Lista Medicamente 2014

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  • Pagina 1 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    1 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6,53 0,217666 0,217666 0,2176662 B01AA07 ACENOCUMAROLUM SINTROM 4 mg COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6,76 0,338000 0,338000 0,3380003 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3,34 0,133600 0,133600 0,1336004 C01AA05 DIGOXINUM DIGOXIN ZENTIVA 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3,34 0,133600 0,133600 0,1336005 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0,5mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 7,97 1,594000 1,594000 1,5940006 C01AA05 DIGOXINUM DIGOXIN ZENTIVA 0,5 mg/2ml SOL. INJ. 0,5mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE S S/P-RF 5 7,97 1,594000 1,594000 1,5940007 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 4,18 0,167200 0,167200 0,1672008 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,151000 0,1510009 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,151000 0,151000

    10 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,181200 0,18120011 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 6,02 0,301000 0,181200 0,18120012 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,04 0,152000 0,152000 0,15200013 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6,02 0,301000 0,181200 0,18120014 C03CA01 FUROSEMIDUM FUROSEMID BIOEEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,181200 0,18120015 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6,07 1,214000 1,214000 1,21400016 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28,51 0,950333 0,950333 0,95033317 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 16,07 0,321400 0,258000 0,25800018 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA LPH 25 mg CAPS. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L 60 19,46 0,324333 0,258000 0,25800019 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16,72 0,557333 0,557333 0,55733320 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16,24 0,541333 0,541333 0,54133321 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,30 0,215000 0,215000 0,21500022 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA BIOEEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,30 0,215000 0,215000 0,21500023 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16,21 0,324200 0,258000 0,25800024 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4,30 0,215000 0,215000 0,21500025 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13,74 0,687000 0,649599 0,64959926 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L 30 14,05 0,468333 0,237000 0,23700027 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10,94 0,364666 0,237000 0,23700028 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 6,56 0,328000 0,237000 0,23700029 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7,12 0,237333 0,237000 0,23700030 C07AB02 METOPROLOLUM METOPROLOL LAROPHARM 100 mg COMPR. 100mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5,86 0,293000 0,237000 0,23700031 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 9,12 0,304000 0,237000 0,23700032 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100 19,75 0,197500 0,197500 0,19750033 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 13,00 0,260000 0,237000 0,23700034 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9,49 0,316333 0,237000 0,23700035 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15,12 0,504000 0,237000 0,23700036 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7,38 0,369000 0,237000 0,23700037 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7,01 0,233666 0,233666 0,23366638 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8,09 0,404500 0,237000 0,23700039 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 1,90 0,095000 0,095000 0,095000

    VALABIL NCEPND CU 01 APRILIE 2014

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

    ANEXA 3

    SECIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN CONFORM

    DCI-urilor UTILIZATE N TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII I CONSUMULUI PRIN COMISIILE PARITARE; MEDICAMENTELE DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE ( P-RF)

