Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS...

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Transcript of Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS...

Page 1: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator
Page 2: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator
Page 3: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)

Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 90%

din pretul de

referinta)

SE ADAUGA

1138 C01BC03 PROPAFENONUM RYTMONORM 70 mg/20 ml SOL. INJ. 70mg/20ml MYLAN HEALTHCARE GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. PRF 5 5,856000 0,000000 5,270400 0,585600

1139 C09AA05 RAMIPRILUM RAMIPRIL ATB 10 mg COMPR. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,238333 0,000000 0,214499 0,023834

1140 C09AA05 RAMIPRILUM RAMIPRIL ATB 2,5 mg COMPR. 2,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,148777 0,000556 0,133899 0,015434

1141 C09AA05 RAMIPRILUM RAMIPRIL ATB 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,172000 0,000000 0,154800 0,017200

1142 H02AB09 HYDROCORTISONUM* HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. PRF 25 0,506800 0,000000 0,456120 0,050680

SE MODIFICA

108 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 0,209054 0,030946 0,188148 0,051852

110 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L 50 0,209054 0,046746 0,188148 0,067652

333 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 0,037194 0,080472 0,033474 0,084192

334 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,074388 0,067278 0,066949 0,074717

335 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0,074388 0,076612 0,066949 0,084051

336 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 0,074388 0,044112 0,066949 0,051551

337 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,074388 0,043612 0,066949 0,051051

338 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,074388 0,043612 0,066949 0,051051

339 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,074388 0,080278 0,066949 0,087717

340 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0,074388 0,044112 0,066949 0,051551

342 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,148777 0,081889 0,133899 0,096767

343 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0,148777 0,044723 0,133899 0,059601

345 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,148777 0,006889 0,133899 0,021767

347 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0,148777 0,050723 0,133899 0,065601

348 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 0,148777 0,050556 0,133899 0,065434

349 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 0,148777 0,050223 0,133899 0,065101

350 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 0,148777 0,050723 0,133899 0,065601

351 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 0,148777 0,041723 0,133899 0,056601

352 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 0,148777 0,157651 0,133899 0,172529

353 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. P-6L 30 0,148777 0,050556 0,133899 0,065434

354 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC, X 10 COMPR. P-6L 50 0,148777 0,050623 0,133899 0,065501

355 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC, X 10 COMPR. P-6L 100 0,148777 0,050423 0,133899 0,065301

356 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 0,148777 0,050723 0,133899 0,065601

357 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 0,148777 0,050223 0,133899 0,065101

358 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI) P6L 20 0,148777 0,050723 0,133899 0,065601

359 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0,297554 0,032946 0,267798 0,062702

360 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 0,297554 0,032946 0,267798 0,062702

361 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 0,297554 0,033112 0,267798 0,062868

362 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 0,297554 0,032946 0,267798 0,062702

363 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 0,297554 0,211374 0,267798 0,241130

364 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0,297554 0,033112 0,267798 0,062868

365 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 0,297554 0,033046 0,267798 0,062802

366 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 20 mg COMPR. 20mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 0,297554 0,032946 0,267798 0,062702

367 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 20 mg COMPR. 20mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 0,297554 0,032946 0,267798 0,062702

368 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI) P6L 20 0,297554 0,032946 0,267798 0,062702

369 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0,074388 0,018612 0,066949 0,026051

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 SI FARA CONTRIBUTIE

PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE

VALABILA INCEPAND CU 01 IULIE 2016

Pagina 1 din 4

Page 4: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 90%

din pretul de

referinta)

370 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 0,074388 0,019612 0,066949 0,027051

371 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 0,074388 0,069897 0,066949 0,077336

372 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 0,074388 0,018945 0,066949 0,026384

373 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 0,074388 0,018612 0,066949 0,026051

374 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 0,074388 0,018945 0,066949 0,026384

375 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 5 mg COMPR. 5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 0,074388 0,015612 0,066949 0,023051

376 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 5 mg COMPR. 5mg LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L 20 0,074388 0,015612 0,066949 0,023051

377 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLISTERE AL/PVC- X 10 COMPRIMATE (2 ANI) P6L 20 0,074388 0,018612 0,066949 0,026051

379 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 0,148777 0,369556 0,133899 0,384434

380 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0,148777 0,388223 0,133899 0,403101

381 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0,148777 0,121223 0,133899 0,136101

382 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,148777 0,105556 0,133899 0,120434

383 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 0,148777 0,121223 0,133899 0,136101

384 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,148777 0,264556 0,133899 0,279434

385 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 0,148777 0,237651 0,133899 0,252529

386 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 0,037194 0,273877 0,033474 0,277597

387 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 0,297554 0,501779 0,267798 0,531535

388 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 0,297554 0,484946 0,267798 0,514702

389 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0,297554 0,081446 0,267798 0,111202

390 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 0,297554 0,081446 0,267798 0,111202

391 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,297554 0,514446 0,267798 0,544202

392 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 0,297554 0,351374 0,267798 0,381130

393 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL X 10 COMPR. P-6L 20 0,297554 0,130946 0,267798 0,160702

394 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,595109 0,764224 0,535598 0,823735

395 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 0,074388 0,190278 0,066949 0,197717

396 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0,074388 0,118278 0,066949 0,125717

397 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 0,074388 0,118612 0,066949 0,126051

398 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 0,074388 0,188826 0,066949 0,196265

410 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 0,148777 0,000865 0,133899 0,015743

411 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 0,148777 0,023365 0,133899 0,038243

412 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 0,148777 0,019556 0,133899 0,034434

413 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 0,148777 0,023223 0,133899 0,038101

414 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 0,148777 0,017294 0,133899 0,032172

415 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 0,148777 0,115865 0,133899 0,130743

416 C09AA05 RAMIPRILUM AMPRIGEN 2,5 mg COMPR. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 0,148777 0,023223 0,133899 0,038101

417 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. 2,5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0,148777 0,023223 0,133899 0,038101

418 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. 2,5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 0,148777 0,023223 0,133899 0,038101

419 C09AA05 RAMIPRILUM TRITACE 2,5 mg COMPR. 2,5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL/ X 28 COMPR. P6L 28 0,148777 0,115865 0,133899 0,130743

425 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 0,297554 0,084231 0,267798 0,113987

430 C09AA05 RAMIPRILUM TRITACE 5 mg COMPR. 5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L 28 0,297554 0,084231 0,267798 0,113987

431 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 0,099184 0,302482 0,089265 0,312401

432 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 0,198369 0,378297 0,178532 0,398134

433 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 0,049592 0,142408 0,044632 0,147368

434 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 0,099184 0,281482 0,089265 0,291401

