 9.17 0.305666 0.171000 0.171000176 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 60 COMPR. FILM. P-6L 60 18.34 0.305666 0.171000 0.171000177 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 10.22 0.511000 0.171000 0.171000178 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 9.17 0.305666 0.171000 0.171000179 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 18.34 0.305666 0.171000 0.171000180 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. P-6L/S 100 30.55 0.305500 0.171000 0.171000181 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 600mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 13.30 0.665000 0.294000 0.294000182 M01AE01 IBUPROFENUM IBUPROFEN 600 COMPR. FILM. 600mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.90 0.245000 0.245000 0.245000183 M01AE01 IBUPROFENUM FASPIC 600 GRAN. PT. SOL. ORALA 600mg ZAMBON S.P.A. ITALIA CUTIE X 30 PLICURI UNIDOZA X 3 G GRAN. PT. SOL. ORALA P-6L 30 25.55 0.851666 0.294000 0.294000184 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.26 0.463000 0.463000 0.463000185 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 16.73 0.836500 0.836500 0.836500186 M01AG01 ACIDUM MEFENAMICUM VIDAN COMPR. FILM. 500mg VIANEX SA GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L 24 9.97 0.415416 0.415416 0.415416187 M01AH04 PARECOXIBUM DYNASTAT 40mg PULB. + SOLV. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV. S/P-RF 5 146.88 29.376000 29.376000 29.376000188 M01AH04 PARECOXIBUM DYNASTAT 40mg PULB. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF 10 289.65 28.965000 28.965000 28.965000189 M03BB03 CHLORZOXAZONUM CLORZOXAZON 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.154000 0.153999190 M03BB03 CHLORZOXAZONUM CLORZOXAZONA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.85 0.128333 0.128333 0.128333191 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 14.55 0.485000 0.485000 0.485000192 M03BX04 TOLPERISONUM TOLPERISON 50 mg DRAJ. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 5.25 0.175000 0.175000 0.175000193 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 7.27 0.242333 0.210000 0.210000194 M03BX04 TOLPERISONUM MYDOCALM SOL. INJ. 100mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF 5 6.87 1.374000 1.374000 1.374000195 M09AX01 ACIDUM HIALURONICUM HYALGAN (R) SOL. INJ. 20mg/2ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF 1 143.08 143.080000 143.080000 143.080000196 N02AA59 COMBINATII PARADOREN 500mg/30mg COMPR. 30mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 12.71 0.635500 0.635500 0.635500197 N02AA59 COMBINATII PARADOREN 500mg/60mg COMPR. 60mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 19.78 0.989000 0.989000 0.989000198 N02BA71 COMBINATII FASCOREM COMPR. FARA CONCENTRATIE REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.62 0.231000 0.231000 0.231000199 N02BA71 COMBINATII FASCONAL P COMPR. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.62 0.231000 0.231000 0.231000200 N02BB02 METAMIZOLUM NATRIUM NEVRALGIN PIC. ORALE, SOL. 500mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-RF 1 6.19 6.190000 6.190000 6.190000201 N02BB02 METAMIZOLUM NATRIUM ALGOCALMIN (R) 1 g/2 ml SOL. INJ. 1g/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 5.90 1.180000 1.180000 1.180000202 N05BA05 CLORAZEPAT DIKALII TRANXENE 10 mg CAPS. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 6.30 0.210000 0.210000 0.210000203 N05BA05 CLORAZEPAT DIKALII TRANXENE 5 mg CAPS. 5mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 5.76 0.192000 0.192000 0.192000