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

  • Pagina 2 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    40 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1,90 0,095000 0,095000 0,09500041 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2,85 0,095000 0,095000 0,09500042 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2,85 0,095000 0,095000 0,09500043 C07AB02 METOPROLOLUM METOPROLOL LAROPHARM 50 mg COMPR. 50mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,51 0,175500 0,100800 0,10080044 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080045 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 3,51 0,175500 0,100800 0,10080046 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4,75 0,158333 0,100800 0,10080047 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080048 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 8,40 0,084000 0,084000 0,08400049 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 7,09 0,141800 0,100800 0,10080050 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080051 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7,06 0,235333 0,100800 0,10080052 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,45 0,172500 0,100800 0,10080053 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080054 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,51 0,175500 0,100800 0,10080055 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 11,12 0,556000 0,237000 0,23700056 C07AB02 METOPROLOLUM BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 25,70 0,856666 0,237000 0,23700057 C07AB02 METOPROLOLUM BETALOC (R) ZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 15,69 0,523000 0,100800 0,10080058 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 22,71 0,757000 0,757000 0,75700059 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 8,14 0,271333 0,271333 0,27133360 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 13,59 0,453000 0,453000 0,45300061 C07AB02 METOPROLOLUM BETALOC SOL. INJ. 5mg/5ml ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S 5 22,16 4,432000 4,432000 4,43200062 C07AB07 BISOPROLOLUM BOREZ 10 mg COMPR. FILM. 10 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 10,51 0,350333 0,350333 0,35033363 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 32,72 1,090666 0,420399 0,42039964 C07AB07 BISOPROLOLUM BOREZ 2,5 mg COMPR. FILM. 2,5 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 8,07 0,269000 0,269000 0,26900065 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 14,76 0,492000 0,322800 0,32280066 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22,31 0,743666 0,292800 0,29280067 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 34,55 1,233928 0,593142 0,59314268 C07AB12 NEBIVOLOLUM** NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23,20 0,773333 0,593142 0,59314269 C07AB12 NEBIVOLOLUM** X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 27,09 0,903000 0,593142 0,59314270 C07AB12 NEBIVOLOLUM** NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L 30 24,87 0,829000 0,593142 0,59314271 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L 28 22,80 0,814285 0,593142 0,59314272 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24,44 0,814666 0,593142 0,59314273 C07AB12 NEBIVOLOLUM** NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24,87 0,829000 0,593142 0,59314274 C07AB12 NEBIVOLOLUM** NEBIVOLOL SANDOZ 5 mg COMPR. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L 28 13,84 0,494285 0,494285 0,49428575 C07AB12 NEBIVOLOLUM** NEBIVOLOL TERAPIA 5mg COMPR. 5mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 22,65 0,808928 0,593142 0,59314276 C07AB12 NEBIVOLOLUM** NEBIVOLOL TORRENT 5 mg COMPR. 5mg TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L 30 24,59 0,819666 0,593142 0,59314277 C07AB12 NEBIVOLOLUM** NEBICARD 5 mg COMPR. 5mg BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L 28 22,93 0,818928 0,593142 0,59314278 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8,74 0,291333 0,291333 0,29133379 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 29,94 1,069285 0,349599 0,34959980 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 12,48 0,445714 0,349599 0,34959981 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 13,30 0,443333 0,349599 0,34959982 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13,36 0,445333 0,349599 0,34959983 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6,72 0,336000 0,336000 0,33600084 C07AG02 CARVEDILOLUM GLADYCOR 12,5 mg COMPR. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 13,10 0,436666 0,349599 0,34959985 C07AG02 CARVEDILOLUM MIOCARVIL 12,5 mg COMPR. 12,5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 13,36 0,445333 0,349599 0,34959986 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,2 mg COMPR. 12,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8,72 0,436000 0,349599 0,34959987 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 33,45 1,194642 0,367200 0,36720088 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 22,05 0,787500 0,367200 0,36720089 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 23,62 0,787333 0,367200 0,36720090 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9,18 0,306000 0,306000 0,306000

  • Pagina 3 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    91 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23,62 0,787333 0,367200 0,36720092 C07AG02 CARVEDILOLUM GLADYCOR 25 mg COMPR. 25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 23,00 0,766666 0,367200 0,36720093 C07AG02 CARVEDILOLUM MIOCARVIL 25 mg COMPR. 25mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 23,62 0,787333 0,367200 0,36720094 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15,72 0,786000 0,367200 0,36720095 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 16,46 0,587857 0,267999 0,26799996 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6,25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6,44 0,230000 0,230000 0,23000097 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 6,89 0,229666 0,229666 0,22966698 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6,89 0,229666 0,229666 0,22966699 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 6,89 0,229666 0,229666 0,229666100 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,56 0,228000 0,228000 0,228000101 C07AG02 CARVEDILOLUM GLADYCOR 6,25 mg COMPR. 6,25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6,70 0,223333 0,223333 0,223333102 C07AG02 CARVEDILOLUM MIOCARVIL 6,25 mg COMPR. 6,25mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. P-6L 30 6,89 0,229666 0,229666 0,229666103 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 12,5mg COMPR. FILM. 12,5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 14,81 0,528928 0,349599 0,349599104 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 25mg COMPR. FILM. 25mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 21,99 0,785357 0,367200 0,367200105 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 6,25mg COMPR. FILM. 6,25mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 7,32 0,261428 0,261428 0,261428106 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 3,41 0,113666 0,113666 0,113666107 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4,10 0,136666 0,136666 0,136666108 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,136800 0,136800109 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2,28 0,114000 0,114000 0,114000110 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3,42 0,114000 0,114000 0,114000111 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3,42 0,114000 0,114000 0,114000112 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4,64 0,154666 0,136800 0,136800113 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2,28 0,114000 0,114000 0,114000114 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2,67 0,133500 0,133500 0,133500115 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6,67 0,222333 0,157200 0,157200116 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,87 0,193500 0,157200 0,157200117 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2,67 0,133500 0,133500 0,133500118 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4,50 0,150000 0,150000 0,150000119 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3,93 0,131000 0,131000 0,131000120 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4,39 0,219500 0,219500 0,219500121 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3,96 0,198000 0,198000 0,198000122 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 4,39 0,219500 0,219500 0,219500123 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 4,39 0,219500 0,219500 0,219500124 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 4,39 0,219500 0,219500 0,219500125 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10,52 0,375714 0,237600 0,237600126 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7,30 0,365000 0,237600 0,237600127 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6,87 0,229000 0,229000 0,229000128 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11,25 0,225000 0,225000 0,225000129 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 22,02 0,220200 0,220200 0,220200130 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 11,28 0,564000 0,237600 0,237600131 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 4,10 0,205000 0,205000 0,205000132 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 4,39 0,219500 0,219500 0,219500133 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7,94 0,397000 0,394320 0,394320134 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10,18 0,509000 0,394320 0,394320135 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 8,75 0,437500 0,394320 0,394320136 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7,94 0,397000 0,394320 0,394320137 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 17,12 0,611428 0,394320 0,394320138 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 11,11 0,555500 0,394320 0,394320139 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11,12 0,370666 0,370666 0,370666140 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 16,43 0,328600 0,328600 0,328600141 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 7,92 0,396000 0,394320 0,394320

