LISTA DE PRODUSE PHARMACCESS VALABILA LA · PDF fileVELYN 100mg 30 Cutie x blistere...

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LISTA DE PRODUSE PHARMACCESS VALABILA LA DATA DE 05.12.2017 Denumire SKU NrU T/ cuti e Mod de ambalare Compensa re CNAS Cod SKU Limita U.T. pentru 92 zile CRESTOR 10 mg 28 Cutie x 2 blistere x 14 comprimate filmate (3 ani) 0%, 50%, 90%, 100% W13864001 184 CRESTOR 20 mg 28 Cutie x 2 blistere x 14 comprimate filmate (3 ani) 0%, 50%, 90%, 100% W13865001 184 CRESTOR 5 mg 28 Cutie x 2 blistere Al/Al x 14 comprimate filmate (3 ani) 0%, 50%, 90%, 100% W43678001 184 SYMBICORT(R) TURBUHALER(R) 160 mcrg/ 4,5micrograme / inhalatie 1 Cutie x 1 recipient multidoza x 60 doze prevazut cu dispozitiv de administrare si dispozitiv indicator al numarului de doze (2 ani) 0%, 50% W56427001 4 90%,100% - SYMBICORT(R) TURBUHALER(R) 320 mcrg/ 9 micrograme / inhalatie 1 Cutie x 1 recipient multidoza x 60 doze prevazut cu dispozitiv de administrare si dispozitiv indicator al numarului de doze (2 ani) 0%, 50% W56428001 3 90%, 100% - CASODEX 50mg 28 Cutie x 2 blist. tip calendar Al/PVC x 14 compr.film.; (5 ani) 100% W10174001 92 CASODEX 150mg 28 Cutie x 2 blistere x 14 comprimate filmate (4 ani) 100% W12048001 92 EYLEA 40mg/ml 1 Cutie x 1 flacon solutie injectabila 4mg/100 microlitri 0% W59598001 3 ELIQUIS 5mg 60 Cutie x blistere PVC/PVDC/Al x 60 comprimate filmate (3 ani) 0% W59339004 62 / 1 luna ELIQUIS 2.5mg 60 Cutie x blistere PVC/PVDC/Al x 60 comprimate filmate (3 ani) 0% W57283003 W57283004 62 / 1 luna CORLENTOR 5 mg 56 Cutie x 4 blistere din Al/PVC tip calendar x 14 comprimate filmate (3 ani) 0%, 50% W42777003 240/brand 90% 100% CORLENTOR 7.5 mg 56 Cutie x 4 blistere din Al/PVC tip calendar x 14 comprimate filmate (3 ani) 0%, 50% W42779003 90% 100% VASAPROSTAN 20 μg/ml 15 CUTIE CU 15 FIOLE DIN STICLA INCOLORA CU PUNCT DE RUPERE, CU CAPACITATE DE 5 ML, CONTINÂND 48,2 MG PULB. PT. SOL. PERF. 50%, 90% W58530002 120/ 1 luna 100% EXELON 4,6mg/24h 30 Cutie x 30 plicuri x 1 plasture trandermic(2 ani) 100% W52347002 92 EXELON 9.5mg/24h 30 Cutie x 30 plicuri x 1 plasture trandermic (2 ani) 100% W52348002 92 BRILIQUE 90mg 56 Cutie x 4 blistere calendar din PVC- PVDC/Al x 14 comprimate filmate. 0% W56291004 224 XARELTO 15 mg 98 Cutie x blistere PP/Al x 98 comprimate filmate 0% W60380001 113 XARELTO 20 mg 98 Cutie x blistere PP/Al x 98 comprimate filmate 0% W60381001 113

Transcript of LISTA DE PRODUSE PHARMACCESS VALABILA LA · PDF fileVELYN 100mg 30 Cutie x blistere...

Page 1: LISTA DE PRODUSE PHARMACCESS VALABILA LA · PDF fileVELYN 100mg 30 Cutie x blistere PVC-PVDC/Al x 30 comprimate 0% W60674005 W60675008 184 VELYN 100mg 60 Cutie x blistere PVC-PVDC/Al

LISTA DE PRODUSE PHARMACCESS VALABILA LA DATA DE 05.12.2017

Denumire SKU

NrUT/

cutie

Mod de ambalare

Compensa

re CNAS

Cod SKU

Limita U.T. pentru 92

zile

CRESTOR 10 mg 28 Cutie x 2 blistere x 14 comprimate filmate (3 ani)

0%, 50%, 90%, 100%

W13864001 184

CRESTOR 20 mg 28 Cutie x 2 blistere x 14 comprimate filmate (3 ani)

0%, 50%, 90%, 100%

W13865001 184

CRESTOR 5 mg 28 Cutie x 2 blistere Al/Al x 14 comprimate filmate (3 ani)

0%, 50%, 90%, 100%

W43678001 184

SYMBICORT(R) TURBUHALER(R) 160 mcrg/ 4,5micrograme / inhalatie

1

Cutie x 1 recipient multidoza x 60 doze prevazut cu dispozitiv de administrare si dispozitiv indicator al numarului de doze (2 ani)

0%, 50%

W56427001

4

90%,100% -

SYMBICORT(R) TURBUHALER(R) 320 mcrg/ 9 micrograme / inhalatie

1

Cutie x 1 recipient multidoza x 60 doze prevazut cu dispozitiv de administrare si dispozitiv indicator al numarului de doze (2 ani)

0%, 50%

W56428001

3

90%, 100% -

CASODEX 50mg 28 Cutie x 2 blist. tip calendar Al/PVC x 14 compr.film.; (5 ani)

100% W10174001 92

CASODEX 150mg 28 Cutie x 2 blistere x 14 comprimate filmate (4 ani)

100% W12048001 92

EYLEA 40mg/ml 1 Cutie x 1 flacon solutie injectabila 4mg/100 microlitri

0% W59598001 3

ELIQUIS 5mg 60 Cutie x blistere PVC/PVDC/Al x 60 comprimate filmate (3 ani)

0% W59339004 62 / 1 luna

ELIQUIS 2.5mg 60 Cutie x blistere PVC/PVDC/Al x 60 comprimate filmate (3 ani)

0% W57283003 W57283004

62 / 1 luna

CORLENTOR 5 mg 56 Cutie x 4 blistere din Al/PVC tip calendar x 14 comprimate filmate (3 ani)

0%, 50%

W42777003

240/brand

90%

100%

CORLENTOR 7.5 mg 56 Cutie x 4 blistere din Al/PVC tip calendar x 14 comprimate filmate (3 ani)

0%, 50%

W42779003 90%

100%

VASAPROSTAN 20 µg/ml 15

CUTIE CU 15 FIOLE DIN STICLA INCOLORA CU PUNCT DE RUPERE, CU CAPACITATE DE 5 ML, CONTINÂND 48,2 MG PULB. PT. SOL. PERF.

50%, 90%

W58530002 120/ 1 luna

100%

EXELON 4,6mg/24h 30 Cutie x 30 plicuri x 1 plasture trandermic(2 ani)

100% W52347002 92

EXELON 9.5mg/24h 30 Cutie x 30 plicuri x 1 plasture trandermic (2 ani)

100% W52348002 92

BRILIQUE 90mg 56 Cutie x 4 blistere calendar din PVC-PVDC/Al x 14 comprimate filmate.

0% W56291004 224

XARELTO 15 mg 98 Cutie x blistere PP/Al x 98 comprimate filmate

0% W60380001 113

XARELTO 20 mg 98 Cutie x blistere PP/Al x 98 comprimate filmate

0% W60381001 113

Page 2: LISTA DE PRODUSE PHARMACCESS VALABILA LA · PDF fileVELYN 100mg 30 Cutie x blistere PVC-PVDC/Al x 30 comprimate 0% W60674005 W60675008 184 VELYN 100mg 60 Cutie x blistere PVC-PVDC/Al