435 C09AA09 FOSINOPRILUM FOSINOPRIL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 0,099184 0,281482 0,089265 0,291401

436 C09AA09 FOSINOPRILUM MONOPRIL 10 mg COMPR. 10mg PHARMASWISS CESKÁ REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 0,099184 0,486173 0,089265 0,496092

437 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL, X 10 COMPR. P-6L 30 0,198369 0,353631 0,178532 0,373468

438 C09AA09 FOSINOPRILUM FOSINOPRIL AUROBINDO 20 mg COMPR. 20mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 0,198369 0,353631 0,178532 0,373468

439 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg PHARMASWISS CESKÁ REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 0,198369 0,650559 0,178532 0,670396

457 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 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 0,122599 0,201686 0,110339 0,213946

458 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 0,122599 0,024734 0,110339 0,036994

459 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 0,122599 0,080972 0,110339 0,093232

460 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 0,122599 0,189067 0,110339 0,201327

461 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 0,122599 0,200972 0,110339 0,213232

462 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 0,122599 0,201401 0,110339 0,213661

463 C10AA01 SIMVASTATINUM SIMVASTATINA SUN 10 mg COMPR. FILM. 10mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 0,122599 0,019543 0,110339 0,031803

Pagina 2 din 4

Page 5: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 90%

din pretul de

referinta)

464 C10AA01 SIMVASTATINUM SIMVACARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 0,122599 0,025972 0,110339 0,038232

465 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. P6L 30 0,122599 0,025401 0,110339 0,037661

466 C10AA01 SIMVASTATINUM SIMVASTATIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,122599 0,024734 0,110339 0,036994

467 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,122599 0,182067 0,110339 0,194327

468 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 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 0,245199 0,188015 0,220679 0,212535

469 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 0,245199 0,095467 0,220679 0,119987

470 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 0,245199 0,188015 0,220679 0,212535

471 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 0,245199 0,421229 0,220679 0,445749

472 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 0,245199 0,187801 0,220679 0,212321

473 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 0,245199 0,188015 0,220679 0,212535

474 C10AA01 SIMVASTATINUM SIMCOR 20 mg COMPR. FILM. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0,245199 0,187801 0,220679 0,212321

475 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 0,245199 0,187801 0,220679 0,212321

477 C10AA01 SIMVASTATINUM SIMVACARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 0,245199 0,000158 0,220679 0,024678

478 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. P6L 30 0,245199 0,000801 0,220679 0,025321

480 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,245199 0,187801 0,220679 0,212321

481 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 0,367799 0,115534 0,331019 0,152314

482 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 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 0,490399 0,616743 0,441359 0,665783

483 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 0,490399 0,461029 0,441359 0,510069

484 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 0,490399 0,059958 0,441359 0,108998

485 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 0,490399 0,575934 0,441359 0,624974

486 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 0,490399 0,136267 0,441359 0,185307

487 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 0,490399 0,615934 0,441359 0,664974

488 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 0,490399 0,615934 0,441359 0,664974

493 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 40 mg COMPR. FILM. 40mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,490399 0,401601 0,441359 0,450641

494 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 0,163466 0,361534 0,147119 0,377881

495 C10AA02 LOVASTATINUM LOVASTATINA ARENA 20 mg COMPR. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0,163466 0,731200 0,147119 0,747547

496 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. P-6L 28 0,245199 0,586943 0,220679 0,611463

497 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 0,490399 0,825672 0,441359 0,874712

501 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. ELIB. MODIF. 160mg MYLAN MEDICAL SAS FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. ELIB. MODIF. P-6L 30 0,961706 0,135294 0,865535 0,231465

503 C10AB05 FENOFIBRATUM LIPANTIL NANO 145 mg COMPR. FILM. 145mg MYLAN MEDICAL SAS FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0,961706 0,134294 0,865535 0,230465

667 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,385585 0,036415 0,347026 0,074974

668 J01FA01 ERYTHROMYCINUM ERITROMICINA ATB 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,385585 0,111915 0,347026 0,150474

669 J01FA09 CLARITHROMYCINUM CLAXIRIT 500 mg COMPR. CU ELIB. PREL. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF 7 1,927927 0,506358 1,735134 0,699151

670 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,927927 1,820073 1,735134 2,012866

672 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 0,963963 0,208179 0,867566 0,304576

673 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 0,963963 0,123179 0,867566 0,219576

674 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 0,963963 0,271751 0,867566 0,368148

677 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,963963 0,983179 0,867566 1,079576

679 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 1,927927 0,111358 1,735134 0,304151

682 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 1,927927 0,428073 1,735134 0,620866

685 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 1,927927 0,506358 1,735134 0,699151

687 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 23,801625 2,468375 21,421462 4,848538

690 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14,280975 5,439025 12,852877 6,867123

691 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 47,603250 5,406750 42,842925 10,167075

692 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 28,561950 4,308050 25,705755 7,164245

693 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 28,561950 1,298050 25,705755 4,154245

770 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,802575 0,245925 0,722317 0,326183

771 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,802575 0,308425 0,722317 0,388683

772 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 1,605150 0,414850 1,444635 0,575365

773 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,802575 0,087425 0,722317 0,167683

776 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,802575 0,090925 0,722317 0,171183

777 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,802575 0,090925 0,722317 0,171183

778 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 1,605150 1,152850 1,444635 1,313365

918 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 0,191419 0,002681 0,172277 0,021823

919 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 0,191419 0,385081 0,172277 0,404223

920 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L 50 0,191419 0,276381 0,172277 0,295523

Pagina 3 din 4

Page 6: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 90%

din pretul de

referinta)

921 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100 0,191419 0,261281 0,172277 0,280423

922 N03AX12 GABAPENTINUM GABAPENTIN ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0,191419 0,215914 0,172277 0,235056

924 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 0,574263 0,181837 0,516836 0,239264

925 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 0,574263 0,772337 0,516836 0,829764

927 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 0,574263 0,001237 0,516836 0,058664

930 N03AX12 GABAPENTINUM GABAPENTIN ARENA 300 mg CAPS. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0,574263 0,323070 0,516836 0,380497

932 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 0,765686 0,427414 0,689117 0,503983

933 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 0,765686 0,743314 0,689117 0,819883

935 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 0,765686 0,263647 0,689117 0,340216

938 N03AX12 GABAPENTINUM GABAPENTIN ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0,765686 0,355980 0,689117 0,432549

939 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 1,148529 1,031471 1,033676 1,146324

940 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 1,148529 0,719304 1,033676 0,834157

941 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 1,531373 2,073627 1,378235 2,226765

1053 N06AX16 VENLAFAXINUM** EFECTIN EP 150 mg CAPS. ELIB. PREL. 150 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 0,784000 1,228857 0,705600 1,307257