  • Pagina 4 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    142 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 20 mg COMPR. 20mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 7,94 0,397000 0,394320 0,394320143 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3,67 0,183500 0,183500 0,183500144 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3,67 0,183500 0,183500 0,183500145 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 3,67 0,183500 0,183500 0,183500146 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7,87 0,281071 0,219000 0,219000147 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 3,84 0,192000 0,192000 0,192000148 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3,93 0,196500 0,196500 0,196500149 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5,58 0,186000 0,186000 0,186000150 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3,65 0,182500 0,182500 0,182500151 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 3,67 0,183500 0,183500 0,183500152 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 5 mg COMPR. 5mg LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L 20 3,67 0,183500 0,183500 0,183500153 C09AA02 ENALAPRILUM ENAP 1,25 mg/ml SOL. INJ./PERF. 1,25mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. PR/PRF 5 15,45 3,090000 3,090000 3,090000154 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14,98 0,499333 0,344400 0,344400155 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10,74 0,537000 0,344400 0,344400156 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10,31 0,343666 0,343666 0,343666157 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8,61 0,287000 0,287000 0,287000158 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14,44 0,481333 0,344400 0,344400159 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12,87 0,429000 0,344400 0,344400160 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11,96 0,398666 0,344400 0,344400161 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 15,47 0,552500 0,344400 0,344400162 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8,75 0,312500 0,312500 0,312500163 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 23,11 0,770333 0,517200 0,517200164 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 15,65 0,782500 0,517200 0,517200165 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15,05 0,501666 0,501666 0,501666166 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 12,93 0,431000 0,431000 0,431000167 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 23,37 0,779000 0,517200 0,517200168 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23,48 0,782666 0,517200 0,517200169 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 22,90 0,817857 0,517200 0,517200170 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL X 10 COMPR. P-6L 20 14,44 0,722000 0,517200 0,517200171 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 39,31 1,310333 1,310333 1,310333172 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7,64 0,254666 0,254666 0,254666173 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6,50 0,216666 0,216666 0,216666174 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8,67 0,289000 0,259999 0,259999175 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 7,37 0,245666 0,245666 0,245666176 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 9,28 0,331428 0,259999 0,259999177 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9,23 0,329642 0,329642 0,329642178 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 23,28 0,831428 0,389599 0,389599179 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9,74 0,324666 0,324666 0,324666180 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 24,93 0,831000 0,389599 0,389599181 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9,21 0,328928 0,328928 0,328928182 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9,23 0,329642 0,329642 0,329642183 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 14,19 0,506785 0,389599 0,389599184 C09AA05 RAMIPRILUM RAMIPRIL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L 28 9,49 0,338928 0,338928 0,338928185 C09AA05 RAMIPRILUM AMPRIGEN 10 mg COMPR. 10mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 24,04 0,801333 0,389599 0,389599186 C09AA05 RAMIPRILUM RAMIPRIL TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,329333187 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,329333188 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,329333189 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 4,65 0,166071 0,166071 0,166071190 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 9,37 0,334642 0,194799 0,194799191 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 4,87 0,162333 0,162333 0,162333192 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 10,02 0,334000 0,194799 0,194799