Pagina 5 din 9

Page 176: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

204 N05BA23 TOFISOPAMUM GRANDAXIN COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF 20 5.35 0.267500 0.267500 0.267500205 N05CD08 MIDAZOLAMUM DORMICUM (R) COMPR. FILM. 7,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM. P-RF 10 5.56 0.556000 0.556000 0.556000206 N05CD08 MIDAZOLAMUM DORMICUM (R) 7,5 mg COMPR. FILM. 7,5mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 10.54 1.054000 0.667200 0.667200207 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 3 ML SOL. INJ. S/P-RF 10 63.90 6.390000 6.390000 6.390000208 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 2 ML SOL. INJ. S/P-RF 10 23.84 2.384000 2.384000 2.384000209 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 10 ML SOL. INJ. S/P-RF 10 195.59 19.559000 19.559000 19.559000210 N05CD08 MIDAZOLAMUM DORMICUM (R) SOL. INJ. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML S/P-RF 10 29.08 2.908000 2.908000 2.908000211 N05CD08 MIDAZOLAMUM MIDAZOLAM 5 mg/ml SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 32.77 3.277000 3.277000 3.277000212 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ. S/P-RF 10 32.98 3.298000 3.298000 3.298000213 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 32.98 3.298000 3.298000 3.298000214 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 22.99 0.766333 0.766333 0.766333215 N06BA04 METHYLFENIDATUM*** CONCERTA 18 mg COMPR. FILM. ELIB. PREL. 18mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 191.98 6.399333 6.399333 6.399333216 N06BA04 METHYLFENIDATUM*** CONCERTA 36 mg COMPR. FILM. ELIB. PREL. 36mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 228.69 7.623000 7.623000 7.623000217 N06BA04 METHYLFENIDATUM*** CONCERTA 54 mg COMPR. FILM. ELIB. PREL. 54mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 296.16 9.872000 9.872000 9.872000218 N06BA09 ATOMOXETINUM*** STRATTERA 10 mg CAPS. 10mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 103.09 14.727142 14.727142 14.727142219 N06BA09 ATOMOXETINUM*** STRATTERA 18 mg CAPS. 18mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 103.09 14.727142 14.727142 14.727142220 N06BA09 ATOMOXETINUM*** STRATTERA 25 mg CAPS. 25mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 387.33 13.833214 13.833214 13.833214221 N06BA09 ATOMOXETINUM*** STRATTERA 40 mg CAPS. 40mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 387.33 13.833214 13.833214 13.833214222 N06BA09 ATOMOXETINUM*** STRATTERA 60 mg CAPS. 60mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 387.33 13.833214 13.833214 13.833214223 N06BA09 ATOMOXETINUM*** STRATTERA 80 mg CAPS. 80mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS. P-RF/R 28 554.67 19.809642 19.809642 19.809642224 N06BX02 PYRITINOLUM ENCEPHABOL (R) 100 mg DRAJ. 100mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 33.27 0.665400 0.665400 0.665400225 N06BX02 PYRITINOLUM PIRITINOL ARENA 100 mg DRAJ. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. X 10 DRAJ. P-6L 30 17.97 0.599000 0.599000 0.599000226 N06BX02 PYRITINOLUM ENCEPHABOL (R) FORTE DRAJ. 200mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 60.52 1.210400 1.210400 1.210400227 N06BX02 PYRITINOLUM ENCEPHABOL (R) SUSPENSIE SUSP. ORALA 80,5mg/5ml MERCK KGAA GERMANIA CUTIE X 1 FLACON X 200 ML P-6L 1 40.50 40.500000 40.500000 40.500000228 N06BX03 PIRACETAMUM LUCETAM (R) 1200 mg COMPR. FILM. 1200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 6.70 0.335000 0.335000 0.335000229 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 49.88 0.498800 0.402000 0.402000230 N06BX03 PIRACETAMUM NOOTROPIL (R) SOL. ORALA 20% U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 125 ML + 1 MASURA DOZATOARE P-6L 1 13.27 13.270000 13.270000 13.270000231 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.34 0.117000 0.116400 0.116400232 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. FILM. 400mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 3.48 0.174000 0.116400 0.116400233 N06BX03 PIRACETAMUM N - PIRACETAM COMPR. 400mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 4.02 0.100500 0.100500 0.100500234 N06BX03 PIRACETAMUM MEMOTAL 400mg COMPR. 400mg ZENTIVA S.A ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 8.32 0.416000 0.116400 0.116400235 N06BX03 PIRACETAMUM PIRACETAM SLAVIA 400 mg COMPR. 400mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR. P-6L 40 4.62 0.115500 0.115500 0.115500236 N06BX03 PIRACETAMUM PIRACETAM LAROPHARM 400 mg COMPR. 400mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.94 0.097000 0.097000 0.097000237 N06BX03 PIRACETAMUM PIRACETAM LPH (R) 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 6.32 0.105333 0.105333 0.105333238 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg FABIOL SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.93 0.097666 0.097666 0.097666239 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM. P-6L 60 7.03 0.117166 0.116400 0.116400240 N06BX03 PIRACETAMUM NEUROSTIM 400 mg COMPR. FILM. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.34 0.117000 0.116400 0.116400241 N06BX03 PIRACETAMUM PIRACETAM FARMEX 400 mg COMPR. 400mg FARMEX COMPANY SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.44 0.111000 0.111000 0.111000242 N06BX03 PIRACETAMUM PIRACETAM MCC 400mg COMPR. 400mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 3.10 0.155000 0.116400 0.116400243 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.34 0.117000 0.116400 0.116400244 N06BX03 PIRACETAMUM PIRACETAM ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 10.54 0.351333 0.116400 0.116400245 N06BX03 PIRACETAMUM PIRACETAM SINTOFARM 400 mg COMPR. 400mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 3.44 0.172000 0.116400 0.116400246 N06BX03 PIRACETAMUM PIRACETAM SINTOFARM 400 mg COMPR. 400mg SINTOFARM SA ROMANIA CUTIE X 4 BLIST. PVC/AL X 10 COMPR. P-6L 40 6.44 0.161000 0.116400 0.116400247 N06BX03 PIRACETAMUM NOOTROPIL (R) 800 mg COMPR. FILM. 800mg U.C.B. SA BELGIA CUTIE X 6 BLIST. X 15 COMPR. FILM. P-6L 90 33.19 0.368777 0.238000 0.237999248 N06BX03 PIRACETAMUM PIRACETAM 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.75 0.337500 0.238000 0.237999

Pagina 6 din 9

Page 177: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

249 N06BX03 PIRACETAMUM PIRACETAM LPH 800 mg COMPR. FILM. 800mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.95 0.198333 0.198333 0.198333250 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM. P-6L 30 6.61 0.220333 0.220333 0.220333251 N06BX03 PIRACETAMUM NEUROSTIM 800 mg COMPR. FILM. 800mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 20 4.41 0.220500 0.220500 0.220500252 N06BX03 PIRACETAMUM MEMOTAL1 g/5 ml SOL. INJ. 1g/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 8.94 1.788000 1.675999 1.675999253 N06BX03 PIRACETAMUM NOOTROPIL SOL. INJ. 1g U.C.B. SA BELGIA CUTIE X 12 FIOLE DIN STICLA X 5 ML SOL. INJ. P-RF 12 16.76 1.396666 1.396666 1.396666254 N06BX03 PIRACETAMUM NOOTROPIL SOL. PERF. 12g U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA X 60 ML SOL. PERF. S 1 16.76 16.760000 16.760000 16.760000255 N07CA02 CINNARIZINUM STUGERON 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 7.03 0.175750 0.087000 0.087000256 N07CA02 CINNARIZINUM CINARIZIN 25 mg COMPR. 25mg LAROPHARM SRL ROMANIA CUTIE X 3 BLIST. X 20 COMPR. P-6L 60 4.51 0.075166 0.075166 0.075166257 N07CA02 CINNARIZINUM N-CINARIZINA COMPR. 25mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. P-6L 20 1.45 0.072500 0.072500 0.072500258 N07CA02 CINNARIZINUM CINARIZINA ARENA 25 mg CAPS. 25mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. P-6L 40 3.28 0.082000 0.082000 0.082000259 P01AX08 TENONITROZOLUM ATRICAN 250 mg CAPS. MOI GASTROREZ. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF 8 11.53 1.441250 1.441250 1.441250260 P02CC01 PYRANTELUM HELMINTOX (R) 125 mg COMPR. FILM. 125mg LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 3.45 0.575000 0.575000 0.575000261 P02CC01 PYRANTELUM HELMINTOX (R) SUSP. ORALA 125mg/2,5ml LAB. INNOTECH INT. FRANTA CUTIE X 1 FLACON X 15 ML + LINGURITA DOZATOARE X 2,5 ML P-RF 1 6.55 6.550000 6.550000 6.550000262 P02CC01 PYRANTELUM HELMINTOX (R) 250 mg COMPR. FILM. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 3.45 1.150000 1.150000 1.150000263 P03AAN1 SULFUR UNGUENT CU SULF 8% UNGUENT 8% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB AL X 40G P-RF 1 1.91 1.910000 1.910000 1.910000264 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 35 G CREMA P-RF 1 3.82 3.820000 3.820000 3.820000265 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 50 G CREMA P-RF 1 5.47 5.470000 4.584000 4.584000266 R01AD07 TIXOCORTOLUM PIVALONE 1% SUSP. NAZALA 1% PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL P-RF 1 10.45 10.450000 10.450000 10.450000267 R01ADN1 COMBINATII BIORINIL SPRAY NAZ.,SUSP. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF 1 25.81 25.810000 25.810000 25.810000268 R01BA52 COMBINATII CLARINASE (R) COMPR. ELIB. MODIF. FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 BLIST. X 7 COMPR. ELIB. MODIF. P-6L 7 9.24 1.320000 1.320000 1.320000269 R02AB03 FUSAFUNGINUM BIOPAROX SPRAY BUCOFARINGIAN SI NAZAL-SOL. 50mg/10ml LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC. P-RF 1 19.97 19.970000 19.970000 19.970000270 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA ARENA COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 9.37 0.312333 0.312333 0.312333271 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml SOL. INJ. 50mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 5 6.16 1.232000 1.232000 1.232000272 R05CB01 ACETYLCYSTEINUM FLUIMUCIL 2% PEDIATRIC SOL. ORALA 2% ZAMBON S.P.A. ITALIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SOL. ORALA + MASURA DOZATOARE (5 SI 10 ML) P-RF 1 13.10 13.100000 13.100000 13.100000273 R05CB01 ACETYLCYSTEINUM ACC INJECT 300mg/3ml SOL. INJ. 300mg/3ml HEXAL AG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. S/P-RF 5 7.53 1.506000 1.506000 1.506000274 R05CB01 ACETYLCYSTEINUM FLUIMUCIL SOL.INJ./INHAL.NEBULIZ./INSTILATIE ENDOTRAHEOBRON. 