1054 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL. PRF 30 0,784000 0,214333 0,705600 0,292733

1055 N06AX16 VENLAFAXINUM** IVRYX 150mg CAPS. ELIB. PREL. 150 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 0,784000 0,076714 0,705600 0,155114

1056 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 0,784000 0,524571 0,705600 0,602971

1058 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 0,784000 0,072428 0,705600 0,150828

1059 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 0,784000 0,524666 0,705600 0,603066

1060 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 0,784000 0,524666 0,705600 0,603066

1061 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0,784000 0,524666 0,705600 0,603066

1062 N06AX16 VENLAFAXINUM** VENLAFAXINA AUROBINDO 150 mg CAPS. ELIB. PREL. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0,668333 0,000000 0,601499 0,066834

1063 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 0,196000 0,400333 0,176400 0,419933

1064 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 0,196000 0,635666 0,176400 0,655266

1065 N06AX16 VENLAFAXINUM** EFECTIN EP 75 mg CAPS. ELIB. PREL. 75 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 0,392000 0,926214 0,352800 0,965414

1066 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. PRF 30 0,392000 0,357333 0,352800 0,396533

1069 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 0,392000 0,493000 0,352800 0,532200

1071 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 0,392000 0,270666 0,352800 0,309866

1072 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 0,392000 0,264428 0,352800 0,303628

1073 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 0,392000 0,487333 0,352800 0,526533

1074 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 0,392000 0,493333 0,352800 0,532533

1075 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0,392000 0,493333 0,352800 0,532533

1076 N06AX16 VENLAFAXINUM** VENLAFAXINA AUROBINDO 75 mg CAPS. ELIB. PREL. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0,392000 0,000000 0,352800 0,039200

1077 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 0,196000 0,635666 0,176400 0,655266

1078 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 0,261333 0,586000 0,235199 0,612134

1079 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 0,392000 0,487333 0,352800 0,526533

SE ELIMINA

109 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 0,209077 0,046923 0,188169 0,067831

671 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT S.R.L. ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 0,971195 0,975947 0,874075 1,073067

686 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT S.R.L. 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 23,695874 2,574126 21,326286 4,943714

688 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT S.R.L. 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 14,217524 5,502476 12,795771 6,924229

774 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0,803362 0,090138 0,723025 0,170475

Pagina 4 din 4

Page 7: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Anexa 7 (Anexa 2b la Ordinul CNAS 944/2015)

Nr. crt cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

Tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata

de sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 50% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 50% din

pretul de referinta)

Val. maxima suportata

de sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

SE ADAUGA

1086 B01AB05 ENOXAPARINUM**# CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,280730 1,146270 2,640365 3,786635 4,752657 1,674343

1087 B01AB05 ENOXAPARINUM**# CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 10,561460 1,098540 5,280730 6,379270 9,505314 2,154686

1088 B01AB05 ENOXAPARINUM**# CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 14,988000 0,000000 7,494000 7,494000 13,489200 1,498800

1089 B01AB05 ENOXAPARINUM**# CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 19,778333 0,000000 9,889166 9,889167 17,800499 1,977834

1090 C10AA05 ATORVASTATINUM TORVACARD 80 mg COMPR. FILM. 80mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 1,090333 0,000000 0,545166 0,545167 0,981299 0,109034

1091 G03DA04 PROGESTERONUM* PROGESTERON FITERMAN 10 mg/g GEL 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL X 80 G GEL + DISPOZITIV DE DOZARE (APLICATOR GRADAT DIN PP, PREVAZUT CU FANTA DOZATOARE PT. ETALAREA A 2,5 G GEL P6L 1 14,239999 0,010001 7,119999 7,130001 12,815999 1,434001

1092 G03DA04 PROGESTERONUM* PROGESTERON FITERMAN 10 mg/g GEL 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL X 45 G GEL + DISPOZITIV DE DOZARE (APLICATOR GRADAT DIN PP, PREVAZUT CU FANTA DOZATOARE PT. ETALAREA A 2,5 G GEL P6L 1 8,010000 0,000000 4,005000 4,005000 7,209000 0,801000

1093 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAMADOL/PARACETAMOL AUROBINDO 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. PRF 20 0,272500 0,000000 0,136250 0,136250 0,245250 0,027250

1094 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 75 mg/650 mg COMPR. FILM. 75 mg/650 mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMP. FILM. PRF 30 0,545166 0,000167 0,272583 0,272750 0,490649 0,054684

1095 N07CA01 BETAHISTINUM VERTIMED 8 mg COMPR. 8mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 100 COMPR. P6L 100 0,158666 0,031134 0,079333 0,110467 0,142799 0,047001

SE MODIFICA

130 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0,2mg ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L 28 0,836216 0,243426 0,418108 0,661534 0,752594 0,327048

132 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 mg COMPR. FILM. 0,2mg ABBOTT LABORATORIES GMBH GERMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0,836216 0,243426 0,418108 0,661534 0,752594 0,327048

133 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 mg COMPR. FILM. 0,2mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0,836216 0,243426 0,418108 0,661534 0,752594 0,327048

172 C09AA04 PERINDOPRILUM VIDOTIN 4 mg COMPR. 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 0,297554 0,080112 0,148777 0,228889 0,267798 0,109868

173 C09AA04 PERINDOPRILUM STOPRESS 4 mg COMPR. 4mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM. P-6L 30 0,297554 0,217112 0,148777 0,365889 0,267798 0,246868

174 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 0,297554 0,597112 0,148777 0,745889 0,267798 0,626868

175 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0,297554 0,597112 0,148777 0,745889 0,267798 0,626868

176 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 0,297554 0,190446 0,148777 0,339223 0,267798 0,220202

177 C09AA04 PERINDOPRILUM PRINDEX 4 mg COMPR. 4mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 0,297554 0,097446 0,148777 0,246223 0,267798 0,127202

178 C09AA04 PERINDOPRILUM ERNYOM 4 mg COMPR. 4mg VIM SPECTRUM S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,297554 0,216112 0,148777 0,364889 0,267798 0,245868

179 C09AA04 PERINDOPRILUM VIDOTIN 8 mg COMPR. 8mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 0,595109 0,095224 0,297554 0,392779 0,535598 0,154735

180 C09AA04 PERINDOPRILUM STOPRESS 8 mg COMPR. 8mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM. P-6L 30 0,595109 0,315557 0,297554 0,613112 0,535598 0,375068

181 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 0,595109 1,103891 0,297554 1,401446 0,535598 1,163402

182 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0,595109 1,103891 0,297554 1,401446 0,535598 1,163402

183 C09AA04 PERINDOPRILUM PRINDEX 8 mg COMPR. 8mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 0,595109 0,029557 0,297554 0,327112 0,535598 0,089068

184 C09AA04 PERINDOPRILUM PRENESSA 8 mg COMPR. 8mg KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 0,595109 0,214891 0,297554 0,512446 0,535598 0,274402

185 C09AA04 PERINDOPRILUM ERNYOM 8 mg COMPR. 8mg VIM SPECTRUM S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,595109 0,164891 0,297554 0,462446 0,535598 0,224402

186 C09AA04 PERINDOPRILUM PRESTARIUM 10 mg COMPR. FILM. 10 mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 0,743887 0,951113 0,371943 1,323057 0,669498 1,025502

187 C09AA04 PERINDOPRILUM PERINDOPRIL TOSILAT TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L 30 0,743887 0,121113 0,371943 0,493057 0,669498 0,195502

188 C09AA04 PERINDOPRILUM PRESTARIUM 5 mg COMPR. FILM. 5mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 0,371943 0,617723 0,185971 0,803695 0,334748 0,654918

189 C09AA04 PERINDOPRILUM PERINDOPRIL TOSILAT TEVA 5 mg COMPR. FILM. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L 30 0,371943 0,271723 0,185971 0,457695 0,334748 0,308918

190 C09AA07 BENAZEPRILUM CIBACEN 10mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. TIP CALENDAR X 14 COMPR. FILM. P-6L 28 0,396739 0,183975 0,198369 0,382345 0,357065 0,223649

191 C09AA07 BENAZEPRILUM CIBACEN (R) 20 mg COMPR. FILM. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 0,793479 1,325092 0,396739 1,721832 0,714131 1,404440

192 C09AA07 BENAZEPRILUM CIBACEN (R) 5 mg COMPR. FILM. 5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 0,198369 0,584845 0,099184 0,684030 0,178532 0,604682

193 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 0,074388 0,271612 0,037194 0,308806 0,066949 0,279051

194 C09AA10 TRANDOLAPRILUM GOPTEN® 0,5 mg CAPS. 0,5mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 0,074388 0,271612 0,037194 0,308806 0,066949 0,279051

195 C09AA10 TRANDOLAPRILUM GOPTEN (R) 2 mg CAPS. 2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 0,297554 0,315303 0,148777 0,464080 0,267798 0,345059

196 C09AA10 TRANDOLAPRILUM GOPTEN® 2 mg CAPS. 2mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 0,297554 0,315303 0,148777 0,464080 0,267798 0,345059

197 C09AA10 TRANDOLAPRILUM GOPTEN (R) 4 mg CAPS. 4mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 0,595109 0,547391 0,297554 0,844946 0,535598 0,606902

198 C09AA10 TRANDOLAPRILUM GOPTEN® 4 mg CAPS. 4mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 0,595109 0,547391 0,297554 0,844946 0,535598 0,606902

199 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 0,297554 1,251017 0,148777 1,399794 0,267798 1,280773

200 C09AA15 ZOFENOPRILUM ZOMEN (R) 7,5 mg COMPR. FILM. 7,5mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 0,074388 0,655254 0,037194 0,692448 0,066949 0,662693

385 C10AA04 FLUVASTATINUM LESCOL 20 mg CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 0,245199 0,346943 0,122599 0,469543 0,220679 0,371463

386 C10AA04 FLUVASTATINUM LESCOL 40 mg CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 0,490398 0,480316 0,245199 0,725515 0,441358 0,529356

389 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 0,367799 0,719534 0,183899 0,903434 0,331019 0,756314

392 C10AA05 ATORVASTATINUM GLETOR 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,367799 0,138534 0,183899 0,322434 0,331019 0,175314

393 C10AA05 ATORVASTATINUM ASCORD 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 0,367799 0,338867 0,183899 0,522767 0,331019 0,375647

394 C10AA05 ATORVASTATINUM TORVAZIN 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,367799 0,281534 0,183899 0,465434 0,331019 0,318314

396 C10AA05 ATORVASTATINUM STAVRA 10 mg COMPR. FILM. 10mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 0,367799 0,338867 0,183899 0,522767 0,331019 0,375647

397 C10AA05 ATORVASTATINUM ATORVASTATINA TORRENT 10 mg COMPR. FILM. 10mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,367799 0,338867 0,183899 0,522767 0,331019 0,375647

401 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 0,735598 0,630735 0,367799 0,998534 0,662038 0,704295

405 C10AA05 ATORVASTATINUM ASCORD 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 0,735598 0,182068 0,367799 0,549867 0,662038 0,255628

408 C10AA05 ATORVASTATINUM STAVRA 20 mg COMPR. FILM. 20mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 0,735598 0,182068 0,367799 0,549867 0,662038 0,255628

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 SI FARA CONTRIBUTIE PERSONALA

DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU 01 IULIE 2016

Pagina 1 din 3

Page 8: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Nr. crt cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

Tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata

de sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 50% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 50% din

pretul de referinta)

Val. maxima suportata

de sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

409 C10AA05 ATORVASTATINUM ATORVASTATINA TORRENT 20 mg COMPR. FILM. 20mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,735598 0,182068 0,367799 0,549867 0,662038 0,255628

414 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 1,471197 0,224517 0,735598 0,960116 1,324077 0,371637

438 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 0,735598 2,590830 0,367799 2,958629 0,662038 2,664390

439 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 0,735598 0,097402 0,367799 0,465201 0,662038 0,170962

443 C10AA07 ROSUVASTATINUM ROSTAT 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,735598 0,018402 0,367799 0,386201 0,662038 0,091962

445 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0,735598 0,506187 0,367799 0,873986 0,662038 0,579747

446 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0,735598 0,506187 0,367799 0,873986 0,662038 0,579747

447 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0,735598 0,086068 0,367799 0,453867 0,662038 0,159628

450 C10AA07 ROSUVASTATINUM ROZUCOR 10 mg COMPR. FILM. 10mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,735598 0,830068 0,367799 1,197867 0,662038 0,903628

451 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 0,735598 0,111735 0,367799 0,479534 0,662038 0,185295

453 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 1,471197 3,393803 0,735598 4,129402 1,324077 3,540923

460 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,471197 0,313445 0,735598 1,049044 1,324077 0,460565

461 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 1,471197 0,313445 0,735598 1,049044 1,324077 0,460565

465 C10AA07 ROSUVASTATINUM ROZUCOR 20 mg COMPR. FILM. 20mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 1,471197 0,541803 0,735598 1,277402 1,324077 0,688923

478 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 0,367799 2,268272 0,183899 2,452172 0,331019 2,305052

479 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 0,367799 0,835772 0,183899 1,019672 0,331019 0,872552

481 C10AA07 ROSUVASTATINUM ROSTAT 5 mg COMPR. FILM. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,367799 0,404534 0,183899 0,588434 0,331019 0,441314

482 C10AA07 ROSUVASTATINUM TINTAROS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. P6L 28 0,367799 0,015772 0,183899 0,199672 0,331019 0,052552

483 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0,367799 1,436486 0,183899 1,620386 0,331019 1,473266

484 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0,367799 1,436486 0,183899 1,620386 0,331019 1,473266

485 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 5 mg COMPR. FILM. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0,367799 0,248534 0,183899 0,432434 0,331019 0,285314

486 C10AA07 ROSUVASTATINUM ROVASTAMED 5mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0,367799 0,658629 0,183899 0,842529 0,331019 0,695409

487 C10AA07 ROSUVASTATINUM STARCREST 5 mg COMPR. FILM. 5mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 0,367799 0,320772 0,183899 0,504672 0,331019 0,357552

488 C10AA07 ROSUVASTATINUM ROZUCOR 5 mg COMPR. FILM. 5mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,367799 1,048867 0,183899 1,232767 0,331019 1,085647

489 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 0,367799 0,402534 0,183899 0,586434 0,331019 0,439314

575 G03DA04 PROGESTERONUM* PROGESTOGEL 10 mg/g GEL 10mg/g LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB DIN AL X 80 G GEL + DISPOZITIV DE DOZARE PRF 1 14,239999 7,690001 7,119999 14,810001 12,815999 9,114001

576 G03DA04 PROGESTERONUM* MASTOPROFEN 10 mg/g GEL 10mg/g ANTIBIOTICE SA ROMANIA CUTIE CU 1 TUB DIN AL X 40 G GEL P6L 1 7,119999 0,000001 3,559999 3,560001 6,407999 0,712001

646 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 1,285283 1,327717 0,642641 1,970359 1,156754 1,456246

647 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. LABORATOIRES AVENTIS FRANTA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 1,285283 1,327717 0,642641 1,970359 1,156754 1,456246

648 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 3,213211 0,078455 1,606605 1,685061 2,891889 0,399777

649 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 3,213211 1,853455 1,606605 3,460061 2,891889 2,174777

650 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 1,606603 2,540063 0,803301 3,343365 1,445942 2,700724

651 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 3,213211 0,078455 1,606605 1,685061 2,891889 0,399777

652 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 3,213211 0,078455 1,606605 1,685061 2,891889 0,399777

653 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 3,213211 0,078455 1,606605 1,685061 2,891889 0,399777

654 J01FA10 AZITHROMYCINUM AZIBIOT 250 mg COMPR. FILM. 250mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR.FILM. PRF 6 3,213211 0,078455 1,606605 1,685061 2,891889 0,399777

655 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 6,426423 2,156910 3,213211 5,370122 5,783780 2,799553

663 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 7,711711 7,714955 3,855855 11,570811 6,940539 8,486127

664 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 7,711711 7,714955 3,855855 11,570811 6,940539 8,486127

666 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (400 MG) SUSP. ORALA P-RF 1 12,694196 6,645804 6,347098 12,992902 11,424776 7,915224

668 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 19,041300 3,218700 9,520650 12,739350 17,137170 5,122830

669 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 38,082600 1,597400 19,041300 20,638700 34,274340 5,405660

670 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 47,603250 12,756750 23,801625 36,558375 42,842925 17,517075

718 M01AH01 CELECOXIBUM CELEBREX 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/ACLAR/AL X 10 CAPS. P-RF 30 0,586583 0,311750 0,293291 0,605042 0,527924 0,370409

725 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PVC/ACLAR/AL X 10 CAPS. P-RF 10 1,173166 0,972834 0,586583 1,559417 1,055849 1,090151

726 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/ACLAR/AL X 10 CAPS. P-RF 30 1,173166 0,640167 0,586583 1,226750 1,055849 0,757484

745 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 6,554250 7,065750 3,277125 10,342875 5,898825 7,721175

747 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 6,554250 1,581583 3,277125 4,858708 5,898825 2,237008

748 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 6,554250 2,295750 3,277125 5,572875 5,898825 2,951175

749 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 6,554250 2,013250 3,277125 5,290375 5,898825 2,668675

750 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 6,554250 0,668250 3,277125 3,945375 5,898825 1,323675

751 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 6,554250 0,668250 3,277125 3,945375 5,898825 1,323675

754 M05BA07 ACIDUM RISEDRONICUM* ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 6,554250 4,195750 3,277125 7,472875 5,898825 4,851175

755 M05BA07 ACIDUM RISEDRONICUM* ACTONEL 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 14,044821 19,150179 7,022410 26,172590 12,640338 20,554662

756 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 14,044821 7,160179 7,022410 14,182590 12,640338 8,564662

757 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 6,554250 11,935750 3,277125 15,212875 5,898825 12,591175

758 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 6,554250 11,120750 3,277125 14,397875 5,898825 11,776175

760 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 6,554250 0,748250 3,277125 4,025375 5,898825 1,403675

782 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAUMOBOL 37,5mg/325mg CAPS. 37,5mg/325mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 2 BLISTERE PVC/PE/PVDC/AL X 15 CAPSULE PRF 30 0,272583 0,241083 0,136291 0,377375 0,245324 0,268342

783 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAUMOBOL 37,5mg/325mg CAPS. 37,5mg/325mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU 1 BLIST. DIN PVC/PE/PVDC/AL A 15 CAPS. PRF 15 0,272583 0,253417 0,136291 0,389709 0,245324 0,280676

784 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 10 0,272583 0,534417 0,136291 0,670709 0,245324 0,561676

785 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 2 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 20 0,272583 0,533917 0,136291 0,670209 0,245324 0,561176

786 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 3 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 30 0,272583 0,517417 0,136291 0,653709 0,245324 0,544676

787 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 5 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 50 0,272583 0,387617 0,136291 0,523909 0,245324 0,414876

788 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 37,5mg/325mg COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 0,272583 0,000417 0,136291 0,136709 0,245324 0,027676

790 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 37,5mg/325mg COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 0,272583 0,000083 0,136291 0,136375 0,245324 0,027342

791 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) LINEROL 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-RF 20 0,272583 0,251917 0,136291 0,388209 0,245324 0,279176

793 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 75 mg/650 mg COMPR. FILM. 75 mg/650 mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF 20 0,545166 0,000334 0,272583 0,272917 0,490649 0,054851

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Page 9: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Nr. crt cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

Tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata

de sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 50% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 50% din

pretul de referinta)

Val. maxima suportata

de sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT (pt.

asiguratii care

beneficiaza de

compensare 90% din

pretul de referinta)

795 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF 14 3,445593 0,935121 1,722796 2,657918 3,101033 1,279681

796 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS., (BLIST. PVC/AL) P-RF 56 3,445593 0,450657 1,722796 2,173454 3,101033 0,795217

805 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF 14 1,722796 0,910061 0,861398 1,771459 1,550516 1,082341

806 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS., (BLIST. PVC/AL) P-RF 56 1,722796 0,691132 0,861398 1,552530 1,550516 0,863412

890 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 1,194910 1,745090 0,597455 2,342545 1,075419 1,864581

891 N06AX21 DULOXETINUM** DULSEVIA 30 mg CAPS. GASTROREZ. 30mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ. PRF 30 1,194910 0,005090 0,597455 0,602545 1,075419 0,124581

892 N06AX21 DULOXETINUM** ZATINEX 30 mg CAPS. GASTROREZ. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. GASTROREZ. PRF 28 1,194910 0,743661 0,597455 1,341116 1,075419 0,863152

893 N06AX21 DULOXETINUM** ZATINEX 30 mg CAPS. GASTROREZ. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 CAPS. GASTROREZ. PRF 28 1,194910 0,743661 0,597455 1,341116 1,075419 0,863152

894 N06AX21 DULOXETINUM** DULOXETINA DR. REDDY'S 30 mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 CAPS. GASTROREZ. PRF 28 1,194910 0,816875 0,597455 1,414330 1,075419 0,936366

895 N06AX21 DULOXETINUM** DULOXETINA AUROBINDO 30 mg CAPS. GASTROREZ. 30mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 30 CAPS. GASTROREZ. PRF 30 1,194910 0,716756 0,597455 1,314211 1,075419 0,836247

896 N06AX21 DULOXETINUM** DULOXETINE ZENTIVA 30 mg CAPS. GASTROREZ. 30mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,179642 0,000000 0,589821 0,589821 1,061677 0,117965

898 N06AX21 DULOXETINUM** DULODET 30 mg CAPS. GASTROREZ. 30mg EGIS PHARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. TRANSPARENTE PVC-PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,194910 0,353304 0,597455 0,950759 1,075419 0,472795

899 N06AX21 DULOXETINUM** DULOXGAMMA 30 mg CAPS. GASTROREZ. 30mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,194910 0,816875 0,597455 1,414330 1,075419 0,936366

900 N06AX21 DULOXETINUM** DULOXGAMMA 30 mg CAPS. GASTROREZ. 30mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. GASTROREZ. PRF 28 1,194910 0,816875 0,597455 1,414330 1,075419 0,936366

902 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 2,389821 2,173036 1,194910 3,367947 2,150838 2,412019

903 N06AX21 DULOXETINUM** DULSEVIA 60 mg CAPS. GASTROREZ. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ. PRF 30 2,389821 0,110179 1,194910 1,305090 2,150838 0,349162

904 N06AX21 DULOXETINUM** ZATINEX 60 mg CAPS. GASTROREZ. 60mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. GASTROREZ. PRF 28 2,389821 0,654821 1,194910 1,849732 2,150838 0,893804

905 N06AX21 DULOXETINUM** ZATINEX 60 mg CAPS. GASTROREZ. 60mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 CAPS. GASTROREZ. PRF 28 2,389821 0,654821 1,194910 1,849732 2,150838 0,893804

906 N06AX21 DULOXETINUM** DULOXETINA DR. REDDY'S 60 mg CAPS. GASTROREZ. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 CAPS. GASTROREZ. PRF 28 2,389821 0,682321 1,194910 1,877232 2,150838 0,921304

907 N06AX21 DULOXETINUM** DULOXETINE ZENTIVA 60 mg CAPS. GASTROREZ. 60mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 2,389821 0,016250 1,194910 1,211161 2,150838 0,255233

908 N06AX21 DULOXETINUM** DULOXETINA AUROBINDO 60 mg CAPS. GASTROREZ. 60mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 30 CAPS. GASTROREZ. PRF 30 2,389821 0,528512 1,194910 1,723423 2,150838 0,767495

911 N06AX21 DULOXETINUM** DULOXGAMMA 60 mg CAPS. GASTROREZ. 60mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 2,389821 0,682321 1,194910 1,877232 2,150838 0,921304

912 N06AX21 DULOXETINUM** DULOXGAMMA 60 mg CAPS. GASTROREZ. 60mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. GASTROREZ. PRF 28 2,389821 0,682321 1,194910 1,877232 2,150838 0,921304

918 N07CA01 BETAHISTINUM VERTIMED 16 mg COMPR. 16mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L 30 0,317333 0,041667 0,158666 0,200334 0,285599 0,073401

919 N07CA01 BETAHISTINUM BETAHISTINA LPH 16 mg COMPR. 16mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0,317333 0,265000 0,158666 0,423667 0,285599 0,296734

922 N07CA01 BETAHISTINUM BETAHISTINA LPH 24 mg COMPR. 24 mg LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 60 0,476000 0,000166 0,238000 0,238166 0,428400 0,047766

923 N07CA01 BETAHISTINUM BETAHISTIN MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 20 0,476000 0,000000 0,238000 0,238000 0,428400 0,047600

924 N07CA01 BETAHISTINUM BETAHISTIN MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 50 0,476000 0,000200 0,238000 0,238200 0,428400 0,047800

928 N07CA01 BETAHISTINUM BETAHISTIN MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 6 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 60 0,476000 0,000166 0,238000 0,238166 0,428400 0,047766

930 N07CA01 BETAHISTINUM MARBETA 24 mg COMPR. 24mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 60 0,476000 0,000166 0,238000 0,238166 0,428400 0,047766

931 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg BGP PRODUCTS B.V. OLANDA CUTIE CU 3 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 60 0,476000 0,233000 0,238000 0,471000 0,428400 0,280600

932 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg BGP PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 0,476000 0,256500 0,238000 0,494500 0,428400 0,304100

933 N07CA01 BETAHISTINUM BETAHISTIN MCC 8 mg COMPR. 8mg MAGISTRA C&C SRL ROMANIA CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 30 0,158666 0,031334 0,079333 0,110667 0,142799 0,047201

934 N07CA01 BETAHISTINUM BETAHISTINA LPH 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0,158666 0,031000 0,079333 0,110333 0,142799 0,046867

935 N07CA01 BETAHISTINUM BETAHISTIN MCC 8 mg COMPR. 8mg MAGISTRA C&C SRL ROMANIA CUTIE CU 10 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 100 0,158666 0,031134 0,079333 0,110467 0,142799 0,047001