  • Pagina 5 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    193 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 4,62 0,165000 0,165000 0,165000194 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 4,65 0,166071 0,166071 0,166071195 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 7,15 0,255357 0,194799 0,194799196 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 9,92 0,330666 0,194799 0,194799197 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. 2,5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 4,98 0,166000 0,166000 0,166000198 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 4,98 0,166000 0,166000 0,166000199 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 6,70 0,239285 0,239285 0,239285200 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10,17 0,363214 0,286713 0,286713201 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 7,18 0,239333 0,239333 0,239333202 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10,85 0,361666 0,286713 0,286713203 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 6,69 0,238928 0,238928 0,238928204 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 6,70 0,239285 0,239285 0,239285205 C09AA05 RAMIPRILUM TRITACE 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10,31 0,368214 0,286713 0,286713206 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 7,10 0,253571 0,253571 0,253571207 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 10,75 0,358333 0,286713 0,286713208 C09AA05 RAMIPRILUM RAMIPRIL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,239333209 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,239333210 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,239333211 C09CA03 VALSARTANUM** VALSARTAN TEVA 160 mg CAPS. 160mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 32,59 1,163928 0,976713 0,976713212 C09CA03 VALSARTANUM** VALSARTAN TEVA 80 mg CAPS. 80mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 20,26 0,723571 0,640713 0,640713213 C09CA03 VALSARTANUM** WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 66,00 2,357142 0,976713 0,976713214 C09CA03 VALSARTANUM** WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 70,74 2,358000 0,976713 0,976713215 C09CA03 VALSARTANUM** VALSARGAMMA 160 mg COMPR. FILM. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 33,91 1,130333 0,976713 0,976713216 C09CA03 VALSARTANUM** DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 116,60 4,164285 0,976713 0,976713217 C09CA03 VALSARTANUM** VALSARTAN TORRENT 160 mg COMPR. FILM. 160mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 65,71 2,346785 0,976713 0,976713218 C09CA03 VALSARTANUM** VALSACOR 160 mg COMPR. FILM. 160mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 32,85 1,173214 0,976713 0,976713219 C09CA03 VALSARTANUM** AVASSAN 160 mg COMPR. FILM. 160mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 66,00 2,357142 0,976713 0,976713220 C09CA03 VALSARTANUM** VALSARTAN ZENTIVA 160 mg COMPR. FILM. 160mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM. P-6L 28 22,79 0,813928 0,813928 0,813928221 C09CA03 VALSARTANUM** VAPRESS 160 mg COMPR. FILM. 160mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 32,82 1,172142 0,976713 0,976713222 C09CA03 VALSARTANUM** VAPRESS 160 mg COMPR. FILM. 160mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 32,82 1,172142 0,976713 0,976713223 C09CA03 VALSARTANUM** WAROTA 160 mg COMPR. FILM. 160mg ALKALOID - INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. P6L 30 33,16 1,105333 0,976713 0,976713224 C09CA03 VALSARTANUM** DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM. P6L 28 71,91 2,568214 0,478285 0,478285225 C09CA03 VALSARTANUM** AVASSAN 40 mg COMPR. FILM. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 42,63 1,522500 0,478285 0,478285226 C09CA03 VALSARTANUM** VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 11,16 0,398571 0,398571 0,398571227 C09CA03 VALSARTANUM** VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 11,16 0,398571 0,398571 0,398571228 C09CA03 VALSARTANUM** WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 47,37 1,691785 0,640713 0,640713229 C09CA03 VALSARTANUM** WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 50,79 1,693000 0,640713 0,640713230 C09CA03 VALSARTANUM** VALSARGAMMA 80 mg COMPR. FILM. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 23,25 0,775000 0,640713 0,640713231 C09CA03 VALSARTANUM** DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L 28 91,88 3,281428 0,640713 0,640713232 C09CA03 VALSARTANUM** VALSARTAN TORRENT 80 mg COMPR. FILM. 80mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47,00 1,678571 0,640713 0,640713233 C09CA03 VALSARTANUM** VALSACOR 80 mg COMPR. FILM. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 28,84 1,030000 0,640713 0,640713234 C09CA03 VALSARTANUM** AVASSAN 80 mg COMPR. FILM. 80mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47,40 1,692857 0,640713 0,640713235 C09CA03 VALSARTANUM** VALSARTAN ZENTIVA 80 mg COMPR. FILM. 80mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM. P-6L 28 14,95 0,533928 0,533928 0,533928236 C09CA03 VALSARTANUM** WAROTA 80 mg COMPR. FILM. 80mg ALKALOID - INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. P6L 30 32,48 1,082666 0,640713 0,640713237 C09CA03 VALSARTANUM** VAPRESS 80 mg COMPR. FILM. 80mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 18,18 0,649285 0,640713 0,640713238 C09CA03 VALSARTANUM** VAPRESS 80 mg COMPR. FILM. 80mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 18,18 0,649285 0,640713 0,640713239 C09CA03 VALSARTANUM** DIOVAN 3 mg/ml SOL. ORALA 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1 P-6L 1 41,42 41,420000 41,420000 41,420000240 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 66,74 2,383571 1,194000 1,194000241 C09CA06 CANDESARTANUM CILEXETIL** TANDESAR 16 mg COMPR. 16mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 44,87 1,602500 1,194000 1,194000242 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR. 16mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,995000243 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 16 mg COMPR. 16mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 42,50 1,416666 1,194000 1,194000

