Lista Medicamente 28.09.2012

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ANEXA 1

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE VALABILA INCEPAND CU 1 OCTOMBRIE 2012

Nr crt.

cod ATC A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA02 A02BA03 A02BA03 A02BA03 A02BA03 A02BA03 A02BA03 A02BA03 A02BA04A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01 A02BC01

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

tara det. APP

Ambalaj

Prescriptie

Pret amanun tul cant/ maximal/ ambal ambalaj aj (RON)

Pret amanuntul maximal/UT (RON)

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

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM RANITIDINUM FAMOTIDINUM FAMOTIDINUM FAMOTIDINUM FAMOTIDINUM FAMOTIDINUM FAMOTIDINUM FAMOTIDINUM NIZATIDINUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM

RANITIDIN ARENA 150mg RANITIDINA 150 mg RANITIDIN ZANTAC 150 mg N - RANITIDIN

COMPR. COMPR. COMPR.

COMPR. FILM. COMPR. FILM. RANITIDINA LAROPHARM 150 mg COMPR. FILM. RANITIDINA LPH 150 mg COMPR. FILM. RANITIDINA ATB 150 MG COMPR. FILM. RANITIDINA LPH 300 mg COMPR. FILM. RANITIDINA ATB 300 mg COMPR. FILM. RANITIDINA ATB 300 mg COMPR. FILM.

ARNETIN FAMODIN 20 FAMOTIDINA ZENTIVA 20mg QUAMATEL 20 mg

SOL. INJ.

COMPR. FILM. COMPR. FILM. COMPR. FILM. FAMOTIDINA ZENTIVA 40 mg COMPR. FILM. FAMODIN 40 COMPR. FILM. QUAMATEL 40 mg COMPR. FILM.

QUAMATEL 20 mgNIZATIDIN VIM SPECTRUM 150 mg

PULB+SOLV. PT. SOL. INJ./PERF.

CAPS.CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ. CAPS. GASTROREZ.COMPR. FILM. GASTROREZ. COMPR. FILM. GASTROREZ.

ULTOP OMEPRAZOL 20 mg OMEPRAZOL LPH 20 mg OMERAN 20 OMEPRAZOL 20 mgOMEPRAZOL TERAPIA 20 mg

OMEPRAZOL ARENA 20 mgOMEPRAZOL FARMEX 20 mg

NOVOGAST 20 mg OMEPRAZOL LPH 20 mg OMEPRAZOL OZONE 20 mgOMEPRAZOL ROMPHARM 20 mg

ORTANOL 20 mg HELICID 20 HELICID 20 OMEZ 20mg OMZATOL 20 mg OMZATOL 20 mg ORTANOL 40 mg LOSEC MUPS 10 mg LOSEC MUPS 20 mg

150mg 150mg 150mg 150mg 150mg 150mg 150mg 150mg 300mg 300mg 300mg 25mg/ml 20mg 20mg 20mg 40mg 40mg 40mg 20mg 150mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 20mg 40mg 10mg 20mg

ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. FILM. LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

ARENA GROUP SA

P-6L P-6L P-6L P-6L P-6L P-6L P-6L P-6L P-6L P-6L P-6LP-RF

MEDOCHEMIE LTD. CIPRUAC HELCOR PHARMA SRL

CUTIE X 5 FIOLE X 2 MLCUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM.CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5

ZENTIVA S.AGEDEON RICHTER ROMANIA SA

ZENTIVA S.AAC HELCOR PHARMA SRLGEDEON RICHTER ROMANIA SA GEDEON RICHTER ROMANIA SA

VIM SPECTRUM SRL KRKA D.D.GEDEON RICHTER ROMANIA SA

LABORMED PHARMA SA

EUROPHARM SA SLAVIA PHARM SRL TERAPIA SA ARENA GROUP S.A.FARMEX COMPANY SRL

ANTIBIOTICE S.A.LABORMED PHARMA SAOZONE LABORATORIES PHARMA S.A.

ROMPHARM COMPANY SRLLEK PHARMACEUTICALS D.D.

ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA SLOVENIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA ROMANIA SLOVENIA

P-6L P-6L P-6L P-6L P-6L P-6LS/P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ.

P-6L P-6L

CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L

CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6LCUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L

CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR.CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ.

P-6L P-6L

CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6LCUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L

CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6LCUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L

ZENTIVA K.S. ZENTIVA K.S.DR. REDDY'S LABORATORIES

CEHIA CEHIA

ROMASTRU TRADING S.R.L. ROMASTRU TRADING S.R.L.LEK PHARMACEUTICALS D.D.

ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ.