300mg/3ml ZAMBON S.P.A. ITALIA CUTIE X 5 FIOLE DIN STICLA X 3 ML SOL.INJ/SOL.PT.INHALAT PRIN NEBULIZATOR/SOL.PT.INSTILATIE ENDOTRAH S/P-RF 5 8.23 1.646000 1.646000 1.646000275 R05CB03 CARBOCISTEINUM HUMEX EXPECTORANT PENTRU COPII SI SUGARI SIROP 100mg/5ml LAB. URGO FRANTA CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML P-RF 1 8.00 8.000000 8.000000 8.000000276 R05CB03 CARBOCISTEINUM RHINATHIOL 2% pentru copii si sugari SIROP 2% SANOFI-AVENTIS OTC FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE P-RF 1 9.17 9.170000 4.212000 4.212000277 R05CB03 CARBOCISTEINUM FLUIDOL 100mg/5ml SOL. ORALA 100mg/5ml TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML P-RF 1 3.51 3.510000 3.510000 3.510000278 R05CB03 CARBOCISTEINUM MUCOTREIS SIROP 20mg/ml ECOBI PHARMACEUTICI ITALIA CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML P-RF 1 8.78 8.780000 8.780000 8.780000279 R06AD02 PROMETHAZINUM PROMETAZINA ARENA 30 mg COMPR. FILM. 30mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 14.98 0.749000 0.749000 0.749000280 R06AD02 PROMETHAZINUM ROMERGAN SIROP 5mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE P-RF 1 2.33 2.330000 2.330000 2.330000281 R06AD07 MEQUITAZINUM PRIMALAN (R) 10 mg COMPR. 10mg LAB. PIERRE FABRE FRANTA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-RF 14 16.04 1.145714 1.145714 1.145714282 R06AE05 MECLOZINUM EMETOSTOP COMPR. 30mg SPECIFAR SA GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.57 0.357000 0.357000 0.357000283 R06AX02 CYPROHEPTADINUM PERITOL SIROP 2mg/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP P-6L 1 5.56 5.560000 5.560000 5.560000284 R06AX02 CYPROHEPTADINUM BIOHEPT SIROP 2mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE P-6L 1 5.79 5.790000 5.790000 5.790000285 R06AX02 CYPROHEPTADINUM PERITOL COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.25 0.162500 0.162500 0.162500286 R06AX02 CYPROHEPTADINUM CIPROHEPTADINA 4 mg COMPR. 4mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.88 0.162666 0.162666 0.162666287 R06AX13 LORATADINUM LORATADINA BIOFARM 5mg/5ml SIROP 5mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2 P-RF 1 7.07 7.070000 7.070000 7.070000288 R06AX13 LORATADINUM SYMPHORAL (R) 1 mg/ml SIROP 1mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 17.16 17.160000 14.364000 14.364000289 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 18.04 18.040000 14.364000 14.364000290 R06AX13 LORATADINUM FLONIDAN SUSP. ORALA 5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE P-6L 1 11.97 11.970000 11.970000 11.970000291 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L 1 9.01 9.010000 9.010000 9.010000292 S01AA01 CHLORAMPHENICOLUM SIFICETINA PULB. + SOLV. PT. SOL. OFT. 0,4% S.I.F.I. SPA ITALIA CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR P-RF 1 12.60 12.600000 12.600000 12.600000293 S01AA13 ACIDUM FUSIDICUM FUCITHALMIC 10mg/g GEL OFT. 10mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L 1 14.93 14.930000 14.930000 14.930000

Pagina 7 din 9

Page 178: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

294 S01AA24 KANAMYCINUM KANAMICINA SULFAT 1% UNG. OFT. 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL X 6 G P-RF 1 6.38 6.380000 6.380000 6.380000295 S01AA30 COMBINATII ANTIBIOPTAL PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 13.10 13.100000 13.100000 13.100000296 S01AA30 COMBINATII COLBIOCIN PULB. + SOLV. PT. SOL. OFT. FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE P-RF 1 14.05 14.050000 14.050000 14.050000297 S01BA07 FLUOROMETHOLONUM FLUMETOL S UNGUENT OFTALMIC UNG. OFT. 1mg/g FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 TUB X 5G P-RF 1 10.09 10.090000 10.090000 10.090000298 S01BA07 FLUOROMETHOLONUM FLUMETOL S PICATURI OFT.SUSP. 2mg/ml FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF 1 31.96 31.960000 31.960000 31.960000299 S01BA11 DESONIDUM PRENACID PICATURI OFT.-SOL. 0,25% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML, PREVAZUT CU PICURATOR P-RF 1 6.75 6.750000 6.750000 6.750000300 S01BC01 INDOMETACINUM INDOCOLLYRE (R) 0,1% PICATURI OFT.-SOL. 0,1% LAB. CHAUVIN FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML P-6L 1 14.47 14.470000 14.470000 14.470000301 S01BC06 PIROXICAMUM BRUXICAM 0,5% PIC. OFT., SOL. 0,5% BRUSCHETTINI S.R.L. ITALIA CUTIE X 1 FLAC. DIN PEJD PREVAZUT CU PICURATOR X 10 ML PIC. OFT., SOL. P-6L 1 16.70 16.700000 16.700000 16.700000302 S02CA05 COMBINATII SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA P-RF 1 2.84 2.840000 2.840000 2.840000

A01AA01 NATRII FLUORIDUM

A01AB17 METRONIDAZOLUM

A11HA04 RIBOFLAVINUMB03AA02 FERROSI FUMARAS

D03AX03 DEXPANTHENOLUM

D05AC01 DITHRANOLUMD10AE01 BENZOYLIS PEROXIDUM

J01XC01 ACIDUM FUSIDICUM

M01AX02 ACIDUM NIFLUMICUM

M02AA07 PIROXICAMUMM02AA13 IBUPROFENUMM02AA17 ACIDUM NIFLUMICUM

M02AA23 INDOMETACINUMM02ACN3 COMBINATIIP03AC04 PERMETHRINUMR03CC06 TERBUTALINUMR03DX05 OMALIZUMABUM**

R06AA04 CLEMASTINUMS01EB01 PILOCARPINUMS01GX06 EMEDASTINUMS01GX08 KETOTIFENUMS01KA01 ACIDUM HIALURONICUM

S01XA11 NANDROLONUMS01XA12 DEXPANTHENOLUM

NOTĂ:

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

Pagina 8 din 9

Page 179: ANEXA 1 - Spitalul Clinic de Recuperare Cluj Napoca nr.743 din... · 2017-04-11 · ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara

Medicamentele din această sublistă corespund DCI-urilor din CANAMED altele decât cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care sunt prevazute in aceste subliste .

Pagina 9 din 9