  • Pagina 6 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    244 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN SANDOZ 16 mg COMPR. 16mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L 28 39,65 1,416071 1,194000 1,194000245 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 16 mg COMPR. 16mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 43,24 1,441333 1,194000 1,194000246 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 16 mg COMPR. 16mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 48,03 1,601000 1,194000 1,194000247 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 16 mg COMPR. 16mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 44,85 1,601785 1,194000 1,194000248 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 16 mg COMPR. 16mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 44,88 1,602857 1,194000 1,194000249 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 16mg COMPR. 16mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,995000250 C09CA06 CANDESARTANUM CILEXETIL** CANDEGAMMA 16 mg COMPR. 16mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 39,63 1,321000 1,194000 1,194000251 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL TEVA 16 mg COMPR. 16mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,995000252 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN LABORMED 16 mg COMPR. 16mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L 28 41,42 1,479285 1,194000 1,194000253 C09CA06 CANDESARTANUM CILEXETIL** ATACAND 32 mg COMPR. 32mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L 28 117,40 4,192857 1,465999 1,465999254 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 32 mg COMPR. 32mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36,65 1,221666 1,221666 1,221666255 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 32 mg COMPR. 32mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 71,36 2,378666 1,465999 1,465999256 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 32 mg COMPR. 32mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 81,75 2,725000 1,465999 1,465999257 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 32 mg COMPR. 32mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 81,75 2,725000 1,465999 1,465999258 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 32 mg COMPR. 32mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 69,33 2,476071 1,465999 1,465999259 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 32 mg COMPR. 32mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 76,32 2,725714 1,465999 1,465999260 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 32mg COMPR. 32mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36,65 1,221666 1,221666 1,221666261 C09CA06 CANDESARTANUM CILEXETIL** CANDEGAMMA 32 mg COMPR. 32mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 72,06 2,402000 1,465999 1,465999262 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL TEVA 32 mg COMPR. 32mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 36,65 1,221666 1,221666 1,221666263 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN LABORMED 32 mg COMPR. 32mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L 28 56,66 2,023571 1,465999 1,465999264 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 56,10 2,003571 0,648799 0,648799265 C09CA06 CANDESARTANUM CILEXETIL** TANDESAR 8 mg COMPR. 8mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 36,46 1,302142 0,648799 0,648799266 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 8 mg COMPR. 8mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 16,22 0,540666 0,540666 0,540666267 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 24,13 0,804333 0,648799 0,648799268 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN SANDOZ 8 mg COMPR. 8mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L 28 33,45 1,194642 0,648799 0,648799269 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 8 mg COMPR. 8mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 33,01 1,100333 0,648799 0,648799270 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 8 mg COMPR. 8mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 39,07 1,302333 0,648799 0,648799271 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 8 mg COMPR. 8mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 36,46 1,302142 0,648799 0,648799272 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 8 mg COMPR. 8mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 36,46 1,302142 0,648799 0,648799273 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 8mg COMPR. 8mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 16,22 0,540666 0,540666 0,540666274 C09CA06 CANDESARTANUM CILEXETIL** CANDEGAMMA 8 mg COMPR. 8mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 33,77 1,125666 0,648799 0,648799275 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL TEVA 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 23,07 0,769000 0,648799 0,648799276 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN LABORMED 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L 28 33,65 1,201785 0,648799 0,648799

    1 B01AA07 ACENOCUMAROLUM* TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6,53 0,217666 0,217666 0,2176662 B01AA07 ACENOCUMAROLUM* SINTROM 4 mg COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6,76 0,338000 0,338000 0,338000

    Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

    1 B01AC04 CLOPIDOGRELUM*** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 359,66 11,988666 11,988666 11,9886662 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,6650663 B01AC04 CLOPIDOGRELUM*** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,6650664 B01AC04 CLOPIDOGRELUM*** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 57,74 2,062142 0,665066 0,6650665 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 17,86 0,595333 0,595333 0,5953336 B01AC04 CLOPIDOGRELUM*** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,52 1,340000 0,665066 0,665066

    2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

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

  • Pagina 7 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    7 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF 90 52,86 0,587333 0,587333 0,5873338 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL MYLAN 75mg COMPR. FILM. 75mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF 28 79,52 2,840000 0,665066 0,6650669 B01AC04 CLOPIDOGRELUM*** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 79,52 2,840000 0,665066 0,665066