P-6L P-6L P-6L P-6L

ASTRAZENECA AB ASTRAZENECA AB

SUEDIA SUEDIA

CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L

CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L

20 20 20 20 20 20 20 20 30 10 20 5 30 30 28 30 30 14 5 20 14 14 20 28 30 30 30 30 20 10 28 30 14 14 28 30 14 28 7 14 7

4.55 4.56 4.55 7.01 3.99 4.55 4.56 4.55 13.00 4.33 8.66 12.67 8.89 5.86 9.45 7.72 12.31 9.45 24.64 18.23 14.45 14.45 12.80 21.42 22.68 22.53 22.02 20.85 15.04 6.49 18.58 22.16 8.07 10.06 20.79 21.42 10.71 21.42 8.03 33.19 24.96

0.227500 0.228000 0.227500 0.350500 0.199500 0.227500 0.228000 0.227500 0.433333 0.433000 0.433000 2.534000 0.296333 0.195333 0.337500 0.257333 0.410333 0.675000 4.928000 0.911500 1.032142 1.032142 0.640000 0.765000 0.756000 0.751000 0.734000 0.695000 0.752000 0.649000 0.663571 0.738666 0.576428 0.718571 0.742500 0.714000 0.765000 0.765000 1.147142 2.370714 3.565714

0.194850 0.194850 0.194850 0.194850 0.194850 0.194850 0.194850 0.194850 0.389700 0.389700 0.389700 1.678945 0.194850 0.194850 0.194850 0.257333 0.389700 0.389700 4.928000 0.194850 0.676575 0.676575 0.640000 0.676575 0.676575 0.676575 0.676575 0.676575 0.676575 0.649000 0.663571 0.676575 0.576428 0.676575 0.676575 0.676575 0.676575 0.676575 1.147142 0.338287 0.676575

0.175365 0.175365 0.175365 0.175365 0.175365 0.175365 0.175365 0.175365 0.350730 0.350730 0.350730 1.511051 0.175365 0.175365 0.175365 0.231599 0.350730 0.350730 4.435200 0.175365 0.608917 0.608917 0.576000 0.608917 0.608917 0.608917 0.608917 0.608917 0.608917 0.584100 0.597213 0.608917 0.518785 0.608917 0.608917 0.608917 0.608917 0.608917 1.032427 0.304458 0.608917

Pagina 1 din 29

Nr crt.

cod ATCA02BC01 A02BC01 A02BC01 A02BC01 A02BC03 A02BC03 A02BC03 A02BC03

DCI

Denumire Comerciala

forma farm.COMPR. FILM. GASTROREZ.

concentratie

Detinator APPDAR AL DAWA PHARMA S.R.L.

42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90

A03AA04 A03AA04 A03AA04 A03AA04 A03AA04 A03AA05 A03AA05 A03AA05 A03AA05 A03AA05A03AD01 A03AD01

A03FA01 A03FA01 A03FA01 A03FA01 A03FA01 A03FA01 A03FA01 A03FA03 A05AA02 A05AA02 A05AA02 A05AA02 A05AA02 A05AA02 A05AA02 A05AA02A06AD11 A06AD11 A06AD11 A06AD11 A06AD11 A06AD11 A06AD11 A06AD11

OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM OMEPRAZOLUM LANSOPRAZOLUM LANSOPRAZOLUM LANSOPRAZOLUM LANSOPRAZOLUM MEBEVERINUM MEBEVERINUM MEBEVERINUM MEBEVERINUM MEBEVERINUM TRIMEBUTINUM TRIMEBUTINUM TRIMEBUTINUM TRIMEBUTINUM TRIMEBUTINUM PAPAVERINI HYDROCHLORIDUM PAPAVERINI HYDROCHLORIDUM METOCLOPRAMIDUM METOCLOPRAMIDUM METOCLOPRAMIDUM METOCLOPRAMIDUM METOCLOPRAMIDUM METOCLOPRAMIDUM METOCLOPRAMIDUM DOMPERIDONUMACIDUM ACIDUM ACIDUM ACIDUM ACIDUM ACIDUM ACIDUM ACIDUM URSODEOXYCHOLICUM* URSODEOXYCHOLICUM* URSODEOXYCHOLICUM* URSODEOXYCHOLICUM* URSODEOXYCHOLICUM* URSODEOXYCHOLICUM* URSODEOXYCHOLICUM* URSODEOXYCHOLICUM*

OMEDAR (R) LOSEC 40 mgOMEZ PULBERE PENTRU SOLUTIE PERFUZABILA

LIOF. PT. SOL. PERF. PULB. PT. SOL. PERF.

20mg 40mg 40mg 15mg 30mg 30mg 30mg 200mg 200mg 200mg 200mg 100mg 100mg 100mg 100mg 300mg 24mg/5ml 100mg 200mg 10mg 10mg 10mg 10mg 7mg/ml 1mg/5ml 5mg/ml 10mg 250mg 250mg 250mg 150mg 300mg 500mg 500mg 250mg/5ml 66,7% 66,7% 65% 65% 650mg/ml 650mg/ml 660 mg/ml 670mg/ml