VELYN 100mg 30 Cutie x blistere PVC-PVDC/Al x 30 comprimate

0% W60674005 W60675008

184

VELYN 100mg 60 Cutie x blistere PVC-PVDC/Al x 60 comprimate

0% W60675005 184

DILVAS 100mg 56 Cutie x blistere PVC/Al x 56 comprimate (2 ani)

0% W60428001 184

FOSTER 100/6mcg/doza 1 CUTIE CU 1 FLAC. PRESURIZAT PLASTIC A 180 DOZE SOL. DE INHALAT

100%

W57995002

-

50% -

90% -

ABILIFY 10 mg 28 Cutie x 1blist. Al/al perforat unidoza x 28 (x1) comprimate

0%, 100% W41602002 276

ABILIFY 15 mg 28 Cutie x 1blist. Al/al perforat unidoza x 28 (x1) comprimate

0%, 100% W41603002 184

LIPOCOMB 10 mg/10 mg 30 Cutie x blistere OPA-Al-PVC/Al x 30 (3 x10) capsule (2 ani)

0%

W61288003 184/6 luni 50%

90%

100%

LIPOCOMB 20 mg/10 mg 30 Cutie x blistere OPA-Al-PVC/Al x 30 (3 x10) capsule (2 ani)

0%

W61295003 184/6 luni 50%

90%

100%

NOCLAUD 100 mg 56 Cutie x blistere din PVC-PVDC/Al x 56 (4 x14) comprimate

0% W60707002 184/6 luni

AZILECT 1 mg 30 Cutie x 3 blistere din Al/Al x 10 comprimate (2 ani)

100% W42418004 W62982004

92

ZOLADEX LA 10,8 mg 1

CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT

100% (C2) W10731001 1

ZOLADEX (R) 1 CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

100% (C2) W10173001 3

IMPLICOR 25mg/5mg 56 Cutie x blistere din PVC-PVDC/AI x 56 comprimate filmate (18 luni)

0%, 50%

W62093003

240/brand

90%

100%

IMPLICOR 50mg/5mg 56 Cutie x blistere din PVC-PVDC/AI x 56 comprimate filmate (18 luni)

0%, 50%

W62094003 90%

100%

IMPLICOR 25mg/7.5mg 56 Cutie x blistere din PVC-PVDC/AI x 56 comprimate filmate (18 luni)

0%, 50%

W62095003 90%

100%

IMPLICOR 50mg/7.5mg 56 Cutie x blistere din PVC-PVDC/AI x 56 comprimate filmate (18 luni)

0%, 50%

W62096003 90%

100%

BETMIGA 50mg 30 Cutie x folii AI/AI x 30 comprimate cu eliberare prelungita

0% W59966003 130

VESOMNI 6mg/0.4mg 30 Cutie x blistere AI/AI x 30 comprimate cu eliberare prelungita (3 ani)

0% W61041005 130

Entresto 24mg/26mg 28 Cutie x 28 comprimate (blistere PVC/PVDC/AL x 14 comprimate)

0% W62448001 184

Entresto 49mg/51mg 56 Cutie x 56 comprimate (blistere PVC/PVDC/AL x 14 comprimate)

0% W62449001 184

Entresto 97mg/103 mg 56 Cutie x 56 comprimate (blistere PVC/PVDC/AL x 14 comprimate)

0% W62450001 184

Page 3: LISTA DE PRODUSE PHARMACCESS VALABILA LA · PDF fileVELYN 100mg 30 Cutie x blistere PVC-PVDC/Al x 30 comprimate 0% W60674005 W60675008 184 VELYN 100mg 60 Cutie x blistere PVC-PVDC/Al

Lynparza 448 CUTIE X 448 CAPSULE (4 FLACOANE X112 CAPSULE)

100% W61522002 -

DUODOPA 7 CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC

0% W60962001 21 / 1 luna

NORDITROPIN SIMPLEX 1 CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.

100% (C2)

W54046001 30 50% (B)

90% (B)

100% (B)

BARACLUDE 0.5mg 30 CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

100% (C1) W51442002 92

BARACLUDE 1mg 30 CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

100% (C1) W51443002 92