    10 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506611 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506612 B01AC04 CLOPIDOGRELUM*** PLAVOCORIN 75 mg COMPR. FILM. 75mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506613 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506614 B01AC04 CLOPIDOGRELUM*** DEFROZYP 75 mg COMPR. FILM. 75mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506615 B01AC04 CLOPIDOGRELUM*** TESSYRON 75 mg COMPR. FILM. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF 30 40,26 1,342000 0,665066 0,66506616 B01AC04 CLOPIDOGRELUM*** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 68,48 2,445714 0,665066 0,66506617 B01AC04 CLOPIDOGRELUM*** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF 28 68,48 2,445714 0,665066 0,66506618 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 40,22 1,340666 0,665066 0,66506619 B01AC04 CLOPIDOGRELUM*** MOYTOR 75 mg COMPR. FILM. 75mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM. P-RF 28 37,52 1,340000 0,665066 0,66506620 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF 10 13,82 1,382000 0,665066 0,66506621 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 76,22 1,270333 0,665066 0,66506622 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 114,32 1,270222 0,665066 0,66506623 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TERAPIA 75 mg COMPR. FILM. 75mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF 30 51,97 1,732333 0,665066 0,66506624 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,46 1,337857 0,665066 0,66506625 B01AC04 CLOPIDOGRELUM*** DEPLATT 75 mg COMPR. FILM. 75mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 40,20 1,340000 0,665066 0,66506626 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE P-RF 30 17,18 0,572666 0,572666 0,57266627 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE P-RF 90 49,88 0,554222 0,554222 0,55422228 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL POLIPHARMA 75 mg COMPR. FILM. 75mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L 30 40,22 1,340666 0,665066 0,665066

    Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie.

    1 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 609,00 4,350000 4,350000 4,3500002 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 665,28 3,960000 3,960000 3,9600003 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 194,11 6,470333 6,470333 6,4703334 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 278,73 9,954642 7,764399 7,7643995 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1.928,98 64,299333 64,299333 64,2993336 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1.748,63 58,287666 58,287666 58,2876667 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1.938,42 64,614000 64,614000 64,6140008 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 326,02 326,020000 237,468000 237,4680009 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 514,01 514,010000 382,224000 382,224000

    10 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 197,89 197,890000 197,890000 197,89000011 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 318,52 318,520000 318,520000 318,52000012 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 494,26 98,852000 98,852000 98,85200013 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 261,45 261,450000 237,468000 237,46800014 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1.129,37 225,874000 225,874000 225,87400015 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 426,08 426,080000 382,224000 382,22400016 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1.843,52 368,704000 368,704000 368,70400017 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF 1 87,43 87,430000 87,430000 87,43000018 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF 1 183,22 183,220000 183,220000 183,22000019 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 434,34 434,340000 434,340000 434,34000020 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 715,89 715,890000 715,890000 715,89000021 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 820,00 820,000000 820,000000 820,00000022 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 969,85 969,850000 969,850000 969,85000023 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1.193,66 1.193,660000 1.193,660000 1.193,660000

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

  • Pagina 8 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    24 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 445,72 445,720000 445,720000 445,72000025 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 975,16 975,160000 975,160000 975,16000026 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 17,07 0,341400 0,341400 0,341400

    1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 32,62 0,652400 0,652400 0,6524002 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 29,65 1,482500 1,482500 1,4825003 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8,81 8,810000 8,810000 8,8100004 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 31,02 31,020000 31,020000 31,0200005 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF 1 20,48 20,480000 20,480000 20,4800006 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95,62 31,873333 31,873333 31,8733337 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35,71 11,903333 11,903333 11,9033338 L04AX01 AZATHIOPRINUM* IMURAN COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,702100 0,7021009 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78,89 0,788900 0,788900 0,788900

    Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

    1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 124,28 1,242800 1,109400 1,1094002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 71,49 1,429800 1,109400 1,1094003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 68,77 1,375400 1,109400 1,1094004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOROM 250 mg CAPS. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L 60 55,47 0,924500 0,924500 0,9245005 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 54,19 0,903166 0,903166 0,9031666 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 35,88 1,794000 1,794000 1,7940007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 136,52 2,730400 2,730400 2,7304008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 268,17 2,681700 2,681700 2,6817009 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 97,49 97,490000 97,490000 97,490000

    7. CIROZA HEPATICA - G7

    1 A06AD11 LACTULOSUM* DUPHALAC (R) LICHID ORAL 66,7% ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 10,37 10,370000 10,370000 10,3700002 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 10,42 10,420000 10,420000 10,4200003 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3,47 3,470000 3,470000 3,4700004 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 17,23 17,230000 17,230000 17,2300005 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 33,34 33,340000 33,340000 33,3400006 A06AD11 LACTULOSUM* LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 7,09 7,090000 7,090000 7,0900007 A06AD11 LACTULOSUM* LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 3,57 3,570000 3,570000 3,5700008 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 33,10 2,758333 2,758333 2,7583339 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF 36 91,26 2,535000 2,535000 2,535000