936 N07CA01 BETAHISTINUM BETAHISTINA LPH 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 90 0,158666 0,031222 0,079333 0,110555 0,142799 0,047089

937 N07CA01 BETAHISTINUM BETAHISTINA DICLORHIDRAT AUROBINDO 8 mg COMPR. 8mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 0,158666 0,021034 0,079333 0,100367 0,142799 0,036901

938 N07CA01 BETAHISTINUM MARBETA 8 mg COMPR. 8mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 100 0,158666 0,031134 0,079333 0,110467 0,142799 0,047001

939 N07CA01 BETAHISTINUM BETASERC 8 mg COMPR. 8mg BGP PRODUCTS B.V. OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 0,158666 0,115734 0,079333 0,195067 0,142799 0,131601

940 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 11,899999 17,050001 5,949999 23,000001 10,709999 18,240001

941 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 23,799999 16,480001 11,899999 28,380001 21,419999 18,860001

SE ELIMINA

72 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. PR/PRF 10 5,280730 1,146270 2,640365 3,786635 4,752657 1,674343

73 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. PR/PRF 10 10,561460 1,098540 5,280730 6,379270 9,505314 2,154686

74 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. PR/PRF 10 14,988000 0,000000 7,494000 7,494000 13,489200 1,498800

75 B01AB05 ENOXAPARINUM**# CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml LABORATOIRE AVENTIS FRANTA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 19,778333 0,000000 9,889166 9,889167 17,800499 1,977834

759 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 6,572249 10,515251 3,286124 13,801376 5,915024 11,172476

797 N03AX16 PREGABALINUM**# PREGLENIX 150 mg CAPS. 150mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF 14 2,687142 0,000000 1,343571 1,343571 2,418427 0,268715

798 N03AX16 PREGABALINUM**# PREGLENIX 150 mg CAPS. 150mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF 56 2,419821 0,000000 1,209910 1,209911 2,177838 0,241983

799 N03AX16 PREGABALINUM**# PREGABALINA AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF 60 2,406000 0,000000 1,203000 1,203000 2,165400 0,240600

802 N03AX16 PREGABALINUM**# PREGLENIX 300 mg CAPS. 300mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF 14 4,137142 0,000000 2,068571 2,068571 3,723427 0,413715

803 N03AX16 PREGABALINUM**# PREGLENIX 300 mg CAPS. 300mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF 56 3,725535 0,000000 1,862767 1,862768 3,352981 0,372554

804 N03AX16 PREGABALINUM**# PREGABALINA AUROBINDO 300 mg CAPS. 300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF 60 3,539333 0,000000 1,769666 1,769667 3,185399 0,353934

807 N03AX16 PREGABALINUM**# PREGABALINA AUROBINDO 75 mg CAPS. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF 60 1,543833 0,000000 0,771916 0,771917 1,389449 0,154384

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Anexa 8

(Anexa 2c la Ordinul CNAS 944/2015)

NR.CRT COD ATC DCI Denumire Comerciala forma farm. concentratie DETINATOR APP

TARA

DET. APP AMBALAJ Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 100% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

SE ADAUGA

252 C09AA05 RAMIPRILUM RAMIPRIL ATB 10 mg COMPR. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,238333 0,238333 0,000000

253 C09AA05 RAMIPRILUM RAMIPRIL ATB 2,5 mg COMPR. 2,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,149333 0,149333 0,000000

254 C09AA05 RAMIPRILUM RAMIPRIL ATB 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0,172000 0,172000 0,000000

SE MODIFICA

191 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 0,179199 0,179199 0,085443

195 C09AA05 RAMIPRILUM TRITACE 2,5 mg COMPR. 2,5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL/ X 28 COMPR. P6L 28 0,179199 0,179199 0,085443

197 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 0,206400 0,206400 0,041814

198 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 0,206400 0,206400 0,041600

199 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 0,206400 0,206400 0,041600

200 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 0,206400 0,206400 0,032885

201 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 0,206400 0,206400 0,175385

202 C09AA05 RAMIPRILUM RAMIPRIL AUROBINDO 5 mg COMPR. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L 28 0,206400 0,206400 0,041814

203 C09AA05 RAMIPRILUM AMPRIGEN 5 mg COMPR. 5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 0,206400 0,206400 0,041600

204 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0,206400 0,206400 0,041600

205 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 0,206400 0,206400 0,041600

206 C09AA05 RAMIPRILUM TRITACE 5 mg COMPR. 5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L 28 0,206400 0,206400 0,175385

SE ADAUGA

168 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS. PRF 56 2,532500 2,532500 0,000000

169 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF 14 2,847142 2,847142 0,000000

170 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF 56 2,532500 2,532500 0,000000

171 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF 14 2,847142 2,847142 0,000000

172 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 75 mg CAPS. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF 14 1,597285 1,597285 0,171286

173 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 75 mg CAPS. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS. PRF 56 1,597285 1,597285 0,027893

174 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 75 mg CAPS. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF 14 1,597285 1,597285 0,171286

175 N03AX16 PREGABALINUM*** PREGABALINA TERAPIA 75 mg CAPS. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF 56 1,597285 1,597285 0,027893

SE MODIFICA

105 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. PRF 30 1,878799 1,878799 0,492201

130 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 0,673599 0,673599 0,255067

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

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

DCI-urilor UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI

DIN H.G. NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE;

MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE MEDICALĂ CU REŢINERE ÎN FARMACIE

VALABILĂ ÎNCEPÂND CU 01 IULIE 2016

9. EPILEPSIE - G11

Pagina 1 din 2

Page 11: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

NR.CRT COD ATC DCI Denumire Comerciala forma farm. concentratie DETINATOR APP

TARA

DET. APP AMBALAJ Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 100% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

SE ELIMINA

108 N03AX14 LEVETIRACETAMUM** LEVELANZ 1000 mg COMPR. FILM. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 1,878799 1,878799 1,634772

109 N03AX14 LEVETIRACETAMUM** LEVELANZ 1000 mg COMPR. FILM. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 1,878799 1,878799 1,634772

120 N03AX14 LEVETIRACETAMUM** LEVELANZ 250 mg COMPR. FILM. 250mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 0,525999 0,525999 0,425429

121 N03AX14 LEVETIRACETAMUM** LEVELANZ 250 mg COMPR. FILM. 250mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 0,525999 0,525999 0,425429

133 N03AX14 LEVETIRACETAMUM** LEVELANZ 500 mg COMPR. FILM. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 0,673599 0,673599 1,075686

134 N03AX14 LEVETIRACETAMUM** LEVELANZ 500 mg COMPR. FILM. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 0,673599 0,673599 1,075686

SE ADAUGA

320 N05AX12 ARIPIPRAZOLUM** ARIPIPRAZOL TORRENT 10 mg COMPR. ORODISPERSABILE 10mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE PRF 28 4,588399 4,588399 1,886243

321 N05AX12 ARIPIPRAZOLUM** ARIPIPRAZOL TORRENT 15 mg COMPR. ORODISPERSABILE 15mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE PRF 28 6,768000 6,768000 0,186285

SE MODIFICA

188 N05AX12 ARIPIPRAZOLUM** ARIPIPRAZOLE ZENTIVA 10 mg COMPR. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. PRF 28 4,587857 4,587857 0,000000

199 N05AX12 ARIPIPRAZOLUM** ARIPIPRAZOLE ZENTIVA 15 mg COMPR. 15mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. PRF 28 5,791071 5,791071 0,000000

205 N05AX12 ARIPIPRAZOLUM** ARIPIPRAZOLE ZENTIVA 10 mg COMPR. ORODISPERSABILE 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE PRF 28 4,587857 4,587857 0,000000

207 N05AX12 ARIPIPRAZOLUM** ARIPIPRAZOLE ZENTIVA 15 mg COMPR. ORODISPERSABILE 15mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE PRF 28 5,791071 5,791071 0,000000

269 N06AX16 VENLAFAXINUM** VENLAFAXINA AUROBINDO 150 mg CAPS. ELIB. PREL. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0,665599 0,665599 0,002734

283 N06AX16 VENLAFAXINUM** VENLAFAXINA AUROBINDO 75 mg CAPS. ELIB. PREL. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0,391200 0,391200 0,000800

295 N06AX21 DULOXETINUM** DULOXETINE ZENTIVA 30 mg CAPS. GASTROREZ. 30mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,179642 1,179642 0,000000

306 N06AX21 DULOXETINUM** DULOXETINE ZENTIVA 60 mg CAPS. GASTROREZ. 60mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 2,406071 2,406071 0,000000

SE ADAUGA

42 H02AB09 HYDROCORTISONUM HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. PRF 25 0,506800 0,506800 0,000000

SE ADAUGA

30 S01EE01 LATANOPROSTUM ARULATAN 50 micrograme/ml PIC. OFT., SOL. 50micrograme/ml DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE CU 1 FLAC. PEJD CU DOP PICURATOR PEID X 2,5 ML PIC. OFT., SOL. P-6L 1 25,150000 25,150000 0,000000

21. GLAUCOM - G 26

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI

NEUROENDOCRINE) - G 22

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURĂRI SCHIZOTIPALE ŞI DELIRANTE, TULBURĂRI AFECTIVE MAJORE, TULBURĂRI PSIHOTICE ACUTE ŞI BOLI PSIHICE COPII, AUTISM, TULBURĂRI CU

DEFICIT DE ATENŢIE/HIPERREACTIVITATE) - G15

Pagina 2 din 2

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Anexa 9 (Anexa 2d la Ordinul CNAS 944/2015)

Nr. crt

cod

ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

Tara det.

APP Ambalaj Pre

sc

rip

tie

cant.

UT/

ambal

aj

Pret de

referinta / UT

(RON)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 100% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

SE ADAUGA

198 C05AA08 COMBINATII ULTRAPROCT SUPOZITOARE SUPOZ. FARA CONCENTRATIE BAYER PHARMA AG GERMANIA CUTIE X 2 FOLII AL/PE X 5 SUPOZ. P-RF 10 1,342000 1,342000 0,000000

199 C05AA08 COMBINATII ULTRAPROCT UNGUENT RECTAL UNGUENT RECTAL FARA CONCENTRATIE BAYER PHARMA AG GERMANIA CUTIE X 1 TUB AL X 30 G + 1 CANULA PEJD P-RF 1 32,060000 32,060000 0,000000

SE MODIFICA

26 A11DBN1 COMBINATII NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 0,553680 0,553680 0,025820

27 A11DBN1 COMBINATII NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 100 0,461400 0,461400 0,000000

SE ELIMINA

110 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 60 COMPR. FILM. P-6L 60 0,234000 0,234000 0,065666

111 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 0,234000 0,234000 0,065666

168 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 6,560000 6,560000 0,000000

172 R01BA52 COMBINATII (LORATADINUM+PSEUDOEFEDRINUM) CLARINASE 5 mg/120 mg COMPR. ELIB. MODIF. 5mg/120mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 COMPR. ELIB. MODIF. P-6L 7 1,372857 1,372857 0,000000

SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% DIN PREȚUL DE REFERINȚĂ - CONFORM DCI-URILOR, ALTELE DECÂT CELE DIN

SUBLISTELE A, B, SUBLISTA C SECŢIUNEA C1 ŞI SUBLISTA D, CORESPUNZĂTOARE MEDICAMENTELOR, DE CARE BENEFICIAZĂ COPIII PÂNĂ LA 18 ANI, TINERII DE LA 18

LA 26 DE ANI DACĂ SUNT ELEVI, UCENICI SAU STUDENŢI, DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LEHUZE, ÎN TRATAMENTUL AMBULATORIU,

DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,

VALABILĂ ÎNCEPÂND CU 01 IULIE 2016

Pagina 1 din 1

Page 13: Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015)...2016/07/01  · Anexa 6 (Anexa 2a la Ordinul CNAS 944/2015) Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator

Anexa 10 (Anexa 2e la Ordinul CNAS 944/2015)

Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det.

APP Ambalaj Pre

scri

pti

e

cant.

UT/

amba

laj

Pret de

referinta / UT

(RON)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 100%

din pretul de

referinta)

Val. maxima suportata de

sistemul de asigurari

sociale de sanatate / UT

(pt. asiguratii care

beneficiaza de

compensare 20% din

pretul de referinta)

Co-plata maxima a

asiguratului / UT

(pt. asiguratii care

beneficiaza de

compensare 20%

din pretul de

referinta)

SE MODIFICA

88 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 28,089642 7,310358 5,617928 29,782072

89 M05BA06 ACIDUM IBANDRONICUM** OSSICA 150 mg COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L 1 28,089642 7,590358 5,617928 30,062072

90 M05BA06 ACIDUM IBANDRONICUM** QUODIXOR 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P-6L 1 28,089642 7,580358 5,617928 30,052072

91 M05BA06 ACIDUM IBANDRONICUM** OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 28,089642 6,940358 5,617928 29,412072

92 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L 1 28,089642 7,590358 5,617928 30,062072

93 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L 1 28,089642 6,950358 5,617928 29,422072

SUBLISTA D - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 20% DIN PRETUL DE REFERINTA CONFORM

DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE

PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE

VALABILA INCEPAND CU 01 IULIE 2016

Pagina 1 din 1