    10 A07AA11 RIFAXIMINUM* NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml ALFA WASSERMANN SPA ITALIA CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML P-RF 1 19,11 19,110000 19,110000 19,110000

    Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

    Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)

    5. HEPATITA AUTOIMUNA - G5

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

  • Pagina 9 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    11 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,151000 0,15100012 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,151000 0,15100013 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,181200 0,18120014 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 6,02 0,301000 0,181200 0,18120015 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,04 0,152000 0,152000 0,15200016 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6,02 0,301000 0,181200 0,18120017 C03CA01 FUROSEMIDUM FUROSEMID BIOEEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,181200 0,18120018 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6,07 1,214000 1,214000 1,21400019 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28,51 0,950333 0,950333 0,95033320 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 16,07 0,321400 0,258000 0,25800021 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA LPH 25 mg CAPS. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L 60 19,46 0,324333 0,258000 0,25800022 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16,72 0,557333 0,557333 0,55733323 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16,24 0,541333 0,541333 0,54133324 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,30 0,215000 0,215000 0,21500025 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA BIOEEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,30 0,215000 0,215000 0,21500026 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16,21 0,324200 0,258000 0,25800027 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4,30 0,215000 0,215000 0,21500028 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13,74 0,687000 0,649599 0,64959929 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95,62 31,873333 31,873333 31,87333330 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35,71 11,903333 11,903333 11,90333331 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 609,00 4,350000 4,350000 4,35000032 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 665,28 3,960000 3,960000 3,96000033 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 194,11 6,470333 6,470333 6,47033334 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 278,73 9,954642 7,764399 7,76439935 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1.928,98 64,299333 64,299333 64,29933336 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1.748,63 58,287666 58,287666 58,28766637 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1.938,42 64,614000 64,614000 64,61400038 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 326,02 326,020000 237,468000 237,46800039 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 514,01 514,010000 382,224000 382,22400040 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 197,89 197,890000 197,890000 197,89000041 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 318,52 318,520000 318,520000 318,52000042 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 494,26 98,852000 98,852000 98,85200043 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 261,45 261,450000 237,468000 237,46800044 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1.129,37 225,874000 225,874000 225,87400045 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 426,08 426,080000 382,224000 382,22400046 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1.843,52 368,704000 368,704000 368,70400047 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF 1 87,43 87,430000 87,430000 87,43000048 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF 1 183,22 183,220000 183,220000 183,22000049 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 434,34 434,340000 434,340000 434,34000050 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 715,89 715,890000 715,890000 715,89000051 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 820,00 820,000000 820,000000 820,00000052 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 969,85 969,850000 969,850000 969,85000053 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1.193,66 1.193,660000 1.193,660000 1.193,66000054 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 445,72 445,720000 445,720000 445,72000055 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 975,16 975,160000 975,160000 975,16000056 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 17,07 0,341400 0,341400 0,341400

    Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase

  • Pagina 10 din 42

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

    DET. APP AMBALAJ Prescriptie

    cant/ambala

    j

    PRET AMANUNTUL

    MAXIMAL

    (RON)

    PRET AMANUNTUL MAXIMAL/UT

    (RON)

    VAL.SUPORTATAT CNAS/

    UT(RON)-LEGEA NR. 95/2006 ART

    213 alin.(1) lit. a) si f)

    VAL.SUPORTATAT CNAS/

    UT (RON) PT. ADULTI

    1 A04AA01 ONDANSETRONUM** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 19,04 1,904000 1,904000 1,9040002 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 33,31 3,331000 3,331000 3,3310003 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 43,75 8,750000 8,750000 8,7500004 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 23,79 4,758000 4,758000 4,7580005 A04AA01 ONDANSETRONUM** EMESET 8 mg/4 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF 5 43,73 8,746000 8,746000 8,7460006 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF 5 23,79 4,758000 4,758000 4,7580007 A04AA02 GRANISETRONUM** GRANISETRON ACTAVIS 1 mg COMPR. FILM. 1mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 148,63 14,863000 14,863000 14,8630008 A04AA02 GRANISETRONUM** GRANEGIS 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 148,63 14,863000 14,863000 14,8630009 A04AA02 GRANISETRONUM** GRANORED 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 178,35 17,835000 17,835000 17,835000

    10 A04AA02 GRANISETRONUM** SETROGEN 1 mg COMPR. FILM. 1mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 171,89 17,189000 17,189000 17,18900011 A04AA02 GRANISETRONUM** GRANISETRON ACTAVIS 2 mg COMPR. FILM. 2mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 236,15 23,615000 23,615000 23,61500012 A04AA02 GRANISETRONUM** GRANORED 2 mg COMPR. FILM. 2mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 271,77 27,177000 27,177000 27,17700013 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. PR 5 199,30 39,860000 39,860000 39,86000014 A04AA02 GRANISETRONUM** GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ. S 5 71,52 14,304000 14,304000 14,30400015 A04AA02 GRANISETRONUM** GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ. 3mg/3ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ. S 5 199,86 39,972000 39,972000 39,97200016 A04AA05 PALONOSETRONUM** ALOXI 500mcg CAPS. MOI 500mcg HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE PRF 1 403,43 403,430000 403,430000 403,43000017 A04AA05 PALONOSETRONUM** ALOXI SOL. INJ. 250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF 1 381,18 381,180000 381,180000 381,18000018 B03XA01 EPOETINUM ALFA*** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1.728,54 288,090000 288,090000 288,09000019 B03XA01 EPOETINUM ALFA*** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 218,42 36,403333 36,403333 36,40333320 B03XA01 EPOETINUM ALFA*** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 425,83 70,971666 70,971666 70,97166621 B03XA01 EPOETINUM ALFA*** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 788,23 788,230000 788,230000 788,23000022 B03XA01 EPOETINUM ALFA*** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 603,73 100,621666 100,621666 100,62166623 B03XA01 EPOETINUM ALFA*** EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1.353,47 1.353,470000 1.193,316000 1.193,31600024 B03XA01 EPOETINUM ALFA*** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 994,43 994,430000 994,430000 994,43000025 B03XA01 EPOETINUM ALFA*** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 781,57 130,261666 130,261666 130,26166626 B03XA01 EPOETINUM ALFA*** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 959,37 159,895000 159,895000 159,89500027 B03XA01 EPOETINUM BETA*** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2.346,60 391,100000 391,100000 391,10000028 B03XA01 EPOETINUM BETA*** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526,27 87,711666 87,711666 87,71166629 B03XA01 EPOETINUM BETA*** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1.174,53 1.174,530000 1.174,530000 1.174,53000030 B03XA01 EPOETINUM BETA*** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 981,05 163,508333 163,508333 163,50833331 B03XA01 EPOETINUM BETA*** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1.208,30 201,383333 201,383333 201,38333332 B03XA02 DARBEPOETINUM ALFA*** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3.173,01 793,252500 793,252500 793,25250033 B03XA02 DARBEPOETINUM ALFA*** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 391,56 97,890000 97,890000 97,89000034 B03XA02 DARBEPOETINUM ALFA*** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4.708,35 1.177,087500 1.177,087500 1.177,08750035 B03XA02 DARBEPOETINUM ALFA*** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 702,64 175,660000 175,660000 175,66000036 B03XA02 DARBEPOETINUM ALFA*** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2.208,61 2.208,610000 2.208,610000 2.208,61000037 B03XA02 DARBEPOETINUM ALFA*** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1.009,47 252,367500 252,367500 252,36750038 B03XA02 DARBEPOETINUM ALFA*** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1.318,95 329,737500 329,737500 329,73750039 B03XA02 DARBEPOETINUM ALFA*** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3.633,81 3.633,810000 3.633,810000 3.633,81000040 B03XA02 DARBEPOETINUM ALFA*** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1.626,76 406,690000 406,690000 406,69000041 B03XA02 DARBEPOETINUM ALFA*** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1.937,17 484,292500 484,292500 484,29250042 B03XA02 DARBEPOETINUM ALFA*** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2.555,95 638,987500 638,987500 638,98750043 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 108,46 2,169200 2,169200 2,16920044 H02AB02 DEXAMETHASONUM DEXAMED COMPR. 0,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF 100 18,38 0,183800 0,183800 0,18380045 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 10 8,32 0,832000 0,832000 0,83200046 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 25 20,42 0,816800 0,816800 0,81680047 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 100 73,64 0,736400 0,736400 0,73640048 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 10 13,87 1,387000 1,387000 1,38700049 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 25 33,18 1,327200 1,327200 1,327200

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

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    50 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 100 124,62 1,246200 1,246200 1,24620051 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 123,66 1,236600 1,236600 1,23660052 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 6,98 1,396000 1,396000 1,39600053 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF/S 100 118,60 1,186000 1,186000 1,18600054 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 10 14,38 1,438000 1,423200 1,42320055 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 76,92 5,128000 4,203999 4,20399956 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52,56 3,504000 3,504000 3,50400057 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52,56 3,504000 3,504000 3,50400058 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 52,56 3,504000 3,504000 3,50400059 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 52,55 3,503333 3,503333 3,50333360 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52,56 3,504000 3,504000 3,50400061 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3.917,72 139,918571 139,918571 139,91857162 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 1.032,33 36,868928 36,868928 36,86892863 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE C