Liste Medicamente

128

Transcript of Liste Medicamente

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ANEXA 1

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BA02 RANITIDINUM DIGEN EFF 150 mg COMPR. EFF. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 10 COMPR. EFF. P-6L 10 4.99 0.5 0.5 0.452 A02BA02 RANITIDINUM GERTOCALM COMPR. FILM. 150mg FARAN LABORATORIES S.A. GRECIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 5.93 0.3 0.22 0.23 A02BA02 RANITIDINUM ZANTAC 150 mg COMPR. FILM. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L 20 30.64 1.53 0.22 0.24 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. FILM. 150mg FILDAS TRADING SRL ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL-VMCH X 10 COMPR. FILM. P-6L 20 4.4 0.22 0.22 0.25 A02BA02 RANITIDINUM RANITIDIN 150 mg COMPR. FILM. 150mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 5.45 0.27 0.22 0.26 A02BA02 RANITIDINUM RANITIDINA LPH 150 mg COMPR. FILM. 150mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 13.55 0.23 0.22 0.27 A02BA02 RANITIDINUM RANITIDINA LPH 150 mg COMPR. FILM. 150mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 5.02 0.25 0.22 0.28 A02BA02 RANITIDINUM RANITIDINA 300 mg COMPR. FILM. 300mg FILDAS TRADING SRL ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL-VMCH X 10 COMPR. FILM. P-6L 10 4.25 0.43 0.38 0.349 A02BA02 RANITIDINUM RANITIDIN 300 mg COMPR. FILM. 300mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 4.62 0.46 0.38 0.34

10 A02BA02 RANITIDINUM RANITIDINA LPH 300 mg COMPR. FILM. 300mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 11.51 0.38 0.38 0.3411 A02BA02 RANITIDINUM ARNETIN SOL. INJ. 25mg/ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE X 2 ML P-RF 5 9.04 1.81 1.81 1.6312 A02BA02 RANITIDINUM ZANTAC SOLUTIE INJECTABILA SOL. INJ. 25mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 13.84 2.77 1.81 1.6313 A02BA03 FAMOTIDINUM FAMODAR ABR COMPR. FILM. 10mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 3.69 0.37 0.37 0.3314 A02BA03 FAMOTIDINUM QUAMATEL (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 16.49 0.59 0.21 0.1915 A02BA03 FAMOTIDINUM FAMODIN 20 COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.34 0.21 0.21 0.1916 A02BA03 FAMOTIDINUM FAMOTAK COMPR. FILM. 20mg SEDICO IMPEX S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.FILM. P-6L 20 4.53 0.23 0.21 0.1917 A02BA03 FAMOTIDINUM FAMODAR 20 COMPR. FILM. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.FILM. P-6L 20 7.08 0.35 0.21 0.1918 A02BA03 FAMOTIDINUM QUAMATEL (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER PLC UNGARIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-6L 14 16.49 1.18 0.12 0.1119 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 40 mg COMPR. FILM. 40mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 3.55 0.12 0.12 0.1120 A02BA03 FAMOTIDINUM GASTROSIDIN COMPR. FILM. 40mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 8.62 0.29 0.12 0.1121 A02BA03 FAMOTIDINUM FAMODIN 40 COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.43 0.28 0.12 0.1122 A02BA03 FAMOTIDINUM FAMODAR 40 COMPR. FILM. 40mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 5.53 0.55 0.12 0.1123 A02BA03 FAMOTIDINUM FAMOTAK COMPR. FILM. 40mg SEDICO IMPEX S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR.FILM. P-6L 10 3.16 0.32 0.12 0.1124 A02BA03 FAMOTIDINUM QUAMATEL (R) 20 mg LIOF. + SOLV. PT. SOL. INJ. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 5 FIOLE X 5 ML SOLV. P-RF 5 21.63 4.33 4.33 3.925 A02BA04 NIZATIDINUM NIZATIDIN 150 mg CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 12.14 0.61 0.5 0.4526 A02BA04 NIZATIDINUM NIZATIDINA LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 9.94 0.5 0.5 0.4527 A02BC01 OMEPRAZOLUM RISEK CAPS. ENTER. 20mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. X 14 CAPS. ENTER. P-6L 14 41.31 2.95 0.49 0.4428 A02BC01 OMEPRAZOLUM ORTANOL (R) S CAPS. GASTROREZ. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 8.02 0.57 0.57 0.5129 A02BC01 OMEPRAZOLUM OMEZ CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L 30 15.5 0.52 0.49 0.4430 A02BC01 OMEPRAZOLUM ORTANOL (R) 20 mg CAPS. GASTROREZ. 20mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. AL/AL X 14 CAPS. GASTROREZ. P-6L 14 12.54 0.9 0.49 0.4431 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 28 CAPS. GASTROREZ. P-6L 28 13.78 0.49 0.49 0.4432 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 14 CAPS. GASTROREZ. P-6L 14 7.41 0.53 0.49 0.4433 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 10.4 0.74 0.49 0.4434 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L 14 11.56 0.83 0.49 0.4435 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 20 15.92 0.8 0.49 0.4436 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 14.94 0.53 0.49 0.4437 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L 14 7.45 0.53 0.49 0.4438 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 28 21 0.75 0.49 0.4439 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 11.14 0.8 0.49 0.4440 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 15.1 0.5 0.49 0.44

SUBLISTA A - MEDICAMENTE CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA

LISTA DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA CONFOR HG NR. 720/2008 VALABILA INCEPAND CU 15 IULIE 2008

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Page 4: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

41 A02BC01 OMEPRAZOLUM OMEPRAZOL TERAPIA 20 mg CAPS. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 15 0.5 0.49 0.4442 A02BC01 OMEPRAZOLUM ORTANOL (R) CAPS. GASTROREZ. 40mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 7 11.75 1.68 1.36 1.2243 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. DIN PEID X 14 CAPS. GASTROREZ. P-6L 14 19.06 1.36 1.36 1.2244 A02BC01 OMEPRAZOLUM OMERAN 40 CAPS. GASTROREZ. 40mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPSULE GASTROREZ. P-6L 14 21.13 1.51 1.36 1.2245 A02BC01 OMEPRAZOLUM LOSEC MUPS 10 mg COMPR. FILM. GASTROREZ. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L 14 32.4 2.31 2.31 2.0846 A02BC01 OMEPRAZOLUM LOSEC MUPS 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L 7 29.88 4.27 1.23 1.1147 A02BC01 OMEPRAZOLUM OMEDAR (R) COMPR. FILM. GASTROREZ. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ. P-6L 14 17.22 1.23 1.23 1.1148 A02BC03 LANSOPRAZOLUM LEVANT 15 mg CAPS. GASTROREZ. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 5.04 0.36 0.36 0.3249 A02BC03 LANSOPRAZOLUM LANZUL CAPS. GASTROREZ. 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L 14 9.37 0.67 0.6 0.5450 A02BC03 LANSOPRAZOLUM LEVANT 30 mg CAPS. GASTROREZ. 30mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 8.38 0.6 0.6 0.5451 A02BC03 LANSOPRAZOLUM LANZAP 30mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 20 12.06 0.6 0.6 0.5452 A03AA04 MEBEVERINUM DUSPATALIN (R) 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L 30 20.91 0.7 0.7 0.6353 A03AA05 TRIMEBUTINUM COLOBUTINE (R) COMPR. 100mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.62 0.49 0.33 0.354 A03AA05 TRIMEBUTINUM COLOBUTINE (R) COMPR. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10.2 0.51 0.33 0.355 A03AA05 TRIMEBUTINUM PROMEBUTIN (R) 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.24 0.46 0.33 0.356 A03AA05 TRIMEBUTINUM TRIMEBUTIN 100 COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.8 0.33 0.33 0.357 A03AA05 TRIMEBUTINUM COLPERIN 100 MG COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 10.7 0.36 0.33 0.358 A03AA05 TRIMEBUTINUM DEBRIDAT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 12.09 0.4 0.4 0.3659 A03AA05 TRIMEBUTINUM IBUTIN (R) 300 mg COMPR. FILM. ELIB. PREL. 300mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 26.33 1.32 1.32 1.1960 A03AA05 TRIMEBUTINUM DEBRIDAT GRAN. PT. SUSP. ORALA 24mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE P-6L 1 8.71 8.71 8.71 7.8461 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA 100 mg COMPR. 100mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.58 0.09 0.09 0.0862 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.85 0.19 0.19 0.1763 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 1.03 0.03 0.02 0.0264 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 0.85 0.02 0.02 0.0265 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1 0.03 0.02 0.0266 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 1.68 0.04 0.02 0.0267 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID BIOFARM 1mg/5ml SIROP 1mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE P-RF 1 6.19 6.19 6.19 5.5768 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 3.26 0.65 0.65 0.5969 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID PIC. ORALE-SOL. 7mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR P-RF 1 2.11 2.11 2.11 1.970 A03FA03 DOMPERIDONUM MOTILIUM 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 8.42 0.84 0.71 0.6471 A03FA03 DOMPERIDONUM MOTILIUM COMPR. FILM. 10mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 10 7.14 0.71 0.71 0.6472 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 118.24 1.18 0.88 0.7973 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.55 1.37 0.88 0.7974 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 44.2 0.88 0.88 0.7975 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-RF 1 13.94 13.94 5.16 4.6476 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 5.16 5.16 5.16 4.6477 A06AD11 LACTULOSUM DUPHALAC (R) LICHID ORAL 66.7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 9.99 9.99 9.52 8.5778 A06AD11 LACTULOSUM LACTULOSE AL SIROP SIROP 66.7% ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 9.52 9.52 9.52 8.5779 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 5.98 5.98 5.98 5.3880 A07AA02 NYSTATINUM STAMICIN (R) 500000 U.I. COMPR. FILM. 500000ui ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. FILM. P-RF 20 3.38 0.17 0.17 0.1581 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 3.31 0.17 0.17 0.1582 A07EC01 SULFASALAZINUM SALAZIDIN COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.34 0.47 0.47 0.4283 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 21.15 0.42 0.42 0.3884 A07EC02 MESALAZINUM** PENTASA COMPR. ELIB. PREL. 500mg FERRING A/S DANEMARCA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 117.52 1.18 1.18 1.0685 A07EC02 MESALAZINUM** SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 81.02 0.81 0.81 0.7386 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 133.51 1.34 1.34 1.2187 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 50 82.9 1.66 1.34 1.2188 A07EC02 MESALAZINUM** PENTASA SUPOZ. 1g FERRING A/S DANEMARCA CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI P-6L 28 174.58 6.24 6.24 5.6289 A07EC02 MESALAZINUM** SALOFALK (R) 250 mg SUPOZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 28.95 2.9 2.9 2.61

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Page 5: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

90 A07EC02 MESALAZINUM** SALOFALK (R) 500 mg SUPOZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 47.46 4.75 4.75 4.2891 A07EC02 MESALAZINUM** SALOFALK 4 g/ 60 ml SUSP. RECTALA 4g/60ml DR. FALK PHARMA GMBH GERMANIA CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA P-6L 7 161.88 23.13 23.13 20.8292 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.31 0.08 0.08 0.0793 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.36 0.32 0.32 0.2994 B01AC05 TICLOPIDINUM1 TICLID (R) 250 mg COMPR. FILM. 250mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 FOLII TERMOSUDATE X 10 COMPR. FILM. P-RF 20 31.39 1.57 0.52 0.4795 B01AC05 TICLOPIDINUM1 TICLODIN COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 24.47 1.22 0.52 0.4796 B01AC05 TICLOPIDINUM1 IPATON COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF 20 25.41 1.27 0.52 0.4797 B01AC05 TICLOPIDINUM1 TICLOPIDIN SANDOZ COMPR. FILM. 250mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PDVC/AL X 10 COMPR. P-RF 30 15.51 0.52 0.52 0.4798 B02BA01 PHYTOMENADIONUM FITOMENADION 10 mg/ml SOL. INJ. 10mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF 5 4.06 0.81 0.81 0.7399 B03AA07 FERROSI SULFAS FERROGRADUMET (R) COMPR. ELIB. PREL. 105mg TEOFARMA SRL ITALIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 5.37 0.18 0.18 0.16

100 B03AA07 FERROSI SULFAS FERRO - GRADUMET (R) COMPR.FILM.ELIB.PREL FARA CONCENTRATIE POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 6.46 0.22 0.22 0.2101 B03AA07 FERROSI SULFAS TARDYFERON 80 mg DRAJ. ELIB. PREL. 80mg LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 9.74 0.32 0.32 0.29102 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT MALTOFER COMPR. MAST. 100mg VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L 30 14.97 0.5 0.5 0.45103 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 50 ML P-6L 1 9.35 9.35 8.06 7.25104 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 30 ML P-6L 1 8.06 8.06 8.06 7.25105 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) PICATURI ORALE-SOL. 50mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML P-6L 1 9.2 9.2 8.06 7.25106 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) SIROP 10mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE P-6L 1 10.47 10.47 10.47 9.42107 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM 50mg/5ml SIROP 50mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML P-6L 1 6.87 6.87 6.87 6.18108 B03AEN1 COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM) SORBIFER DURULES COMPR. FILM. FARA CONCENTRATIE EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM. P-6L 50 10.54 0.21 0.21 0.19109 B03BB01 ACIDUM FOLICUM ACIFOL (R) 5 mg COMPR. FILM. 5mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L 30 0.91 0.03 0.03 0.03110 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 1.4 0.06 0.06 0.05111 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 3.23 0.65 0.65 0.59112 C01AA05 DIGOXINUM LANOXIN SOLUTIE ORALA SOL. ORALA 0.05mg/ml THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML P-RF 1 8.77 8.77 8.77 7.89113 C01BA01 CHINIDINI SULFAS CHINIDINA SULFAT 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF 20 8.47 0.42 0.17 0.15114 C01BA01 CHINIDINI SULFAS CHINIDINA 200 mg COMPR. 200mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.42 0.17 0.17 0.15115 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 34.38 1.72 1.72 1.55116 C01BC03 PROPAFENONUM RYTMONORM (R) COMPR. FILM. 150mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 32.44 0.65 0.27 0.24117 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-RF 50 23.22 0.46 0.27 0.24118 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-RF 20 9.28 0.46 0.27 0.24119 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-RF 100 46.44 0.46 0.27 0.24120 C01BC03 PROPAFENONUM PROPAFENON SANDOZ 150 mg COMPR. FILM. 150mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF 50 13.44 0.27 0.27 0.24121 C01BC03 PROPAFENONUM RYTMONORM SOL. INJ. 70mg/20ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF 5 42.34 8.47 8.47 7.62122 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.79 0.49 0.26 0.23123 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 20.25 0.41 0.26 0.23124 C01BD01 AMIODARONUM AMIODARONA LPH (R) 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.71 0.26 0.26 0.23125 C01BD01 AMIODARONUM AMIODARONA LPH (R) 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.98 0.35 0.26 0.23126 C01BD01 AMIODARONUM DARITMIN (R) 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 8.38 0.28 0.26 0.23127 C01BD01 AMIODARONUM AMIODARONA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.72 0.26 0.26 0.23128 C01BD01 AMIODARONUM CORDARONE 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 16.71 0.56 0.56 0.5129 C01DA02 NITROGLYCERINUM NITROMINT SPRAY SUBLINGUAL 0.4mg/doza EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL P-6L 1 12.48 12.48 12.48 11.23130 C01DA02 NITROGLYCERINUM NITROMINT 2,6 mg COMPR. ELIB. PREL. 2.6mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L 60 9.37 0.16 0.16 0.14131 C01DA02 NITROGLYCERINUM NITROGLICERINA 0,5 mg COMPR. SUBLING. 0.5mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L 20 2.98 0.15 0.15 0.14132 C01DA02 NITROGLYCERINUM NITRODERM (R) TTS 5 SIST. TERAP. TRANSDERM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L 10 33.78 3.38 3.38 3.04133 C01DA08 ISOSORBIDI DINITRAS DINITER SR 20 mg CAPS. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 3.88 0.19 0.19 0.17134 C01DA08 ISOSORBIDI DINITRAS DINITER SR 40 mg CAPS. ELIB. PREL. 40mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 6.45 0.32 0.32 0.29135 C01DA08 ISOSORBIDI DINITRAS ISOSORBIDE DINITRATE 10 mg COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-6L 60 1.71 0.03 0.03 0.03136 C01DA08 ISOSORBIDI DINITRAS ISODINIT (R) RETARD COMPR. ELIB. PREL. 20mg BALKAN PHARMA DUPNITZA AD BULGARIA CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L 60 2.99 0.05 0.05 0.05137 C01DA14 ISOSORBIDI MONONITRAS OLICARD 40 mg RETARD CAPS. ELIB. PREL. 40mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 11.83 0.59 0.59 0.53138 C01DA14 ISOSORBIDI MONONITRAS OLICARD 60 mg RETARD CAPS. ELIB. PREL. 60mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 16.71 0.84 0.84 0.76

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

139 C01DA14 ISOSORBIDI MONONITRAS MONONITRON (R) EP 60 mg COMPR. FILM. ELIB. PREL. 60mg ZENTIVA S.A ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 25.05 0.63 0.63 0.57140 C01EA01 ALPROSTADILUM ALPROSTADIL "PINT" 20 ug CONC. PT. SOL. PERF. 20µg PINT-PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S 5 271.14 54.23 54.23 48.81141 C01EA01 ALPROSTADILUM VASAPROSTAN 20 LIOF. PT. SOL. PERF. 20µg SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S 10 606.77 60.68 54.23 48.81142 C01EB15 TRIMETAZIDINUM TRIMETAZIDIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L 30 9.63 0.32 0.32 0.29143 C01EB15 TRIMETAZIDINUM PREDUCTAL (R) COMPR. FILM. 20mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 30 COMPR. FILM. P-6L 60 28.34 0.47 0.22 0.2144 C01EB15 TRIMETAZIDINUM TRIVEDON 20 COMPR. FILM. 20mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 60 13.2 0.22 0.22 0.2145 C01EB15 TRIMETAZIDINUM PREDOZONE 20 mg COMPR. FILM. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC X 30 COMPR. FILM. P-6L 60 13.71 0.23 0.22 0.2146 C01EB15 TRIMETAZIDINUM MODUXIN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 9.73 0.32 0.22 0.2147 C01EB15 TRIMETAZIDINUM DILATAN 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 30 9.73 0.32 0.22 0.2148 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 60 17.64 0.29 0.22 0.2149 C01EB15 TRIMETAZIDINUM PREDUCTAL (R) MR COMPR. FILM. ELIB. MODIF. 35mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF. P-6L 60 43.66 0.73 0.5 0.45150 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 35 mg COMPR. FILM. ELIB. MODIF. 35mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. MODIF. P-6L 60 32.62 0.54 0.5 0.45151 C01EB15 TRIMETAZIDINUM DILATAN MR 35 mg COMPR. FILM. ELIB. MODIF. 35mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 15.13 0.5 0.5 0.45152 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA 20 mg DRAJ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 9.63 0.32 0.32 0.29153 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 9.23 0.18 0.18 0.16154 C02AC01 CLONIDINUM CLONIDINA 0,15 mg COMPR. 0.15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 1.68 0.03 0.03 0.03155 C02AC01 CLONIDINUM CLONIDINA SINTOFARM 0,15 mg COMPR. 0.15mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 1.6 0.03 0.03 0.03156 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.77 0.03 0.03 0.03157 C03BA11 INDAPAMIDUM IMPAMID (R) 2,5 mg COMPR. 2.5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 10.1 0.34 0.34 0.31158 C03BA11 INDAPAMIDUM INDAPAMID MCC 1,5 MG COMPR. ELIB. PREL. 1.5mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 13.9 0.46 0.46 0.41159 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 2,5 mg COMPR. FILM. 2.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 10.04 0.33 0.13 0.12160 C03BA11 INDAPAMIDUM INDATER (R) 2,5 mg COMPR. FILM. 2.5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 9.93 0.33 0.13 0.12161 C03BA11 INDAPAMIDUM INDAPAMIDE 2,5 mg COMPR. FILM. 2.5mg HEMOFARM S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 3.94 0.13 0.13 0.12162 C03BA11 INDAPAMIDUM IMPAMID SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. ELIB. PREL. P-6L 30 9 0.3 0.3 0.27163 C03BA11 INDAPAMIDUM INDAPAMID SR 1,5 mg LAROPHARM COMPR. FILM. ELIB. PREL. 1.5 mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 9.06 0.45 0.3 0.27164 C03BA11 INDAPAMIDUM TERTENSIF (R) SR COMPR. FILM. ELIB. PREL. 1.5mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 15 COMPR. FILM. ELIB. PREL. P-6L 30 18.39 0.61 0.3 0.27165 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 1,5 mg COMPR. FILM. ELIB. PREL. 1.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.9 0.46 0.3 0.27166 C03BA11 INDAPAMIDUM INDATER SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.ELIB. PREL. P-6L 30 13.01 0.43 0.3 0.27167 C03BA11 INDAPAMIDUM RAWEL SR 1,5 mg COMPR. FILM. ELIB. PREL. 1.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 9.19 0.31 0.3 0.27168 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.05169 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.06 0.05170 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.43 0.07 0.06 0.05171 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.19 0.06 0.06 0.05172 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.05173 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.19 0.06 0.06 0.05174 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 2.47 0.49 0.49 0.44175 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.63 0.72 0.72 0.65176 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 14.46 0.48 0.48 0.43177 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.08 0.15 0.15 0.14178 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.94 0.16 0.15 0.14179 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 9.22 0.18 0.15 0.14180 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 3.07 0.15 0.15 0.14181 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 9.4 0.47 0.47 0.42182 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 10.44 0.52 0.52 0.47183 C04AD03 PENTOXIFYLLINUM ANGIOPENT 400 mg COMPR. FILM. ELIB. PREL. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 10.45 0.52 0.37 0.33184 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 14.93 0.37 0.37 0.33185 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 20 11.44 0.57 0.37 0.33186 C04AD03 PENTOXIFYLLINUM ANGIOPENT 600 mg COMPR. FILM. ELIB. PREL. 600mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 10.96 0.55 0.55 0.5187 C04AD03 PENTOXIFYLLINUM TRENTAL (R) DRAJ. ELIB. PREL. 400mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. ELIB. PREL. P-6L 20 17.92 0.9 0.9 0.81

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

188 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 10mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 25 COMPR. P-6L 50 2.4 0.05 0.04 0.04189 C07AA05 PROPRANOLOLUM N - PROPRANOLOL 10 mg COMPR. 10mg SC MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 2.38 0.05 0.04 0.04190 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.15 0.04 0.04 0.04191 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.4 0.05 0.05 0.05192 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.54 0.07 0.05 0.05193 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.4 0.05 0.05 0.05194 C07AA07 SOTALOLUM DAROB (R) 160 mg COMPR. 160mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVP X 10 COMPR. P-6L 20 29.57 1.48 0.47 0.42195 C07AA07 SOTALOLUM ALS-SOTALOL 160 mg COMPR. 160mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 13.47 0.67 0.47 0.42196 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 9.47 0.47 0.47 0.42197 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 46.67 0.47 0.47 0.42198 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.62 0.58 0.47 0.42199 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 29.02 0.58 0.47 0.42200 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 58.05 0.58 0.47 0.42201 C07AA07 SOTALOLUM DAROB (R) 80 mg COMPR. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVP X 10 COMPR. P-6L 20 11.69 0.58 0.29 0.26202 C07AA07 SOTALOLUM ALS-SOTALOL 80 mg COMPR. 80mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.73 0.39 0.29 0.26203 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 50 14.49 0.29 0.29 0.26204 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 28.75 0.29 0.29 0.26205 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 6.51 0.33 0.29 0.26206 C07AB02 METOPROLOLUM VASOCARDIN (R) 100 COMPR. 100mg SLOVAKOFARMA SLOVACIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 8.37 0.17 0.17 0.15207 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 13.09 0.44 0.17 0.15208 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.5 0.25 0.17 0.15209 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 8.03 0.4 0.17 0.15210 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.15211 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.15212 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.26 0.26 0.17 0.15213 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 6.69 0.22 0.17 0.15214 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 21.37 0.21 0.17 0.15215 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 10.69 0.21 0.17 0.15216 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.12 0.31 0.17 0.15217 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 11.55 0.23 0.17 0.15218 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L 100 22.4 0.22 0.17 0.15219 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.75 0.26 0.17 0.15220 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.25 0.21 0.17 0.15221 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 MG COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.23 0.31 0.17 0.15222 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.15223 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.15224 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 4.58 0.23 0.1 0.09225 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 2.15 0.11 0.1 0.09226 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.09227 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.08 0.1 0.1 0.09228 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 25 mg COMPR. 25mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.09229 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.29 0.21 0.15 0.14230 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 6.24 0.31 0.15 0.14231 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.17 0.21 0.15 0.14232 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.03 0.2 0.15 0.14233 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.72 0.24 0.15 0.14234 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.45 0.18 0.15 0.14235 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 16.71 0.17 0.15 0.14236 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 8.57 0.17 0.15 0.14

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

237 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.14238 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.66 0.23 0.15 0.14239 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.06 0.2 0.15 0.14240 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L/S 100 16.98 0.17 0.15 0.14241 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 9.2 0.18 0.15 0.14242 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.58 0.15 0.15 0.14243 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.14244 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.13 0.16 0.15 0.14245 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.14246 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 9 0.45 0.45 0.41247 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 43.64 0.44 0.44 0.4248 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 60 26.86 0.45 0.44 0.4249 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 15.61 0.52 0.44 0.4250 C07AB02 METOPROLOLUM BETALOC (R) ZOC 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 18.14 0.6 0.6 0.54251 C07AB02 METOPROLOLUM BETALOC (R) ZOC 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 11.08 0.37 0.37 0.33252 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 20.36 0.68 0.68 0.61253 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 7.33 0.24 0.24 0.22254 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 11.98 0.4 0.4 0.36255 C07AB03 ATENOLOLUM ATECOR COMPR. 100mg WIN - MEDICARE LTD. INDIA CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 9.37 0.09 0.09 0.08256 C07AB03 ATENOLOLUM ATENOCOR 100 mg COMPR. 100mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.42 0.25 0.09 0.08257 C07AB03 ATENOLOLUM ATENOLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.02 0.25 0.09 0.08258 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.46 0.22 0.09 0.08259 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.46 0.22 0.09 0.08260 C07AB03 ATENOLOLUM ATENOLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.22 0.16 0.13 0.12261 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.22 0.16 0.13 0.12262 C07AB03 ATENOLOLUM ATENOCOR 50 mg COMPR. 50mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.82 0.13 0.13 0.12263 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.22 0.16 0.13 0.12264 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 4.9 0.25 0.18 0.16265 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 7.45 0.25 0.18 0.16266 C07AB03 ATENOLOLUM VASCOTEN COMPR. FILM. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR.FILM. P-6L 20 3.61 0.18 0.18 0.16267 C07AB03 ATENOLOLUM ATENOLOL 100 mg MEDO COMPR. FILM. 100mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.5 0.18 0.18 0.16268 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 7.96 0.16 0.16 0.14269 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 4.75 0.16 0.16 0.14270 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 23.22 0.83 0.73 0.66271 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 28 20.45 0.73 0.73 0.66272 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 21.83 0.73 0.73 0.66273 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 15.33 0.77 0.73 0.66274 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 14 10.69 0.76 0.73 0.66275 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 19.1 0.64 0.64 0.58276 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 12.22 0.41 0.41 0.37277 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 28.25 0.94 0.42 0.38278 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 42.11 0.42 0.42 0.38279 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 21.79 0.44 0.42 0.38280 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 13.53 0.45 0.42 0.38281 C07AB07 BISOPROLOLUM BISOTENS 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 18.01 0.6 0.42 0.38282 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 11.83 0.39 0.39 0.35283 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 23.51 0.78 0.25 0.23284 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-6L 50 13.11 0.26 0.25 0.23285 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 9.15 0.31 0.25 0.23

Page 6 of 31

Page 9: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

286 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-6L 100 24.85 0.25 0.25 0.23287 C07AB07 BISOPROLOLUM BISOTENS 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 11.19 0.37 0.25 0.23288 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.21 0.19289 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 45.33 1.62 0.21 0.19290 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 12.5mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 18.46 0.66 0.21 0.19291 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 18.01 0.6 0.21 0.19292 C07AG02 CARVEDILOLUM CARVEDILOL 12,5 mg COMPR. 12.5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.51 0.68 0.21 0.19293 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12.5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 14.41 0.48 0.21 0.19294 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12.5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.32 0.47 0.21 0.19295 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 15.6 0.52 0.21 0.19296 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12.5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.39 0.21 0.21 0.19297 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 61.37 2.19 0.22 0.2298 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 25mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 28.53 1.02 0.22 0.2299 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 28.2 0.94 0.22 0.2300 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 24.15 0.81 0.22 0.2301 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 15.87 0.79 0.22 0.2302 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.75 0.23 0.22 0.2303 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.2 0.77 0.22 0.2304 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.68 0.22 0.22 0.2305 C07AG02 CARVEDILOLUM CORYOL (R) 3,125 mg COMPR. 3.125mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.11 0.22 0.22 0.2306 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6.25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 23.36 0.83 0.16 0.14307 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 9.23 0.33 0.16 0.14308 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 9.2 0.31 0.16 0.14309 C07AG02 CARVEDILOLUM CARVEDILOL 6,25 mg COMPR. 6.25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.54 0.33 0.16 0.14310 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6.25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.01 0.2 0.16 0.14311 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6.25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.16 0.14312 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 6.41 0.21 0.16 0.14313 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6.25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 4.65 0.16 0.16 0.14314 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12.5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 15.47 0.52 0.52 0.47315 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 25.18 0.84 0.84 0.76316 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6.25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.59 0.22 0.22 0.2317 C08CA01 AMLODIPINUM NORVASC 10 mg COMPR. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 46.33 1.54 0.13 0.12318 C08CA01 AMLODIPINUM AMLOHEXAL 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 28.05 0.94 0.13 0.12319 C08CA01 AMLODIPINUM TENOX (R) 10 COMPR. 10mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 14.93 0.5 0.13 0.12320 C08CA01 AMLODIPINUM AMLODIPIN 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 10.38 0.52 0.13 0.12321 C08CA01 AMLODIPINUM AMLO TAD 10 mg COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L/S 100 50.69 0.51 0.13 0.12322 C08CA01 AMLODIPINUM AMLO TAD 10 mg COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 25.7 0.51 0.13 0.12323 C08CA01 AMLODIPINUM AMLO TAD 10 mg COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 10.28 0.51 0.13 0.12324 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR P-6L 30 3.94 0.13 0.13 0.12325 C08CA01 AMLODIPINUM ALOZUR 10 mg COMPR. 10mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 15.66 0.52 0.13 0.12326 C08CA01 AMLODIPINUM STAMLO M 10 mg COMPR. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 10.67 0.38 0.13 0.12327 C08CA01 AMLODIPINUM VASOREX 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.76 0.49 0.13 0.12328 C08CA01 AMLODIPINUM NORVASC 5 mg COMPR. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.17 0.77 0.07 0.06329 C08CA01 AMLODIPINUM AMLOHEXAL 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 14.9 0.5 0.07 0.06330 C08CA01 AMLODIPINUM TENOX (R) 5 COMPR. 5mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 8.65 0.29 0.07 0.06331 C08CA01 AMLODIPINUM AMLODIPIN 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 5.88 0.29 0.07 0.06332 C08CA01 AMLODIPINUM AMLO TAD 5 mg COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVCD/AL X 10 COMPR. P-6L/S 100 25.93 0.26 0.07 0.06333 C08CA01 AMLODIPINUM AMLO TAD 5 mg COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PVCD/AL X 10 COMPR. P-6L 20 4.14 0.21 0.07 0.06334 C08CA01 AMLODIPINUM AMLO TAD 5 mg COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVCD/AL X 10 COMPR. P-6L 50 13.2 0.26 0.07 0.06

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Page 10: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

335 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST PVC-PVDC/AL X 10 COMPR. P-6L 30 2.04 0.07 0.07 0.06336 C08CA01 AMLODIPINUM ALOZUR 5 mg COMPR. 5mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 8.13 0.27 0.07 0.06337 C08CA01 AMLODIPINUM STAMLO M 5 mg COMPR. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 6.55 0.23 0.07 0.06338 C08CA01 AMLODIPINUM VASOREX 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.82 0.26 0.07 0.06339 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 55.73 1.11 1.11 1340 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 111.45 1.11 1.11 1341 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 33.43 1.11 1.11 1342 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 22.28 1.11 1.11 1343 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 14.62 0.49 0.49 0.44344 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 24.39 0.49 0.49 0.44345 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 48.75 0.49 0.49 0.44346 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 9.74 0.49 0.49 0.44347 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 20.91 0.7 0.7 0.63348 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 14.39 0.72 0.7 0.63349 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 69.65 0.7 0.7 0.63350 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 34.84 0.7 0.7 0.63351 C08CA02 FELODIPINUM SISTAR 10 mg COMPR. FILM. ELIB. MODIF. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 20.25 0.68 0.68 0.61352 C08CA02 FELODIPINUM SISTAR 2,5 mg COMPR. FILM. ELIB. MODIF. 2.5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 11.75 0.39 0.33 0.3353 C08CA02 FELODIPINUM SISTAR 5 mg COMPR. FILM. ELIB. MODIF. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 15.05 0.5 0.5 0.45354 C08CA02 FELODIPINUM AURONAL 10 mg COMPR. FILM. ELIB. PREL. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 31.25 1.04 0.68 0.61355 C08CA02 FELODIPINUM PRESID (R) 10 mg COMPR. FILM. ELIB. PREL. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 25.17 0.84 0.68 0.61356 C08CA02 FELODIPINUM PRESID (R) 10 mg COMPR. FILM. ELIB. PREL. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 83.12 0.83 0.68 0.61357 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 90.56 0.91 0.68 0.61358 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 27.17 0.91 0.68 0.61359 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 45.27 0.91 0.68 0.61360 C08CA02 FELODIPINUM AURONAL 2,5 mg COMPR. FILM. ELIB. PREL. 2.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 13.66 0.46 0.33 0.3361 C08CA02 FELODIPINUM PRESID (R) 2,5 mg COMPR. FILM. ELIB. PREL. 2.5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 33.25 0.33 0.33 0.3362 C08CA02 FELODIPINUM PRESID (R) 2,5 mg COMPR. FILM. ELIB. PREL. 2.5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 10.08 0.34 0.33 0.3363 C08CA02 FELODIPINUM AURONAL 5 mg COMPR. FILM. ELIB. PREL. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 19.53 0.65 0.5 0.45364 C08CA02 FELODIPINUM PRESID (R) 5 mg COMPR. FILM. ELIB. PREL. 5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 49.85 0.5 0.5 0.45365 C08CA02 FELODIPINUM PRESID (R) 5 mg COMPR. FILM. ELIB. PREL. 5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.77 0.53 0.5 0.45366 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 28.34 0.57 0.5 0.45367 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 17 0.57 0.5 0.45368 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 56.66 0.57 0.5 0.45369 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 36.61 1.22 0.68 0.61370 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 2.5mg ASTRAZENECA AB SUEDIA CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 15.72 0.52 0.33 0.3371 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 23.6 0.79 0.5 0.45372 C08CA05 NIFEDIPINUM ADALAT CR 20 COMPR. ELIB. MODIF. 20mg BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. ELIB. MODIF. P-6L 28 25.4 0.91 0.91 0.82373 C08CA05 NIFEDIPINUM ADALAT CR 30 COMPR. ELIB. MODIF. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L 28 42.25 1.51 1.51 1.36374 C08CA05 NIFEDIPINUM ADALAT (R) RETARD COMPR. FILM. ELIB. PREL. 20mg BAYER HEALTHCARE AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 50 34.65 0.69 0.06 0.05375 C08CA05 NIFEDIPINUM NIFEDIPIN RETARD TERAPIA 20 mg COMPR. FILM. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 3.14 0.06 0.06 0.05376 C08CA05 NIFEDIPINUM EPILAT RETARD DRAJ. 20mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ. P-6L 20 3.73 0.19 0.19 0.17377 C08DA01 VERAPAMILUM VERAPAMIL AL 40 COMPR. FILM. 40mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 4.75 0.1 0.09 0.08378 C08DA01 VERAPAMILUM VERAPAMIL AL 40 COMPR. FILM. 40mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 9.06 0.09 0.09 0.08379 C08DA01 VERAPAMILUM ISOPTIN (R) 40 mg COMPR. FILM. 40mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 100 13.01 0.13 0.09 0.08380 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 14.86 0.15 0.15 0.14381 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 7.62 0.15 0.15 0.14382 C08DA01 VERAPAMILUM ISOPTIN (R) 80 mg COMPR. FILM. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 10.99 0.22 0.15 0.14383 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 7.96 0.8 0.55 0.5

Page 8 of 31

Page 11: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

384 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLAC. X 100 COMPR. FILM. ELIB. PREL. P-6L 100 58.45 0.58 0.55 0.5385 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 17.06 0.57 0.55 0.5386 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 16.36 0.55 0.55 0.5387 C08DA01 VERAPAMILUM ISOPTIN RR COMPR. FILM. ELIB. PREL. 240mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 19.52 0.98 0.55 0.5388 C08DB01 DILTIAZEMUM DILZEM 60 mg COMPR. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.98 0.3 0.21 0.19389 C08DB01 DILTIAZEMUM DILTIAZEM COMPR. 60mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.72 0.29 0.21 0.19390 C08DB01 DILTIAZEMUM DILTIAZEM LPH 60 mg COMPR. 60mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.83 0.24 0.21 0.19391 C08DB01 DILTIAZEMUM DILTIAZEM ALKALOID 60 mg COMPR. 60mg ALKALOID DOO SLOVENIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 6.31 0.21 0.21 0.19392 C08DB01 DILTIAZEMUM DILTIAZEM ALKALOID 90 mg COMPR. 90mg ALKALOID DOO SLOVENIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 9.09 0.3 0.3 0.27393 C08DB01 DILTIAZEMUM DILZEM 90 mg RETARD COMPR. FILM. ELIB. PREL. 90mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 14.91 0.5 0.5 0.45394 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.33 0.08 0.08 0.07395 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.35 0.08 0.08 0.07396 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.7 0.09 0.08 0.07397 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.07398 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.51 0.12 0.08 0.07399 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.08 0.07400 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.23 0.11 0.08 0.07401 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 1.68 0.08 0.08 0.07402 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.07403 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.14 0.1 0.08 0.07404 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.07405 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.98 0.1 0.09 0.08406 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 20 3.42 0.17 0.09 0.08407 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.23 0.11 0.09 0.08408 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.14 0.14 0.09 0.08409 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.76 0.14 0.09 0.08410 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 1.98 0.1 0.09 0.08411 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.22 0.11 0.09 0.08412 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.8 0.09 0.09 0.08413 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.55 0.18 0.09 0.08414 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.99 0.25 0.15 0.14415 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.14416 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.87 0.29 0.15 0.14417 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.4 0.31 0.15 0.14418 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.72 0.34 0.15 0.14419 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.14420 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 7.59 0.38 0.15 0.14421 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.14422 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.78 0.24 0.15 0.14423 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.14424 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.69 0.36 0.15 0.14425 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 16.95 0.34 0.15 0.14426 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 32.97 0.33 0.15 0.14427 C09AA02 ENALAPRILUM ENAHEXAL (R) 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.19 0.24 0.15 0.14428 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10.67 0.38 0.15 0.14429 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.68 0.15 0.15 0.14430 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.91 0.16 0.15 0.14431 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 14.65 0.15 0.15 0.14432 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 7.71 0.39 0.15 0.14

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Page 12: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

433 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 24.76 0.25 0.15 0.14434 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.96 0.3 0.15 0.14435 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 14.15 0.28 0.15 0.14436 C09AA02 ENALAPRILUM ENAM 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.94 0.3 0.15 0.14437 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 5.2 0.26 0.15 0.14438 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2.5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 10.12 0.34 0.34 0.31439 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.54 0.33 0.25 0.23440 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 8.47 0.42 0.25 0.23441 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 18.3 0.61 0.25 0.23442 C09AA02 ENALAPRILUM ENALAPRIL COMPR. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 7.92 0.4 0.25 0.23443 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.62 0.38 0.25 0.23444 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 11.35 0.57 0.25 0.23445 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.07 0.25 0.25 0.23446 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 46.44 0.46 0.25 0.23447 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 24.39 0.49 0.25 0.23448 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 15.33 0.51 0.25 0.23449 C09AA02 ENALAPRILUM ENAHEXAL (R) 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 13.84 0.46 0.25 0.23450 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 15.52 0.55 0.25 0.23451 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.62 0.25 0.25 0.23452 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.39 0.45 0.25 0.23453 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 40.84 0.41 0.25 0.23454 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 21.46 0.43 0.25 0.23455 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 7.6 0.38 0.25 0.23456 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.81 0.19 0.13 0.12457 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.99 0.2 0.13 0.12458 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.86 0.24 0.13 0.12459 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.52 0.25 0.13 0.12460 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 8.15 0.27 0.13 0.12461 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 24.61 0.25 0.13 0.12462 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 13.01 0.26 0.13 0.12463 C09AA02 ENALAPRILUM ENAHEXAL (R) 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 6.24 0.21 0.13 0.12464 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 5.21 0.26 0.13 0.12465 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.97 0.28 0.13 0.12466 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 3.98 0.2 0.13 0.12467 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 2.7 0.14 0.13 0.12468 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 17.21 0.17 0.13 0.12469 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.26 0.21 0.13 0.12470 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.34 0.19 0.13 0.12471 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.98 0.13 0.13 0.12472 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1.25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.76 2.15 2.15 1.94473 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.94 0.4 0.22 0.2474 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 12.05 0.6 0.22 0.2475 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.37 0.76 0.22 0.2476 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 11.79 0.39 0.22 0.2477 C09AA03 LISINOPRILUM MEDAPRIL 10 COMPR. 10mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.43 0.45 0.22 0.2478 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.36 0.37 0.22 0.2479 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.94 0.35 0.22 0.2480 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.5 0.35 0.22 0.2481 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.63 0.42 0.22 0.2

Page 10 of 31

Page 13: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

482 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 22.35 0.22 0.22 0.2483 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 11.52 0.38 0.22 0.2484 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.26 0.34 0.22 0.2485 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2.5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.57 0.31 0.31 0.28486 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 32.05 1.14 0.35 0.32487 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.54 0.55 0.35 0.32488 C09AA03 LISINOPRILUM MEDAPRIL 20 COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 17.12 0.86 0.35 0.32489 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.44 0.52 0.35 0.32490 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 18.96 0.63 0.35 0.32491 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 35.04 0.35 0.35 0.32492 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 20.38 0.68 0.35 0.32493 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.26 0.51 0.35 0.32494 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 5.3 0.53 0.35 0.32495 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.63 0.52 0.35 0.32496 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 27.03 0.9 0.9 0.81497 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 9.17 0.92 0.9 0.81498 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 12.08 0.43 0.15 0.14499 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.67 0.26 0.15 0.14500 C09AA03 LISINOPRILUM MEDAPRIL 5 COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.14501 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.23 0.27 0.15 0.14502 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 7.4 0.25 0.15 0.14503 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 14.57 0.15 0.15 0.14504 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.32 0.21 0.15 0.14505 C09AA05 RAMIPRILUM EMREN 10 mg COMPR. 10 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 27 0.9 0.28 0.25506 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 19.24 0.69 0.28 0.25507 C09AA05 RAMIPRILUM TRITACE (R) 10 mg COMPR. 10mg SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 47.28 1.69 0.28 0.25508 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 29.9 1.07 0.28 0.25509 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 30.79 1.03 0.28 0.25510 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 55.34 0.92 0.28 0.25511 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 30.75 1.03 0.28 0.25512 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 26.26 0.94 0.28 0.25513 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S 100 28.29 0.28 0.28 0.25514 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.75 0.39 0.28 0.25515 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 14.81 0.3 0.28 0.25516 C09AA05 RAMIPRILUM TRITACE (R) 2,5 COMPR. 2.5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 29.13 1.04 0.26 0.23517 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 10.39 0.37 0.26 0.23518 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 8.9 0.3 0.26 0.23519 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 22.94 0.38 0.26 0.23520 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 32.53 0.36 0.26 0.23521 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 12.75 0.43 0.26 0.23522 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2.5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 7.51 0.27 0.26 0.23523 C09AA05 RAMIPRILUM EMREN 2,5 mg COMPR. 2,5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.66 0.26 0.26 0.23524 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 9.43 0.34 0.26 0.23525 C09AA05 RAMIPRILUM EMREN 5 mg COMPR. 5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 15 0.5 0.18 0.16526 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 12.21 0.44 0.18 0.16527 C09AA05 RAMIPRILUM TRITACE (R) 5 COMPR. 5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 46.81 1.67 0.18 0.16528 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 17.21 0.61 0.18 0.16529 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 24.15 0.81 0.18 0.16530 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 50.76 0.56 0.18 0.16

Page 11 of 31

Page 14: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

531 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 35.84 0.6 0.18 0.16532 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 19.92 0.66 0.18 0.16533 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.64 0.52 0.18 0.16534 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR. P-6L/S 100 18.58 0.19 0.18 0.16535 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L 20 5.51 0.28 0.18 0.16536 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. A/AL X 10 COMPR. P-6L 50 9.2 0.18 0.18 0.16537 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1.25mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 5.29 0.18 0.18 0.16538 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 34.31 1.14 1.14 1.03539 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2.5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 8.83 0.29 0.29 0.26540 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 18.76 0.63 0.63 0.57541 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 10 mg COMPR. FILM. 10 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 11.7 0.39 0.37 0.33542 C09AA06 QUINAPRILUM AQUIRIL COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 12.51 0.42 0.37 0.33543 C09AA06 QUINAPRILUM ACCUPRO 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L 30 13.43 0.45 0.37 0.33544 C09AA06 QUINAPRILUM QUINARAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 11.08 0.37 0.37 0.33545 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 20 mg COMPR. FILM. 20 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 23.4 0.78 0.76 0.68546 C09AA06 QUINAPRILUM ACCUPRO (R) 20 COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 24.18 0.81 0.76 0.68547 C09AA06 QUINAPRILUM QUINARAN 20 mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 22.82 0.76 0.76 0.68548 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 40 mg COMPR. FILM. 40 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 45.87 1.53 1.51 1.36549 C09AA06 QUINAPRILUM QUINARAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 45.32 1.51 1.51 1.36550 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 5 mg COMPR. FILM. 5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 8.66 0.29 0.27 0.24551 C09AA06 QUINAPRILUM ACCUPRO (R) 5 COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 9.31 0.31 0.27 0.24552 C09AA06 QUINAPRILUM QUINARAN 5 mg COMPR. FILM. 5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 8.09 0.27 0.27 0.24553 C09AA09 FOSINOPRILUM MONOPRIL 10 mg COMPR. 10mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 15.66 0.56 0.35 0.32554 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 10.61 0.35 0.35 0.32555 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 10.61 0.35 0.35 0.32556 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.3 0.52 0.35 0.32557 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 20.88 0.75 0.51 0.46558 C09AA09 FOSINOPRILUM FOSINOPRIL TEVA 20 mg COMPR. 20mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 15.33 0.51 0.51 0.46559 C09AA09 FOSINOPRILUM FOSYPRIL 20 MG COMPR. 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 18.39 0.61 0.51 0.46560 C09AA09 FOSINOPRILUM FOSYPRIL 20 MG COMPR. 20mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 18.39 0.61 0.51 0.46561 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.8 0.69 0.51 0.46562 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 10 mg/25 mg COMPR. 10mg/25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 9.2 0.31 0.31 0.28563 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL HL COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 9.52 0.32 0.32 0.29564 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP HL COMPR. 10mg+12.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7.25 0.36 0.32 0.29565 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP H COMPR. 10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 8.96 0.45 0.31 0.28566 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL H COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 11.49 0.38 0.31 0.28567 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP (R) HL 20 mg/12,5 mg COMPR. 20 mg/12.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 8.08 0.4 0.4 0.36568 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 20 mg/12,5 mg COMPR. 20mg/12.5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 12.02 0.4 0.4 0.36569 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) PIRAMIL HCT 2,5 mg/12,5 mg COMPR. 2.5mg/12.5mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 6.54 0.33 0.32 0.29570 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTRIL HCT 2,5 mg/12,5mg COMPR. 2.5mg/12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 16.79 0.6 0.32 0.29571 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 2.5mg/12.5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 9.53 0.32 0.32 0.29572 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) AMPRIL HL COMPR. 2.5mg+12.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 15.28 0.55 0.55 0.5573 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) PIRAMIL HCT 5 mg/25 mg COMPR. 5mg/25mg HEXAL AG BELGIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 10.89 0.54 0.54 0.49574 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTRIL HCT 5 mg/25mg COMPR. 5mg/25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 24 0.86 0.54 0.49575 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 5mg/25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 16.32 0.54 0.54 0.49576 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) AMPRIL HD COMPR. 5mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 24.18 0.86 0.86 0.77577 C09CA01 LOSARTANUM COZAAR COMPR. FILM. 50mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPACE AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 61.01 2.18 0.46 0.41578 C09CA01 LOSARTANUM LORISTA COMPR. FILM. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. DIN PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 12.85 0.46 0.46 0.41579 C09CA01 LOSARTANUM LORISTA COMPR. FILM. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 12.85 0.46 0.46 0.41

Page 12 of 31

Page 15: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

580 C10AA01 SIMVASTATINUM SIMVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 9.83 0.7 0.36 0.32581 C10AA01 SIMVASTATINUM SIMVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 20.06 0.72 0.36 0.32582 C10AA01 SIMVASTATINUM SIMVACARD (R) 10 COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 15.61 0.56 0.36 0.32583 C10AA01 SIMVASTATINUM SIMGAL (R) 10 mg COMPR. FILM. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 10.16 0.36 0.36 0.32584 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 18.97 0.63 0.36 0.32585 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 7.26 0.52 0.36 0.32586 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 14.5 0.52 0.36 0.32587 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 14 17.73 1.27 0.36 0.32588 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 35.44 1.27 0.36 0.32589 C10AA01 SIMVASTATINUM SINTENAL 10 mg COMPR. FILM. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 11.19 0.37 0.36 0.32590 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 11.13 0.37 0.36 0.32591 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 35.55 0.36 0.36 0.32592 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 24.9 0.5 0.36 0.32593 C10AA01 SIMVASTATINUM VASILIP 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC-PE/PVDC-PE-AL X 7 COMPR. FILM. P-6L 28 12.75 0.46 0.36 0.32594 C10AA01 SIMVASTATINUM SIMVASTATIN 10 mg COMPR. FILM. 10 mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 10.63 0.38 0.36 0.32595 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 15.41 0.51 0.36 0.32596 C10AA01 SIMVASTATINUM SIMVA TAD 10 mg COMPR. FILM. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L/S 100 44.18 0.44 0.36 0.32597 C10AA01 SIMVASTATINUM SIMVA TAD 10 mg COMPR. FILM. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 22.09 0.44 0.36 0.32598 C10AA01 SIMVASTATINUM SIMVA TAD 10 mg COMPR. FILM. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 14.57 0.49 0.36 0.32599 C10AA01 SIMVASTATINUM VABADIN 10 mg COMPR. FILM. 10mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 16.5 0.59 0.36 0.32600 C10AA01 SIMVASTATINUM ZAREDIL 10 MG COMPR. FILM. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 14.67 0.52 0.36 0.32601 C10AA01 SIMVASTATINUM SIMVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 34.78 1.24 0.73 0.66602 C10AA01 SIMVASTATINUM SIMVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 19.65 1.4 0.73 0.66603 C10AA01 SIMVASTATINUM SIMVACARD (R) 20 COMPR. FILM. 20mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 35.15 1.26 0.73 0.66604 C10AA01 SIMVASTATINUM SIMGAL (R) 20 mg COMPR. FILM. 20mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 20.31 0.73 0.73 0.66605 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 38.28 1.28 0.73 0.66606 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 32.99 1.18 0.73 0.66607 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 16.49 1.18 0.73 0.66608 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 24.9 1.78 0.73 0.66609 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 49.8 1.78 0.73 0.66610 C10AA01 SIMVASTATINUM SINTENAL 20 mg COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22.39 0.75 0.73 0.66611 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 87.85 0.88 0.73 0.66612 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 56.2 1.12 0.73 0.66613 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 29.57 0.99 0.73 0.66614 C10AA01 SIMVASTATINUM VASILIP 20 mg COMPR. FILM. 20mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC-PE/PVDC-PE-AL X 7 COMPR. FILM. P-6L 28 28.53 1.02 0.73 0.66615 C10AA01 SIMVASTATINUM SIMCOR 20 MG COMPR. FILM. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 33.93 1.13 0.73 0.66616 C10AA01 SIMVASTATINUM SIMVASTATIN 20 mg COMPR. FILM. 20 mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 21.24 0.76 0.73 0.66617 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 34.58 1.15 0.73 0.66618 C10AA01 SIMVASTATINUM SIMVA TAD 20 mg COMPR. FILM. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L/S 100 87.89 0.88 0.73 0.66619 C10AA01 SIMVASTATINUM SIMVA TAD 20 mg COMPR. FILM. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 40.18 0.8 0.73 0.66620 C10AA01 SIMVASTATINUM SIMVA TAD 20 mg COMPR. FILM. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 28.21 0.94 0.73 0.66621 C10AA01 SIMVASTATINUM VABADIN 20 mg COMPR. FILM. 20mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 33.01 1.18 0.73 0.66622 C10AA01 SIMVASTATINUM ZAREDIL 20 MG COMPR. FILM. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 33.03 1.18 0.73 0.66623 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 30 mg COMPR. FILM. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 49.44 1.65 1.65 1.49624 C10AA01 SIMVASTATINUM SIMVOR 40 mg COMPR. FILM. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 19.28 1.38 1.2 1.08625 C10AA01 SIMVASTATINUM VASILIP (R) 40 mg COMPR. FILM. 40mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 54.39 1.94 1.2 1.08626 C10AA01 SIMVASTATINUM SIMVACARD (R) 40 COMPR. FILM. 40mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 46.61 1.66 1.2 1.08627 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 90.02 3.22 1.2 1.08628 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 45.02 3.22 1.2 1.08

Page 13 of 31

Page 16: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

629 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 38.01 1.36 1.2 1.08630 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 18.92 1.35 1.2 1.08631 C10AA01 SIMVASTATINUM SIMGAL (R) 40 mg COMPR. FILM. 40mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 35.52 1.27 1.2 1.08632 C10AA01 SIMVASTATINUM SINTENAL 40 mg COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 36.38 1.21 1.2 1.08633 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 50.98 1.7 1.2 1.08634 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 124.53 1.25 1.2 1.08635 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 81.1 1.62 1.2 1.08636 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 42.3 1.41 1.2 1.08637 C10AA01 SIMVASTATINUM SIMVASTATIN 40 mg COMPR. FILM. 40 mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 37.17 1.33 1.2 1.08638 C10AA01 SIMVASTATINUM SIMCOR 40 MG COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 12.25 1.23 1.2 1.08639 C10AA01 SIMVASTATINUM SIMCOR 40 MG COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 36.48 1.22 1.2 1.08640 C10AA01 SIMVASTATINUM SIMVA TAD 40 mg COMPR. FILM. 40mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L/S 100 136.31 1.36 1.2 1.08641 C10AA01 SIMVASTATINUM SIMVA TAD 40 mg COMPR. FILM. 40mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 35.88 1.2 1.2 1.08642 C10AA01 SIMVASTATINUM SIMVA TAD 40 mg COMPR. FILM. 40mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 68.15 1.36 1.2 1.08643 C10AA01 SIMVASTATINUM VABADIN 40 mg COMPR. FILM. 40mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 51.87 1.85 1.2 1.08644 C10AA01 SIMVASTATINUM ZAREDIL 40 MG COMPR. FILM. 40mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 43.81 1.56 1.2 1.08645 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 40 mg COMPR. FILM. 40mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 35.85 1.2 1.2 1.08646 C10AA01 SIMVASTATINUM SIMVOR 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 9.07 0.65 0.65 0.59647 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 80 mg COMPR. FILM. 80mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 59.45 1.98 1.98 1.78648 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 83.94 0.84 0.84 0.76649 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 10.08 1.01 0.84 0.76650 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 27.86 0.93 0.84 0.76651 C10AA03 PRAVASTATINUM PRALIP 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 15.14 0.5 0.44 0.4652 C10AA03 PRAVASTATINUM PRAVATOR 10 mg COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 12.31 0.44 0.44 0.4653 C10AA03 PRAVASTATINUM PRALIP 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 19.8 0.66 0.57 0.51654 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 16.08 0.57 0.57 0.51655 C10AA03 PRAVASTATINUM PRALIP 40 mg COMPR. 40mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 37.63 1.25 1.09 0.98656 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L 28 30.55 1.09 1.09 0.98657 C10AB05 FENOFIBRATUM LIPANTHYL® 100 CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS. P-6L 48 19.44 0.41 0.41 0.37658 C10AB05 FENOFIBRATUM LIPOFIB 160 mg CAPS. 160mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 34.75 1.16 1.16 1.04659 C10AB05 FENOFIBRATUM LIPOFIB 200 mg CAPS. 200mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 18.53 0.62 0.62 0.56660 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. PULB. MICRONIZATA 200mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. X 10 CAPS. MICRONIZATE P-6L 10 15.73 1.57 0.62 0.56661 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. PULB. MICRONIZATA 200mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. X 10 CAPS. MICRONIZATE P-6L 30 45.15 1.51 0.62 0.56662 C10AB05 FENOFIBRATUM FENOFIBRAT LPH 200 mg CAPS. PULB. MICRONIZATA 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 14.93 0.75 0.62 0.56663 C10AB05 FENOFIBRATUM FENOFIBRAT LPH 200 mg CAPS. PULB. MICRONIZATA 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.08 0.7 0.62 0.56664 C10AB05 FENOFIBRATUM LIPIVIM CAPS. PULB. MICRONIZATA 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 18.53 0.62 0.62 0.56665 C10AB05 FENOFIBRATUM LIPANTHYL (R) SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. AL/PVDC-PE-PVC X 10 COMPR. FILM. CU ELIB. MOD. P-6L 10 18.11 1.81 1.51 1.36666 C10AB05 FENOFIBRATUM LIPANTHYL (R) SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 COMPR. FILM. CU ELIB. MOD. P-6L 30 45.15 1.51 1.51 1.36667 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 6.49 6.49 4.86 4.37668 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.86 4.86 4.86 4.37669 D01AC02 MICONAZOLUM MICONAL ECOBI CREMA 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 6.91 6.91 4.86 4.37670 D01AC02 MICONAZOLUM DERMOZOL GEL 2% PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 2.48 2.48 2.48 2.23671 D01AC10 BIFONAZOLUM MYCO - FLUSEMIDON CREMA 100g ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 TUB DIN AL X 15G P-RF 1 5.26 5.26 5.26 4.73672 D01AC10 BIFONAZOLUM BIAZOL 10 mg/g CREMA 10mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 6.47 6.47 5.26 4.73673 D01AC10 BIFONAZOLUM MYCOSPOR CREMA 1% BAYER HEALTHCARE AG GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 13.96 13.96 5.26 4.73674 D01AC10 BIFONAZOLUM MYCOSPOR SOL. CUT. 0,01g/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLACON X 15 ML SOL. CUT. + DISP. DE PICURARE P-RF 1 13.96 13.96 13.96 12.56675 D06BB03 ACICLOVIRUM ACICLOVIR CREMA 5% OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB X 5 G P-RF 1 2.96 2.96 2.96 2.66676 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 3.86 3.86 2.96 2.66677 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 31.25 31.25 2.96 2.66

Page 14 of 31

Page 17: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

678 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 3 3 2.96 2.66679 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 4.58 4.58 2.96 2.66680 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 3.55 3.55 2.96 2.66681 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA P-RF 1 5.33 5.33 2.96 2.66682 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 4.41 4.41 2.96 2.66683 D07AA02 HYDROCORTISONUM* HIDROCORTIZON 1% UNGUENT 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.42 4.42 4.42 3.98684 D07AC01 BETAMETHASONUM BETADERM CREMA 0.1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.61 4.61 4.61 4.15685 D07AC01 BETAMETHASONUM BELODERM CREMA CREMA 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 6.54 6.54 6.54 5.89686 D07AC01 BETAMETHASONUM BETADERM UNGUENT 0.1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.61 4.61 4.61 4.15687 D07AC01 BETAMETHASONUM BELODERM UNGUENT UNGUENT 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 6.54 6.54 6.54 5.89688 G01AF04 MICONAZOLUM MICONAL ECOBI CAPS. MOI VAG. 1.2g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 BLIST. AL/PVC X 2 CAPS. MOI VAGINALE P-RF 2 12.58 6.29 6.29 5.66689 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 13.67 13.67 9.85 8.87690 G01AF04 MICONAZOLUM MYCOHEAL CREMA VAG. 2% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 50 G + APLICATOR P-RF 1 13.43 13.43 9.85 8.87691 G01AF04 MICONAZOLUM MICONAL ECOBI CREMA VAG. 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA P-RF 1 9.85 9.85 9.85 8.87692 G01AF04 MICONAZOLUM MICONAL ECOBI OVULE 50mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE P-RF 15 6.56 0.44 0.44 0.4693 G01AF04 MICONAZOLUM MICONAL ECOBI SOL. VAGINALA 2mg/ml FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE P-RF 5 12.72 2.54 2.54 2.29694 G02AB03 ERGOMETRINUM MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ. 0.2mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE P-RF 5 2.87 0.57 0.57 0.51695 G03BA03 TESTOSTERONUM* UNDESTOR (R) TESTOCAPS (R) CAPS. MOI 40mg ORGANON NV OLANDA CUTIE X 6 BLIST. X 10 CAPS. MOI P-RF 60 78.02 1.3 1.3 1.17696 G03BA03 TESTOSTERONUM* ANDROGEL 50 mg GEL 50mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GEL P-RF 30 187.43 6.25 6.25 5.63697 G03BA03 TESTOSTERONUM* NEBIDO 1000 mg/4 ml SOL. INJ. 1000mg/4ml SCHERING AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ. S/P-RF 1 435.72 435.72 435.72 392.15698 G03CA03 ESTRADIOLUM* ESTROFEM 1 mg COMPR. FILM. 1mg NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR.FILM. P-6L 1 17.46 17.46 17.46 15.71699 G03CA03 ESTRADIOLUM* VAGIFEM COMPR. VAG. 25µg NOVO NORDISK A/S DANEMARCA CUTIE X 3 BLIST. AL/PVC X 5 APLICATOARE DIN PE/PP X 1 COMPR. VAG. P-6L 15 45.56 3.04 3.04 2.74700 G03CA03 ESTRADIOLUM* OESTROGEL (R) GEL 0.06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G P-6L 1 12.03 12.03 12.03 10.83701 G03CA03 ESTRADIOLUM* ESTREVA (R) GEL 0.1% LAB. THERAMEX MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G P-6L 1 20.8 20.8 20.8 18.72702 G03CA03 ESTRADIOLUM* RISELLE 25 mg IMPLANT 25mg ORGANON NV MAREA BRITANIE CUTIE X 1 TRUSA PETG X 1 FIOLA CU IMPLANT STERIL + 1 DISPOZITIV DE ADM (TROCAR) + 1 PENSA P-RF 1 147.5 147.5 147.5 132.75703 G03CA03 ESTRADIOLUM* CLIMARA PLASTURE TRANSDERM. 50µg/24ore SCHERING AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 25.24 6.31 6.31 5.68704 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 40.41 0.81 0.57 0.51705 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 16.25 0.81 0.57 0.51706 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 80.33 0.8 0.57 0.51707 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 1mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 13.77 0.98 0.57 0.51708 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/ALX 10 COMPR. P-6L 30 18.46 0.62 0.57 0.51709 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi C02CA04) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 7.97 0.57 0.57 0.51710 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 40.41 0.81 0.57 0.51711 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 16.25 0.81 0.57 0.51712 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 80.33 0.8 0.57 0.51713 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 1mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 13.77 0.98 0.57 0.51714 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/ALX 10 COMPR. P-6L 30 18.46 0.62 0.57 0.51715 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi C02CA04) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 7.97 0.57 0.57 0.51716 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 96.82 0.97 0.35 0.32717 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 48.54 0.97 0.35 0.32718 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 19.52 0.98 0.35 0.32719 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 2mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.05 1.15 0.35 0.32720 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 21.82 0.73 0.35 0.32721 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 2 mg (vezi C02CA04) COMPR. 2mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 10.58 0.35 0.35 0.32722 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi C02CA04) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 9.25 0.66 0.35 0.32723 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 96.82 0.97 0.35 0.32724 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 48.54 0.97 0.35 0.32725 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 19.52 0.98 0.35 0.32726 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 2mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.05 1.15 0.35 0.32

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Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

727 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 21.82 0.73 0.35 0.32728 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 2 mg (vezi C02CA04) COMPR. 2mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 10.58 0.35 0.35 0.32729 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi C02CA04) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 9.25 0.66 0.35 0.32730 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 119.35 1.19 0.63 0.57731 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 24.15 1.21 0.63 0.57732 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 59.9 1.2 0.63 0.57733 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 4mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 26.12 1.87 0.63 0.57734 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 26.86 0.9 0.63 0.57735 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 4 mg (vezi C02CA04) COMPR. 4mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-6L 30 19.03 0.63 0.63 0.57736 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi C02CA04) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 12.47 0.89 0.63 0.57737 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 119.35 1.19 0.89 0.8738 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 24.15 1.21 0.89 0.8739 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 59.9 1.2 0.89 0.8740 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 4mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 26.12 1.87 0.89 0.8741 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 26.86 0.9 0.89 0.8742 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi C02CA04) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 12.47 0.89 0.89 0.8743 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi C02CA04) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/PVDC-AL/PVDC X 14 COMPR. ELIB. PREL. P-6L 28 36.16 1.29 1.29 1.16744 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi C02CA04) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/PVDC-AL/PVDC X 14 COMPR. ELIB. PREL. P-6L 28 36.16 1.29 1.29 1.16745 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL_PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 27.55 0.92 0.92 0.83746 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL_PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 27.55 0.92 0.92 0.83747 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 9.95748 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 9.95749 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 1.98750 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 25.12751 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.18752 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.18753 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 29.76754 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 29.76755 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05756 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05757 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05758 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05759 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05760 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. S/P-RF 1 3.67 3.67 3.13 2.82761 H02AB09 HYDROCORTISONUM* HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 3.13 3.13 3.13 2.82762 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. S/P-RF 1 8.86 8.86 8.86 7.97763 H02AB09 HYDROCORTISONUM* HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B S/P-RF 5 9.3 1.86 1.86 1.67764 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5 0.25 0.19 0.17765 J01AA02 DOXYCYCLINUM DOXICICLINA 100 MG CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 1.89 0.19 0.19 0.17766 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. DIN AL/PVC X 10 CAPS. P-RF 10 2.6 0.26 0.19 0.17767 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.65 0.27 0.19 0.17768 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 6.97 0.7 0.7 0.63769 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.24 0.21 0.18 0.16770 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 3.51 0.18 0.18 0.16771 J01CA04 AMOXICILLINUM OSPAMOX 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS. P-RF/S 12 3.38 0.28 0.18 0.16772 J01CA04 AMOXICILLINUM AMOXICILINA CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 12 CAPS. P-RF 12 3.28 0.27 0.18 0.16773 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.38 0.22 0.18 0.16774 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 3.67 0.18 0.18 0.16775 J01CA04 AMOXICILLINUM AMOXICILINA MEDICO UNO 250 mg CAPS. 250mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.24 0.21 0.18 0.16

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

776 J01CA04 AMOXICILLINUM EPHAMOX CAPS. 500mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 6 CAPS. P-RF 12 4.67 0.39 0.26 0.23777 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.42 0.34 0.26 0.23778 J01CA04 AMOXICILLINUM E - MOX CAPS. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 8 CAPS. P-RF 8 5.84 0.73 0.26 0.23779 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.22 0.42 0.26 0.23780 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 5.1 0.26 0.26 0.23781 J01CA04 AMOXICILLINUM AMOXICILINA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS. P-RF 10 4.06 0.41 0.26 0.23782 J01CA04 AMOXICILLINUM MOXILEN CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 5.37 0.34 0.26 0.23783 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 500 mg CAPSULE CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.51 0.35 0.26 0.23784 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.67 0.37 0.26 0.23785 J01CA04 AMOXICILLINUM DUOMOX 1000 mg COMPR. PT. DISPERSIE ORALA 1000mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 17.26 0.86 0.86 0.77786 J01CA04 AMOXICILLINUM DUOMOX 250 mg COMPR. PT. DISPERSIE ORALA 250mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 8.19 0.41 0.41 0.37787 J01CA04 AMOXICILLINUM DUOMOX 500 mg COMPR. PT. DISPERSIE ORALA 500mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 11.89 0.59 0.59 0.53788 J01CA04 AMOXICILLINUM DUOMOX 750 mg COMPR. PT. DISPERSIE ORALA 750mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 14.35 0.72 0.72 0.65789 J01CA04 AMOXICILLINUM OSPAMOX 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 12 9.34 0.78 0.78 0.7790 J01CA04 AMOXICILLINUM OSPAMOX 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 4.45 0.37 0.37 0.33791 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 125mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 6.83 6.83 2.69 2.42792 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 4.1 4.1 2.69 2.42793 J01CA04 AMOXICILLINUM OSPAMOX (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 3.79 3.79 2.69 2.42794 J01CA04 AMOXICILLINUM AMOXICILINA 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DE STICLA BRUNA CONTINAND PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 4.53 4.53 2.69 2.42795 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 250mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 9.34 9.34 3.97 3.57796 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE, CU GRADATII PT. 1,25 P-RF 1 5.92 5.92 3.97 3.57797 J01CA04 AMOXICILLINUM E - MOX PULB. PT. SUSP. ORALA 250mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 60 ML SUSP. P-RF 1 5.72 5.72 3.97 3.57798 J01CA04 AMOXICILLINUM OSPAMOX 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 6,6 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 5.53 5.53 3.97 3.57799 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DE STICLA BRUNA CONTINAND PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 5.79 5.79 3.97 3.57800 J01CA04 AMOXICILLINUM MOXILEN PULB. SUSP. 125mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 60ML SUSP. P-RF 1 2.69 2.69 2.69 2.42801 J01CA04 AMOXICILLINUM MOXILEN FORTE PULB. SUSP. 250mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 60ML SUSP. P-RF 1 3.97 3.97 3.97 3.57802 J01CE02 PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.5 0.33 0.33 0.3803 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.63 0.22 0.22 0.2804 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 4.62 0.39 0.39 0.35805 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.06 0.17 0.17 0.15806 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 6.91 6.91 6.91 6.22807 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.54 1.54 1.54 1.39808 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.03 1.03 1.03 0.93809 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.31 0.27 0.2 0.18810 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.81 0.24 0.2 0.18811 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF 12 4.36 0.36 0.2 0.18812 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.49 0.27 0.2 0.18813 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 4.06 0.2 0.2 0.18814 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.56 0.23 0.2 0.18815 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.8 0.24 0.2 0.18816 J01CF04 OXACILLINUM OXACILINA 500 MG CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.42 0.44 0.38 0.34817 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.59 0.56 0.38 0.34818 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.62 0.38 0.38 0.34819 J01CF04 OXACILLINUM OXALIN 500 mg CAPS. 500mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.5 0.63 0.38 0.34820 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.02 0.5 0.38 0.34821 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.87 0.59 0.38 0.34822 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF/S 1 3.43 3.43 3.43 3.09823 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 250/62,5 COMPR. DISP. 250/62,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. P-RF 20 17.34 0.87 0.87 0.78824 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 500/125 COMPR. DISP. 500/125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. P-RF 20 25.43 1.27 1.27 1.14

Page 17 of 31

Page 20: Liste Medicamente

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

825 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 875/125 COMPR. DISP. 875mg+125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. DISP. P-RF 14 37.16 2.65 2.65 2.39826 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF 14 36.04 2.57 2.57 2.31827 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 375 mg COMPR. FILM. 250mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 15.77 0.99 0.99 0.89828 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 625 mg COMPR. FILM. 500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 28.42 2.03 1.45 1.31829 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 625 mg COMPR. FILM. 625mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM. P-RF 14 32.11 2.29 1.45 1.31830 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 625 mg COMPR. FILM. 625mg SANDOZ GMBH AUSTRIA CUTIE X 7 FOLII AL/AL X 3 COMPR.FILM. P-RF 21 57.34 2.73 1.45 1.31831 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 625 mg COMPR. FILM. 625mg SANDOZ GMBH AUSTRIA CUTIE X 3 FOLII AL/AL X 4 COMPR.FILM. P-RF 12 32.74 2.73 1.45 1.31832 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 625 mg COMPR. FILM. 500mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 23.17 1.45 1.45 1.31833 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 1 g COMPR. FILM. 875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 45.05 3.22 2.57 2.31834 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (tm) SR COMPR. FILM. ELIB. PREL. 1062.5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL. P-RF 28 50.36 1.8 1.8 1.62835 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 156,25 mg/5 ml PULB. PT. SUSP. ORALA 125mg+31.25/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 12.75 12.75 12.75 11.48836 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 156.25mg/5ml PULB. PT. SUSP. ORALA 156.25mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. RECONSTITUIREA A 100 ML SUSP. ORALA P-RF 1 20.25 20.25 12.75 11.48837 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156.25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 14.5 14.5 12.75 11.48838 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 312.5mg/5ml PULB. PT. SUSP. ORALA 312.5mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. RECONSTITUIREA A 100 ML SUSP. ORALA P-RF 1 25.3 25.3 15.44 13.9839 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml PULB. PT. SUSP. ORALA 250mg+62.5mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF 1 15.44 15.44 15.44 13.9840 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312.5mg/5ml PULB. PT.SUSP. ORALA 312.5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 17.64 17.64 15.44 13.9841 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS ( 2 - 6 ANI ) PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 16.72 16.72 16.72 15.05842 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS ( 7 - 12 ANI ) PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 20.34 20.34 16.72 15.05843 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS ( 2 LUNI - 2 ANI ) PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA P-RF 1 18.51 18.51 16.72 15.05844 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 642.90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 24.69 24.69 24.69 22.22845 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 312,5 mg/5 ml PULB. PT.SUSP. ORALA 312.5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA + MASURA DOZATOARE P-RF 1 16.26 16.26 15.44 13.9846 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.32 0.47 0.29 0.26847 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 5.76 0.29 0.29 0.26848 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 12 5.42 0.45 0.29 0.26849 J01DB01 CEFALEXINUM CEFALEXIN 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 3.77 0.38 0.29 0.26850 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 5.59 0.56 0.29 0.26851 J01DB01 CEFALEXINUM SPORIDEX 250 mg CAPS. 250mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 4.53 0.45 0.29 0.26852 J01DB01 CEFALEXINUM CEFALEXINA MEDICO UNO 250 mg CAPS. 250mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.39 0.54 0.29 0.26853 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.63 0.56 0.56 0.5854 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 6.41 0.64 0.56 0.5855 J01DB01 CEFALEXINUM CEFALEXIN 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 6.46 0.65 0.56 0.5856 J01DB01 CEFALEXINUM SPORIDEX 500 mg CAPS. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 7.72 0.77 0.56 0.5857 J01DB01 CEFALEXINUM OSPEXIN 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 11.18 0.93 0.93 0.84858 J01DB01 CEFALEXINUM OSPEXIN 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR.FILM. P-RF 12 8.63 0.72 0.72 0.65859 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 9.17 0.92 0.72 0.65860 J01DB01 CEFALEXINUM KEFLEX (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 4.68 4.68 4.68 4.21861 J01DB01 CEFALEXINUM OSPEXIN (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP P-RF 1 5.78 5.78 4.68 4.21862 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 4.94 4.94 4.68 4.21863 J01DB01 CEFALEXINUM KEFLEX (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 7.59 7.59 7 6.3864 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 7.61 7.61 7 6.3865 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML P-RF 1 7 7 7 6.3866 J01DB01 CEFALEXINUM CEFALEXIN 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID PT. 60 ML + MASURA DOZATOARE PP P-RF 1 4.53 4.53 4.53 4.08867 J01DB01 CEFALEXINUM CEFALEXIN 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID PT. 60 ML + MASURA DOZATOARE PP P-RF 1 7.38 7.38 7.38 6.64868 J01DB05 CEFADROXILUM CEXYL 250 mg CAPS. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 12.35 1.24 1.24 1.12869 J01DB05 CEFADROXILUM CEFORAN (R) 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 8.9 0.89 0.7 0.63870 J01DB05 CEFADROXILUM CEXYL 500 mg CAPS. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 21.05 2.11 0.7 0.63871 J01DB05 CEFADROXILUM CEFADROXIL CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 8.38 0.84 0.7 0.63872 J01DB05 CEFADROXILUM CEFADROXIL TERAPIA CAPS. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 7.02 0.7 0.7 0.63873 J01DB05 CEFADROXILUM CEXYL 1000 mg COMPR. FILM. 1000mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF 10 17.4 1.74 1.74 1.57

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Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

874 J01DB05 CEFADROXILUM CEXYL 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 8.23 8.23 8.23 7.41875 J01DB05 CEFADROXILUM CEXYL 250 mg/5 ml GRAN. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 14.93 14.93 14.93 13.44876 J01DB05 CEFADROXILUM CEXYL 500 mg/5 ml GRAN. SUSP. ORALA 500mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 29.03 29.03 29.03 26.13877 J01DC02 CEFUROXIMUM CEROXIM 250 mg COMPR. 250mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 21.15 2.12 2.12 1.91878 J01DC02 CEFUROXIMUM CEROXIM 500 mg COMPR. 500mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 37.22 3.72 3.72 3.35879 J01DC02 CEFUROXIMUM AXYCEF (R) 125 COMPR. ACOPERITE 125mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 11.71 1.17 1.17 1.05880 J01DC02 CEFUROXIMUM AXYCEF (R) 250 COMPR. ACOPERITE 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 23.42 2.34 2.33 2.1881 J01DC02 CEFUROXIMUM AXYCEF (R) 500 COMPR. ACOPERITE 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 44.75 4.48 4.45 4.01882 J01DC02 CEFUROXIMUM ZINNAT (R) 125 mg COMPR. FILM. 125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 10 11.67 1.17 1.17 1.05883 J01DC02 CEFUROXIMUM ZINNAT (R) 250 mg COMPR. FILM. 250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR.FILM P-RF 10 23.29 2.33 2.33 2.1884 J01DC02 CEFUROXIMUM ZINNAT (R) 500 mg COMPR. FILM. 500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR.FILM P-RF 10 44.53 4.45 4.45 4.01885 J01DC02 CEFUROXIMUM ZINNAT GRAN. PT. SUSP. ORALA 125mg/5ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT P-RF 1 22.98 22.98 20.32 18.29886 J01DC02 CEFUROXIMUM CEROXIM 125mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 70 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 ML P-RF 1 20.32 20.32 20.32 18.29887 J01DC02 CEFUROXIMUM CEROXIM 125mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 29.05 29.05 20.32 18.29888 J01DC02 CEFUROXIMUM CEROXIM 250mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 43.57 43.57 30.04 27.04889 J01DC02 CEFUROXIMUM CEROXIM 250mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 70 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 ML P-RF 1 30.04 30.04 30.04 27.04890 J01DC02 CEFUROXIMUM AXYCEF (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 25.74 25.74 25.74 23.17891 J01DC04 CEFACLORUM CEFACLOR 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 15 CAPS. P-RF 15 15.12 1.01 0.97 0.87892 J01DC04 CEFACLORUM CECLODYNE (R) 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 13.64 1.36 0.97 0.87893 J01DC04 CEFACLORUM CEFACLOR 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 10.08 1.01 0.97 0.87894 J01DC04 CEFACLORUM MEDOCLOR 250 CAPS. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 17.44 1.09 0.97 0.87895 J01DC04 CEFACLORUM CLORACEF (R) 250 CAPS. 250mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 15.5 0.97 0.97 0.87896 J01DC04 CEFACLORUM CEFACLOR 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 15 CAPS. P-RF 15 27.39 1.83 1.29 1.16897 J01DC04 CEFACLORUM MEDOCLOR 500 CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 33.25 2.08 1.29 1.16898 J01DC04 CEFACLORUM CECLODYNE (R) FORTE 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 25.78 2.58 1.29 1.16899 J01DC04 CEFACLORUM CLORACEF (R) FORTE 500 CAPS. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 20.67 1.29 1.29 1.16900 J01DC04 CEFACLORUM CECLOR (R) MR COMPR. ELIB. PREL. 375mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 29.54 2.95 2.44 2.2901 J01DC04 CEFACLORUM CECLOZONE MR 375 mg COMPR. ELIB. PREL. 375mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 24.44 2.44 2.44 2.2902 J01DC04 CEFACLORUM CECLOR (R) MR COMPR. ELIB. PREL. 500mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 37.94 3.79 3.79 3.41903 J01DC04 CEFACLORUM CECLOR (R) MR COMPR. ELIB. PREL. 750mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 58.76 5.88 5.57 5.01904 J01DC04 CEFACLORUM CECLOZONE MR 750 mg COMPR. ELIB. PREL. 750mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 55.74 5.57 5.57 5.01905 J01DC04 CEFACLORUM CECLODYNE (R) MR 375 mg COMPR. FILM. ELIB. MODIF. 375mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 24.42 2.44 2.44 2.2906 J01DC04 CEFACLORUM CECLODYNE (R) MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 32.25 3.23 3.23 2.91907 J01DC04 CEFACLORUM CECLODYNE (R) MR 750 mg COMPR. FILM. ELIB. MODIF. 750mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 47.38 4.74 4.74 4.27908 J01DC04 CEFACLORUM CECLOR (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 12.26 12.26 9.15 8.24909 J01DC04 CEFACLORUM CEFACLOR 125 mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 12.88 12.88 9.15 8.24910 J01DC04 CEFACLORUM CECLODYNE 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 12.21 12.21 9.15 8.24911 J01DC04 CEFACLORUM VERCEF 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF 1 9.15 9.15 9.15 8.24912 J01DC04 CEFACLORUM CECLODYNE 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 14.59 14.59 9.15 8.24913 J01DC04 CEFACLORUM CECLOR (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 24.18 24.18 21.43 19.29914 J01DC04 CEFACLORUM CEFACLOR 250 mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 21.43 21.43 21.43 19.29915 J01DC04 CEFACLORUM CECLODYNE 250 mg/ 5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 23.2 23.2 21.43 19.29916 J01DC04 CEFACLORUM CECLODYNE 250 mg/ 5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 28.58 28.58 21.43 19.29917 J01DC04 CEFACLORUM CEFAKLOR 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 11.62 11.62 8.84 7.96918 J01DC04 CEFACLORUM CLORACEF (R) 125 PULB. PT. SUSP. ORALA 125mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF 1 8.84 8.84 8.84 7.96919 J01DC04 CEFACLORUM CEFAKLOR 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 22.06 22.06 15.5 13.95920 J01DC04 CEFACLORUM CEC HEXAL FORTE 250MG/5ML PULB. PT. SUSP. ORALA 250mg/5ml HEXAL AG GERMANIA CUTIE X 1 FLAC. CU 37,8 G PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE + SERINGA DOZATOARE P-RF 1 22.76 22.76 15.5 13.95921 J01DC04 CEFACLORUM CLORACEF (R) 250 PULB. PT. SUSP. ORALA 250mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF 1 15.5 15.5 15.5 13.95922 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 19.18 1.92 1.92 1.73

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Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

923 J01DD08 CEFIXIMUM SUPRAX COMPR. FILM. 200mg GEDEON RICHTER LTD. UNGARIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 46.45 4.65 4.65 4.19924 J01DD08 CEFIXIMUM SUPRAX GRAN. PT. SUSP. ORALA 100mg/5ml GEDEON RICHTER PLC UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT. 50 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 25.84 25.84 25.84 23.26925 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM COMPR. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.28 0.11 0.07 0.06926 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.49 0.12 0.07 0.06927 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.02 0.1 0.07 0.06928 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.02 0.1 0.07 0.06929 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.33 0.07 0.07 0.06930 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 4.95 4.95 4.95 4.46931 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 2.97 2.97 2.97 2.67932 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.06 0.25 0.25 0.23933 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.56 0.33 0.25 0.23934 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.03 0.3 0.25 0.23935 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.91 0.35 0.25 0.23936 J01FA01 ERYTHROMYCINUM ERITRO 200 PULB. PT. SUSP. ORALA 200mg/5ml LEK PHARMATECH SRL ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 7.84 7.84 7.84 7.06937 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 32.56 3.26 1.09 0.98938 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 17.78 1.27 1.09 0.98939 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 5 COMPR. FILM. P-RF 10 17.17 1.72 1.09 0.98940 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 21.49 1.54 1.09 0.98941 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 23.7 1.19 1.09 0.98942 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 17.41 1.24 1.09 0.98943 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 17.17 1.23 1.09 0.98944 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 15.23 1.09 1.09 0.98945 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 18.84 1.35 1.09 0.98946 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 40.18 2.87 1.53 1.38947 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 31.89 2.28 1.53 1.38948 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 32.72 2.34 1.53 1.38949 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 30.57 1.53 1.53 1.38950 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 28.94 2.07 1.53 1.38951 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 34.37 2.46 1.53 1.38952 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF 5 22.46 4.49 3.12 2.81953 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF 7 31.38 4.48 3.12 2.81954 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 21.87 3.12 3.12 2.81955 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 23.7 4.74 3.12 2.81956 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 28 4 3.12 2.81957 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 20 4 3.12 2.81958 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 25.18 25.18 13.81 12.43959 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 15.41 15.41 13.81 12.43960 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF 1 15.41 15.41 13.81 12.43961 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 15.81 15.81 13.81 12.43962 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 23.92 23.92 13.81 12.43963 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 20.92 20.92 13.81 12.43964 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.81 13.81 13.81 12.43965 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 38.37 38.37 24.47 22.02966 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 27.96 27.96 24.47 22.02967 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 33.55 33.55 24.47 22.02968 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 24.47 24.47 24.47 22.02969 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 33.34 3.33 1.46 1.31970 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.6 1.46 1.46 1.31971 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 19.65 1.97 1.46 1.31

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

972 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 5 19.65 3.93 3.74 3.37973 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 10 37.37 3.74 3.74 3.37974 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 4.83 0.4 0.4 0.36975 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.67 0.67 0.3 0.27976 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 10.96 1.1 0.3 0.27977 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.72 0.47 0.3 0.27978 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.8 0.48 0.3 0.27979 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.69 0.48 0.3 0.27980 J01MA02 CIPROFLOXACINUM CIPROZONE 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.07 0.41 0.3 0.27981 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 4.74 0.47 0.3 0.27982 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 5.29 0.53 0.3 0.27983 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 7.7 0.77 0.3 0.27984 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 2.96 0.3 0.3 0.27985 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 500 COMPR. FILM. 500mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. FILM. P-RF 10 63.07 6.31 0.4 0.36986 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 19.26 1.93 0.4 0.36987 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.36988 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.41 0.84 0.4 0.36989 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.25 0.93 0.4 0.36990 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 7.89 0.79 0.4 0.36991 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 9.08 0.91 0.4 0.36992 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 10.22 1.02 0.4 0.36993 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 11.15 1.12 0.4 0.36994 J01MA02 CIPROFLOXACINUM SIFLOKS (R) COMPR. FILM. 500mg ECZACIBASI ILAC SANAYI VE TICARET AS TURCIA CUTIE X 2 BLIST. X 7 COMPR.FILM. P-RF 14 5.63 0.4 0.4 0.36995 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.36996 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.03 0.4 0.4 0.36997 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 10.37 1.04 0.4 0.36998 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 24.41 2.44 2.44 2.2999 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 32.1 3.21 3.21 2.891000 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 13.55 0.97 0.45 0.411001 J01MA06 NORFLOXACINUM H - NORFLOXACIN 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 14.69 0.73 0.45 0.411002 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 10.47 0.52 0.45 0.411003 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg LEK PHARMATECH SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 9.8 0.98 0.45 0.411004 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.8 0.48 0.45 0.411005 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 12.42 0.62 0.45 0.411006 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FOLIE AL-PEJD X 10 COMPR. FILM. P-RF 10 4.95 0.5 0.45 0.411007 J01MA06 NORFLOXACINUM EPINOR COMPR. FILM. 400mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 11.19 0.8 0.45 0.411008 J01MA06 NORFLOXACINUM NORFLOXACIN OZONE 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.46 0.45 0.45 0.411009 J01MB02 ACIDUM NALIDIXICUM NALIXID 500 mg CAPS. 500mg ZENTIVA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 8.3 0.28 0.28 0.251010 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 12.35 1.24 0.45 0.411011 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 4.51 0.45 0.45 0.411012 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.53 0.55 0.45 0.411013 J02AB02 KETOCONAZOLUM NIZORAL COMPR. 200mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. P-RF 10 15.79 1.58 0.45 0.411014 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.29 0.53 0.45 0.411015 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 7.62 0.76 0.45 0.411016 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.71 0.57 0.45 0.411017 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 169.3 6.05 2.71 2.441018 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 15.44 3.86 2.71 2.441019 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 38.72 5.53 2.71 2.441020 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 54.21 3.39 2.71 2.44

Page 21 of 31

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1021 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 5.68 2.84 2.71 2.441022 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 18.94 2.71 2.71 2.441023 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.34 16.34 4.14 3.731024 J02AC01 FLUCONAZOLUM MYCOSYST® 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 68.05 17.01 4.14 3.731025 J02AC01 FLUCONAZOLUM MYCOSYST® 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 34.02 17.01 4.14 3.731026 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6 6 4.14 3.731027 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.37 18.37 4.14 3.731028 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 12.26 12.26 4.14 3.731029 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 11.22 11.22 4.14 3.731030 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 8.01 8.01 4.14 3.731031 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.55 5.55 4.14 3.731032 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 42.47 14.16 4.14 3.731033 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.92 9.92 4.14 3.731034 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.14 4.14 4.14 3.731035 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.84 5.84 4.14 3.731036 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.45 5.45 4.14 3.731037 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 4.93 4.93 4.14 3.731038 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.45 5.45 4.14 3.731039 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 106.93 15.28 3.5 3.151040 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 24.47 3.5 3.5 3.151041 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 39.8 5.69 1.39 1.251042 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 13.62 1.95 1.39 1.251043 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 48.65 6.95 1.39 1.251044 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 25.84 3.69 1.39 1.251045 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 25.08 3.58 1.39 1.251046 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 14.56 2.08 1.39 1.251047 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 11.46 1.43 1.39 1.251048 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 4 CAPS. P-RF 4 5.73 1.43 1.39 1.251049 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 15.4 1.54 1.39 1.251050 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.02 1.43 1.39 1.251051 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.88 1.7 1.39 1.251052 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.8 1.69 1.39 1.251053 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.54 1.65 1.39 1.251054 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 9.71 1.39 1.39 1.251055 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 81.52 81.52 81.52 73.371056 J05AB01 ACICLOVIRUM EUVIROX 200 mg CAPS. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 12.79 0.64 0.61 0.551057 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 12.92 0.65 0.61 0.551058 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 12.2 0.61 0.61 0.551059 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 11.75 1.18 1.18 1.061060 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.83 0.39 0.39 0.351061 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 10.38 0.52 0.39 0.351062 J05AB01 ACICLOVIRUM ZOVIRAX COMPR. 200mg GLAXO WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVDC-PVC X 25 COMPR. P-RF 25 44.56 1.78 0.39 0.351063 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.91 0.5 0.39 0.351064 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 8.31 0.42 0.39 0.351065 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 11.59 1.16 1.16 1.041066 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. X 5 COMPR. DISP. P-RF 20 4.53 0.23 0.23 0.211067 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 2.25 0.23 0.23 0.211068 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 35.52 1.01 1.01 0.911069 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 224.09 44.82 44.82 40.34

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1070 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN® 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 104.79 2.62 2.62 2.361071 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 1.36 0.23 0.15 0.141072 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 1.49 0.15 0.15 0.141073 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 1.77 0.18 0.15 0.141074 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 35.41 1.77 1.77 1.591075 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 11.45 0.38 0.38 0.341076 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.5 0.35 0.35 0.321077 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 14.63 1.46 0.13 0.121078 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.86 0.34 0.13 0.121079 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 2.5 0.13 0.13 0.121080 M01AB05 DICLOFENACUM VOLTAREN (R) 25 COMPR. FILM. GASTROREZ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 30 15.48 0.52 0.14 0.131081 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 4.3 0.14 0.14 0.131082 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 18.03 0.9 0.08 0.071083 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.68 0.08 0.08 0.071084 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.81 0.09 0.08 0.071085 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.02 0.1 0.08 0.071086 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 3.5 0.12 0.12 0.111087 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 9.72 0.97 0.97 0.871088 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 4.42 0.15 0.15 0.141089 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 1.96 0.1 0.1 0.091090 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 18.03 3.61 0.71 0.641091 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 7.25 1.45 0.71 0.641092 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 7.05 1.41 0.71 0.641093 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 9.52 0.95 0.71 0.641094 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 25.41 0.85 0.71 0.641095 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 10.07 2.01 2.01 1.811096 M01AB05 DICLOFENACUM VURDON SOL. INJ. 75mg HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 7.59 1.52 0.71 0.641097 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 7.06 0.71 0.71 0.641098 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 6.98 1.4 0.71 0.641099 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.02 1 0.71 0.641100 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.18 0.36 0.23 0.211101 M01AB05 DICLOFENACUM DICLOGESIC 100 SUPOZITOARE SUPOZ. 100mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FOLIE X 5 SUPOZ. P-6L 5 4.43 0.89 0.23 0.211102 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 7.64 1.53 0.23 0.211103 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.27 0.23 0.23 0.211104 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.35 0.24 0.23 0.211105 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 2.85 0.57 0.23 0.211106 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7.52 1.25 1.25 1.131107 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.4 0.94 0.94 0.851108 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7 1.17 1.17 1.051109 M01AB15 KETOROLACUM TROMETHAMIN KETOROL COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 5.25 0.26 0.26 0.231110 M01AB15 KETOROLACUM TROMETHAMIN KETANOV 10 mg COMPR. FILM. 10mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 20 5.84 0.29 0.26 0.231111 M01AB15 KETOROLACUM TROMETHAMIN KETOROL SOL. INJ. 30mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-RF 10 14.19 1.42 1.42 1.281112 M01AB15 KETOROLACUM TROMETHAMIN KETANOV SOL. INJ. 30mg/ml TERAPIA S.A. ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 17.72 1.77 1.42 1.281113 M01AB16 ACECLOFENACUM AFLAMIL COMPR. FILM. 100mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR. P-6L 20 17.15 0.86 0.86 0.771114 M01AC02 TENOXICAMUM TENOXICAM LPH (R) 20 mg CAPS. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 9.27 0.46 0.46 0.411115 M01AC02 TENOXICAMUM TENOXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.4 0.47 0.47 0.421116 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) COMPR. FILM. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 8.76 0.88 0.88 0.791117 M01AC02 TENOXICAMUM TILCOTIL COMPR. FILM. 20mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 27.88 2.79 0.88 0.791118 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) LIOF. + SOLV. PT. SOL. INJ. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. P-RF 1 4.09 4.09 4.09 3.68

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1119 M01AC02 TENOXICAMUM TILCOTIL LIOF. SI SOLV.PT.SOL.INJ 20mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 5 FLAC DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.+ 5 FIOLE SOLV. X 2 ML P-RF 5 29.14 5.83 4.09 3.681120 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 28.01 1.4 0.39 0.351121 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 16.49 1.65 0.39 0.351122 M01AC06 MELOXICAMUM MELOXICAM LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 18.14 0.91 0.39 0.351123 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 15 mg COMPR. 15mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 8.76 0.44 0.39 0.351124 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 21.54 0.72 0.39 0.351125 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 7.73 0.77 0.39 0.351126 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 11.38 0.57 0.39 0.351127 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 6.45 0.65 0.39 0.351128 M01AC06 MELOXICAMUM MELARTRIN 15 mg COMPR. 15mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 21.45 1.07 0.39 0.351129 M01AC06 MELOXICAMUM MELOXICAM 15 mg COMPR. 15mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.31 0.57 0.39 0.351130 M01AC06 MELOXICAMUM MELOXICAM MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.19 0.56 0.39 0.351131 M01AC06 MELOXICAMUM CELOMIX COMPR. 15mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 11.6 0.39 0.39 0.351132 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7.5 mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 7.03 0.7 0.42 0.381133 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7.5 mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 18.46 0.62 0.42 0.381134 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7.5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 11.38 1.14 0.42 0.381135 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7.5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 20.3 1.02 0.42 0.381136 M01AC06 MELOXICAMUM MELOXICAM LPH 7,5 mg COMPR. 7.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 13.08 0.65 0.42 0.381137 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 7,5 mg COMPR. 7.5mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 8.47 0.42 0.42 0.381138 M01AC06 MELOXICAMUM MELOXICAM 7,5 mg COMPR. 7.5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.46 0.47 0.42 0.381139 M01AC06 MELOXICAMUM MELOXICAM MCC 7,5 mg COMPR. 7.5mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIAT. AL/PVC X 10 COMPR. P-6L 20 10.62 0.53 0.42 0.381140 M01AC06 MELOXICAMUM MOVALIS (R) SOL. INJ. 15mg/1.5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF 5 17.07 3.41 3.41 3.071141 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg SUPOZ. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FOLIE TERMOSUDATA AL/PE X 6 SUPOZ. P-6L 6 9.47 1.58 1.02 0.921142 M01AC06 MELOXICAMUM MELOXICAM 15 mg SUPOZ. 15mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 6.1 1.02 1.02 0.921143 M01AC06 MELOXICAMUM MELOXICAM 7,5 mg SUPOZ. 7.5mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 5.82 0.97 0.97 0.871144 M01AE03 KETOPROFENUM KETOPROFEN SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 8.15 0.82 0.82 0.741145 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 30 17.64 0.59 0.59 0.531146 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 11.75 0.59 0.59 0.531147 M01AE03 KETOPROFENUM KETOPROFEN SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 10.06 1.01 0.95 0.861148 M01AE03 KETOPROFENUM KETALGON 200 mg CAPS. ELIB. PREL. 200mg NOVIA FARM SOLUTIONS SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 10 9.81 0.98 0.95 0.861149 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 18.91 0.95 0.95 0.861150 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 10 9.67 0.97 0.95 0.861151 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 20.75 0.69 0.53 0.481152 M01AE03 KETOPROFENUM KETONAL FORTE 100 mg COMPR. FILM. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 10.58 0.53 0.53 0.481153 M01AE03 KETOPROFENUM RUBIFEN 100 mg COMPR. FILM. 100 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.7 0.54 0.53 0.481154 M01AE03 KETOPROFENUM KETOPROXIN 100 mg COMPR. FILM. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.54 0.53 0.53 0.481155 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 8.07 0.4 0.4 0.361156 M01AE03 KETOPROFENUM PROFENID (R) LP 200 mg COMPR. FILM. ELIB. PREL. 200mg LAB. AVENTIS FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL. P-6L 14 13.66 0.98 0.98 0.881157 M01AE03 KETOPROFENUM KETONAL RETARD COMPR. ELIB. PREL. 150mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L 20 11.75 0.59 0.59 0.531158 M01AE03 KETOPROFENUM PROFENID (R) 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg LAB. AVENTIS FRANTA CUTIE X 6 FLAC. LIOF. + 6 FIOLE X 5 ML SOLV. P-6L 6 22.56 3.76 3.76 3.381159 M01AE03 KETOPROFENUM KETONAL 100 mg/ 2 ml SOL. INJ. 100mg/2ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF 10 15.67 1.57 1.32 1.191160 M01AE03 KETOPROFENUM KETOPROFEN 100mg/2ml SOL. INJ./CONC. SOL. PERF. 100mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML P-RF 5 6.59 1.32 1.32 1.191161 M01AE03 KETOPROFENUM KETONAL 100 mg SUPOZ. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L 12 6.31 0.53 0.47 0.421162 M01AE03 KETOPROFENUM RUBIFEN (R) 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ. P-6L 6 3.03 0.51 0.47 0.421163 M01AE03 KETOPROFENUM KETOMAG SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L 10 4.66 0.47 0.47 0.421164 M03BX07 TETRAZEPAMUM MYOLASTAN (R) 50 mg COMPR. FILM. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 21.37 1.07 1.07 0.961165 M04AA01 ALLOPURINOLUM* MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 4.58 0.09 0.09 0.081166 M04AA01 ALLOPURINOLUM* MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 7.62 0.25 0.25 0.231167 M04AC01 COLCHICINUM COLCHICINA COMPR. 1mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 COMPR. P-RF 40 4.12 0.1 0.1 0.09

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Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1168 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. X 100 COMPR. P-RF/S 100 58.76 0.59 0.59 0.531169 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC X 20 COMPR. P-RF 20 13.09 0.65 0.59 0.531170 N02AD01 PENTAZOCINUM FORTWIN (R) SOL. INJ. 30mg/ml TERAPIA S.A. ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 8.49 0.85 0.75 0.681171 N02AD01 PENTAZOCINUM FORTWIN (R) SOL. INJ. 30mg/ml TERAPIA S.A. ROMANIA CUTIE X 100 FIOLE X 1 ML P-RF/S 100 74.73 0.75 0.75 0.681172 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. P-RF 10 10.24 1.02 0.75 0.681173 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE X 1 ML SOL. INJ. P-RF/S 50 49.69 0.99 0.75 0.681174 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.92 0.55 0.32 0.291175 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.53 0.33 0.32 0.291176 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.39 0.47 0.32 0.291177 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 13.47 0.45 0.32 0.291178 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 22.06 0.44 0.32 0.291179 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 43.66 0.44 0.32 0.291180 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.73 0.57 0.32 0.291181 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.86 0.39 0.32 0.291182 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.56 0.53 0.32 0.291183 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 4.62 0.46 0.32 0.291184 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.21 0.46 0.32 0.291185 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.05 0.41 0.32 0.291186 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.41 0.32 0.32 0.291187 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.73 0.34 0.34 0.311188 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.11 0.41 0.34 0.311189 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.22 0.36 0.34 0.311190 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 8.57 0.86 0.64 0.581191 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 19.14 0.64 0.64 0.581192 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 35.57 0.71 0.64 0.581193 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 7.42 0.74 0.64 0.581194 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 21.34 0.71 0.64 0.581195 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 45.73 1.52 1.52 1.371196 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 15.61 1.56 1.52 1.371197 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.53 1.95 1.95 1.761198 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 10.44 0.35 0.35 0.321199 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 17.12 1.71 1.63 1.471200 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 48.85 1.63 1.63 1.471201 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 22.51 2.25 2.04 1.841202 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 61.05 2.04 2.04 1.841203 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 12.09 1.21 1.21 1.091204 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 10.2 10.2 9.3 8.371205 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 20.45 20.45 9.3 8.371206 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 78.51 78.51 9.3 8.371207 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 9.3 9.3 9.3 8.371208 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 10.92 10.92 9.3 8.371209 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 9.75 1.95 1.22 1.11210 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.76 1.55 1.22 1.11211 N02AX02 TRAMADOLUM TRADOLAN 50 mg SOL. INJ. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.1 1.82 1.22 1.11212 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 8.47 1.69 1.22 1.11213 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 6.08 1.22 1.22 1.11214 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 10.57 2.11 1.07 0.961215 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.23 1.85 1.07 0.961216 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML S/P-RF 10 19.52 1.95 1.07 0.96

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Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1217 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.74 1.95 1.07 0.961218 N02AX02 TRAMADOLUM TRADOLAN SOL. INJ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 10.54 2.11 1.07 0.961219 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 13.43 2.69 1.07 0.961220 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 107.43 1.07 1.07 0.961221 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 9.05 1.81 1.07 0.961222 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.96 1.59 1.07 0.961223 N02AX02 TRAMADOLUM TRADOLAN SOL. ORALA 100mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 FLACON DE STICLA BRUNA X 10 ML SOL. ORALA + SISTEM DE INCHIDERE SECURIZAT P-RF 1 10.83 10.83 9.3 8.371224 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. P-RF 5 9.75 1.95 1.26 1.131225 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 7.94 1.59 1.26 1.131226 N02AX02 TRAMADOLUM TRAMAG 100 SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN PVC/PE X 5 SUPOZ. P-RF 5 6.29 1.26 1.26 1.131227 N02AX02 TRAMADOLUM TRADOLAN SUPOZ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. PE/PVC X 5 SUPOZ. P-RF 5 8.69 1.74 1.26 1.131228 N02CC01 SUMATRIPTANUM* SUMIGRA 100 mg COMPR. 100mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. AL/AL X 2 COMPR. P-RF 2 13.72 6.86 6.86 6.171229 N02CC01 SUMATRIPTANUM* SUMIGRA 50 mg COMPR. 50mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLISTER AL/AL X 2 COMPR. P-RF 2 13.3 6.65 6.65 5.991230 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 100 COMPR. FILM. 100mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 63.8 31.9 9.65 8.691231 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 96.46 9.65 9.65 8.691232 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 58.91 9.82 9.65 8.691233 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 26.26 13.13 9.65 8.691234 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 80.16 13.36 9.65 8.691235 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 50 COMPR. FILM. 50mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 31.89 15.95 5.17 4.651236 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 51.68 5.17 5.17 4.651237 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 31.19 5.2 5.17 4.651238 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 41.54 6.92 5.17 4.651239 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 14.15 7.08 5.17 4.651240 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 3.94 0.2 0.11 0.11241 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 12.03 0.24 0.11 0.11242 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 21.12 0.42 0.11 0.11243 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 8.34 0.17 0.11 0.11244 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.03 0.2 0.11 0.11245 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.85 0.2 0.11 0.11246 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 10.73 0.21 0.11 0.11247 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 5.37 0.11 0.11 0.11248 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.66 0.18 0.11 0.11249 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.74 0.19 0.11 0.11250 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 18.26 0.37 0.11 0.11251 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.53 0.18 0.11 0.11252 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 400 COMPR. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 22.24 0.74 0.35 0.321253 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 17.5 0.35 0.35 0.321254 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL P-6L 50 14.62 0.29 0.29 0.261255 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L 50 26.76 0.54 0.53 0.481256 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 50 21.12 0.42 0.41 0.371257 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 22.24 0.74 0.74 0.671258 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 15.93 0.32 0.32 0.291259 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.59 0.29 0.29 0.261260 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. RET. 400mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 37.53 0.75 0.75 0.681261 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 26.71 0.53 0.53 0.481262 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 20.45 0.41 0.41 0.371263 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE P-6L 1 15.93 15.93 15.93 14.341264 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 46.34 0.46 0.42 0.381265 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 24.41 0.49 0.42 0.38

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1266 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.7 0.59 0.42 0.381267 N03AX12 GABAPENTINUM GABALEPT 100 mg CAPS. 100mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 42.44 0.42 0.42 0.381268 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 57.81 1.16 1.08 0.971269 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 24.29 1.21 1.08 0.971270 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 109.84 1.1 1.08 0.971271 N03AX12 GABAPENTINUM GABARAN 300 mg CAPS. 300mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 56.4 1.13 1.08 0.971272 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 107.75 1.08 1.08 0.971273 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 74.85 1.5 1.39 1.251274 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 31.45 1.57 1.39 1.251275 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 142.17 1.42 1.39 1.251276 N03AX12 GABAPENTINUM GABARAN 400 mg CAPS. 400mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 72.85 1.46 1.39 1.251277 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 139.44 1.39 1.39 1.251278 N03AX12 GABAPENTINUM GABARAN 600 mg COMPR. FILM. 600mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 63 2.1 2.1 1.891279 N03AX12 GABAPENTINUM GABARAN 800 mg COMPR. FILM. 800mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 83.98 2.8 2.8 2.521280 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 29.27 1.17 1.17 1.051281 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF 1 4.75 4.75 3.35 3.021282 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 3.35 3.35 3.35 3.021283 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML P-RF 5 81.18 16.24 16.24 14.621284 N05AD01 HALOPERIDOLUM HALOPERIDOL 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.06 1.81 1.81 1.631285 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.69 0.03 0.03 0.031286 N05BA01 DIAZEPAMUM DIAZEPAM COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.62 0.05 0.03 0.031287 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 3.31 0.66 0.54 0.491288 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg SOL. RECTALA 10mg/2.5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 19.23 3.85 3.85 3.471289 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg SOL. RECTALA 5mg/2.5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 15.19 3.04 3.04 2.741290 N05BA03 MEDAZEPAMUM* ANSILAN 10 mg CAPS. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS. P-RF 25 3.54 0.14 0.14 0.131291 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.8 0.09 0.08 0.071292 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 4 0.08 0.08 0.071293 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.84 0.09 0.08 0.071294 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR. P-RF 20 1.73 0.09 0.08 0.071295 N05BA03 MEDAZEPAMUM* RUDOTEL COMPR. 10mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 6.4 0.13 0.08 0.071296 N05BA06 LORAZEPAMUM* ANXIAR (R) 1 mg COMPR. 1 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 4.77 0.1 0.1 0.091297 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 1.5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR. P-RF 10 2.48 0.25 0.16 0.141298 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH (R) 1,5 mg COMPR. 1.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.18 0.16 0.16 0.141299 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 3mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 3.13 0.31 0.18 0.161300 N05BA08 BROMAZEPAMUM* LEXOTAN COMPR. 3mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.53 0.28 0.18 0.161301 N05BA08 BROMAZEPAMUM* LEXOTANIL COMPR. 3mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.51 0.35 0.18 0.161302 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH (R) 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.67 0.18 0.18 0.161303 N05BA12 ALPRAZOLAMUM* XANAX 0,25 g COMPR. 0,25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.62 0.29 0.22 0.21304 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,25 mg COMPR. 0.25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.28 0.26 0.22 0.21305 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,25 mg COMPR. 0.25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 6.53 0.22 0.22 0.21306 N05BA12 ALPRAZOLAMUM* FRONTIN 0,25 mg COMPR. 0.25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 7.8 0.26 0.22 0.21307 N05BA12 ALPRAZOLAMUM* XANAX 0,5 mg COMPR. 0,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 13.43 0.45 0.26 0.231308 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,5 mg COMPR. 0.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.3 0.32 0.26 0.231309 N05BA12 ALPRAZOLAMUM* FRONTIN 0,5 mg COMPR. 0.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 10.17 0.34 0.26 0.231310 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,5 mg COMPR. 0.5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 7.91 0.26 0.26 0.231311 N05BA12 ALPRAZOLAMUM* XANAX 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 18.46 0.62 0.32 0.291312 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.01 0.4 0.32 0.291313 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.52 0.32 0.32 0.291314 N05BA12 ALPRAZOLAMUM* FRONTIN COMPR. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 14.09 0.47 0.32 0.29

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1315 N05BA12 ALPRAZOLAMUM* XANAX 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 21.96 0.73 0.73 0.661316 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 0,5 COMPR. ELIB. PREL. 0.5mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 8.52 0.28 0.28 0.251317 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 0,5 COMPR. ELIB. PREL. 0.5mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 8.52 0.28 0.28 0.251318 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 1 COMPR. ELIB. PREL. 1mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 14.73 0.49 0.49 0.441319 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 1 COMPR. ELIB. PREL. 1mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 14.73 0.49 0.49 0.441320 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 2 COMPR. ELIB. PREL. 2mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 22.28 0.74 0.74 0.671321 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 2 COMPR. ELIB. PREL. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 22.28 0.74 0.74 0.671322 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 2,5 mg COMPR. 2.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.02 0.05 0.05 0.051323 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.16 0.06 0.06 0.051324 N05CD02 NITRAZEPAMUM NITRAZEPAM 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.16 0.06 0.06 0.051325 N05CF01 ZOPICLONUM* IMOVANE 7,5 mg COMPR. FILM. 7.5mg SANOFI AVENTIS FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-RF 20 10.96 0.55 0.5 0.451326 N05CF01 ZOPICLONUM* ALS-ZOPICLON 7,5 mg COMPR. FILM. 7.5mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. PVC/PVDC/AL X 10 COMPR. FILM. P-RF 20 10.07 0.5 0.5 0.451327 N05CF02 ZOLPIDEMUM* HYPNOGEN? 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 15 COMPR. FILM. P-RF 15 8.14 0.54 0.49 0.441328 N05CF02 ZOLPIDEMUM* HYPNOGEN? 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3.93 0.56 0.49 0.441329 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 5.52 0.55 0.49 0.441330 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 9.87 0.49 0.49 0.441331 N05CF02 ZOLPIDEMUM* ZOLPIDEM 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.28 0.53 0.49 0.441332 N05CF02 ZOLPIDEMUM* LADINOX COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.98 0.5 0.49 0.441333 N05CF02 ZOLPIDEMUM* ZOLPIDEM ANTIBIOTICE 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.3 0.53 0.49 0.441334 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 10 mg DRAJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 9.85 0.33 0.33 0.31335 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 25 mg DRAJ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 16.6 0.55 0.55 0.51336 N06AA09 AMITRIPTYLINUM* AMITRIPTILIN 25 R. DESITIN CAPS. RET. 25mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 CAPS.RET. P-RF 50 15.96 0.32 0.32 0.291337 N06AA09 AMITRIPTYLINUM* AMITRIPTILIN 50 R. DESITIN CAPS. RET. 50mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 CAPS.RET. P-RF 50 29.43 0.59 0.59 0.531338 N06AA09 AMITRIPTYLINUM* AMITRIPTILINA ARENA 25 mg COMPR. FILM. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 50 10 0.2 0.2 0.181339 N06AA12 DOXEPINUM* DOXEPIN 25 mg DRAJ. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 10.14 0.34 0.34 0.311340 N06AB03 FLUOXETINUM* FLUOXIN CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. X 7 CAPS. P-RF 14 7.71 0.55 0.39 0.351341 N06AB03 FLUOXETINUM* FLUOXIN CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 14.69 0.52 0.39 0.351342 N06AB03 FLUOXETINUM* FLURAN CAPS. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 11.79 0.39 0.39 0.351343 N06AB03 FLUOXETINUM* MAGRILAN 20 mg CAPS. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 26.86 0.9 0.39 0.351344 N06AB03 FLUOXETINUM* FLUOXETINE 20 mg CAPS. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 BLIST. PVC/ACLAR/AL X 10 CAPS. P-RF 30 12.39 0.41 0.39 0.351345 N06AB03 FLUOXETINUM* PROZAC 20 mg COMPR. DISP. 20mg ELI LILLY SA SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP. P-RF 28 53.82 1.92 1.92 1.731346 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 10 0.36 0.36 0.321347 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 28.94 0.96 0.36 0.321348 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 14.48 0.52 0.52 0.471349 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 57.63 1.92 0.52 0.471350 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 25.04 0.89 0.89 0.81351 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 110.02 3.67 0.89 0.81352 N06AB05 PAROXETINUM* ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 92.88 3.1 3.1 2.791353 N06AB05 PAROXETINUM* SEROXAT COMPR. FILM. 20mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 30 104.02 3.47 0.88 0.791354 N06AB05 PAROXETINUM* ALS-PAROXETIN 20 mg COMPR. FILM. 20mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 73.87 2.46 0.88 0.791355 N06AB05 PAROXETINUM* PALUXETIL 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 35.94 1.2 0.88 0.791356 N06AB05 PAROXETINUM* REXETIN COMPR. FILM. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 37.72 1.26 0.88 0.791357 N06AB05 PAROXETINUM* PAXETEN 20 mg COMPR. FILM. 20mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF 30 26.31 0.88 0.88 0.791358 N06AB05 PAROXETINUM* PALUXETIL 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 65.32 2.18 2.18 1.961359 N06AB06 SERTRALINUM* SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 63.92 2.28 1.18 1.061360 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 57.74 2.06 1.18 1.061361 N06AB06 SERTRALINUM* ALS-SERTRALINA 100 mg COMPR. FILM. 100mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 41.91 2.1 1.18 1.061362 N06AB06 SERTRALINUM* STIMULOTON (R) 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 56.59 2.02 1.18 1.061363 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 100 mg COMPR. FILM. 100mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 41.6 1.39 1.18 1.06

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1364 N06AB06 SERTRALINUM* SERTRALINA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 40.11 1.34 1.18 1.061365 N06AB06 SERTRALINUM* SERTRALINA DR. REDDY'S 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 32.92 1.18 1.18 1.061366 N06AB06 SERTRALINUM* ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 60.16 2.15 0.8 0.721367 N06AB06 SERTRALINUM* SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 39.34 1.41 0.8 0.721368 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 50mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 35.26 1.26 0.8 0.721369 N06AB06 SERTRALINUM* STIMULOTON (R) 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-RF 30 34.8 1.16 0.8 0.721370 N06AB06 SERTRALINUM* ALS-SERTRALINA 50 mg COMPR. FILM. 50mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 26.45 1.32 0.8 0.721371 N06AB06 SERTRALINUM* SERTRALIN 50 mg COMPR. FILM. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 34.46 1.23 0.8 0.721372 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 50 mg COMPR. FILM. 50mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 27.56 0.92 0.8 0.721373 N06AB06 SERTRALINUM* SERTRALINA 50 mg COMPR. FILM. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 26.76 0.89 0.8 0.721374 N06AB06 SERTRALINUM* SERTRALINA DR. REDDY'S 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 22.52 0.8 0.8 0.721375 N06AB06 SERTRALINUM* ZOLOFT (R) SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 ML + 1 PIPETA P-RF 1 52.38 52.38 52.38 47.141376 N06AB08 FLUVOXAMINUM* FEVARIN (R) 100 COMPR. FILM. 100mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 75.92 2.53 0.86 0.771377 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 25.66 0.86 0.86 0.771378 N06AB08 FLUVOXAMINUM* FEVARIN (R) 50 COMPR. FILM. 50mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 41.56 1.39 0.55 0.51379 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 16.47 0.55 0.55 0.51380 N06AX03 MIANSERINUM* MIANSERIN 10 COMPR. FILM. 10mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100 33.57 0.34 0.34 0.311381 N06AX03 MIANSERINUM* MIANSERIN 30 COMPR. FILM. 30mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 18.14 0.91 0.91 0.821382 N06AX03 MIANSERINUM* MIANSERIN 10 mg DRAJ. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 6.17 0.21 0.21 0.191383 N06AX03 MIANSERINUM* MIANSERIN 30 mg DRAJ. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 14.49 0.72 0.72 0.651384 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 15 mg COMPR. DISP. 15mg ORGANON NV OLANDA CUTIE X 5 BLIST. X 6 COMPR. DISP. P-RF 30 111.45 3.72 3.71 3.341385 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 15 mg COMPR. DISP. 15mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 6 COMPR. DISP. P-RF 6 22.28 3.71 3.71 3.341386 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 30 mg COMPR. DISP. 30mg ORGANON NV OLANDA CUTIE X 5 BLIST. X 6 COMPR. DISP. P-RF 30 157.9 5.26 5.26 4.731387 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 30 mg COMPR. DISP. 30mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 6 COMPR. DISP. P-RF 6 31.6 5.27 5.26 4.731388 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 45 mg COMPR. DISP. 45mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 6 COMPR. DISP. P-RF 6 53.4 8.9 8.9 8.011389 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 15 mg COMPR. FILM. 15mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 80.61 1.34 1.34 1.211390 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 15 mg COMPR. FILM. 15mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 40.28 1.34 1.34 1.211391 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 15 mg COMPR. FILM. 15mg KRKA D.D. SLOVENIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 90 120.89 1.34 1.34 1.211392 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 15 COMPR. FILM. 15mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 43.64 1.45 1.34 1.211393 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 60.44 2.01 0.89 0.81394 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 90 181.31 2.01 0.89 0.81395 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 120.89 2.01 0.89 0.81396 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 30 COMPR. FILM. 30mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 69.37 2.31 0.89 0.81397 N06AX11 MIRTAZAPINUM* MIRTAZAPINE-TEVA 30 mg COMPR. FILM. 30mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 31.59 1.05 0.89 0.81398 N06AX11 MIRTAZAPINUM* PHARMATAZ 30 mg COMPR. FILM. 30mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 26.74 0.89 0.89 0.81399 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 45 mg COMPR. FILM. 45mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 174.58 2.91 2.91 2.621400 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 45 mg COMPR. FILM. 45mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 87.29 2.91 2.91 2.621401 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 45 mg COMPR. FILM. 45mg KRKA D.D. SLOVENIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 90 261.91 2.91 2.91 2.621402 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 45 COMPR. FILM. 45mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 89.49 2.98 2.91 2.621403 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 174.28 6.22 4.12 3.711404 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 115.34 4.12 4.12 3.711405 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 87.14 3.11 2.15 1.941406 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 60.07 2.15 2.15 1.941407 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 90.23 1.5 1.15 1.041408 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 64.39 1.15 1.15 1.041409 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 173.18 2.89 2.09 1.881410 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 116.94 2.09 2.09 1.881411 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 10 1.94 0.19 0.19 0.171412 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 5 2.71 0.54 0.19 0.17

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1413 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.03 0.05 0.05 0.051414 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB1) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.47 0.05 0.05 0.051415 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.03 0.05 0.05 0.051416 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB1) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.47 0.05 0.05 0.051417 P01AB01 METRONIDAZOLUM FLAGYL ( vezi P01AB01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 11.02 0.55 0.55 0.51418 P01AB01 METRONIDAZOLUM FLAGYL ( vezi P01AB01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 11.02 0.55 0.55 0.51419 P01AB01 METRONIDAZOLUM FLAGYL 4% (P01AB01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 13.07 13.07 13.07 11.761420 P01AB01 METRONIDAZOLUM FLAGYL 4% (P01AB01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 13.07 13.07 13.07 11.761421 P01AB02 TINIDAZOLUM FASIGYN (P01AB02) COMPR. FILM. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 6.11 1.53 0.66 0.591422 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (P01AB02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 2.63 0.66 0.66 0.591423 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi P01AB02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 2.63 0.66 0.66 0.591424 P01AB02 TINIDAZOLUM FASIGYN (P01AB02) COMPR. FILM. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 6.11 1.53 0.66 0.591425 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (P01AB02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 2.63 0.66 0.66 0.591426 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi P01AB02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 2.63 0.66 0.66 0.591427 P02CA03 ALBENDAZOLUM ESKAZOLE COMPR. 400mg GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 60 COMPR. P-RF 60 101.37 1.69 1.69 1.521428 P02CA03 ALBENDAZOLUM DUADOR 200 mg COMPR. FILM. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-RF 2 6.69 3.35 3.35 3.021429 P02CA03 ALBENDAZOLUM ZENTEL 200 mg COMPR. FILM. 200mg GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF 2 7.03 3.52 3.35 3.021430 P02CA03 ALBENDAZOLUM ALBENDAZOL COMPR.FILM 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 6.76 3.38 3.35 3.021431 P02CA03 ALBENDAZOLUM ZENTEL 0,4 g/10 ml SUSP. ORALA 0.4g/10ml GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA P-RF 1 9.54 9.54 5.41 4.871432 P02CA03 ALBENDAZOLUM ALBENDAZOL BIOFARM 400 mg SUSP. ORALA 400mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF 1 5.41 5.41 5.41 4.871433 P02CE01 LEVAMISOLUM DECARIS 150 mg COMPR. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 COMPR. P-RF 1 2.52 2.52 2.52 2.271434 P02CE01 LEVAMISOLUM DECARIS 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF 2 2.23 1.12 1.12 1.011435 R03AC02 SALBUTAMOLUM VENTOLIN (R) INHALER CFC-FREE SUSP. INHAL. PRESURIZATA 100µg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA P-RF 1 7.5 7.5 6.46 5.811436 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L 1 9.19 9.19 9.19 8.271437 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 20 ML SOL. DE INHAL. P-6L 1 10.67 10.67 9.19 8.271438 R03AC02 SALBUTAMOLUM ECOSAL Easi-Breath SUSP. INHAL. PRESURIZATA 100µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM. ACTIONAT PRI P-6L 1 27.92 27.92 6.46 5.811439 R03AC02 SALBUTAMOLUM ASTHALIN INHALER SUSP. INHAL. PRESURIZATA 100µg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA P-6L 1 6.46 6.46 6.46 5.811440 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 100 ug CFC FREE AEROSOL SOL. INHAL. 100µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. TIP SPACER P-RF 1 63.8 63.8 16.8 15.121441 R03BA01 BECLOMETASONUM* ECOBEC 100 ug CFC FREE AEROSOL SOL. INHAL. 100µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 16.8 16.8 16.8 15.121442 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 250 ug CFC FREE AEROSOL SOL. INHAL. 250µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. DE TIP SPACER P-RF 1 100.72 100.72 14.03 12.631443 R03BA01 BECLOMETASONUM* ECOBEC 250 ug CFC FREE AEROSOL SOL. INHAL. 250µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 33.57 33.57 14.03 12.631444 R03BA01 BECLOMETASONUM* BECLOFORTE (R) CFC-Free SOL. DE INHALAT PRESURIZATA 250µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + VALVA DOZATOARE, INTRODUS IN DISPOZITIVUL DE ADM. PREVAZUT P-RF 1 14.03 14.03 14.03 12.631445 R03BA01 BECLOMETASONUM* BECOTIDE (R) CFC-Free SOL. DE INHALAT PRESURIZATA 50µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + VALVA DOZATOARE, INTRODUS IN DISPOZITIVUL DE ADM. PREVAZUT P-RF 1 8.38 8.38 8.38 7.541446 R03BA01 BECLOMETASONUM* CLENIL (R) JET 250 ag SOL. INHALAT PRESURIZATA 250µg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP P-RF 1 84.34 84.34 14.03 12.631447 R03BA01 BECLOMETASONUM* RINOCLENIL 100 SPRAY NAZ.,SUSP. 100µg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE P-RF 1 36.03 36.03 36.03 32.431448 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 79.7 79.7 41.58 37.421449 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 41.58 41.58 41.58 37.421450 R03BA02 BUDESONIDUM* PULMICORT TURBUHALER 200 ug/doza PULB. INHAL. 200µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF 1 45.6 45.6 41.58 37.421451 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 142.07 142.07 65.84 59.261452 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 65.84 65.84 65.84 59.261453 R03BB01 IPRATROPII BROMIDUM* IPRAVENT 20 - INHALER AEROSOL 20µg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 200 DOZE P-6L 1 9.37 9.37 9.37 8.431454 R03CC02 SALBUTAMOLUM SALBUTAMOL EIPICO 2mg/5ml SIROP 2mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP P-6L 1 3.29 3.29 3.29 2.961455 R03CC02 SALBUTAMOLUM VENTOLIN (R) SIROP 2mg/5ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 150 ML + LINGURITA DOZATOARE DUBLA X 2,5 ML, RESPECTIV 5 ML P-6L 1 5.36 5.36 3.29 2.961456 R03CC02 SALBUTAMOLUM VENTOLIN (R) SOL. INJ. 0.5mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA X 1 ML P-6L 5 11.03 2.21 2.21 1.991457 R03CC02 SALBUTAMOLUM SALBUTAMOL T SOL. ORALA 0.04% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 1.98 1.98 1.98 1.781458 R03CC02 SALBUTAMOLUM SALBUTAMOL SOL. ORALA 2mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. ORALA + LINGURITA DOZATOARE P-6L 1 2.85 2.85 1.98 1.781459 R03DA04 THEOPHYLLINUM THEO SR 100 CAPS. ELIB. PREL. 100mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 20 4.43 0.22 0.22 0.21460 R03DA04 THEOPHYLLINUM TEOFILINA SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 3.14 0.31 0.22 0.21461 R03DA04 THEOPHYLLINUM TEOTARD (R) 200 CAPS. ELIB. PREL. 200mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 6.9 0.17 0.17 0.15

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

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1462 R03DA04 THEOPHYLLINUM THEO SR 200 CAPS. ELIB. PREL. 200mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 10 3.33 0.33 0.17 0.151463 R03DA04 THEOPHYLLINUM TEOFILINA SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 4.62 0.46 0.17 0.151464 R03DA04 THEOPHYLLINUM THEO SR 300 CAPS. ELIB. PREL. 300mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL. P-RF 10 4.61 0.46 0.46 0.411465 R03DA04 THEOPHYLLINUM TEOFILINA SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 6.65 0.67 0.46 0.411466 R03DA04 THEOPHYLLINUM TEOTARD (R) 350 CAPS. ELIB. PREL. 350mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 9.75 0.24 0.24 0.221467 R03DA04 THEOPHYLLINUM TEOFILINA SR 50 mg CAPS. ELIB. PREL. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 2.66 0.27 0.27 0.241468 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.69 0.13 0.09 0.081469 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.51 0.12 0.09 0.081470 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3.66 0.15 0.09 0.081471 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 1.76 0.09 0.09 0.081472 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.081473 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.32 0.12 0.09 0.081474 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.081475 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.081476 R06AB04 CHLORPHENAMINUM CLORFENIRAMIN COMPR. 4mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.73 0.09 0.09 0.081477 R06AE07 CETIRIZINUM CELERG COMPR. FILM. 10 mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 14.1 0.71 0.36 0.321478 R06AE07 CETIRIZINUM LETIZEN (R) 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 7.29 0.36 0.36 0.321479 R06AE07 CETIRIZINUM ZYRTEC (R) PICATURI ORALE-SOL. 10mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLACON X 20 ML P-6L 1 16.25 16.25 16.25 14.631480 R06AE07 CETIRIZINUM LETIZEN SOL. ORALA 1mg/ml KRKA D.D. SLOVENIA FLACON X 120 ML + 1 SERINGA PT. ADM. ORALA X 5 ML P-6L 1 8.84 8.84 8.84 7.961481 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 CAPS. P-6L 50 9.74 0.19 0.19 0.171482 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/PP X 10 CAPS. P-6L 20 3.98 0.2 0.19 0.171483 R06AX17 KETOTIFENUM KETOTIFEN LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.43 0.12 0.12 0.111484 R06AX17 KETOTIFENUM H - KETOTIFEN COMPR. 1mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.69 0.13 0.12 0.111485 R06AX17 KETOTIFENUM KETOTIFEN COMPR. 1mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.54 0.13 0.12 0.111486 R06AX17 KETOTIFENUM FRENASMA SIROP 1mg/5ml FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLACON DIN PVC, DE CULOARE BRUNA X 100 ML P-6L 1 7.25 7.25 7.25 6.531487 R06AX17 KETOTIFENUM KETOF 1 mg/5 ml SIROP 1mg/5ml HEXAL AG GERMANIA CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L 1 8.29 8.29 7.25 6.531488 S01AX13 CIPROFLOXACINUM CIPLOX (vezi S01AX13) UNG. OFT. 0.3% CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT. P-RF 1 3.33 3.33 3 3.331489 S01BC03 DICLOFENACUM DICLOFENAC RPH PIC. OFT.-SOL. 1mg/ml ROMPHARM COMPANY SRL ROMANIA FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L 1 3.6 3.6 3.6 3.241490 S01BC03 DICLOFENACUM VURDON PIC.OFT.-SOL. 1mg/ml HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT. SOL. P-6L 1 3.61 3.61 3.6 3.241491 S01BC03 DICLOFENACUM VOLTAREN OPHTHA CD PICATURI OFT.-SOL. 0.1% NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PEJD X 5 ML PICATURI OFT.-SOL. + PICURATOR PEJD + CAPAC CU INEL DE SIGURANTA P-6L 1 15.65 15.65 3.6 3.241492 S01BC03 DICLOFENACUM UNICLOPHEN (R) 0,1% PICATURI OFT.-SOL. 0.1% UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR P-6L 1 8.28 8.28 3.6 3.241493 S01BC03 DICLOFENACUM DICLOGESIC 0,1% PICATURI OFTALMICE, SOLUTIE PICATURI OFT.-SOL. 0.1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR PE X 5 ML P-6L 1 7.96 7.96 3.6 3.241494 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL PICATURI OFT.SUSP. 0,2g+0,5g FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE P-RF 1 9.52 9.52 9.52 8.571495 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL UNG. OFT. 0,2g+0,5g FARMILA FARMACEUTICI ITALIA CUTIE X 1 TUB AL X 5 G P-RF 1 11.02 11.02 11.02 9.92

NOTĂ:

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

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

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

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

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ANEXA2

Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. FILM. GASTROREZ. 20mg ALTANA PHARMA AG GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 28 57.04 2.04 2.04 1.022 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR.FILM. GASTROREZ. P-6L 28 118.7 4.24 4.24 2.123 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR.FILM. GASTROREZ. P-6L 14 66.51 4.75 4.24 2.124 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA LIOF. PT. SOL. INJ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF 1 26.1 26.1 26.1 13.055 A02BC05 ESOMEPRAZOLUM NEXIUM (R) 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 14 39.28 2.81 2.81 1.416 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg COMPR. FILM. GASTROREZ. 40mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ. P-6L 14 58.71 4.19 4.19 2.17 A02BC05 ESOMEPRAZOLUM NEXIUM (R) LIOF. PT. SOL. INJ./PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF. S/P-RF 10 271.75 27.18 27.18 13.598 A02BX02 SUCRALFATUM GASTROFAIT COMPR. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L 20 4.8 0.24 0.24 0.129 A02BX02 SUCRALFATUM SUCRALAN (R) COMPR. 1g LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC TRANSPARENTE, ALBASTRUI X 10 COMPR. P-6L 50 13.37 0.27 0.24 0.12

10 A02BX02 SUCRALFATUM SUCRALAN (R) COMPR. 1g LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC TRANSPARENTE, ALBASTRUI X 10 COMPR. P-6L 20 7.52 0.38 0.24 0.1211 A02BX02 SUCRALFATUM VENTER COMPR. 1g KRKA D.D. SLOVENIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 13.09 0.26 0.24 0.1212 A02BX05 BISMUTHI SUBCITRAS DE - NOL COMPR. FILM. 120mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L 40 31.63 0.79 0.79 0.413 A03AB06 OTILONIUM BROMIDUM SPASMOMEN (R) COMPR. FILM. 40mg A. MENARINI IND. FARM. RIUNITE SRL ITALIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 23.74 0.79 0.79 0.414 A06AD15 MACROGOLUM*2 FORTRANS? PULB. PT. SOL. ORALA FARA CONCENTRATIE BEAUFOUR IPSEN INT. FRANTA CUTIE X 4 PLICURI DIN HARTIE/AL/PE A CATE 74 G PULB. PT. SOL. ORALA P-RF 4 28.34 7.09 7.09 3.5515 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 32.51 2.71 2.71 1.3616 A07EA06 BUDESONIDUM** BUDENOFALK CAPS. GASTROREZ. 3mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ. P-RF 100 394.74 3.95 3.95 1.9817 A07XA04 RACECADOTRILUM HIDRASEC 100 mg CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 20 31.86 1.59 1.59 0.818 A07XA04 RACECADOTRILUM HIDRASEC 10 mg PULB. PT. SOL. ORALA 10mg LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G P-RF 16 31.86 1.99 1.99 119 A07XA04 RACECADOTRILUM HIDRASEC 30 mg PULB. PT. SOL. ORALA 30mg LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3 P-RF 30 31.86 1.06 1.06 0.5320 A08AA10 SIBUTRAMINUM**** REDUCTIL 10mg CAPS. 10mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 78.95 2.82 1.95 0.9821 A08AA10 SIBUTRAMINUM**** LINDAXA 10 CAPS. 10mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 58.57 1.95 1.95 0.9822 A08AA10 SIBUTRAMINUM**** REDUCTIL 15 mg CAPS. 15mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 102.46 3.66 2.29 1.1523 A08AA10 SIBUTRAMINUM**** LINDAXA 15 CAPS. 15mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 68.71 2.29 2.29 1.1524 A08AB01 ORLISTATUM**** XENICAL (R) CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 21 76.31 3.63 3.52 1.7625 A08AB01 ORLISTATUM**** XENICAL (R) CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 84 295.64 3.52 3.52 1.7626 A08AX01 RIMONABANTUM**** ACOMPLIA COMPR. FILM. 20mg SANOFI AVENTIS FRANTA CUTIE X 28 COMPR. FILM.( BLIST. AL/PVC) P-RF 28 264.06 9.43 9.43 4.7227 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 ug CAPS. MOI 0.25µg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 28.61 0.57 0.57 0.2928 A11CC03 ALFACALCIDOLUM ALPHA D3 0.50 ug CAPS. MOI 0.50µg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PP X 30 CAPS. MOI P-RF 30 23.52 0.78 0.78 0.3929 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi N07XN03) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 100 266.99 2.67 2.67 1.3430 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi N07XN03) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 30 82.95 2.77 2.67 1.3431 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi N07XN03) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 60 160.45 2.67 2.67 1.3432 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi A16AX01) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. S/P-RF 5 133.64 26.73 24.49 12.2533 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi A16AX01) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 20 FIOLE DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. S/P-RF 20 489.8 24.49 24.49 12.2534 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi A16AX01) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. S/P-RF 10 256.22 25.62 24.49 12.2535 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi A16AX01) SOL. PERF. 12mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON X 50 ML S/P-RF 1 28.47 28.47 25.08 12.5436 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi A16AX01) SOL. PERF. 12mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FLACOANE X 50 ML S/P-RF 10 250.81 25.08 25.08 12.5437 B01AB04 DALTEPARINUM**# FRAGMIN 10000 UI/ml SOL. INJ. 10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML S/P-RF 10 235.03 23.5 23.5 11.7538 B01AB04 DALTEPARINUM**# FRAGMIN15000 UI/0,6 ml SOL. INJ. 15000ui/0.6ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. S/P-RF 5 151.09 30.22 30.22 15.1139 B01AB04 DALTEPARINUM**# FRAGMIN 2500 UI/0,2 ml SOL. INJ. 2500ui/0.2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 72.18 7.22 7.22 3.6140 B01AB04 DALTEPARINUM**# FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0.2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 134.31 13.43 13.43 6.7241 B01AB04 DALTEPARINUM**# FRAGMIN 7500 UI/0,3 ml SOL. INJ. 7500ui/0.3ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML S/P-RF 10 164.51 16.45 16.45 8.2342 B01AB05 ENOXAPARINUM**# CLEXANE 2000ui anti-Xa/0.2ml SOL. INJ. 2000ui anti-Xa/0.2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 101.51 10.15 10.15 5.0843 B01AB05 ENOXAPARINUM**# CLEXANE 4000ui anti-Xa/0.4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 174.61 17.46 17.46 8.7344 B01AB05 ENOXAPARINUM**# CLEXANE 6000ui anti-Xa/0.6ml SOL. INJ. 6000ui anti-Xa/0.6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 244.69 24.47 24.47 12.2445 B01AB05 ENOXAPARINUM**# CLEXANE 8000ui anti-Xa/0.8ml SOL. INJ. 8000ui anti-Xa/0.8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 80.91 40.46 40.46 20.2346 B01AB06 NADROPARINUM**# FRAXODI 11400 UI anti-factor Xa/0,6ml SOL. INJ. 11400 uiAXa/0.6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0.6 ML SOL. INJ. S/P-RF 10 217.91 21.79 21.79 10.947 B01AB06 NADROPARINUM**# FRAXODI 15200 UI anti-factor Xa/0,8ml SOL. INJ. 15200 uiAXa/0.8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0.8 ML SOL. INJ. S/P-RF 10 295.58 29.56 29.56 14.7848 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0.3ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,3 ML S/P-RF 10 57.85 5.79 5.79 2.949 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0.4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,4 ML S/P-RF 10 87.54 8.75 8.75 4.3850 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0.6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,6 ML S/P-RF 10 105.26 10.53 10.53 5.27

SUBLISTA B - MEDICAMENTE CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTALISTA DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA CONFOR HG NR. 720/2008 VALABILA

INCEPAND CU 15 IULIE 2008

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Page 35: Liste Medicamente

Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

51 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AXa/0.8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,8 ML S/P-RF 10 153.51 15.35 15.35 7.6852 B01AB08 REVIPARINUM**# CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0.25ML S/P-RF 10 92.19 9.22 9.22 4.6153 B01AB08 REVIPARINUM**# CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 81.29 16.26 16.26 8.1354 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF 2 24.99 12.5 12.5 6.2555 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF 2 33.48 16.74 16.74 8.3756 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) S/P-RF 10 518.7 51.87 51.87 25.9457 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA) S/P-RF 2 70.73 35.37 35.37 17.6958 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA) S/P-RF 2 90.54 45.27 45.27 22.6459 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA) S/P-RF 2 114.58 57.29 57.29 28.6560 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA) S/P-RF 10 1042.49 104.25 104.25 52.1361 B01AB11 SULODEXIDUM** VESSEL DUE F CAPS. MOI 250ULS ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF 50 102.17 2.04 2.04 1.0262 B01AB11 SULODEXIDUM** VESSEL DUE F SOL. INJ. 600ULS/2ml ALFA WASSERMANN SPA ITALIA CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF 10 60.38 6.04 6.04 3.0263 B01AC04 CLOPIDOGRELUM** PLAVIX (R) COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 240.32 8.58 8.58 4.2964 B01AC30 COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)** AGGRENOX CAPS. ELIB. MODIF. 25mg/200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L 60 68.37 1.14 1.14 0.5765 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 10 mg/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/0.8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 705 70.5 70.5 35.2566 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 2,5 mg/0,5 ml SOL. INJ. IN SERINGA PREUMPLUTA 2.5mg/0.5ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 206.33 20.63 20.63 10.3267 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 5 mg/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 5mg/0.4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,4 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 460.59 46.06 46.06 23.0368 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 7,5 mg/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 7.5mg/0.6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 690.42 69.04 69.04 34.5269 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 123.45 24.69 24.69 12.3570 C01BB02 MEXILETINUM MEXITIL (R) 200 mg CAPS. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 51.96 0.52 0.52 0.2671 C01EB17 IVABRADINUM** CORLENTOR 5 mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 28COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 137.45 4.91 3.54 1.7772 C01EB17 IVABRADINUM** CORLENTOR 5 mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 198.05 3.54 3.54 1.7773 C01EB17 IVABRADINUM** CORLENTOR 7,5 mg COMPR. FILM. 7.5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 217.85 3.89 3.89 1.9574 C01EB17 IVABRADINUM** CORLENTOR 7,5 mg COMPR. FILM. 7.5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 137.45 4.91 3.89 1.9575 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0.2mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 26.47 0.95 0.72 0.3676 C02AC05 MOXONIDINUM MOXOGAMMA 0,2 mg COMPR. FILM. 0.2mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 21.55 0.72 0.72 0.3677 C02AC05 MOXONIDINUM MOXOGAMMA 0,3 mg COMPR. FILM. 0.3mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 29.09 0.97 0.97 0.4978 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0.4mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.FILM. P-6L 28 48.75 1.74 1.15 0.5879 C02AC05 MOXONIDINUM MOXOGAMMA 0,4 mg COMPR. FILM. 0.4mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 34.47 1.15 1.15 0.5880 C02AC06 RILMENIDINUM TENAXUM COMPR. 1mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 35.52 1.18 1.18 0.5981 C02CA01 PRAZOSINUM MINIPRESS (R) 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.1 0.27 0.27 0.1482 C02CA01 PRAZOSINUM MINIPRESS (R) 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.09 0.44 0.44 0.2283 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 282 28.2 9.4 4.784 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 94 9.4 9.4 4.785 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 282 28.2 9.4 4.786 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 94 9.4 9.4 4.787 C04AE02 NICERGOLINUM NICERGOLINA LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. film. P-6L 30 9.23 0.31 0.31 0.1688 C04AE02 NICERGOLINUM NICERGOLINA LPH 5 mg COMPR. FILM. 5mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. film. P-6L 30 6.8 0.23 0.23 0.1289 C04AE02 NICERGOLINUM NICERIUM® 15 CAPS. ELIB. MODIF. 15mg HEXAL AG GERMANIA Cutie x 3 blist. PP/Al x 10 caps. elib. modif. P-6L 30 19.75 0.66 0.66 0.3390 C04AE02 NICERGOLINUM NICERGOLINA LPH 30 mg COMPR. FILM. 30mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. film. P-6L 30 28.7 0.96 0.96 0.4891 C04AE02 NICERGOLINUM SERMION COMPR. FILM. 30mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 2 blist. PVC-PVDC/Al-PVC x 15 compr. film P-6L 30 36.69 1.22 0.96 0.4892 C04AE02 NICERGOLINUM NICERIUM® 10 DRAJ. 10mg HEXAL AG GERMANIA Cutie x 1 blist. Al/PVC x 25 draj. P-6L 25 9.99 0.40 0.32 0.1693 C04AE02 NICERGOLINUM SINERGOLIN 10 DRAJ. 10mg SINTOFARM SA ROMANIA Cutie x 2 blist. Al/PVC x 10 draj. P-6L 20 6.46 0.32 0.32 0.1694 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA Cutie x 2 blist. Al/PVC x 10 draj. P-6L 20 19.12 0.96 0.96 0.4895 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA Cutie x 3 blist. Al/PVC x 10 draj. P-6L 30 28.68 0.96 0.96 0.4896 C04AE02 NICERGOLINUM NICERIUM® 30 UNO CAPS. ELIB. MODIF. 30mg HEXAL AG GERMANIA Cutie x 3 blist. PP/Al x 10 caps. elib. modif. P-6L 10 38.07 3.81 3.81 1.9197 C04AX07 VINCAMINUM OXYBRAL SR 30 mg CAPS. ELIB. PREL. 30mg GLAXOSMITHKLINE (GSK) SRL ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 10 caps. cu elib. prel. P-6L 10 6.9 0.69 0.69 0.3598 C04AX07 VINCAMINUM VINCAMIL COMPR. 20mg FARMACEUTICI ECOBI S.A.S ITALIA Cutie x 2 blist. Al/PVC x 25 compr. P-6L 50 9.9 0.20 0.2 0.1099 C04AX07 VINCAMINUM VINCAMINA DRAJ. 10mg BIOFARM SA ROMANIA Cutie x 1 blist. Al/PVC x 20 draj. P-6L 20 4.36 0.22 0.22 0.11

100 C04AXN1 GINKGO BILOBA** BILOBIL (R) (N06DX02) CAPS. 40mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC/PVDC X 10 CAPS. P-6L 20 6.9 0.35 0.32 0.16101 C04AXN1 GINKGO BILOBA** BILOBIL (R) (N06DX02) CAPS. 40mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. AL/PVC/PVDC X 10 CAPS. P-6L 60 19.14 0.32 0.32 0.16102 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (N06DX02) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L 60 33.18 0.55 0.55 0.28103 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (N06DX02) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.63 0.58 0.55 0.28104 C04AXN1 GINKGO BILOBA** GINGIUM 120mg (N06DX02) COMPR. FILM. 120mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 24.95 0.83 0.83 0.42105 C04AXN1 GINKGO BILOBA** FLAVOTAN 40 mg (N06DX02) COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 10.6 0.35 0.31 0.16106 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (C04AXN1) COMPR. FILM. 40mg IPSEN BIOTECH FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 18.11 0.6 0.31 0.16

Page 2 of 12

Page 36: Liste Medicamente

Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

107 C04AXN1 GINKGO BILOBA** GINGIUM 40mg (N06DX02) COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 9.17 0.31 0.31 0.16108 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 16.79 0.34 0.31 0.16109 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.88 0.34 0.31 0.16110 C04AXN1 GINKGO BILOBA** GINGIUM 80mg (N06DX02) COMPR. FILM. 80mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 16.82 0.56 0.56 0.28111 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (N06DX02) PICATURI ORALE-SOL. 40mg/ml BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA P-6L 1 17.87 17.87 17.87 8.94112 C05CA53 DIOSMINUM (COMBINATII)** DETRALEX (R) COMPR. FILM. 500mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 26.18 0.87 0.87 0.44113 C07AB12 NEBIVOLOLUM NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 53.97 1.93 1.93 0.97114 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 10 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 22.28 0.74 0.74 0.37115 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 2,5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 22.28 0.74 0.74 0.37116 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 22.28 0.74 0.74 0.37117 C07EBN1 COMBINATII (METOPROLOLUL+FELODIPINUM) LOGIMAX (R) COMPR. ELIB. PREL. 50mg+5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. PVC X 30 COMPR. ELIB. PREL. P-6L 30 35.34 1.18 1.18 0.59118 C08CA09 LACIDIPINUM LACIPIL (R) 4 mg COMPR. FILM. 4mg GLAXO OPERATIONS UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L 14 18.09 1.29 1.29 0.65119 C08CA13 LERCANIDIPINUM LERIDIP 20 COMPR. FILM. 20mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 56.25 2.01 2.01 1.01120 C08CA13 LERCANIDIPINUM LERIDIP COMPR. FILM. 10mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 46.76 1.67 1.67 0.84121 C09AA04 PERINDOPRILUM PRESTARIUM (R) 4 mg COMPR. 4mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 31.81 1.06 1.06 0.53122 C09AA04 PERINDOPRILUM PRESTARIUM (R) 8 mg COMPR. 8mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 63.62 2.12 2.12 1.06123 C09AA04 PERINDOPRILUM PRESTARIUM 10 mg COMPR. FILM. 10 mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 62.95 2.1 2.1 1.05124 C09AA04 PERINDOPRILUM PRESTARIUM 5 mg COMPR. FILM. 5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 35.37 1.18 1.18 0.59125 C09AA07 BENAZEPRILUM CIBACEN (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 36.6 1.31 0.95 0.48126 C09AA07 BENAZEPRILUM BENAZEPRIL STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. DIN AL/AL X 7 COMPR. FILM. P-6L 28 26.64 0.95 0.95 0.48127 C09AA07 BENAZEPRILUM CIBACEN (R) 20 mg COMPR. FILM. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 40.82 1.46 1.06 0.53128 C09AA07 BENAZEPRILUM BENAZEPRIL STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. DIN AL/AL X 7 COMPR. FILM. P-6L 28 29.61 1.06 1.06 0.53129 C09AA07 BENAZEPRILUM CIBACEN (R) 5 mg COMPR. FILM. 5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 21.12 0.75 0.55 0.28130 C09AA07 BENAZEPRILUM BENAZEPRIL STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. DIN AL/AL X 7 COMPR. FILM. P-6L 28 15.33 0.55 0.55 0.28131 C09AA10 TRANDOLAPRILUM GOPTEN® 0,5 mg CAPS. 0.5mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 13.82 0.69 0.69 0.35132 C09AA10 TRANDOLAPRILUM GOPTEN (R) 2 mg CAPS. 2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 28.09 1 1 0.5133 C09AA10 TRANDOLAPRILUM GOPTEN® 4 mg CAPS. 4mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 46.86 1.67 1.67 0.84134 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 32.51 1.16 1.16 0.58135 C09AA15 ZOFENOPRILUM ZOMEN (R) 7,5 mg COMPR. FILM. 7.5mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 13.94 0.5 0.5 0.25136 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL (R) COMPR. 2mg+0.625mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 43.19 1.44 1.44 0.72137 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL FORTE (R) COMPR. 4mg+1.25mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 49.7 1.66 1.66 0.83138 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRESTARIUM PLUS COMPR. 4mg+1.25mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 49.7 1.66 1.66 0.83139 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE COMPR. FILM. 10mg/12.5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 15.45 0.52 0.52 0.26140 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACUZIDE FORTE COMPR. FILM. 20mg/12.5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 28.1 0.94 0.94 0.47141 C09BA09 COMBINATII (FOSINOPRILUM+HYDROCHLOROTHIAZIDUM) FOSINOZIDE 20 mg/12,5 mg COMPR. 20mg/12.5mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 21.15 0.76 0.76 0.38142 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 30 74.31 2.48 2.35 1.18143 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 10 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L/S 100 234.54 2.35 2.35 1.18144 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 5 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 50 123.07 2.46 2.35 1.18145 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 6 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 60 146.27 2.44 2.35 1.18146 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 2 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 20 50.16 2.51 2.35 1.18147 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA COMPR.FILM.ELIB.MODIF. 180mg/2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL. P-6L 28 47 1.68 1.68 0.84148 C09CA03 VALSARTANUM DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 106.73 3.81 3.81 1.91149 C09CA03 VALSARTANUM DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 92.25 3.29 3.29 1.65150 C09CA04 IRBESARTANUM APROVEL 150 mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 97.06 3.47 3.47 1.74151 C09CA04 IRBESARTANUM APROVEL 300 mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 130.97 4.68 4.68 2.34152 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 50.34 1.8 1.8 0.9153 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 40.9 1.46 1.46 0.73154 C09CA07 TELMISARTANUM MICARDIS 40 mg COMPR. 40mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L 28 44.26 1.58 1.58 0.79155 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg BAYER HEALTHCARE AG GERMANIA CUTIE X 14 COMPR. (BLIST. POLIAMIDA PA/AL/PVC) P-6L 14 28.53 2.04 1.58 0.79156 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg BAYER HEALTHCARE AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 48.34 1.73 1.58 0.79157 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 59.43 2.12 2.12 1.06158 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg BAYER HEALTHCARE AG GERMANIA CUTIE X 14 COMPR. (BLIST. POLIAMIDA PA/AL/PVC) P-6L 14 38.08 2.72 2.12 1.06159 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg BAYER HEALTHCARE AG GERMANIA CUTIE X 28 COMPR. (BLIST. POLIAMIDA PA/AL/PVC) P-6L 28 59.43 2.12 2.12 1.06160 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) HYZAAR (R) 50 mg/12,5 mg COMPR. FILM. 50mg+12.5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 61.01 2.18 2.18 1.09161 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) CO-DIOVAN 80 mg/12,5 mg COMPR. FILM. 80mg/12.5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 119.38 4.26 4.26 2.13162 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150/12.5 mg COMPR. 150mg/12.5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 97.06 3.47 3.47 1.74

Page 3 of 12

Page 37: Liste Medicamente

Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

163 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300/12,5 mg COMPR. 300mg/12.5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 130.97 4.68 4.68 2.34164 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS (R) COMPR. 80/12.5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 59.43 2.12 2.12 1.06165 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS COMPR. 80mg/12.5mg BAYER HEALTHCARE AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC ) P-6L 28 59.43 2.12 2.12 1.06166 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 208.33 3.72 3.72 1.86167 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 208.33 3.72 3.72 1.86168 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 56 179.99 3.21 3.21 1.61169 C10AA04 FLUVASTATINUM LESCOL (R) 20 CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. X 7 CAPS. P-6L 28 61.95 2.21 2.21 1.11170 C10AA04 FLUVASTATINUM LESCOL (R) 40 CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. X 7 CAPS. P-6L 28 65.76 2.35 2.35 1.18171 C10AA04 FLUVASTATINUM LESCOL (R) XL COMPR. ELIB. PREL. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. X 7 COMPR. ELIB. PREL. P-6L 28 74.35 2.66 2.66 1.33172 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 64.55 2.15 2.15 1.08173 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 103.37 3.45 3.45 1.73174 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 59.7 4.26 4.26 2.13175 C10AA05 ATORVASTATINUM SORTIS 80 mg COMPR. FILM. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 71.86 5.13 5.13 2.57176 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 88.34 3.16 3.16 1.58177 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 133.75 4.78 4.78 2.39178 C10AA07 ROSUVASTATINUM CRESTOR 40 mg COMPR. FILM. 40mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 171.63 6.13 6.13 3.07179 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 74.69 2.67 2.67 1.34180 C10AB02 BEZAFIBRATUM REGADRIN (R) B DRAJ. 200mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 20.19 0.4 0.4 0.2181 C10AB08 CIPROFIBRATUM LIPANOR (R) 100 mg CAPS. 100mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. X 10 CAPS. P-6L 30 30.77 1.03 1.03 0.52182 C10AX06 ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R) CAPS. MOI 1000mg PRONOVA BIOPHARMA NORGE A.S. NORVEGIA FALC. DIN PEID X 28 CAPS. MOI P-RF 28 90.56 3.23 3.23 1.62183 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 14 72.39 5.17 5.17 2.59184 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 7 COMPR. P-RF 7 36.19 5.17 5.17 2.59185 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 28 144.78 5.17 5.17 2.59186 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/10 mg COMPR. 10mg/10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-AL-PA/AL X 14 COMPR. P-RF 28 157.65 5.63 5.63 2.82187 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/10 mg COMPR. 10mg/10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 14 COMPR. P-RF 14 78.84 5.63 5.63 2.82188 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/20 mg COMPR. 10mg/20mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE OPACA-PVC/AL X 14 COMPR. P-RF 14 88.87 6.35 6.35 3.18189 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/20 mg COMPR. 10mg/20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE OPACA-PVC/AL X14 COMPR. P-RF 28 177.75 6.35 6.35 3.18190 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/40 mg COMPR. 10mg/40mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 14 103.45 7.39 7.39 3.7191 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/40 mg COMPR. 10mg/40mg MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 28 206.93 7.39 7.39 3.7192 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/80 mg COMPR. 10mg/80mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 14 109.48 7.82 7.82 3.91193 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/80 mg COMPR. 10mg/80mg MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 28 218.96 7.82 7.82 3.91194 C10BX03 COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 10mg/10mg COMPR. FILM. 10mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 63.66 2.12 2.12 1.06195 C10BX03 COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 5mg/10mg COMPR. FILM. 5mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 56.59 1.89 1.89 0.95196 D01AA02 NATAMYCINUM PIMAFUCIN CREMA 20mg/g ASTELLAS EUROPE B.V. OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 9.47 9.47 9.47 4.74197 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 125.57 8.97 3.37 1.69198 D01BA02 TERBINAFINUM TERBISIL (R) 250 mg COMPR. 250mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. X 14 COMPR. P-RF 28 94.31 3.37 3.37 1.69199 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 193.66 6.46 3.37 1.69200 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF 28 180.74 6.46 3.37 1.69201 D05AX02 CALCIPOTRIOLUM* DAIVONEX CREMA 50µg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA P-6L 1 44.32 44.32 44.32 22.16202 D05AX02 CALCIPOTRIOLUM* DAIVONEX SOLUTIE CUTANATA PENTRU SCALP SOL. CUT. 50µg/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUTANATA PENTRU SCALP P-6L 1 44.32 44.32 44.32 22.16203 D05AX02 CALCIPOTRIOLUM* SOREL (R) unguent 0,005% UNGUENT 0.005% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 TUB DIN AL X 100 G P-6L 1 105.73 105.73 37.75 18.88204 D05AX02 CALCIPOTRIOLUM* SOREL (R) unguent 0,005% UNGUENT 0.005% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 TUB DIN AL X 30 G P-6L 1 37.75 37.75 37.75 18.88205 D05AX02 CALCIPOTRIOLUM* DAIVONEX UNGUENT UNGUENT 50µg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-6L 1 44.32 44.32 37.75 18.88206 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET (R) UNGUENT UNGUENT FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 45.51 45.51 45.51 22.76207 D06AX01 ACITRETINUM**208 D06AX01 ACIDUM FUSIDICUM FUCIDIN (R) CREMA 2% LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 11.62 11.62 11.62 5.81209 D06AX01 ACIDUM FUSIDICUM FUCIDIN (R) UNGUENT 2% LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 11.62 11.62 11.62 5.81210 D06AXN1 COMBINATII BANEOCIN (R) PULB. CUT. FARA CONCENTRATIE SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. DE PUDRAT PE X 10 G P-RF 1 3.23 3.23 3.23 1.62211 D06AXN1 COMBINATII BANEOCIN (R) UNGUENT FARA CONCENTRATIE SANDOZ GMBH AUSTRIA CUTIE X 1 TUB AL X 20 G P-RF 1 3.23 3.23 3.13 1.57212 D06AXN1 COMBINATII NEOBACIN UNGUENT FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 15G P-RF 1 3.13 3.13 3.13 1.57213 D06BA01 SULFADIAZINUM DERMAZIN (R) 1% CREMA 1% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 TUB X 50 G P-RF 1 8.27 8.27 8.27 4.14214 D06BB04 PODOPHYLLOTOXINUM* WARTEC 15 mg/g CREMA 1,5 mg/g STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB X 5 G CREMA P-RF 1 67.62 67.62 67.62 33.81215 D06BB04 PODOPHYLLOTOXINUM* CONDYLINE SOL. CUT. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE P-RF 1 58.47 58.47 58.47 29.24216 D06BB10 IMIQUIMODUM*217 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) crema 0,1% CREMA 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.47 9.47 9.47 4.74218 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) LIPOCREAM 0,1% CREMA 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.47 9.47 9.47 4.74

Page 4 of 12

Page 38: Liste Medicamente

Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

219 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID CRELO (R) 0,1% EMULSIE CUT. 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON X 30 G P-RF 1 9.47 9.47 9.47 4.74220 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) SOL. CUT. 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF 1 9.47 9.47 9.47 4.74221 D07AC13 MOMETASONUM ELOCOM CREMA 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 11.36 11.36 11.36 5.68222 D07AC13 MOMETASONUM ELOCOM SOL. CUT. 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA P-RF 1 15.16 15.16 15.16 7.58223 D07AC13 MOMETASONUM ELOCOM UNGUENT 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 11.36 11.36 11.36 5.68224 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.95 12.95 12.95 6.48225 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN (R) MILK EMULSIE CUT. 0.1% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 20 G P-RF 1 16.4 16.4 16.4 8.2226 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 12.95 12.95 12.95 6.48227 D07AC17 FLUTICASONUM CUTIVATE CREMA 0.05% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 8.15 8.15 8.15 4.08228 D07AC17 FLUTICASONUM CUTIVATE UNGUENT 0.005% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 8.15 8.15 8.15 4.08229 D07AD01 CLOBETASOLUM* DERMOVATE CREMA 0.05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.65 8.65 8.65 4.33230 D07AD01 CLOBETASOLUM* DERMOVATE (R) SOL. CUT. 0.05% GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF 1 11.08 11.08 11.08 5.54231 D07AD01 CLOBETASOLUM* DERMOVATE UNGUENT 0.05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.65 8.65 6.39 3.2232 D07AD01 CLOBETASOLUM* DERMIONE UNGUENT 0.05% OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 20 G P-RF 1 6.39 6.39 6.39 3.2233 D07CA01 COMBINATII PIMAFUCORT CREMA FARA CONCENTRATIE ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 7.67 7.67 7.67 3.84234 D07CA01 COMBINATII PIMAFUCORT UNGUENT FARA CONCENTRATIE ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 7.67 7.67 7.67 3.84235 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN (R) H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 15.38 15.38 15.38 7.69236 D07CC01 COMBINATII(ACIDUM FUSIDICUM+BETAMETHASONUM) FUCICORT® CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 16.86 16.86 16.86 8.43237 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-6L 1 15.33 15.33 15.33 7.67238 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 45 G P-6L 1 43.88 43.88 15.33 7.67239 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM) ISOTREXIN GEL GEL 0,05%/0,2% STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 30 G GEL P-RF 1 27.54 27.54 27.54 13.77240 D10AX03 ACIDUM AZELAICUM SKINOREN CREMA 200mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 25.41 25.41 25.41 12.71241 D10AX03 ACIDUM AZELAICUM SKINOREN (R) 15% GEL 15% INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 30 G GEL P-RF 1 32.62 32.62 32.62 16.31242 D10BA01 ISOTRETINOINUM** ROACCUTANE 10 mg CAPS. MOI 10mg ROCHE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF 30 57.19 1.91 1.91 0.96243 D10BA01 ISOTRETINOINUM** SOTRET 10 mg CAPS. MOI 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 68.67 2.29 1.91 0.96244 D10BA01 ISOTRETINOINUM** SOTRET 20 mg CAPS. MOI 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 116.51 3.88 3.88 1.94245 G01AA02 NATAMYCINUM PIMAFUCIN (R) OVULE 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FOLIE X 3 OVULE P-RF 3 8.34 2.78 2.78 1.39246 G01AA51 COMBINATII MACMIROR COMPLEX CAPS. MOI VAG. 500mg/200000UI POLICHEM SA LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF 12 27.86 2.32 2.32 1.16247 G01AA51 COMBINATII POLYGYNAX CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF 6 12.35 2.06 2.06 1.03248 G01AA51 COMBINATII MACMIROR COMPLEX CREMA VAG. 10g/400000UI POLICHEM SA LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR P-RF 1 27.86 27.86 27.86 13.93249 G01AF12 FENTICONAZOLUM LOMEXIN 600 mg CAPS. MOI VAG. 600mg RECORDATI SPA ITALIA CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE P-RF 1 18.11 18.11 18.11 9.06250 G01AF15 BUTOCONAZOLUM GYNOFORT 2% CREMA VAG. 2% GEDEON RICHTER PLC UNGARIA CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG. P-RF 1 29.68 29.68 29.68 14.84251 G01AX05 NIFURATELUM MACMIROR DRAJ. 200mg POLICHEM SA LUXEMBURG CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 27.86 1.39 1.39 0.7252 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 60.44 30.22 20.98 10.49253 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 167.87 20.98 20.98 10.49254 G03AC02 LYNESTRENOLUM* EXLUTON (R) COMPR. 0.5mg ORGANON NV OLANDA CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. P-6L 1 7.57 7.57 7.19 3.6255 G03AC02 LYNESTRENOLUM* EXLUTON (R) COMPR. 0.5mg ORGANON NV OLANDA CUTIE X 3 BLIST. TIP CALENDAR X 28 COMPR. P-6L 3 21.58 7.19 7.19 3.6256 G03AC03 LEVONORGESTRELUM***# MIRENA 20 ug/24 h DISPOZITIV INTRAUTERIN 52mg SCHERING OY (SCHERING AG) FINLANDA CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR P-RF 1 498.62 498.62 498.62 249.31257 G03CA04 ESTRIOLUM* OVESTIN CREMA VAG. 0.1% ORGANON NV OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR P-RF 1 10.44 10.44 10.44 5.22258 G03CA04 ESTRIOLUM* OVESTIN OVULE 0.5mg ORGANON NV OLANDA CUTIE X 3 FOLII X 5 OVULE P-RF 15 26.65 1.78 1.78 0.89259 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CAPS. MOI VAG. 10mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF 10 15.19 1.52 1.52 0.76260 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CREMA VAG. 1% LAB. THERAMEX MONACO CUTIE X 1 TUB X 15 G P-RF 1 15.61 15.61 15.61 7.81261 G03DA04 PROGESTERONUM* UTROGESTAN (R) 100 mg CAPS. MOI 100mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI P-6L 30 21.23 0.71 0.71 0.36262 G03DA04 PROGESTERONUM* PROGESTOGEL GEL 1% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L 1 12.72 12.72 7.5 3.75263 G03DA04 PROGESTERONUM* MASTOPROFEN 1% GEL 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB DIN AL X 40 G P-6L 1 7.5 7.5 7.5 3.75264 G03DB01 DYDROGESTERONUM* DUPHASTON (R) COMPR. FILM. 10mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 25.99 1.3 1.3 0.65265 G03DC03 LYNESTRENOLUM* ORGAMETRIL COMPR. 5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 10.31 0.34 0.34 0.17266 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 28 55.47 1.98 1.97 0.99267 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 84 165.44 1.97 1.97 0.99268 G03DC05 TIBOLONUM** LIVIAL (R) 2,5 mg COMPR. 2.5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 78.95 2.82 1.97 0.99269 G03FA01 COMBINATII** ACTIVELLE COMPR. FILM. 1mg/0,5mg NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR. FILM. P-RF 1 31.15 31.15 31.15 15.58270 G03FA14 COMBINATII** FEMOSTON (R) conti 1/5 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 28 COMPR. FILM. P-RF 1 25.99 25.99 25.99 13271 G03FA15 ESTRADIOLUMVALERAT+DIENOGEST** KLIMODIEN DRAJ. FARA CONCENTRATIE SCHERING AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. P-RF 1 30.87 30.87 30.87 15.44272 G03FA17 COMBINATII* ANGELIQ COMPR. FILM. FARA CONCENTRATIE SCHERING AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P-RF 1 53.58 53.58 53.58 26.79273 G03FB01 COMBINATII** CYCLO PROGINOVA (R) DRAJ. FARA CONCENTRATIE SCHERING AG GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF 1 16.62 16.62 16.62 8.31274 G03FB05 COMBINATII** NOVOFEM COMPR. FILM. FARA CONCENTRATIE NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR. FILM. (12 COMPR. FILM. ALBE SI 16 COMPR. FILM. ROSII) P-6L 1 27.7 27.7 27.7 13.85

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Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

275 G03FB08 COMBINATII** FEMOSTON 2/10 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL P-RF 1 25.1 25.1 25.1 12.55276 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 150 UI (11 micrograme) PULB. + SOLV. PT. SOL. INJ. 150UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FIOLA DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.+ 1 FIOLA X 1 ML SOLV. P-RF/R 1 150.07 150.07 150.07 75.04277 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 75 UI (5,5 micrograme) PULB. + SOLV. PT. SOL. INJ. 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 5 FIOLE X 1 ML SOLV. P-RF/R 5 375.2 75.04 75.03 37.52278 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 75 UI (5,5 micrograme) PULB. + SOLV. PT. SOL. INJ. 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FIOLA DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FIOLA X 1 ML SOLV. P-RF/R 1 75.03 75.03 75.03 37.52279 G03GA06 FOLLITROPINUM BETA****# PUREGON 100 ui PULB+SOLV. PT. SOL. INJ. 100UI/ml ORGANON NV OLANDA CUTIE X 1 FIOLA PULB. + 1 FIOLA X 1 ML SOLV. PT. RECONSTITUIRE P-RF 1 202.3 202.3 202.3 101.15280 G03GA06 FOLLITROPINUM BETA****# PUREGON 50 ui PULB+SOLV. PT. SOL. INJ 50UI/ml ORGANON NV OLANDA CUTIE X 1 FIOLA PULB. + 1 FIOLA X 1 ML SOLV. PT. RECONSTITUIRE P-RF 1 101.16 101.16 101.16 50.58281 G03GA06 FOLLITROPINUM BETA****# PUREGON 100ui/0,5ml SOL. INJ. 100UI/0.5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ. P-RF 1 190.42 190.42 190.42 95.21282 G03GA06 FOLLITROPINUM BETA****# PUREGON 50ui/0,5ml SOL. INJ. 50UI/0.5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA INCOLORA X 0,5 ML SOL. INJ. P-RF 1 101.16 101.16 101.16 50.58283 G03GA07 FOLLITROPINUM BETA****# PUREGON 300ui/0,36ml SOL. INJ. 300ui/0,36ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOLUTIE INJECTABILA + 6 ACE P-RF 1 467.06 467.06 467.06 233.53284 G03GA08 FOLLITROPINUM BETA****# PUREGON 600ui/0,72ml SOL. INJ. 600ui/0,72ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOLUTIE INJECTABILA + 6 ACE P-RF 1 935.96 935.96 935.96 467.98285 G03GA09 FOLLITROPINUM BETA****# PUREGON 900ui/1,08ml SOL. INJ. 900ui/1,08ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOLUTIE INJECTABILA + 9 ACE P-RF 1 1404.87 1404.87 1404.87 702.44286 G03GA07 LUTROPINA ALFA****#287 G03GB02 CLOMIFENUM CLOSTILBEGYT COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF 10 10.17 1.02 0.92 0.46288 G03GB02 CLOMIFENUM OVA - MIT COMPR. 50mg REMEDICA LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 9.23 0.92 0.92 0.46289 G03XC01 RALOXIFENUM EVISTA (R) COMPR. FILM. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 124.93 4.46 4.46 2.23290 G04BD04 OXYBUTYNINUM DRIPTANE (R) 5 mg COMPR. 5mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. P-6L 60 24.25 0.4 0.4 0.2291 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L 28 163.98 5.86 5.86 2.93292 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 7 CAPS. ELIB. PREL. P-6L 7 41 5.86 5.86 2.93293 G04BD08 SOLIFENACINUM SUCCINATE**# VESICARE 10 mg COMPR. FILM. 10mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 205.1 6.84 6.84 3.42294 G04BD08 SOLIFENACINUM SUCCINATE**# VESICARE 5 mg COMPR. FILM. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 153.81 5.13 5.13 2.57295 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 20.94 1.05 0.87 0.44296 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 43.57 0.87 0.87 0.44297 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 28.29 0.94 0.87 0.44298 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 72.62 1.45 1.45 0.73299 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 47.15 1.57 1.45 0.73300 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 34.85 1.74 1.45 0.73301 G04CA01 ALFUZOSINUM XATRAL SR 10 mg COMPR. ELIB. PREL. 10mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L 30 91.89 3.06 2.74 1.37302 G04CA01 ALFUZOSINUM ALFURAN MR 10 mg COMPR. ELIB. PREL. 10mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL. P-6L 30 82.25 2.74 2.74 1.37303 G04CA01 ALFUZOSINUM XATRAL (R) LP 5 mg COMPR. FILM. ELIB. PREL. 5mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 14 COMPR. FILM. ELIB. PREL. P-6L 28 48.75 1.74 1.74 0.87304 G04CA02 TAMSULOSINUM TAMSOL 0,4 mg CAPS. ELIB. MODIF. 0,4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-6L 30 25 0.83 0.33 0.17305 G04CA02 TAMSULOSINUM FOKUSIN CAPS. ELIB. MODIF. 0.4mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 30.04 1 0.33 0.17306 G04CA02 TAMSULOSINUM TAMSULOSIN ACTAVIS CAPS. ELIB. MODIF. 0,4mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 9.86 0.33 0.33 0.17307 G04CA02 TAMSULOSINUM CONTIFLO MR CAPS. ELIB. PREL. 0.4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 35.24 1.17 0.33 0.17308 G04CA02 TAMSULOSINUM TANYZ CAPS. ELIB. PREL. 0.4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 24.39 0.81 0.33 0.17309 G04CA02 TAMSULOSINUM OMNIC TOCAS (R) 0,4 COMPR. FILM. ELIB. PREL. 0.4mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 70.2 2.34 2.34 1.17310 G04CB01 FINASTERIDUM* FINASTERID SANDOZ 5 mg COMPR. FILM. 5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC ALB OPAC/AL X 10 COMPR. FILM. P-6L 30 33.53 1.12 0.9 0.45311 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 14 27.01 1.93 0.9 0.45312 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 28 54.02 1.93 0.9 0.45313 G04CB01 FINASTERIDUM* MOSTRAFIN COMPR. FILM. 5mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 47.67 1.7 0.9 0.45314 G04CB01 FINASTERIDUM* TAREDOX 5 mg COMPR. FILM. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 25.3 0.9 0.9 0.45315 G04CB02 DUTASTERIDUM* AVODART (R) CAPS. MOI 0.5mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. MOI P-6L 30 72.42 2.41 2.41 1.21316 H01AA02 TETRACOSACTIDUM SYNACHTEN DEPOT SUSP. INJ. 1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA X 1 ML SUSP. INJ. S/P-RF 10 81.66 8.17 8.17 4.09317 H01AA02 TETRACOSACTIDUM SYNACHTEN DEPOT SUSP. INJ. 1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF 1 9.25 9.25 8.17 4.09318 H01AC01 SOMATROPINUM***# ZOMACTON LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) FERING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF 1 490.4 490.4 490.4 245.2319 H01AC01 SOMATROPINUM***# GENOTROPIN (R) 16 ui (5,3 mg) PULB. + SOLV. PT. SOL. INJ. 5.3mg/ml (16ui) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF 1 483.48 483.48 483.48 241.74320 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEX X 10mg/1,5ml SOL. INJ. 10mg/1.5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. P-RF 1 1266.36 1266.36 1266.36 633.18321 H01AC01 SOMATROPINUM***# NUTROPINAq (R) 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 1346.75 1346.75 1346.75 673.38322 H01AC01 SOMATROPINUM***# OMNITROPE SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 419.67 419.67 419.67 209.84323 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEX X 5 mg/1,5 ml SOL. INJ. 5mg/1.5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. P-RF 1 700.77 700.77 419.67 209.84324 H01CC01 GANIRELIXUM***# ORGALUTRAN SOL. INJ. 0.25mg/0.5ml N. V. ORGANON OLANDA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT P-RF/R 1 156.03 156.03 156.03 78.02325 H01CC02 CETRORELIXUM***# CETROTIDE (R) 0,25 mg LIOF. + SOLV. PT. SOL. INJ. 0.25mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 7 FLAC. LIOF. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTI P-RF 7 772.23 110.32 110.32 55.16326 H01CC02 CETRORELIXUM***# CETROTIDE (R) 3 mg LIOF. + SOLV. PT. SOL. INJ. 3mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 1 FLAC. LIOF. + 1 SERINGA PRE-UMPLUTA X 3 ML SOLV. + 1 AC PT. INJECTII P-RF 1 772.23 772.23 772.23 386.12327 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0.1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 34.91 0.7 0.7 0.35328 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 25.17 5.03 5.03 2.52329 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 73.61 24.54 24.54 12.27330 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 26.1 8.7 8.7 4.35

Page 6 of 12

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Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

331 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 11.75 0.12 0.12 0.06332 H03BB02 THIAMAZOLUM THYROZOL® 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 17.79 0.36 0.36 0.18333 H03BB02 THIAMAZOLUM THYROZOL® 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 21.13 0.42 0.42 0.21334 H03BB02 THIAMAZOLUM THYROZOL® 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 21.83 0.22 0.22 0.11335 H05BA01 CALCITONINUM (SOMON) NYLEX 100 UI/doza SPRAY NAZ.,SOL. 100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL. P-RF 1 35.26 35.26 35.26 17.63336 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 22.84 4.57 4.57 2.29337 H05BA01 CALCITONINUM (SOMON) TONOCALCIN 100 UI SOL. INJ. 100UI ALFA WASSERMANN SPA ITALIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 65.02 13 4.57 2.29338 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 69 13.8 13.8 6.9339 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) NASAL 200 SPRAY NAZAL - SOL. 200ui/doza NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA PREVAZUT CU POMPA DOZATOARE CU SISTEM DE NUMARAREA DOZELOR, CE CONTINE SO P-RF 1 126.7 126.7 54.72 27.36340 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SPRAY NAZAL - SOL. 200UI/doza PROEL E.P. CORONIS SA GRECIA CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML P-RF 1 54.72 54.72 54.72 27.36341 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF 1 16.81 16.81 12.39 6.2342 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S 50 619.32 12.39 12.39 6.2343 J01CR04 SULTAMICILLINUM UNASYN COMPR. FILM. 375mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF 12 25.17 2.1 2.1 1.05344 J01CR04 SULTAMICILLINUM UNASYN PULB. PT. SUSP. ORALA 250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA P-RF 1 33.08 33.08 33.08 16.54345 J01DC10 CEFPROZILUM CEFZIL 250 mg COMPR. FILM. 250mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 18.14 1.81 1.81 0.91346 J01DC10 CEFPROZILUM CEFZIL 500 mg COMPR. FILM. 500mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 33.91 3.39 3.39 1.7347 J01DC10 CEFPROZILUM CEFZIL 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 19.8 19.8 19.8 9.9348 J01DC10 CEFPROZILUM CEFZIL 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 25.17 25.17 25.17 12.59349 J01DD14 CEFTIBUTENUM CEDAX CAPS. 400mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 BLIST. X 1 CAPS. P-RF 5 54.56 10.91 10.91 5.46350 J01DD14 CEFTIBUTENUM CEDAX PULB. PT. SUSP. ORALA 36mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC P-RF 1 32.75 32.75 32.75 16.38351 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1.5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 20.8 1.3 1.3 0.65352 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 10 21.96 2.2 2.2 1.1353 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 34.73 4.34 4.34 2.17354 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 26.05 4.34 4.34 2.17355 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 23.7 3.95 3.95 1.98356 J01FA10 AZITHROMYCINUM AZITROX (R) 250 COMPR. FILM. 250mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 30.82 5.14 5.07 2.54357 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 30.44 5.07 5.07 2.54358 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 38.51 12.84 7.79 3.9359 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 30.82 10.27 7.79 3.9360 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 30.44 10.15 7.79 3.9361 J01FA10 AZITHROMYCINUM AZRO (R) 500 mg COMPR. FILM. 500mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 23.36 7.79 7.79 3.9362 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 23.7 7.9 7.79 3.9363 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 39.47 39.47 39.47 19.74364 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 11.21 11.21 11.21 5.61365 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINSTRARE ORALA P-RF 1 13.5 13.5 13.5 6.75366 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINISTRARE ORALA P-RF 1 21.35 21.35 11.21 5.61367 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 20.09 20.09 11.21 5.61368 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 32.88 32.88 11.21 5.61369 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 41.05 41.05 11.21 5.61370 J01FF01 CLINDAMYCINUM DALACIN C 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 10.33 0.65 0.65 0.33371 J01FF01 CLINDAMYCINUM DALACIN C 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 17.22 1.08 1.08 0.54372 J01MA12 LEVOFLOXACINUM TAVANIC (R) COMPR. FILM. 500mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 104.81 14.97 14.97 7.49373 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 69.65 13.93 13.93 6.97374 J02AC02 ITRACONAZOLUM* ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 123.93 8.26 4.78 2.39375 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 2.39376 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 2.39377 J02AC02 ITRACONAZOLUM* OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 71.67 4.78 4.78 2.39378 J05AB11 VALACYCLOVIRUM* VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 76.7 7.67 7.67 3.84379 J05ABN1 BRIVUDINUM*# BRIVAL (R) COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. X 7 COMPR. P-RF 7 287.92 41.13 41.13 20.57380 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.26381 L02AE02 LEURORELINUM***#382 L02AE03 GOSERELINUM***#383 L02AE04 TRIPTORELINUM***# DIPHERELINE? 11,25 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11.25mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 1289.88 1289.88 1289.88 644.94384 L02AE04 TRIPTORELINUM***# DIPHERELINE? 3,75 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3.75mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 468.96 468.96 468.96 234.48385 L02AE04 TRIPTORELINUM***# DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0.1mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 146.78 20.97 20.97 10.49386 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.28

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Page 41: Liste Medicamente

Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

387 M01AC01 PIROXICAMUM PIROXSAL COMPR. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.94 0.1 0.09 0.05388 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 30 27.86 0.93 0.09 0.05389 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 10 14.16 1.42 0.09 0.05390 M01AC01 PIROXICAMUM PIROXICAM LPH (R) 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.63 0.13 0.09 0.05391 M01AC01 PIROXICAMUM N - PIROXICAM MEDUMAN 20 mg COMPR. 20mg MEDUMAN S.A. ROMANIA CUTIE X 1 FLAC. DIN PEJD X 20 COMPR. P-6L 20 1.76 0.09 0.09 0.05392 M01AC01 PIROXICAMUM PIROXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.82 0.09 0.09 0.05393 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 10 15.18 1.52 1.19 0.6394 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 20 29.14 1.46 1.19 0.6395 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 30 35.82 1.19 1.19 0.6396 M01AC01 PIROXICAMUM FLAMEXIN (R) PULB. PT. SOL. ORALA 20mg/plic CHIESI FARMACEUTICI SPA ITALIA CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA P-6L 20 29.02 1.45 1.45 0.73397 M01AC01 PIROXICAMUM FELDENE (R) 20 mg/ml SOL. INJ. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF 6 23.84 3.97 2.19 1.1398 M01AC01 PIROXICAMUM HOTEMIN SOL. INJ. 20mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 10.96 2.19 2.19 1.1399 M01AC01 PIROXICAMUM PIROXICAM 20 mg SUPOZ. 20mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L 10 1.88 0.19 0.19 0.1400 M01AC01 PIROXICAMUM PIROXICAM 40 mg SUPOZ. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 1.81 0.3 0.3 0.15401 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 21.31 0.71 0.71 0.36402 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 14.3 0.72 0.71 0.36403 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 7.39 0.74 0.71 0.36404 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 12.22 1.22 1.2 0.6405 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 24.15 1.21 1.2 0.6406 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 36.09 1.2 1.2 0.6407 M01AC05 LORNOXICAMUM XEFO 8 mg/ 2 ml PULB. + SOLV. PT. SOL. INJ. 8mg/2ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ. + 10 FLAC. X 2 ML SOLV P-RF 10 111.45 11.15 11.15 5.58408 M01AE17 DEXKETOPROFENUM TADOR COMPR. FILM. 25mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 11.12 1.11 1.11 0.56409 M01AE17 DEXKETOPROFENUM TADOR INJECT SOL. INJ./CONC. PT. SOL. PERF. 50mg/2ml MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF. P-RF 5 21.86 4.37 4.37 2.19410 M01AH01 CELECOXIBUM CELEBREX 100 CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 50.34 1.68 1.68 0.84411 M01AH01 CELECOXIBUM CELEBREX 100 CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 37.21 1.86 1.68 0.84412 M01AH01 CELECOXIBUM CELEBREX 200 CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 28.97 2.9 2.89 1.45413 M01AH01 CELECOXIBUM CELEBREX 200 CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 86.81 2.89 2.89 1.45414 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 33.29 4.76 4.72 2.36415 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. X 14 COMPR. FILM. P-RF 28 132.08 4.72 4.72 2.36416 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 69.09 4.94 4.72 2.36417 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 69.09 4.94 4.72 2.36418 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 30.77 4.4 4.4 2.2419 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 61.6 4.4 4.4 2.2420 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 123.15 4.4 4.4 2.2421 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 61.6 4.4 4.4 2.2422 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 65.33 4.67 4.67 2.34423 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 32.67 4.67 4.67 2.34424 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 65.33 4.67 4.67 2.34425 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 130.68 4.67 4.67 2.34426 M01AX05 GLUCOSAMINUM DONA (R) PULB. PT. SOL. ORALA 150mg/plic ROTTAPHARM SPA ITALIA CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L 20 36.92 1.85 1.85 0.93427 M01AX17 NIMESULIDUM LEMESIL COMPR. 100mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.42 0.37 0.28 0.14428 M01AX17 NIMESULIDUM AULIN (R) 100 mg COMPR. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 11.12 1.11 0.28 0.14429 M01AX17 NIMESULIDUM NIMESULID 100 mg COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.18 0.52 0.28 0.14430 M01AX17 NIMESULIDUM NIMESULID SLAVIA COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.14 0.51 0.28 0.14431 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 10 3.71 0.37 0.28 0.14432 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 30 9.37 0.31 0.28 0.14433 M01AX17 NIMESULIDUM NIMESULID LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.18 0.52 0.28 0.14434 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.28 0.31 0.28 0.14435 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.46 0.35 0.28 0.14436 M01AX17 NIMESULIDUM NIMESULID ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.4 0.34 0.28 0.14437 M01AX17 NIMESULIDUM NISE 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.78 0.28 0.28 0.14438 M01AX17 NIMESULIDUM AULIN (R) GRAN. PT. SUSP. ORALA 100mg/plic CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA P-RF 15 16.71 1.11 1.11 0.56439 M01AX17 NIMESULIDUM NIMESIL GRAN. PT. SUSP. ORALA 100mg/plic LAB. GUIDOTTI SPA ITALIA CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA P-RF 9 10.69 1.19 1.11 0.56440 M01AX17 NIMESULIDUM SULIDAMOR PULB. PT. SUSP. ORALA 100mg FARMACEUTICI DAMOR SPA ITALIA CUTIE X 30 PLICURI X 2 G P-RF 30 9.57 0.32 0.32 0.16441 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 30.96 0.62 0.62 0.31442 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 61.95 1.24 1.24 0.62

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cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

443 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-6L 14 70.49 5.04 5.04 2.52444 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 141.02 5.04 5.04 2.52445 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L 2 49.51 24.76 15.75 7.88446 M05BA04 ACIDUM ALENDRONICUM* TEVA NAT COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 62.99 15.75 15.75 7.88447 M05BA06 ACIDUM IBANDRONICUM BONVIVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 115.67 115.67 115.67 57.84448 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 3 COMPR. FILM.( BLIST. AL/AL) P-6L 3 347 115.67 115.67 57.84449 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 3mg/3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 391.13 391.13 391.13 195.57450 M05BA07 ACIDUM RISEDRONICUM* ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg AVENTIS PHARMA AB SUEDIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-6L 2 72.39 36.2 36.19 18.1451 M05BA07 ACIDUM RISEDRONICUM* ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg AVENTIS PHARMA AB SUEDIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-6L 4 144.75 36.19 36.19 18.1452 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 96.19 24.05 24.05 12.03453 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 48.1 24.05 24.05 12.03454 M05BX03 STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 14 81.27 5.81 5.8 2.9455 M05BX03 STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 28 162.53 5.8 5.8 2.9456 N02AA05 OXYCODONUM*# OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 122.1 2.18 2.18 1.09457 N02AA05 OXYCODONUM*# OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 234.8 4.19 4.19 2.1458 N02AA05 OXYCODONUM*# OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 438.3 7.83 7.83 3.92459 N02AA05 OXYCODONUM*# OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 814 14.54 14.54 7.27460 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 139.36 2.49 2.49 1.25461 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 81.99 1.46 1.46 0.73462 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 111.5 1.99 1.99 1463 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 30 25.35 0.85 0.84 0.42464 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 10 8.81 0.88 0.84 0.42465 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 20 16.94 0.85 0.84 0.42466 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 30 25.35 0.85 0.84 0.42467 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 10 8.81 0.88 0.84 0.42468 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 50 42.14 0.84 0.84 0.42469 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 50 42.14 0.84 0.84 0.42470 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 20 16.94 0.85 0.84 0.42471 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 8.23 0.16 0.16 0.08472 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 10.14 0.34 0.34 0.17473 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 73.46 5.25 5.25 2.63474 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 293.87 5.25 5.25 2.63475 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 390.08 6.97 6.97 3.49476 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 97.53 6.97 6.97 3.49477 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 48.75 3.48 3.48 1.74478 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 195.05 3.48 3.48 1.74479 N04AA02 BIPERIDENUM480 N04BC05 PRAMIPEXOLUM* MIRAPEXIN? 0,18 mg COMPR. 0.18mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 40.07 1.34 1.34 0.67481 N04BC05 PRAMIPEXOLUM* MIRAPEXIN? 0,7 mg COMPR. 0.7mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 150.37 5.01 5.01 2.51482 N04BC08 PIRIBEDILUM** PRONORAN (R) 50 mg LP (N04BXN1) DRAJ. ELIB. PREL. 50mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF 30 32.79 1.09 1.09 0.55483 N05AL03 TIAPRIDUM TIAPRIDAL (R) 100 mg COMPR. 100mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 18.59 0.93 0.93 0.47484 N05AL03 TIAPRIDUM TIAPRIDAL 100 mg/2 ml SOL. INJ. 100mg/2ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML P-RF 12 17.65 1.47 1.47 0.74485 N05BE01 BUSPIRONUM STRESSIGAL COMPR. 10mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.76 0.44 0.33 0.17486 N05BE01 BUSPIRONUM SPITOMIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 19.53 0.33 0.33 0.17487 N05BE01 BUSPIRONUM SPITOMIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 10.7 0.18 0.18 0.09488 N06AA21 MAPROTILINUM* LUDIOMIL (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 18.28 0.37 0.37 0.19489 N06AA21 MAPROTILINUM* LUDIOMIL (R) 25 mg COMPR. FILM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 19.71 0.66 0.66 0.33490 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 83.59 2.99 2.99 1.5491 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 45.27 3.23 2.99 1.5492 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 41.56 1.48 1.48 0.74493 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 33.43 1.67 1.67 0.84494 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12.5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 28.34 0.94 0.94 0.47495 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 54.11 0.97 0.97 0.49496 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 96.93 1.73 1.73 0.87497 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 86.48 3.09 3.09 1.55498 N06AX21 DULOXETINUM** CYMBALTA 60 mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 147.45 5.27 5.27 2.64

Page 9 of 12

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cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

499 N06AXN1 BUPROPIONUM**# WELLBUTRIN SR 150 mg COMPR. FILM. ELIB. PREL. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-RF 60 106.73 1.78 1.78 0.89500 N06BX16 PRAMIRACETAMUM**# PRAMISTAR COMPR. FILM. 600mg F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM. P-6L 20 58.16 2.91 2.91 1.46501 N06BX18 VINPOCETINUM VIMPOCETIN 5 mg CAPS. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS. P-6L 50 9.89 0.2 0.2 0.1502 N06BX18 VINPOCETINUM CAVINTON (R) FORTE COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 10.33 0.34 0.34 0.17503 N06BX18 VINPOCETINUM CAVINTON (R) COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 19.28 0.39 0.39 0.2504 N07CA01 BETAHISTINUM BETASERC (R) 16 mg COMPR. 16mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST X 20 COMPR. P-6L 60 37.16 0.62 0.62 0.31505 N07CA01 BETAHISTINUM BETASERC (R) 24 mg COMPR. 24mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST X 20 COMPR. P-6L 20 30.21 1.51 1.51 0.76506 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 4 BLIST. X 25 COMPR. P-6L 100 38.79 0.39 0.26 0.13507 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.16 0.47 0.26 0.13508 N07CA01 BETAHISTINUM MICROSER COMPR. 8mg PRODOTTI FORMENTI ITALIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 19.04 0.38 0.26 0.13509 N07CA01 BETAHISTINUM URUTAL 8 mg COMPR. 80mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLACON X 100 COMPR. P-6L 100 36.52 0.37 0.26 0.13510 N07CA01 BETAHISTINUM VESTIBO 8 MG COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.2 0.31 0.26 0.13511 N07CA01 BETAHISTINUM VESTIBO 8 MG COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 25.56 0.26 0.26 0.13512 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF 50 22.81 0.46 0.46 0.23513 N07XN01 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215.2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML P-RF 5 111.37 22.27 22.27 11.14514 N07XN01 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215.2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML P-RF 10 28.7 2.87 2.87 1.44515 N07XN01 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215.2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML P-RF 5 67.48 13.5 13.5 6.75516 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 63.54 1.06 1.06 0.53517 R01AD05 BUDESONIDUM* RHINOCORT (R) AQUA SPRAY NAZAL SUSP. 32µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE P-RF 1 17.93 17.93 17.93 8.97518 R01AD05 BUDESONIDUM* TAFEN NASAL SPRAY NAZ.,SUSP. 50µg/doza LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 200 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 12.14 12.14 12.14 6.07519 R01AD08 FLUTICASONUM* FLIXONASE (R) SPRAY NAZAL SUSP. 50µg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 37.83 37.83 37.83 18.92520 R01AD09 MOMETASONUM* NASONEX SPRAY NAZAL SUSP. 50µg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON PP X 140 DOZE P-RF 1 44.9 44.9 44.9 22.45521 R03AC04 FENOTEROLUM BEROTEC (R) N - 100 ag SOL. DE INHALAT PRESURIZATA 100µg/doza BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L 1 11.75 11.75 11.75 5.88522 R03AK03 COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N AEROSOL SOL. INHAL. 0,020mg+0,050mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA P-6L 1 30.28 30.28 30.28 15.14523 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE (R) 25/125 ag INHALER CFC FREE AEROSOL SUSP. INHAL. 25mg/125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE P-6L 1 131.19 131.19 131.19 65.6524 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE (R) 25/250 ag INHALER CFC FREE AEROSOL SUSP. INHAL. 25mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE P-6L 1 186.61 186.61 186.61 93.31525 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE (R) 25/50 ag INHALER CFC FREE AEROSOL SUSP. INHAL. 25mg/50mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE P-6L 1 92.83 92.83 92.83 46.42526 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE DISKUS 50/100 PULB. INHAL. 50mg/100mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 92.83 92.83 92.83 46.42527 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE DISKUS 50/250 PULB. INHAL. 50mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 131.19 131.19 131.19 65.6528 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE DISKUS 50/500 PULB. INHAL. 50mg/500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 186.61 186.61 186.61 93.31529 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 160/4,5 ag PULB. INHAL. 160/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 199.99 199.99 106.8 53.4530 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 160/4,5 ag PULB. INHAL. 160/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 106.8 106.8 106.8 53.4531 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 320/9 ag PULB. INHAL. 320/9µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU UN DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL P-6L 1 209.45 209.45 209.45 104.73532 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 80/4,5 ag PULB. INHAL. 80/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 85.9 85.9 85.9 42.95533 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 80/4,5 ag PULB. INHAL. 80/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 158.35 158.35 85.9 42.95534 R03BA05 FLUTICASONUM* FLIXOTIDE (R) NEBULES (R) 0,5 mg/2 ml SUSP. INHAL. 0.5mg/2ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 2 FLACOANE X 2ML SUSP. INHAL. P-RF 10 22.39 2.24 2.24 1.12535 R03BA05 FLUTICASONUM* FLIXOTIDE (R) NEBULES (R) 2 mg/2 ml SUSP. INHAL. 2mg/2ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 2 FLACOANE X 2ML SUSP. INHAL. P-RF 10 81.03 8.1 8.1 4.05536 R03BA05 FLUTICASONUM* FLIXOTIDE (R) 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA P-RF 1 35.33 35.33 35.33 17.67537 R03BA05 FLUTICASONUM* FLIXOTIDE (R) 50 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 50µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 ΜG, PREVAZUT CU VALVA DOZATOARE P-RF 1 26.17 26.17 26.17 13.09538 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 106.7 106.7 106.7 53.35539 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 213.42 213.42 106.7 53.35540 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 185.54 185.54 92.52 46.26541 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 92.52 92.52 92.52 46.26542 R03BB04 TIOTROPIUM* SPIRIVA (R) 18 ag CAPS. CU PULB.INHAL. 18µg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. CU PULB. DE INHALAT + DISPOZITIV HANDIHALER P-RF 30 133.03 4.43 4.43 2.22543 R03DA05 AMINOPHYLLINUM MIOFILIN CAPS. 100mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.89 0.09 0.09 0.05544 R03DA05 AMINOPHYLLINUM AMINOFILINA COMPR. 100mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 1.96 0.04 0.04 0.02545 R03DA05 AMINOPHYLLINUM AMINOFILINA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.13 0.16 0.16 0.08546 R03DA05 AMINOPHYLLINUM MIOFILIN SOL. INJ. 24mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF 5 5.34 1.07 1.07 0.54547 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 14 59.28 4.23 4.23 2.12548 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 28 118.55 4.23 4.23 2.12549 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF 7 31.74 4.53 4.53 2.27550 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 126.92 4.53 4.53 2.27551 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF 14 63.45 4.53 4.53 2.27552 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 14 59.1 4.22 4.22 2.11553 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 118.2 4.22 4.22 2.11554 R03DC03 MONTELUKASTUM* SINGULAIR (R) GRANULE 4mg/plic MERCK SHARP & DOHME ROMANIA CUTIE X 7 PLICURI CU GRANULE P-RF 7 31.74 4.53 4.53 2.27

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Page 44: Liste Medicamente

Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

555 R03DC03 MONTELUKASTUM* SINGULAIR (R) GRANULE 4mg/plic MERCK SHARP & DOHME ROMANIA CUTIE X 28 PLICURI CU GRANULE P-RF 28 126.92 4.53 4.53 2.27556 R03DX03 FENSPIRIDUM EURESPAL (R) 80 mg COMPR. FILM. 80mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 19.88 0.66 0.66 0.33557 R03DX03 FENSPIRIDUM EURESPAL (R) SIROP 0.2% LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON X 150 ML P-6L 1 14.16 14.16 14.16 7.08558 R05CB15 ERDOSTEINUM ERDOMED CAPS. 300mg MEDICOM INTERNATIONAL SRO CEHIA CUTIE X 1 BLIST. X 10 CAPS. P-6L 10 11.33 1.13 1.13 0.57559 R05CB15 ERDOSTEINUM ERDOMED (R) 175 PULB. PT. SUSP. ORALA 175mg/5ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. 100 ML SUSP. ORALA P-6L 1 22.28 22.28 22.28 11.14560 R05DA09 DEXTROMETHORPHANUM TUSSIN COMPR. 10mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 2.66 0.13 0.13 0.07561 R05DA09 DEXTROMETHORPHANUM TUSSIN FORTE COMPR. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.84 0.24 0.24 0.12562 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0.1% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 125 ML SIROP P-RF 1 7.84 7.84 3.61 1.81563 R05DA09 DEXTROMETHORPHANUM TUSSIN SIROP SIROP 0.1% GLOBAL PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON X 150G P-RF 1 3.61 3.61 3.61 1.81564 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0.13% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 200 ML P-RF 1 9.81 9.81 9.81 4.91565 R05DA09 DEXTROMETHORPHANUM ROFEDEX SIROP 15mg/5ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE P-RF 1 3.75 3.75 3.75 1.88566 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN JUNIOR SOL. ORALA 3.75mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 6.51 6.51 6.51 3.26567 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN ANTITUSSICUM SOL. ORALA 7.5mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 6.51 6.51 6.51 3.26568 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 15.33 1.53 1.53 0.77569 R06AE09 LEVOCETIRIZINUM XYZAL PIC. ORALE, SOL. 5mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR P-6L 1 30.93 30.93 30.93 15.47570 R06AX26 FEXOFENADINUM TELFAST (R) 120 mg COMPR. FILM. 120mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L 10 13.01 1.3 0.81 0.41571 R06AX26 FEXOFENADINUM ALTIVA 120 mg COMPR. FILM. 120mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 10 8.06 0.81 0.81 0.41572 R06AX26 FEXOFENADINUM TELFAST (R) 180 mg COMPR. FILM. 180mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 19.52 1.95 1.15 0.58573 R06AX26 FEXOFENADINUM ALTIVA 180 mg COMPR. FILM. 180mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 10 11.51 1.15 1.15 0.58574 R06AX26 FEXOFENADINUM TELFAST (R) 30 mg COMPR. FILM. 30mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 15 COMPR. FILM. P-6L 15 7.72 0.51 0.51 0.26575 R06AX27 DESLORATADINUM AERIUS COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 30 50.77 1.69 1.69 0.85576 R06AX27 DESLORATADINUM AERIUS COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 10 17.63 1.76 1.69 0.85577 R06AX27 DESLORATADINUM AERIUS COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 7 12.5 1.79 1.69 0.85578 R06AX27 DESLORATADINUM AERIUS SIROP 0.5mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML P-RF 1 7.5 7.5 7.5 3.75579 S01AA11 GENTAMICINUM GENTAMICIN SULPHATE PIC. OFT., SOL 0.3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 5.53 5.53 4.57 2.29580 S01AA11 GENTAMICINUM OPHTAGRAM (R) 0,3% PICATURI OFT.-SOL. 0.3% LAB. CHAUVIN FRANTA CUTIE X 1 FLACON X 5 ML P-RF 1 4.77 4.77 4.57 2.29581 S01AA11 GENTAMICINUM GENTICOL SOL. OFT. 0.3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 10ML P-RF 1 4.57 4.57 4.57 2.29582 S01AA11 GENTAMICINUM GENTICOL UNG. OFT. 0.3% S.I.F.I. SPA ITALIA CUTIE X 1 TUB X 10G P-RF 1 4.57 4.57 4.57 2.29583 S01AA11 GENTAMICINUM OPHTAGRAM (R) 0,3% UNG. OFT. 0.3% LAB. CHAUVIN FRANTA CUTIE X 1 TUB X 5 G P-RF 1 5.11 5.11 4.57 2.29584 S01AA12 TOBRAMYCINUM TOBISOL PIC. OFT., SOL. 0.3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 5 ML PIC. OFT., SOL. P-RF 1 7.08 7.08 7.08 3.54585 S01AA12 TOBRAMYCINUM TOBREX PIC. OFT.,SOL. 3mg/ml ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL. P-RF 1 14.67 14.67 7.08 3.54586 S01AA12 TOBRAMYCINUM TOBREX (R) UNG. OFT. 0.3% ALCON COUVREUR NV BELGIA CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF 1 14.16 14.16 14.16 7.08587 S01AA23 NETILMICINUM NETTACIN (R) PICATURI OFT.-SOL. 0.3% S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 20.15 1.34 1.34 0.67588 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0.3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 7.25 7.25 1.34 0.67589 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR P-RF 1 25.12 25.12 25.12 12.56590 S01AX11 OFLOXACINUM FLOXAL (R) PICATURI OFT.-SOL. 0.3% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL. P-RF 1 10.2 10.2 10.2 5.1591 S01AX11 OFLOXACINUM FLOXAL (R) UNG. OFT. 0.3% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G P-RF 1 11.62 11.62 11.62 5.81592 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0.1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 14.39 14.39 14.39 7.2593 S01BA06 BETAMETHASONUM OPHTAMESONE SOL. OFT. 0.1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.61 4.61 4.61 2.31594 S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.,SOL. FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF 1 22.52 22.52 22.52 11.26595 S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.SOL. UNIDOZA FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL. P-RF 20 38.12 1.91 1.91 0.96596 S01CA01 COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM) SPERSADEX COMP PICATURI OFT.-SOL. 5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF 1 10.7 10.7 10.7 5.35597 S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX (R) PICATURI OFT.-SUSP. 1mg+3mg ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF 1 17.33 17.33 17.33 8.67598 S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX (R) UNG. OFT. 1mg+3mg ALCON COUVREUR NV BELGIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G P-RF 1 17.33 17.33 17.33 8.67599 S01GX09 OLOPATADINUM OPATANOL (R) PIC. OFT., SOL. 1mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 30.21 30.21 30.21 15.11600 S01XA02 RETINOLUM OCULOTECT GEL.OFT. 10mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB. X 10 G GEL OFT. P-6L 1 12.67 12.67 12.67 6.34

NOTĂ:

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

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

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Nr. crt codifatc den_internationala denumire formaFconcentratie Firma detinatoare tara forma ambalare prescriere

cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

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

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

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

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

Page 12 of 12

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NR.CRT COD ATC DENUMIRE COMUNA INTERNATIONALA DENUMIRE COMERCIALA FORMA FARMACEUTICA CONCENTRATIE FIRMA DETINATOARE TARA DETINATOARE FORMA AMBALAJ PRESC CANT FLPRET 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 2.31 0.08 0.08 0.082 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.36 0.32 0.32 0.323 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 1.4 0.06 0.06 0.064 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 3.23 0.65 0.65 0.655 C01AA05 DIGOXINUM LANOXIN SOLUTIE ORALA SOL. ORALA 0.05mg/ml THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML P-RF 1 8.77 8.77 8.77 8.776 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.77 0.03 0.03 0.037 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.068 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.06 0.069 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.43 0.07 0.06 0.06

10 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.19 0.06 0.06 0.0611 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.0612 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.19 0.06 0.06 0.0613 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 2.47 0.49 0.49 0.4914 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.63 0.72 0.72 0.7215 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 14.46 0.48 0.48 0.4816 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.08 0.15 0.15 0.1517 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.94 0.16 0.15 0.1518 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 9.22 0.18 0.15 0.1519 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 3.07 0.15 0.15 0.1520 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 9.4 0.47 0.47 0.4721 C07AB02 METOPROLOLUM VASOCARDIN (R) 100 COMPR. 100mg SLOVAKOFARMA SLOVACIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 8.37 0.17 0.17 0.1722 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 13.09 0.44 0.17 0.1723 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.5 0.25 0.17 0.1724 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 8.03 0.4 0.17 0.1725 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.1726 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.1727 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.26 0.26 0.17 0.1728 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 6.69 0.22 0.17 0.1729 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 21.37 0.21 0.17 0.1730 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 10.69 0.21 0.17 0.1731 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.12 0.31 0.17 0.1732 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 11.55 0.23 0.17 0.1733 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L 100 22.4 0.22 0.17 0.1734 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.75 0.26 0.17 0.1735 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.25 0.21 0.17 0.1736 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 MG COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.23 0.31 0.17 0.1737 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.1738 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.1739 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 4.58 0.23 0.1 0.140 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 2.15 0.11 0.1 0.141 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.142 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.08 0.1 0.1 0.143 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 25 mg COMPR. 25mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.144 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.29 0.21 0.15 0.1545 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 6.24 0.31 0.15 0.1546 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.17 0.21 0.15 0.1547 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.03 0.2 0.15 0.1548 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.72 0.24 0.15 0.1549 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.45 0.18 0.15 0.1550 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 16.71 0.17 0.15 0.1551 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 8.57 0.17 0.15 0.1552 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.1553 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.66 0.23 0.15 0.1554 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.06 0.2 0.15 0.1555 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L/S 100 16.98 0.17 0.15 0.1556 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 9.2 0.18 0.15 0.1557 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.58 0.15 0.15 0.1558 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.1559 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.13 0.16 0.15 0.15

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

VALABILĂ ÎNCEPÂND CU 15 IULIE 2008

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

CUPRINDE DCI-urile UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII ŞI CONSUMULUI PRIN COMISIILE PARITARE; MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE MEDICALĂ CU REŢINERE ÎN FARMACIE ( P-RF)

CONFORM HG NR. 720/2008

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60 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.1561 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 9 0.45 0.45 0.4562 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 43.64 0.44 0.44 0.4463 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 60 26.86 0.45 0.44 0.4464 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 15.61 0.52 0.44 0.4465 C07AB02 METOPROLOLUM BETALOC (R) ZOC 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 18.14 0.6 0.6 0.666 C07AB02 METOPROLOLUM BETALOC (R) ZOC 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 11.08 0.37 0.37 0.3767 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 20.36 0.68 0.68 0.6868 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 7.33 0.24 0.24 0.2469 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 11.98 0.4 0.4 0.470 C07AB02 METOPROLOLUM BETALOC SOL. INJ. 1mg/ml ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S 5 77.22 15.44 15.44 15.4471 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 11.83 0.39 0.39 0.3972 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 53.97 1.93 1.93 1.9373 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.21 0.2174 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 45.33 1.62 0.21 0.2175 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 12.5mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 18.46 0.66 0.21 0.2176 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 18.01 0.6 0.21 0.2177 C07AG02 CARVEDILOLUM CARVEDILOL 12,5 mg COMPR. 12.5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.51 0.68 0.21 0.2178 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12.5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 14.41 0.48 0.21 0.2179 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12.5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.32 0.47 0.21 0.2180 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 15.6 0.52 0.21 0.2181 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12.5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.39 0.21 0.21 0.2182 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 61.37 2.19 0.22 0.2283 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 25mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 28.53 1.02 0.22 0.2284 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 28.2 0.94 0.22 0.2285 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 24.15 0.81 0.22 0.2286 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 15.87 0.79 0.22 0.2287 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.75 0.23 0.22 0.2288 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.2 0.77 0.22 0.2289 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.68 0.22 0.22 0.2290 C07AG02 CARVEDILOLUM CORYOL (R) 3,125 mg COMPR. 3.125mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.11 0.22 0.22 0.2291 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6.25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 23.36 0.83 0.16 0.1692 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 9.23 0.33 0.16 0.1693 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 9.2 0.31 0.16 0.1694 C07AG02 CARVEDILOLUM CARVEDILOL 6,25 mg COMPR. 6.25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.54 0.33 0.16 0.1695 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6.25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.01 0.2 0.16 0.1696 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6.25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.16 0.1697 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 6.41 0.21 0.16 0.1698 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6.25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 4.65 0.16 0.16 0.1699 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12.5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 15.47 0.52 0.52 0.52

100 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 25.18 0.84 0.84 0.84101 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6.25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.59 0.22 0.22 0.22102 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.33 0.08 0.08 0.08103 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.35 0.08 0.08 0.08104 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.7 0.09 0.08 0.08105 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.08106 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.51 0.12 0.08 0.08107 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.08 0.08108 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.23 0.11 0.08 0.08109 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 1.68 0.08 0.08 0.08110 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.08111 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.14 0.1 0.08 0.08112 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.08113 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.98 0.1 0.09 0.09114 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 20 3.42 0.17 0.09 0.09115 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.23 0.11 0.09 0.09116 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.14 0.14 0.09 0.09117 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.76 0.14 0.09 0.09118 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 1.98 0.1 0.09 0.09119 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.22 0.11 0.09 0.09120 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.8 0.09 0.09 0.09121 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.55 0.18 0.09 0.09122 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.99 0.25 0.15 0.15123 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.15124 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.87 0.29 0.15 0.15125 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.4 0.31 0.15 0.15126 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.72 0.34 0.15 0.15127 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.15128 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 7.59 0.38 0.15 0.15129 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.15130 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.78 0.24 0.15 0.15131 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.15132 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.69 0.36 0.15 0.15133 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 16.95 0.34 0.15 0.15134 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 32.97 0.33 0.15 0.15135 C09AA02 ENALAPRILUM ENAHEXAL (R) 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.19 0.24 0.15 0.15136 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10.67 0.38 0.15 0.15137 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.68 0.15 0.15 0.15

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Page 48: Liste Medicamente

138 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.91 0.16 0.15 0.15139 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 14.65 0.15 0.15 0.15140 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 7.71 0.39 0.15 0.15141 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 24.76 0.25 0.15 0.15142 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.96 0.3 0.15 0.15143 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 14.15 0.28 0.15 0.15144 C09AA02 ENALAPRILUM ENAM 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.94 0.3 0.15 0.15145 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 5.2 0.26 0.15 0.15146 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2.5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 10.12 0.34 0.34 0.34147 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.54 0.33 0.25 0.25148 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 8.47 0.42 0.25 0.25149 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 18.3 0.61 0.25 0.25150 C09AA02 ENALAPRILUM ENALAPRIL COMPR. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 7.92 0.4 0.25 0.25151 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.62 0.38 0.25 0.25152 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 11.35 0.57 0.25 0.25153 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.07 0.25 0.25 0.25154 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 46.44 0.46 0.25 0.25155 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 24.39 0.49 0.25 0.25156 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 15.33 0.51 0.25 0.25157 C09AA02 ENALAPRILUM ENAHEXAL (R) 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 13.84 0.46 0.25 0.25158 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 15.52 0.55 0.25 0.25159 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.62 0.25 0.25 0.25160 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.39 0.45 0.25 0.25161 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 40.84 0.41 0.25 0.25162 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 21.46 0.43 0.25 0.25163 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 7.6 0.38 0.25 0.25164 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.81 0.19 0.13 0.13165 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.99 0.2 0.13 0.13166 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.86 0.24 0.13 0.13167 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.52 0.25 0.13 0.13168 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 8.15 0.27 0.13 0.13169 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 24.61 0.25 0.13 0.13170 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 13.01 0.26 0.13 0.13171 C09AA02 ENALAPRILUM ENAHEXAL (R) 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 6.24 0.21 0.13 0.13172 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 5.21 0.26 0.13 0.13173 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.97 0.28 0.13 0.13174 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 3.98 0.2 0.13 0.13175 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 2.7 0.14 0.13 0.13176 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 17.21 0.17 0.13 0.13177 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.26 0.21 0.13 0.13178 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.34 0.19 0.13 0.13179 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.98 0.13 0.13 0.13180 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1.25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.76 2.15 2.15 2.15181 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.94 0.4 0.22 0.22182 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 12.05 0.6 0.22 0.22183 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.37 0.76 0.22 0.22184 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 11.79 0.39 0.22 0.22185 C09AA03 LISINOPRILUM MEDAPRIL 10 COMPR. 10mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.43 0.45 0.22 0.22186 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.36 0.37 0.22 0.22187 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.94 0.35 0.22 0.22188 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.5 0.35 0.22 0.22189 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.63 0.42 0.22 0.22190 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 22.35 0.22 0.22 0.22191 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 11.52 0.38 0.22 0.22192 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.26 0.34 0.22 0.22193 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2.5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.57 0.31 0.31 0.31194 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 32.05 1.14 0.35 0.35195 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.54 0.55 0.35 0.35196 C09AA03 LISINOPRILUM MEDAPRIL 20 COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 17.12 0.86 0.35 0.35197 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.44 0.52 0.35 0.35198 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 18.96 0.63 0.35 0.35199 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 35.04 0.35 0.35 0.35200 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 20.38 0.68 0.35 0.35201 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.26 0.51 0.35 0.35202 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 5.3 0.53 0.35 0.35203 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.63 0.52 0.35 0.35204 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 27.03 0.9 0.9 0.9205 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 9.17 0.92 0.9 0.9206 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 12.08 0.43 0.15 0.15207 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.67 0.26 0.15 0.15208 C09AA03 LISINOPRILUM MEDAPRIL 5 COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.15209 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.23 0.27 0.15 0.15210 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 7.4 0.25 0.15 0.15211 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 14.57 0.15 0.15 0.15212 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.32 0.21 0.15 0.15213 C09AA05 RAMIPRILUM EMREN 10 mg COMPR. 10 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 27 0.9 0.28 0.28214 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 19.24 0.69 0.28 0.28215 C09AA05 RAMIPRILUM TRITACE (R) 10 mg COMPR. 10mg SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 47.28 1.69 0.28 0.28

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Page 49: Liste Medicamente

216 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 29.9 1.07 0.28 0.28217 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 30.79 1.03 0.28 0.28218 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 55.34 0.92 0.28 0.28219 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 30.75 1.03 0.28 0.28220 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 26.26 0.94 0.28 0.28221 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S 100 28.29 0.28 0.28 0.28222 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.75 0.39 0.28 0.28223 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 14.81 0.3 0.28 0.28224 C09AA05 RAMIPRILUM TRITACE (R) 2,5 COMPR. 2.5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 29.13 1.04 0.26 0.26225 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 10.39 0.37 0.26 0.26226 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 8.9 0.3 0.26 0.26227 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 22.94 0.38 0.26 0.26228 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 32.53 0.36 0.26 0.26229 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 12.75 0.43 0.26 0.26230 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2.5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 7.51 0.27 0.26 0.26231 C09AA05 RAMIPRILUM EMREN 2,5 mg COMPR. 2,5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.66 0.26 0.26 0.26232 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 9.43 0.34 0.26 0.26233 C09AA05 RAMIPRILUM EMREN 5 mg COMPR. 5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 15 0.5 0.18 0.18234 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 12.21 0.44 0.18 0.18235 C09AA05 RAMIPRILUM TRITACE (R) 5 COMPR. 5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 46.81 1.67 0.18 0.18236 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 17.21 0.61 0.18 0.18237 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 24.15 0.81 0.18 0.18238 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 50.76 0.56 0.18 0.18239 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 35.84 0.6 0.18 0.18240 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 19.92 0.66 0.18 0.18241 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.64 0.52 0.18 0.18242 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR. P-6L/S 100 18.58 0.19 0.18 0.18243 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L 20 5.51 0.28 0.18 0.18244 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. A/AL X 10 COMPR. P-6L 50 9.2 0.18 0.18 0.18245 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1.25mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 5.29 0.18 0.18 0.18246 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 34.31 1.14 1.14 1.14247 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2.5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 8.83 0.29 0.29 0.29248 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 18.76 0.63 0.63 0.63249 C09CA03 VALSARTANUM** DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 106.73 3.81 3.81 3.81250 C09CA03 VALSARTANUM** DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 92.25 3.29 3.29 3.29251 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 50.34 1.8 1.8 1.8252 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 40.9 1.46 1.46 1.46

1 B01AA07 ACENOCUMAROLUM* TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.31 0.08 0.08 0.082 B01AA07 ACENOCUMAROLUM* SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.36 0.32 0.32 0.32

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

1 B01AC04 CLOPIDOGRELUM*** PLAVIX (R) COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 240.32 8.58 8.58 8.58

Tratamentul se initiază de către medicul în specialitatea cardiologie

1 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.222 B03XA01 EPOETINUM ALFA** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.823 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.824 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.765 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.76 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.767 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.78 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.479 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.93

10 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.5211 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.412 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.5213 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.414 B03XA01 EPOETINUM BETA** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.9615 B03XA01 EPOETINUM BETA** NEORECORMON 30 000 UI 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 1237.55 1237.55 1237.55 1237.5516 B03XA01 EPOETINUM BETA** NEORECORMON 10000 UI 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 2634.15 439.03 439.03 439.0317 B03XA01 EPOETINUM BETA** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.918 B03XA01 EPOETINUM BETA** NEORECORMON 2000 UI 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 6 526.83 87.81 87.81 87.8119 B03XA01 EPOETINUM BETA** NEORECORMON 4000 UI 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 1053.67 175.61 175.61 175.6120 B03XA01 EPOETINUM BETA** NEORECORMON 5000 UI 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 1317.08 219.51 219.51 219.5121 J05AB04 RIBAVIRINUM**** COPEGUS (R) COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 168 COMPR. FILM. P-RF 168 2834.3 16.87 16.87 16.8722 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 28 196.9 7.03 7.03 7.0323 J05AF05 LAMIVUDINUM**** EPIVIR COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 284.91 4.75 4.75 4.7524 J05AF05 LAMIVUDINUM**** EPIVIR SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 75.94 75.94 75.94 75.9425 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 88.1 88.1 88.1 88.1

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

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

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

Page 4 of 20

Page 50: Liste Medicamente

26 J05AF08 ADEFOVIRUM DIPIVOXILUM****27 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1716.85 57.23 57.23 57.2328 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 2016.65 67.22 67.22 67.2229 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 1 251.45 251.45 251.45 251.4530 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.01 435.01 435.01 435.0131 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0.6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF 1 295.96 295.96 295.96 295.9632 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5 ML + AC STERIL S/P-RF 1 68.53 68.53 68.53 68.5333 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 4.5Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5ML SOL. INJ. + AC STERIL S/P-RF 1 95.42 95.42 95.42 95.4234 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 1 171.3 171.3 171.3 171.335 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 371.16 371.16 371.16 371.1636 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 618.6 618.6 618.6 618.637 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 100 ug PULB. + SOLV. PT. SOL. INJ. 100µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 849.86 849.86 849.86 849.8638 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 120 ug PULB. + SOLV. PT. SOL. INJ. 120µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1045.04 1045.04 1045.04 1045.0439 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 150 ug PULB. + SOLV. PT. SOL. INJ. 150µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1274.86 1274.86 1274.86 1274.8640 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 50 ug PULB. + SOLV. PT. SOL. INJ. 50µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 424.92 424.92 424.92 424.9241 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 135 ag SOL. INJ. 135µg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. SOL. INJ. P-RF/R 1 778.53 778.53 778.53 778.5342 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 180 ag SOL. INJ. IN SERINGA PREUMPLUTA 180µg/0.5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 900.98 900.98 900.98 900.9843 N04BB01 AMANTADINUM** VIREGYT (R) - K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 12.12 0.24 0.24 0.24

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 47.53 0.95 0.95 0.952 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 35.65 1.78 1.78 1.783 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.44 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 11.055 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 11.056 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 2.27 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 27.918 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.539 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.53

10 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 33.0711 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 33.0712 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 73.61 24.54 24.54 24.5413 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 26.1 8.7 8.7 8.714 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55

Tratamentul se initiază de către medicul în specialitatea gastroenterologie

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 118.24 1.18 0.88 0.882 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.55 1.37 0.88 0.883 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 44.2 0.88 0.88 0.88

Tratamentul se initiază de către medicul în specialitatea gastroenterologie

7. CIROZA HEPATICA - G7

1 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-RF 1 13.94 13.94 5.16 5.162 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 5.16 5.16 5.16 5.163 A06AD11 LACTULOSUM* DUPHALAC (R) LICHID ORAL 66.7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 9.99 9.99 9.52 9.524 A06AD11 LACTULOSUM* LACTULOSE AL SIROP SIROP 66.7% ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 9.52 9.52 9.52 9.525 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 5.98 5.98 5.98 5.986 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 32.51 2.71 2.71 2.717 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.228 B03XA01 EPOETINUM ALFA** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.829 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.82

10 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.7611 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.712 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.7613 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.714 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.4715 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.9316 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.5217 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.418 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.5219 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.420 B03XA01 EPOETINUM BETA** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.9621 B03XA01 EPOETINUM BETA** NEORECORMON 30 000 UI 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 1237.55 1237.55 1237.55 1237.5522 B03XA01 EPOETINUM BETA** NEORECORMON 10000 UI 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 2634.15 439.03 439.03 439.0323 B03XA01 EPOETINUM BETA** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.924 B03XA01 EPOETINUM BETA** NEORECORMON 2000 UI 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 6 526.83 87.81 87.81 87.8125 B03XA01 EPOETINUM BETA** NEORECORMON 4000 UI 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 1053.67 175.61 175.61 175.6126 B03XA01 EPOETINUM BETA** NEORECORMON 5000 UI 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 1317.08 219.51 219.51 219.5127 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.0628 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.06 0.06

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

5. HEPATITA AUTOIMUNA - G5

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

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29 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.43 0.07 0.06 0.0630 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.19 0.06 0.06 0.0631 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.0632 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.19 0.06 0.06 0.0633 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 2.47 0.49 0.49 0.4934 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.63 0.72 0.72 0.7235 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 14.46 0.48 0.48 0.4836 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.08 0.15 0.15 0.1537 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.94 0.16 0.15 0.1538 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 9.22 0.18 0.15 0.1539 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 3.07 0.15 0.15 0.1540 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 9.4 0.47 0.47 0.4741 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 73.61 24.54 24.54 24.5442 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 26.1 8.7 8.7 8.743 J05AB04 RIBAVIRINUM**** COPEGUS (R) COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 168 COMPR. FILM. P-RF 168 2834.3 16.87 16.87 16.8744 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 28 196.9 7.03 7.03 7.0345 J05AF05 LAMIVUDINUM**** EPIVIR COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 284.91 4.75 4.75 4.7546 J05AF05 LAMIVUDINUM**** EPIVIR SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 75.94 75.94 75.94 75.9447 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 88.1 88.1 88.1 88.148 J05AF08 ADENOVIRUM DIPIVOXILUM****49 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1716.85 57.23 57.23 57.2350 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 2016.65 67.22 67.22 67.2251 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 1 251.45 251.45 251.45 251.4552 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.01 435.01 435.01 435.0153 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0.6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF 1 295.96 295.96 295.96 295.9654 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5 ML + AC STERIL S/P-RF 1 68.53 68.53 68.53 68.5355 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 4.5Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5ML SOL. INJ. + AC STERIL S/P-RF 1 95.42 95.42 95.42 95.4256 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 1 171.3 171.3 171.3 171.357 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 371.16 371.16 371.16 371.1658 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 618.6 618.6 618.6 618.659 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 ug PULB. + SOLV. PT. SOL. INJ. 100µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 849.86 849.86 849.86 849.8660 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 ug PULB. + SOLV. PT. SOL. INJ. 120µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1045.04 1045.04 1045.04 1045.0461 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 ug PULB. + SOLV. PT. SOL. INJ. 150µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1274.86 1274.86 1274.86 1274.8662 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 ug PULB. + SOLV. PT. SOL. INJ. 50µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 424.92 424.92 424.92 424.9263 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 135 ag SOL. INJ. 135µg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. SOL. INJ. P-RF/R 1 778.53 778.53 778.53 778.5364 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 180 ag SOL. INJ. IN SERINGA PREUMPLUTA 180µg/0.5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 900.98 900.98 900.98 900.9865 N04BB01 AMANTADINUM** VIREGYT (R) - K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 12.12 0.24 0.24 0.24

Tratamentul se inițiază de către medicul in specialitatea gastroenterologie sau boli infectioase

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 13.78 1.38 1.38 1.382 A04AA01 ONDANSETRONUM** ZOFRAN 4 mg COMPR. FILM. 4mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. P-RF 10 127.53 12.75 1.38 1.383 A04AA01 ONDANSETRONUM** SETRONON 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.1 1.41 1.38 1.384 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 24.11 2.41 2.41 2.415 A04AA01 ONDANSETRONUM** SETRONON 8 mg COMPR. FILM. 8mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 10 24.47 2.45 2.41 2.416 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN POLIAMIDA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 13.77 1.38 1.38 1.387 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE P-RF 10 13.77 1.38 1.38 1.388 A04AA01 ONDANSETRONUM** ONDARAN MD 8 mg COMPR. ORODISPERSABILE 8mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FOLE PA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 24.1 2.41 2.41 2.419 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 17.22 3.44 3.39 3.39

10 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 32.72 6.54 6.54 6.5411 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF 5 17.22 3.44 3.39 3.3912 A04AA01 ONDANSETRONUM** ZOFRAN 4mg/2ml SOL. INJ. 4mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 109.51 21.9 3.39 3.3913 A04AA01 ONDANSETRONUM** SETRONON 4 mg/2 ml SOL. INJ./PERF. 4mg/2ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL INJ/PERF. S/P-RF 5 16.93 3.39 3.39 3.3914 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 32.72 6.54 6.54 6.5415 A04AA01 ONDANSETRONUM** ZOFRAN (R) SOL. INJ. 8mg/4ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ. S/P-RF 5 143.61 28.72 6.54 6.5416 A04AA01 ONDANSETRONUM** SETRONON 8 mg/2 ml SOL. INJ./PERF. 8mg/4 ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL.INJ./PERF. S/P-RF 5 32.96 6.59 6.54 6.5417 A04AA02 GRANISETRONUM** KYTRIL (R) 1 mg COMPR. FILM. 1mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 382.93 38.29 38.29 38.2918 A04AA02 GRANISETRONUM** KYTRIL COMPR. FILM. 2mg F. HOFFMANN LA ROCHE AG. ELVETIA CUTIE X 1 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 5 295.64 59.13 59.13 59.1319 A04AA02 GRANISETRONUM** KYTRIL SOL. INJ. 3mg/3ml ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ. S/P-RF 1 90.09 90.09 90.09 90.0920 A04AA05 PALONOSETRONUM** ALOXI 250 ug SOL. INJ. 250 µg/5ml HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF 1 327.97 327.97 327.97 327.9721 B03XA01 EPOETINUM ALFA*** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.2222 B03XA01 EPOETINUM ALFA*** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.8223 B03XA01 EPOETINUM ALFA*** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.8224 B03XA01 EPOETINUM ALFA*** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.7625 B03XA01 EPOETINUM ALFA*** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.726 B03XA01 EPOETINUM ALFA*** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.7627 B03XA01 EPOETINUM ALFA*** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.728 B03XA01 EPOETINUM ALFA*** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.4729 B03XA01 EPOETINUM ALFA*** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.9330 B03XA01 EPOETINUM ALFA*** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.5231 B03XA01 EPOETINUM ALFA*** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.432 B03XA01 EPOETINUM ALFA*** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.5233 B03XA01 EPOETINUM ALFA*** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.434 B03XA01 EPOETINUM BETA*** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.9635 B03XA01 EPOETINUM BETA*** NEORECORMON 30 000 UI 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 1237.55 1237.55 1237.55 1237.55

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

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36 B03XA01 EPOETINUM BETA*** NEORECORMON 10000 UI 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 2634.15 439.03 439.03 439.0337 B03XA01 EPOETINUM BETA*** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.938 B03XA01 EPOETINUM BETA*** NEORECORMON 2000 UI 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 6 526.83 87.81 87.81 87.8139 B03XA01 EPOETINUM BETA*** NEORECORMON 4000 UI 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 1053.67 175.61 175.61 175.6140 B03XA01 EPOETINUM BETA*** NEORECORMON 5000 UI 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 1317.08 219.51 219.51 219.5141 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 100 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3125.89 781.47 781.47 781.4742 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 10 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 10µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 312.6 78.15 78.15 78.1543 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 150 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4688.84 1172.21 1172.21 1172.2144 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 15 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 15µg/0.375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 468.86 117.22 117.22 117.2245 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 20 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 20µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 625.19 156.3 156.3 156.346 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 300 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 300µg/0.6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2344.41 2344.41 2344.41 2344.4147 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 30 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 30µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 937.75 234.44 234.44 234.4448 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 40 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 40µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1250.35 312.59 312.59 312.5949 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 500 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 500µg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3907.35 3907.35 3907.35 3907.3550 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 50 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 50µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1562.95 390.74 390.74 390.7451 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 60 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 60µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1875.54 468.89 468.89 468.8952 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 80 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 80µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2500.71 625.18 625.18 625.1853 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg SCHERING AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 189.73 3.79 3.79 3.7954 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 100 103.34 1.03 0.71 0.7155 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 71.11 0.71 0.71 0.7156 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 7.55 0.76 0.71 0.7157 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 5.91 1.18 0.71 0.7158 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 123.93 8.26 4.78 4.7859 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 4.7860 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 4.7861 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 71.67 4.78 4.78 4.7862 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3393.74 121.21 121.21 121.2163 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 848.23 30.29 30.29 30.2964 J02AC03 VORICONAZOLUM** VFEND (R) PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 455.92 455.92 455.92 455.9265 J02AC03 VORICONAZOLUM** VFEND (R) 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2252.06 2252.06 2252.06 2252.0666 J02AC04 POSACONAZOLUM** NOXAFIL SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 3065.02 3065.02 3065.02 3065.0267 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1124.55 1124.55 1124.55 1124.5568 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1467.71 1467.71 1467.71 1467.7169 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0.5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS. P-RF 42 856.7 20.4 17.34 17.3470 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0.5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS. P-RF/S 100 1733.81 17.34 17.34 17.3471 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.5172 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.6373 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.6374 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.6375 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.7176 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.7177 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.7178 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.5179 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.5180 N02AA01 MORPHYNUM SEVREDOL 10 mg COMPR. FILM. 10mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS 56 77.43 1.38 1.38 1.3881 N02AA01 MORPHYNUM SEVREDOL 20 mg COMPR. FILM. 20mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS 56 99.94 1.78 1.78 1.7882 N02AA01 MORPHYNUM MST CONTINUS (R) 100 mg COMPR. FILM. ELIB. MODIF. 100mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 193.83 3.23 3.23 3.2383 N02AA01 MORPHYNUM MST CONTINUS (R) 10 mg COMPR. FILM. ELIB. MODIF. 10mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 35.36 0.59 0.59 0.5984 N02AA01 MORPHYNUM MST CONTINUS (R) 200 mg COMPR. FILM. ELIB. MODIF. 200mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 15 COMPR. FILM. CU ELIB. MOD. P-TS 60 363.35 6.06 6.06 6.0685 N02AA01 MORPHYNUM MST CONTINUS (R) 30 mg COMPR. FILM. ELIB. MODIF. 30mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 56.66 0.94 0.94 0.9486 N02AA01 MORPHYNUM MST CONTINUS (R) 60 mg COMPR. FILM. ELIB. MODIF. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 120.82 2.01 2.01 2.0187 N02AA01 MORPHYNUM VENDAL (R) RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 119 3.97 3.23 3.2388 N02AA01 MORPHYNUM VENDAL (R) RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 54.07 5.41 3.23 3.2389 N02AA01 MORPHYNUM VENDAL (R) RETARD 10 mg COMPR. FILM. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 10.04 1 0.59 0.5990 N02AA01 MORPHYNUM VENDAL (R) RETARD 10 mg COMPR. FILM. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 21.37 0.71 0.59 0.5991 N02AA01 MORPHYNUM VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL. 30mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 34.38 1.15 0.94 0.9492 N02AA01 MORPHYNUM VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL. 30mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 21.27 2.13 0.94 0.9493 N02AA01 MORPHYNUM VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL. 60mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 73.05 2.44 2.01 2.0194 N02AA01 MORPHYNUM VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL. 60mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 35.52 3.55 2.01 2.0195 N02AA01 MORPHYNUM MORFINA 20 mg/ml SOL. INJ. 20mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML P-TS 5 5.91 1.18 1.18 1.1896 N02AA05 OXYCODONUM OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 122.1 2.18 2.18 2.1897 N02AA05 OXYCODONUM OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 234.8 4.19 4.19 4.1998 N02AA05 OXYCODONUM OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 438.3 7.83 7.83 7.8399 N02AA05 OXYCODONUM OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 814 14.54 14.54 14.54

100 N02AA08 DIHYDROCODEINUM DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 139.36 2.49 2.49 2.49101 N02AA08 DIHYDROCODEINUM DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 81.99 1.46 1.46 1.46102 N02AA08 DIHYDROCODEINUM DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 111.5 1.99 1.99 1.99103 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS 5 5.56 1.11 0.57 0.57104 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 10 FIOLE DIN STICLA X 2 ML P-TS 10 5.73 0.57 0.57 0.57105 N02AB03 FENTANYLUM** DUROGESIC 100 ug/h PLASTURE TRANSDERM. 16.8mg/42.0cmp JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 5 PLICURI MULTISTRAT, SECURIZATE PT. COPII X 1 SISTEM TERAP. TRANSDERMIC P-TS 5 475.26 95.05 40.35 40.35106 N02AB03 FENTANYLUM** FENTANYL SANDOZ 100 ug/h PLASTURE TRANSDERMIC 100µg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 201.77 40.35 40.35 40.35107 N02AB03 FENTANYLUM** DUROGESIC 25 ug/h PLASTURE TRANSDERM. 4.2mg/10.5cmp JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 5 PLICURI MULTISTRAT, SECURIZATE PT. COPII X 1 SISTEM TERAP. TRANSDERMIC P-TS 5 158.93 31.79 12.66 12.66108 N02AB03 FENTANYLUM** FENTANYL SANDOZ 25 ug/h PLASTURE TRANSDERMIC 25µg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 63.28 12.66 12.66 12.66109 N02AB03 FENTANYLUM** DUROGESIC 50 ug/h PLASTURE TRANSDERM. 8.4mg/21.0cmp JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 5 PLICURI MULTISTRAT, SECURIZATE PT. COPII X 1 SISTEM TERAP. TRANSDERMIC P-TS 5 279.42 55.88 23.77 23.77110 N02AB03 FENTANYLUM** FENTANYL SANDOZ 50 ug/h PLASTURE TRANSDERMIC 50µg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 118.83 23.77 23.77 23.77111 N02AB03 FENTANYLUM** FENTANYL SANDOZ 75 ug/h PLASTURE TRANSDERMIC 75µg/h SANDOZ S.R.L. AUSTRIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 160.75 32.15 32.15 32.15112 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.92 0.55 0.32 0.32113 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.53 0.33 0.32 0.32

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Page 53: Liste Medicamente

114 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.39 0.47 0.32 0.32115 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 13.47 0.45 0.32 0.32116 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 22.06 0.44 0.32 0.32117 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 43.66 0.44 0.32 0.32118 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.73 0.57 0.32 0.32119 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.86 0.39 0.32 0.32120 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.56 0.53 0.32 0.32121 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 4.62 0.46 0.32 0.32122 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.21 0.46 0.32 0.32123 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.05 0.41 0.32 0.32124 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.41 0.32 0.32 0.32125 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.73 0.34 0.34 0.34126 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.11 0.41 0.34 0.34127 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.22 0.36 0.34 0.34128 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 8.57 0.86 0.64 0.64129 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 19.14 0.64 0.64 0.64130 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 35.57 0.71 0.64 0.64131 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 7.42 0.74 0.64 0.64132 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 21.34 0.71 0.64 0.64133 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 45.73 1.52 1.52 1.52134 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 15.61 1.56 1.52 1.52135 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.53 1.95 1.95 1.95136 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 10.44 0.35 0.35 0.35137 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 17.12 1.71 1.63 1.63138 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 48.85 1.63 1.63 1.63139 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 22.51 2.25 2.04 2.04140 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 61.05 2.04 2.04 2.04141 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 12.09 1.21 1.21 1.21142 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 10.2 10.2 9.3 9.3143 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 20.45 20.45 9.3 9.3144 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 78.51 78.51 9.3 9.3145 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 9.3 9.3 9.3 9.3146 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 10.92 10.92 9.3 9.3147 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 9.75 1.95 1.22 1.22148 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.76 1.55 1.22 1.22149 N02AX02 TRAMADOLUM TRADOLAN 50 mg SOL. INJ. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.1 1.82 1.22 1.22150 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 8.47 1.69 1.22 1.22151 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 6.08 1.22 1.22 1.22152 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 10.57 2.11 1.07 1.07153 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.23 1.85 1.07 1.07154 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML S/P-RF 10 19.52 1.95 1.07 1.07155 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.74 1.95 1.07 1.07156 N02AX02 TRAMADOLUM TRADOLAN SOL. INJ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 10.54 2.11 1.07 1.07157 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 13.43 2.69 1.07 1.07158 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 107.43 1.07 1.07 1.07159 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 9.05 1.81 1.07 1.07160 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.96 1.59 1.07 1.07161 N02AX02 TRAMADOLUM TRADOLAN SOL. ORALA 100mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 FLACON DE STICLA BRUNA X 10 ML SOL. ORALA + SISTEM DE INCHIDERE SECURIZAT P-RF 1 10.83 10.83 9.3 9.3162 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. P-RF 5 9.75 1.95 1.26 1.26163 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 7.94 1.59 1.26 1.26164 N02AX02 TRAMADOLUM TRAMAG 100 SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN PVC/PE X 5 SUPOZ. P-RF 5 6.29 1.26 1.26 1.26165 N02AX02 TRAMADOLUM TRADOLAN SUPOZ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. PE/PVC X 5 SUPOZ. P-RF 5 8.69 1.74 1.26 1.26166 N07BC02 METHADONUM SINTALGON (R) 2,5 mg COMPR. 2.5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS 50 8.95 0.18 0.18 0.18167 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.69 0.13 0.09 0.09168 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.51 0.12 0.09 0.09169 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3.66 0.15 0.09 0.09170 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 1.76 0.09 0.09 0.09171 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.09172 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.32 0.12 0.09 0.09173 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.09174 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.09175 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF.PT.SOL.INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DI STICLA X 500 MG LIOF.PT.SOL.INJ./PERF. S/P-RF 10 175.68 17.57 17.57 17.57176 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 824.02 29.43 29.43 29.43177 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) P-RF/R 84 2528.46 30.1 29.43 29.43178 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 5053.99 60.17 58.86 58.86179 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1648.09 58.86 58.86 58.86180 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 10105.81 120.31 117.72 117.72181 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 3296.08 117.72 117.72 117.72

Tratamentul se initiaza de catre medicul in specialitatea oncologie sau hematologie

1 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100 mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 2.06 0.08 0.08 0.082 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100mg SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. P-RF 10 0.85 0.09 0.08 0.083 N03AA02 PHENOBARBITALUM FENOBARBITAL 200 mg/ 2 ml SOL. INJ. 10% ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 5 3.7 0.74 0.74 0.744 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0.91 0.05 0.05 0.055 N03AB02 PHENYTOINUM PHENHYDAN (R) SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 37.96 7.59 7.59 7.596 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 8.23 0.16 0.16 0.16

9. EPILEPSIE - G11

Page 8 of 20

Page 54: Liste Medicamente

7 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 10.14 0.34 0.34 0.348 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 3.94 0.2 0.11 0.119 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 12.03 0.24 0.11 0.11

10 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 21.12 0.42 0.11 0.1111 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 8.34 0.17 0.11 0.1112 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.03 0.2 0.11 0.1113 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.85 0.2 0.11 0.1114 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 10.73 0.21 0.11 0.1115 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 5.37 0.11 0.11 0.1116 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.66 0.18 0.11 0.1117 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.74 0.19 0.11 0.1118 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 18.26 0.37 0.11 0.1119 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.53 0.18 0.11 0.1120 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 400 COMPR. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 22.24 0.74 0.35 0.3521 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 17.5 0.35 0.35 0.3522 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL P-6L 50 14.62 0.29 0.29 0.2923 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L 50 26.76 0.54 0.53 0.5324 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 50 21.12 0.42 0.41 0.4125 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 22.24 0.74 0.74 0.7426 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 15.93 0.32 0.32 0.3227 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.59 0.29 0.29 0.2928 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. RET. 400mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 37.53 0.75 0.75 0.7529 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 26.71 0.53 0.53 0.5330 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 20.45 0.41 0.41 0.4131 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE P-6L 1 15.93 15.93 15.93 15.9332 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 300 mg COMPR. FILM. 300mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 64.08 1.28 1.28 1.2833 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 600 mg COMPR. FILM. 600mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 116.1 2.32 2.32 2.3234 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 19.94 0.4 0.4 0.435 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. P-6L 50 35.24 0.7 0.7 0.736 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 15.8 0.16 0.16 0.1637 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 23.53 0.24 0.24 0.2438 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L 100 37.38 0.37 0.37 0.3739 N03AG01 ACIDUM VALPROICUM + SARURI PETILIN COMPR. FILM. 200mg REMEDICA LTD. CIPRU CUTIE X 40 COMPR. FILM. P-6L 40 16.8 0.42 0.42 0.4240 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE P-6L 100 84.51 0.85 0.85 0.8541 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILEP-6L 30 42.25 1.41 1.41 1.4142 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. P-6L 100 23.51 0.24 0.24 0.2443 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. P-6L 40 15.55 0.39 0.39 0.3944 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. P-6L 100 40.68 0.41 0.41 0.4145 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. P-6L 50 35.15 0.7 0.7 0.746 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF 4 116.65 29.16 29.16 29.1647 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 97.46 1.95 1.95 1.9548 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 57.94 1.16 1.16 1.1649 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML P-6L 1 38.4 38.4 38.4 38.450 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 13.28 13.28 13.28 13.2851 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57.64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L 1 21.58 21.58 21.58 21.5852 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 108.35 3.61 0.9 0.953 N03AX09 LAMOTRIGINUM** EPIZOL 100 mg COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 45.98 1.53 0.9 0.954 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 39.75 1.42 0.9 0.955 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 45.22 1.51 0.9 0.956 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 43.29 1.44 0.9 0.957 N03AX09 LAMOTRIGINUM** LAMOLEP 100 mg COMPR. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 42.91 1.43 0.9 0.958 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 100 90.3 0.9 0.9 0.959 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 30.18 1.01 0.9 0.960 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 42.82 1.43 0.9 0.961 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 89.59 2.99 2.57 2.5762 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 71.96 2.57 2.57 2.5763 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 77.8 2.59 2.57 2.5764 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 28.39 0.95 0.38 0.3865 N03AX09 LAMOTRIGINUM** EPIZOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 15.91 0.53 0.38 0.3866 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 13.44 0.48 0.38 0.3867 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 15.61 0.52 0.38 0.3868 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.09 0.5 0.38 0.3869 N03AX09 LAMOTRIGINUM** LAMOLEP 25 mg COMPR. 25mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 14.85 0.5 0.38 0.3870 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L 30 11.41 0.38 0.38 0.3871 N03AX09 LAMOTRIGINUM** PLEXXO (R) 25 mg COMPR. 25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.62 0.49 0.38 0.3872 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.6173 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 56.78 1.89 0.61 0.6174 N03AX09 LAMOTRIGINUM** EPIZOL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 27.87 0.93 0.61 0.6175 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 23.53 0.84 0.61 0.6176 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 25.27 0.84 0.61 0.6177 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 26.41 0.88 0.61 0.6178 N03AX09 LAMOTRIGINUM** LAMOLEP 50 mg COMPR. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.6179 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 18.44 0.61 0.61 0.6180 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 45.22 1.51 0.95 0.9581 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 28.53 0.95 0.95 0.9582 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 25 mg COMPR. DISP. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 15.61 0.52 0.1 0.183 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 2.93 0.1 0.1 0.184 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 25.28 0.84 0.65 0.65

Page 9 of 20

Page 55: Liste Medicamente

85 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 19.43 0.65 0.65 0.6586 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. DISP./MAST. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 36.46 1.22 0.1 0.187 N03AX09 LAMOTRIGINUM** LAMICTAL (R) 2 mg COMPR. DISP./MAST. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PE X 30 COMPR. DISP./MAST. P-6L 30 6.52 0.22 0.22 0.2288 N03AX09 LAMOTRIGINUM** LAMICTAL 5 mg COMPR. DISP./MAST. 5mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 6.99 0.23 0.23 0.2389 N03AX11 TOPIRAMATUM** TOPAMAX 100 mg COMPR. FILM. 100mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 155.33 5.55 5.19 5.1990 N03AX11 TOPIRAMATUM** TOPRAN 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 311.41 5.19 5.19 5.1991 N03AX11 TOPIRAMATUM** TOPAMAX 200 mg COMPR. FILM. 200mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 310.65 11.09 8.95 8.9592 N03AX11 TOPIRAMATUM** TOPRAN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 536.99 8.95 8.95 8.9593 N03AX11 TOPIRAMATUM** TOPAMAX 25 mg COMPR. FILM. 25mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 38.86 1.39 1.25 1.2594 N03AX11 TOPIRAMATUM** TOPRAN 25 mg COMPR. FILM. 25mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 74.93 1.25 1.25 1.2595 N03AX11 TOPIRAMATUM** TOPAMAX 50 mg COMPR. FILM. 50mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 77.66 2.77 2.5 2.596 N03AX11 TOPIRAMATUM** TOPRAN 50 mg COMPR. FILM. 50mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 149.76 2.5 2.5 2.597 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 46.34 0.46 0.42 0.4298 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 24.41 0.49 0.42 0.4299 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.7 0.59 0.42 0.42

100 N03AX12 GABAPENTINUM*** GABALEPT 100 mg CAPS. 100mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 42.44 0.42 0.42 0.42101 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 57.81 1.16 1.08 1.08102 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 24.29 1.21 1.08 1.08103 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 109.84 1.1 1.08 1.08104 N03AX12 GABAPENTINUM*** GABARAN 300 mg CAPS. 300mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 56.4 1.13 1.08 1.08105 N03AX12 GABAPENTINUM*** GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 107.75 1.08 1.08 1.08106 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 74.85 1.5 1.39 1.39107 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 31.45 1.57 1.39 1.39108 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 142.17 1.42 1.39 1.39109 N03AX12 GABAPENTINUM*** GABARAN 400 mg CAPS. 400mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 72.85 1.46 1.39 1.39110 N03AX12 GABAPENTINUM*** GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 139.44 1.39 1.39 1.39111 N03AX12 GABAPENTINUM*** GABARAN 600 mg COMPR. FILM. 600mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 63 2.1 2.1 2.1112 N03AX12 GABAPENTINUM*** GABARAN 800 mg COMPR. FILM. 800mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 83.98 2.8 2.8 2.8113 N03AX14 LEVETIRACETAMUM** KEPPRA (R) 1000 mg COMPR. FILM. 1000mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF 30 339.39 11.31 11.31 11.31114 N03AX14 LEVETIRACETAMUM** KEPPRA (R) 500 mg COMPR. FILM. 500mg UCB PHARMA LTD BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 170.66 5.69 5.69 5.69115 N03AX14 LEVETIRACETAMUM** KEPPRA 100 mg/ml SOL. ORALA 100mg/ml UCB PHARMA SA BELGIA CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA P-RF 1 288.87 288.87 288.87 288.87116 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 73.46 5.25 5.25 5.25117 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 293.87 5.25 5.25 5.25118 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 390.08 6.97 6.97 6.97119 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 97.53 6.97 6.97 6.97120 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 48.75 3.48 3.48 3.48121 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 195.05 3.48 3.48 3.48

Tratamentul se initiaza de catre medicul in specialitatea neurologie

10. BOALA PARKINSON - G12

1 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.81 0.2 0.2 0.22 N04BA02 COMBINATII (LEVODOPUM + CARBIDOPUM)** NAKOM COMPR. 250mg+25mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 97.9 0.98 0.98 0.983 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR HBS CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. CU ELIB. MODIF. P-6L 30 19.42 0.65 0.56 0.564 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR HBS CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L 100 56.33 0.56 0.56 0.565 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR (R) 250 COMPR. 200mg+50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 33.27 1.11 1.11 1.116 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR 250 COMPR. 200mg+50mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 34.49 1.15 1.11 1.117 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO (R) 100 mg/25 mg/200 mg COMPR. FILM. 100mg/25mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 468.35 4.68 4.68 4.688 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO (R) 150 mg/37,5 mg/200 mg COMPR. FILM. 150mg/37.5mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 500.9 5.01 5.01 5.019 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO (R) 50 mg/12,5 mg/200 mg COMPR. FILM. 50mg/12.5mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 435.78 4.36 4.36 4.36

10 N04BB01 AMANTADINUM** VIREGYT (R) - K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 12.12 0.24 0.24 0.2411 N04BC01 BROMOCRIPTINUM BROCRIPTIN (G02CB01) DRAJ. 2.5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 14.09 0.35 0.35 0.3512 N04BC04 ROPINIROLUM** REQUIP 0,25 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 4 FOLII = 1 X 21 COMPR.FILM. + 1 X 42 COMPR.FILM. + 1 X 63 COMPR.FILM. + 1 X 84 COMPR.FILM. P-6L 210 103.29 0.49 0.49 0.4913 N04BC04 ROPINIROLUM** REQUIP 1 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 29.87 1.42 1.42 1.4214 N04BC04 ROPINIROLUM** REQUIP 2 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 48.01 2.29 2.29 2.2915 N04BC04 ROPINIROLUM** REQUIP 5 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 99.25 4.73 4.73 4.7316 N04BC05 PRAMIPEXOLUM** MIRAPEXIN? 0,18 mg COMPR. 0.18mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 40.07 1.34 1.34 1.3417 N04BC05 PRAMIPEXOLUM** MIRAPEXIN? 0,7 mg COMPR. 0.7mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 150.37 5.01 5.01 5.0118 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 338.28 12.08 12.08 12.0819 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 84.59 12.08 12.08 12.0820 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 104.49 14.93 14.93 14.9321 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 434.29 15.51 14.93 14.9322 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 539.59 19.27 19.27 19.2723 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 134.91 19.27 19.27 19.2724 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 651.86 23.28 23.28 23.2825 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 162.97 23.28 23.28 23.2826 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L 50 26.17 0.52 0.52 0.5227 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100 52.38 0.52 0.52 0.5228 N04BD01 SELEGILINUM ALS-SELEGILINA 5 mg COMPR. 5mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. P-6L 60 35.37 0.59 0.52 0.5229 N04BD01 SELEGILINUM JUMEX 5 mg COMPR. 5mg CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 30.79 0.62 0.52 0.5230 N04BD02 RASAGILINUM*** AZILECT 1 mg COMPR. 1mg TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF 30 489.45 16.32 16.32 16.3231 N04BX02 ENTACAPONUM*** COMTAN (R) COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM. P-RF 100 366.02 3.66 3.66 3.6632 N04BX02 ENTACAPONUM*** COMTAN (R) COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM. P-RF 30 109.81 3.66 3.66 3.6633 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 99.68 1.99 1.99 1.9934 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 33.65 0.67 0.67 0.67

Tratamentul se initiaza de catre medicul in specialitatea neurologie

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Page 56: Liste Medicamente

1 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.052 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.053 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.054 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.055 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.056 L01BA01 METHOTREXATUM47 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.558 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 10 1.94 0.19 0.19 0.199 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 5 2.71 0.54 0.19 0.19

10 N07AA02 PYRIDOSTIGMINI BROMIDUM MESTINON 60 mg DRAJ. 60mg ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. X 20 DRAJ. S/P-RF 20 14.38 0.72 0.72 0.72Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14

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 47.53 0.95 0.95 0.952 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 35.65 1.78 1.78 1.783 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.44 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 11.055 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 11.056 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 2.27 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 27.918 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.539 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.53

10 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 33.0711 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 33.0712 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0513 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0514 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.0515 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.0516 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.0517 L01BA01 METHOTREXATUM418 L01DB07 MITOXANTRONUM*** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S 1 648.21 648.21 648.21 648.2119 L01DB07 MITOXANTRONUM*** MITOXANTRONE TEVA 2 mg/ml CONC. PT. SOL. PERF. 2 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML CONC.PT. SOL. PERF. S 1 509.71 509.71 509.71 509.7120 L01DB07 MITOXANTRONUM*** NOVANTRONE SOL. PERF. 20mg/10ml WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. PERF. S 1 743.05 743.05 743.05 743.0521 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55

Tratamentul se initiaza de catre medicul in specialitatea neurologie

1 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 19.94 0.4 0.4 0.42 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. P-6L 50 35.24 0.7 0.7 0.73 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 15.8 0.16 0.16 0.164 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 23.53 0.24 0.24 0.245 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L 100 37.38 0.37 0.37 0.376 N03AG01 ACIDUM VALPROICUM + SARURI PETILIN COMPR. FILM. 200mg REMEDICA LTD. CIPRU CUTIE X 40 COMPR. FILM. P-6L 40 16.8 0.42 0.42 0.427 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE P-6L 100 84.51 0.85 0.85 0.858 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILEP-6L 30 42.25 1.41 1.41 1.419 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. P-6L 100 23.51 0.24 0.24 0.24

10 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. P-6L 40 15.55 0.39 0.39 0.3911 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. P-6L 100 40.68 0.41 0.41 0.4112 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. P-6L 50 35.15 0.7 0.7 0.713 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF 4 116.65 29.16 29.16 29.1614 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 97.46 1.95 1.95 1.9515 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 57.94 1.16 1.16 1.1616 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML P-6L 1 38.4 38.4 38.4 38.417 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 13.28 13.28 13.28 13.2818 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57.64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L 1 21.58 21.58 21.58 21.5819 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 108.35 3.61 0.9 0.920 N03AX09 LAMOTRIGINUM** EPIZOL 100 mg COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 45.98 1.53 0.9 0.921 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 39.75 1.42 0.9 0.922 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 45.22 1.51 0.9 0.923 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 43.29 1.44 0.9 0.924 N03AX09 LAMOTRIGINUM** LAMOLEP 100 mg COMPR. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 42.91 1.43 0.9 0.925 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 100 90.3 0.9 0.9 0.926 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 30.18 1.01 0.9 0.927 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 42.82 1.43 0.9 0.928 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 89.59 2.99 2.57 2.5729 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 71.96 2.57 2.57 2.5730 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 77.8 2.59 2.57 2.5731 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 28.39 0.95 0.38 0.3832 N03AX09 LAMOTRIGINUM** EPIZOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 15.91 0.53 0.38 0.3833 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 13.44 0.48 0.38 0.3834 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 15.61 0.52 0.38 0.3835 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.09 0.5 0.38 0.38

11. MIASTENIA GRAVIS - G13

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

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

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36 N03AX09 LAMOTRIGINUM** LAMOLEP 25 mg COMPR. 25mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 14.85 0.5 0.38 0.3837 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L 30 11.41 0.38 0.38 0.3838 N03AX09 LAMOTRIGINUM** PLEXXO (R) 25 mg COMPR. 25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.62 0.49 0.38 0.3839 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.6140 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 56.78 1.89 0.61 0.6141 N03AX09 LAMOTRIGINUM** EPIZOL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 27.87 0.93 0.61 0.6142 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 23.53 0.84 0.61 0.6143 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 25.27 0.84 0.61 0.6144 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 26.41 0.88 0.61 0.6145 N03AX09 LAMOTRIGINUM** LAMOLEP 50 mg COMPR. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.6146 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 18.44 0.61 0.61 0.6147 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 45.22 1.51 0.95 0.9548 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 28.53 0.95 0.95 0.9549 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 25 mg COMPR. DISP. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 15.61 0.52 0.1 0.150 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 2.93 0.1 0.1 0.151 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 25.28 0.84 0.65 0.6552 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 19.43 0.65 0.65 0.6553 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. DISP./MAST. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 36.46 1.22 0.1 0.154 N03AX09 LAMOTRIGINUM** LAMICTAL (R) 2 mg COMPR. DISP./MAST. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PE X 30 COMPR. DISP./MAST. P-6L 30 6.52 0.22 0.22 0.2255 N03AX09 LAMOTRIGINUM** LAMICTAL 5 mg COMPR. DISP./MAST. 5mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 6.99 0.23 0.23 0.2356 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.81 0.2 0.2 0.257 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 29.27 1.17 1.17 1.1758 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF 1 4.75 4.75 3.35 3.3559 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 3.35 3.35 3.35 3.3560 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML P-RF 5 81.18 16.24 16.24 16.2461 N05AD01 HALOPERIDOLUM HALOPERIDOL 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.06 1.81 1.81 1.8162 N05AE03 SERTINDOL** SERDOLECT 12 mg COMPR. FILM. 12mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 318.86 11.39 11.39 11.3963 N05AE03 SERTINDOL** SERDOLECT 16 mg COMPR. FILM. 16mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 425.14 15.18 15.18 15.1864 N05AE03 SERTINDOL** SERDOLECT 20 mg COMPR. FILM. 20mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 471.5 16.84 16.84 16.8465 N05AE03 SERTINDOL** SERDOLECT 4 mg COMPR. FILM. 4mg H. LUNDBECK A/S DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 113.88 3.8 3.8 3.866 N05AE04 ZIPRASIDONUM** ZELDOX (R) 40 mg CAPS. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 434.32 7.76 7.76 7.7667 N05AE04 ZIPRASIDONUM** ZELDOX (R) 60 mg CAPS. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 470.07 8.39 8.39 8.3968 N05AE04 ZIPRASIDONUM** ZELDOX (R) 80 mg CAPS. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 549.02 9.8 9.8 9.869 N05AE04 ZIPRASIDONUM** ZELDOX (R) 20 mg/ml LIOF. PT. SOL. INJ. + SOLV. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV. S/P-RF 1 51.68 51.68 51.68 51.6870 N05AF01 FLUPENTIXOLUM** FLUANXOL DEPOT SOL. INJ. 20mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 110.8 11.08 11.08 11.0871 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 22.1 0.44 0.44 0.4472 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 25 mg COMPR. FILM. 25mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 45.28 0.91 0.91 0.9173 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL 20 mg/ml PIC. ORALE-SOL. 20mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML P-RF 1 23.95 23.95 23.95 23.9574 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) DEPOT SOL. INJ. 200mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE X 1 ML P-RF 10 138.01 13.8 13.8 13.875 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL ACUPHASE (R) SOL. INJ. 50mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 5 FIOLE X 1 ML P-RF 5 38.61 7.72 7.72 7.7276 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 99.68 1.99 1.99 1.9977 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 33.65 0.67 0.67 0.6778 N05AH03 OLANZAPINUM** ZYPREXA 10 mg COMPR. FILM. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 7 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 435.26 15.55 15.55 15.5579 N05AH03 OLANZAPINUM** ZYPREXA 5 mg COMPR. FILM. 5mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 217.64 7.77 7.77 7.7780 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 15 mg COMPR. ORODISPERSABILE 15mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 723.65 25.84 25.84 25.8481 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 20 mg COMPR. ORODISPERSABILE 20mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 964.87 34.46 34.46 34.4682 N05AH03 OLANZAPINUM** ZYPREXA 10 mg pulbere pentru solutie injectabila PULB. PT. SOL. INJ. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF 1 15.73 15.73 15.73 15.7383 N05AH04 QUETIAPINUM** SEROQUEL 100mg COMPR. FILM. 100mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/ PVC X 10 COMPR. FILM. P-RF 60 208.6 3.48 3.48 3.4884 N05AH04 QUETIAPINUM SEROQUEL 200 mg COMPR. FILM. 200mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 60 345.82 5.76 5.76 5.7685 N05AH04 QUETIAPINUM SEROQUEL (R) 300 mg COMPR. FILM. 300mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 603.27 10.05 10.05 10.0586 N05AH04 QUETIAPINUM SEROQUEL XR 200 mg COMPR. FILM. ELIB. PREL. 200mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF 60 699.95 11.67 11.67 11.6787 N05AH04 QUETIAPINUM SEROQUEL XR 300 mg COMPR. FILM. ELIB. PREL. 300mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF 60 1060.33 17.67 17.67 17.6788 N05AL01 SULPIRIDUM EGLONYL (R) 50 mg CAPS. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 13.94 0.46 0.46 0.4689 N05AL01 SULPIRIDUM EGLONYL (R) 200 mg COMPR. 200mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 1 BLIST. X 12 COMPR. P-RF 12 10.2 0.85 0.85 0.8590 N05AL01 SULPIRIDUM EGLONYL 100 mg/2 ml SOL. INJ. 50mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 6 FIOLE X 2 ML P-RF 6 13.01 2.17 2.17 2.1791 N05AL05 AMISULPRIDUM** SOLIAN 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 183.43 6.11 6.11 6.1192 N05AL05 AMISULPRIDUM** SOLIAN (R) 400 mg COMPR. FILM. 400mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 344.13 11.47 11.47 11.4793 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 6.28 0.31 0.29 0.2994 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 18.33 0.31 0.29 0.2995 N05AX08 RISPERIDONUM** RISPOLEPT (R) 1 mg COMPR. FILM. 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 46.9 2.35 0.29 0.2996 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 23.78 0.48 0.29 0.2997 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 9.52 0.48 0.29 0.2998 N05AX08 RISPERIDONUM** RILEPTID 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 44.32 0.74 0.29 0.2999 N05AX08 RISPERIDONUM** TORENDO 1 mg COMPR. FILM. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 10.4 0.35 0.29 0.29

100 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 6.42 0.32 0.29 0.29101 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 17.68 0.29 0.29 0.29102 N05AX08 RISPERIDONUM** RISPERIDONA 1 mg COMPR. FILM. 1mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 6.27 0.31 0.29 0.29103 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 47.56 0.95 0.58 0.58104 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 19.03 0.95 0.58 0.58105 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 34.97 0.58 0.58 0.58106 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 11.66 0.58 0.58 0.58107 N05AX08 RISPERIDONUM** RISPOLEPT (R) 2 mg COMPR. FILM. 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 87.15 4.36 0.58 0.58108 N05AX08 RISPERIDONUM** RILEPTID 2 mg COMPR. FILM. 2mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 88.18 1.47 0.58 0.58109 N05AX08 RISPERIDONUM** TORENDO 2 mg COMPR. FILM. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 19.4 0.65 0.58 0.58110 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 11.55 0.58 0.58 0.58111 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 34.66 0.58 0.58 0.58112 N05AX08 RISPERIDONUM** RISON 2 mg COMPR. FILM. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 15.98 0.8 0.58 0.58113 N05AX08 RISPERIDONUM** RISPERIDONA 2 mg COMPR. FILM. 2mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 11.65 0.58 0.58 0.58

Page 12 of 20

Page 58: Liste Medicamente

114 N05AX08 RISPERIDONUM** RISPOLEPT (R) 3 mg COMPR. FILM. 3mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 128.11 6.41 0.92 0.92115 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 71.32 1.43 0.92 0.92116 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 28.54 1.43 0.92 0.92117 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMP. FILM. P-RF 60 59.22 0.99 0.92 0.92118 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 19.73 0.99 0.92 0.92119 N05AX08 RISPERIDONUM** RILEPTID 3 mg COMPR. FILM. 3mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 140.24 2.34 0.92 0.92120 N05AX08 RISPERIDONUM** TORENDO 3 mg COMPR. FILM. 3mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 27.72 0.92 0.92 0.92121 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 19.66 0.98 0.92 0.92122 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 58.99 0.98 0.92 0.92123 N05AX08 RISPERIDONUM** RISON 3 mg COMPR. FILM. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 24.44 1.22 0.92 0.92124 N05AX08 RISPERIDONUM** RISPERIDONA 3 mg COMPR. FILM. 3mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 19.72 0.99 0.92 0.92125 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 95.09 1.9 1.27 1.27126 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 38.02 1.9 1.27 1.27127 N05AX08 RISPERIDONUM** RISPOLEPT (R) 4 mg COMPR. FILM. 4mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 178.04 8.9 1.27 1.27128 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 26.32 1.32 1.27 1.27129 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 78.95 1.32 1.27 1.27130 N05AX08 RISPERIDONUM** RILEPTID 4 mg COMPR. FILM. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 181.07 3.02 1.27 1.27131 N05AX08 RISPERIDONUM** TORENDO 4 mg COMPR. FILM. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 38.12 1.27 1.27 1.27132 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 78.79 1.31 1.27 1.27133 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 26.26 1.31 1.27 1.27134 N05AX08 RISPERIDONUM** RISON 4 mg COMPR. FILM. 4mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 33.84 1.69 1.27 1.27135 N05AX08 RISPERIDONUM** RISPERIDONA 4 mg COMPR. FILM. 4mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 26.31 1.32 1.27 1.27136 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PCTFE/AL X 4 COMPR. ORODISPERSABILE P-RF 56 190.16 3.4 0.57 0.57137 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PA/AL X 4 COMPR. ORODISPERSABILE P-RF 56 190.16 3.4 0.57 0.57138 N05AX08 RISPERIDONUM** TORENDO Q-TAB 1 mg COMPR. ORODISPERSABILE 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 17.19 0.57 0.57 0.57139 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PCTFE/AL X 4 COMPR. ORODISPERSABILE P-RF 56 370.97 6.62 1.18 1.18140 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PA/AL X 4 COMPR. ORODISPERSABILE P-RF 56 370.97 6.62 1.18 1.18141 N05AX08 RISPERIDONUM** TORENDO Q-TAB 2 mg COMPR. ORODISPERSABILE 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 35.51 1.18 1.18 1.18142 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 25 mg PULB. + SOLV. PT. SOL. INJ. 25mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 534.04 534.04 534.04 534.04143 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 37,5 mg PULB. + SOLV. PT. SOL. INJ. 37.5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 756.98 756.98 756.98 756.98144 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 952.02 952.02 952.02 952.02145 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA P-RF 1 254.27 254.27 82.73 82.73146 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA P-RF 1 82.73 82.73 82.73 82.73147 N05AX12 ARIPIPRAZOLUM** ABILIFY 10 mg COMPR. 10mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 COMPR. P-RF 28 423.04 15.11 15.11 15.11148 N05AX12 ARIPIPRAZOLUM** ABILIFY 15 mg COMPR. 15mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 COMPR. P-RF 28 423.04 15.11 15.11 15.11149 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 10 0.36 0.36 0.36150 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 28.94 0.96 0.36 0.36151 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 14.48 0.52 0.52 0.52152 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 57.63 1.92 0.52 0.52153 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 25.04 0.89 0.89 0.89154 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 110.02 3.67 0.89 0.89155 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 83.59 2.99 2.99 2.99156 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 45.27 3.23 2.99 2.99157 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 41.56 1.48 1.48 1.48158 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 33.43 1.67 1.67 1.67159 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12.5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 28.34 0.94 0.94 0.94160 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 174.28 6.22 4.12 4.12161 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 115.34 4.12 4.12 4.12162 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 87.14 3.11 2.15 2.15163 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 60.07 2.15 2.15 2.15164 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 90.23 1.5 1.15 1.15165 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 64.39 1.15 1.15 1.15166 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 173.18 2.89 2.09 2.09167 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 116.94 2.09 2.09 2.09168 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 54.11 0.97 0.97 0.97169 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 96.93 1.73 1.73 1.73170 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 86.48 3.09 3.09 3.09171 N06AX21 DULOXETINUM** CYMBALTA 60 mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 147.45 5.27 5.27 5.27

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

1 N06DA02 DONEPEZILUM*** ARICEPT (R) 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF 28 302.18 10.79 10.79 10.792 N06DA02 DONEPEZILUM*** ARICEPT (R) 5 mg COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 302.18 10.79 10.79 10.793 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 363.09 12.97 12.97 12.974 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 334.8 11.96 11.96 11.965 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 1.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.536 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 1.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.537 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.538 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.539 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 4.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53

10 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 4.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.5311 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 6mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.5312 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 6mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.5313 N06DA03 RIVASTIGMINUM*** EXELON PLASTURE TRANSDERMIC 4.6mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 414.49 13.82 13.82 13.8214 N06DA03 RIVASTIGMINUM*** EXELON PLASTURE TRANSDERMIC 9.5mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 414.49 13.82 13.82 13.8215 N06DA04 GALANTAMINUM*** REMINYL 16 mg CAPS. ELIB. PREL. 16mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 331.31 11.83 11.83 11.83

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

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16 N06DA04 GALANTAMINUM*** REMINYL 24 mg CAPS. ELIB. PREL. 24mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 363.51 12.98 12.98 12.9817 N06DA04 GALANTAMINUM*** REMINYL 8 mg CAPS. ELIB. PREL. 8mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 222.24 7.94 7.94 7.9418 N06DA04 GALANTAMINUM*** REMINYL (R) 12 mg COMPR. FILM. 12mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 4 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 56 350.9 6.27 6.27 6.2719 N06DA04 GALANTAMINUM*** REMINYL (R) 4 mg COMPR. FILM. 4mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 14 57.19 4.09 4.09 4.0920 N06DA04 GALANTAMINUM*** REMINYL (R) 8 mg COMPR. FILM. 8mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 4 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 56 319.97 5.71 5.71 5.7121 N06DA04 GALANTAMINUM*** REMINYL (R) 8 mg COMPR. FILM. 8mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 14 85.9 6.14 5.71 5.7122 N06DA04 GALANTAMINUM*** REMINYL (R) 4 mg/ml SOL. ORALA 4mg/ml JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF 1 237.96 237.96 237.96 237.9623 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R 56 404.95 7.23 7.23 7.2324 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 28 COMPR. FILM. (BLIST. AL/PP) P-RF/R 28 224.76 8.03 7.23 7.2325 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 50 G SOLUTIE P-RF/R 1 401.25 401.25 167.2 167.226 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 100 G SOLUTIE P-RF/R 1 802.46 802.46 167.2 167.227 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 20 G SOLUTIE P-RF/R 1 167.2 167.2 167.2 167.2

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

1 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.952 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.783 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.44 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.515 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 32.83 32.83 32.83 32.836 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 16.41 16.41 16.41 16.417 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 9.58 9.58 9.58 9.588 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.559 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 63.54 1.06 1.06 1.06

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

1 A07EC01 SULFASALAZINUM SALAZIDIN COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.34 0.47 0.47 0.472 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 21.15 0.42 0.42 0.423 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 25.17 5.03 5.03 5.034 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.955 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.786 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.47 L01BA01 METHOTREXATUM48 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.519 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.63

10 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.6311 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.6312 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.7113 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.7114 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.7115 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.5116 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.5117 L04AA13 LEFLUNOMIDUM** ARAVA 100 mg COMPR. FILM. 100mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. AL/AL X 3 COMPR. FILM. P-RF/R 3 113.77 37.92 37.92 37.9218 L04AA13 LEFLUNOMIDUM** ARAVA 10 mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 243.8 8.13 8.13 8.1319 L04AA13 LEFLUNOMIDUM** ARAVA 20 mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 320.43 10.68 10.68 10.6820 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.5521 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 35.41 1.77 1.77 1.7722 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 11.45 0.38 0.38 0.3823 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.5 0.35 0.35 0.3524 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 14.63 1.46 0.13 0.1325 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.86 0.34 0.13 0.1326 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 2.5 0.13 0.13 0.1327 M01AB05 DICLOFENACUM VOLTAREN (R) 25 COMPR. FILM. GASTROREZ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 30 15.48 0.52 0.14 0.1428 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 4.3 0.14 0.14 0.1429 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 18.03 0.9 0.08 0.0830 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.68 0.08 0.08 0.0831 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.81 0.09 0.08 0.0832 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.02 0.1 0.08 0.0833 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 3.5 0.12 0.12 0.1234 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 9.72 0.97 0.97 0.9735 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 4.42 0.15 0.15 0.1536 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 1.96 0.1 0.1 0.137 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 18.03 3.61 0.71 0.7138 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 7.25 1.45 0.71 0.7139 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 7.05 1.41 0.71 0.7140 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 9.52 0.95 0.71 0.7141 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 25.41 0.85 0.71 0.7142 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 10.07 2.01 2.01 2.0143 M01AB05 DICLOFENACUM VURDON SOL. INJ. 75mg HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 7.59 1.52 0.71 0.7144 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 7.06 0.71 0.71 0.7145 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 6.98 1.4 0.71 0.7146 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.02 1 0.71 0.7147 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.18 0.36 0.23 0.2348 M01AB05 DICLOFENACUM DICLOGESIC 100 SUPOZITOARE SUPOZ. 100mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FOLIE X 5 SUPOZ. P-6L 5 4.43 0.89 0.23 0.23

16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18

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

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49 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 7.64 1.53 0.23 0.2350 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.27 0.23 0.23 0.2351 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.35 0.24 0.23 0.2352 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 2.85 0.57 0.23 0.2353 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7.52 1.25 1.25 1.2554 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.4 0.94 0.94 0.9455 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7 1.17 1.17 1.1756 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 63.54 1.06 1.06 1.06

1 A07EC01 SULFASALAZINUM SALAZIDIN COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.34 0.47 0.47 0.472 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 21.15 0.42 0.42 0.423 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 25.17 5.03 5.03 5.034 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 35.41 1.77 1.77 1.775 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 11.45 0.38 0.38 0.386 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.5 0.35 0.35 0.357 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 14.63 1.46 0.13 0.138 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.86 0.34 0.13 0.139 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 2.5 0.13 0.13 0.13

10 M01AB05 DICLOFENACUM VOLTAREN (R) 25 COMPR. FILM. GASTROREZ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 30 15.48 0.52 0.14 0.1411 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 4.3 0.14 0.14 0.1412 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 18.03 0.9 0.08 0.0813 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.68 0.08 0.08 0.0814 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.81 0.09 0.08 0.0815 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.02 0.1 0.08 0.0816 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 3.5 0.12 0.12 0.1217 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 9.72 0.97 0.97 0.9718 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 4.42 0.15 0.15 0.1519 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 1.96 0.1 0.1 0.120 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 18.03 3.61 0.71 0.7121 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 7.25 1.45 0.71 0.7122 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 7.05 1.41 0.71 0.7123 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 9.52 0.95 0.71 0.7124 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 25.41 0.85 0.71 0.7125 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 10.07 2.01 2.01 2.0126 M01AB05 DICLOFENACUM VURDON SOL. INJ. 75mg HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 7.59 1.52 0.71 0.7127 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 7.06 0.71 0.71 0.7128 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 6.98 1.4 0.71 0.7129 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.02 1 0.71 0.7130 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.18 0.36 0.23 0.2331 M01AB05 DICLOFENACUM DICLOGESIC 100 SUPOZITOARE SUPOZ. 100mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FOLIE X 5 SUPOZ. P-6L 5 4.43 0.89 0.23 0.2332 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 7.64 1.53 0.23 0.2333 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.27 0.23 0.23 0.2334 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.35 0.24 0.23 0.2335 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 2.85 0.57 0.23 0.2336 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7.52 1.25 1.25 1.2537 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.4 0.94 0.94 0.9438 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7 1.17 1.17 1.17

1 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 60.44 30.22 20.98 20.982 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 167.87 20.98 20.98 20.983 H01AX01 PEGVISOMANTUM**** SOMAVERT (R) 10 mg LIOF. + SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE P-RF/R 30 9626.34 320.88 320.88 320.884 H01AX01 PEGVISOMANTUM**** SOMAVERT (R) 20 mg LIOF. + SOLV. PT. SOL. INJ. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE P-RF/R 30 19251.66 641.72 641.72 641.725 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0.2mg FERRING AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 162.53 5.42 5.42 5.426 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 20 mg PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 4358.94 4358.94 4358.94 4358.947 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 10 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 2519.19 2519.19 2519.19 2519.198 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 30 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 5664.02 5664.02 5664.02 5664.029 H01CB02 OCTREOTIDUM**** SANDOSTATIN (R) SOL. INJ. 0.1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 233.27 46.65 46.65 46.65

10 H01CB03 LANREOTIDUM**** SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV. 30mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE S/P-RF 1 2151.32 2151.32 2151.32 2151.3211 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0.1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 34.91 0.7 0.7 0.712 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 73.61 24.54 24.54 24.5413 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 26.1 8.7 8.7 8.714 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0515 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0516 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.0517 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.0518 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05

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

17. SPONDILITA ANKILOZANTA - G 19

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

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARELNALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) - G 22

Page 15 of 20

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19 H02AB09 HYDROCORTISONUM HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. S/P-RF 1 3.67 3.67 3.13 3.1320 H02AB09 HYDROCORTISONUM HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 3.13 3.13 3.13 3.1321 H02AB09 HYDROCORTISONUM HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. S/P-RF 1 8.86 8.86 8.86 8.8622 H02AB09 HYDROCORTISONUM HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B S/P-RF 5 9.3 1.86 1.86 1.8623 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.47 0.08 0.08 0.0824 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100µg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 9.06 0.09 0.08 0.0825 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 17.07 0.17 0.17 0.1726 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 7.14 0.07 0.07 0.0727 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 6.29 0.06 0.06 0.0628 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50µg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 6.35 0.06 0.06 0.0629 H03CA01 KALII IODIDUM JODID 100 COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 9.29 0.09 0.09 0.0930 H03CA01 KALII IODIDUM JODID 100 COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 9.29 0.09 0.09 0.0931 H03CA01 KALII IODIDUM JODID 200 COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 15.28 0.15 0.15 0.1532 H03CA01 KALII IODIDUM JODID 200 COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 15.28 0.15 0.15 0.1533 N04BC01 BROMOCRIPTINUM BROCRIPTIN (G02CB01) DRAJ. 2.5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 14.09 0.35 0.35 0.35

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

1 M01CC01 PENICILLAMINUM**4Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

1 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 µg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 416.99 83.4 83.4 83.42 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 µg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 838.68 167.74 167.74 167.743 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA** VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 123.45 24.69 24.69 24.694 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.225 B03XA01 EPOETINUM ALFA** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.826 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.827 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.768 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.79 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.76

10 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.711 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.4712 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.9313 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.5214 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.415 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.5216 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.417 B03XA01 EPOETINUM BETA** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.9618 B03XA01 EPOETINUM BETA** NEORECORMON 30 000 UI 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 1237.55 1237.55 1237.55 1237.5519 B03XA01 EPOETINUM BETA** NEORECORMON 10000 UI 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 2634.15 439.03 439.03 439.0320 B03XA01 EPOETINUM BETA** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.921 B03XA01 EPOETINUM BETA** NEORECORMON 2000 UI 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 6 526.83 87.81 87.81 87.8122 B03XA01 EPOETINUM BETA** NEORECORMON 4000 UI 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 1053.67 175.61 175.61 175.6123 B03XA01 EPOETINUM BETA** NEORECORMON 5000 UI 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 1317.08 219.51 219.51 219.5124 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 100 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3125.89 781.47 781.47 781.4725 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 10 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 10µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 312.6 78.15 78.15 78.1526 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 150 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4688.84 1172.21 1172.21 1172.2127 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 15 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 15µg/0.375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 468.86 117.22 117.22 117.2228 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 20 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 20µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 625.19 156.3 156.3 156.329 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 300 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 300µg/0.6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2344.41 2344.41 2344.41 2344.4130 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 30 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 30µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 937.75 234.44 234.44 234.4431 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 40 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 40µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1250.35 312.59 312.59 312.5932 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 500 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 500µg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3907.35 3907.35 3907.35 3907.3533 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 50 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 50µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1562.95 390.74 390.74 390.7434 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 60 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 60µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1875.54 468.89 468.89 468.8935 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 80 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 80µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2500.71 625.18 625.18 625.1836 C09CA04 IRBESARTANUM** APROVEL 150 mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 97.06 3.47 3.47 3.4737 C09CA04 IRBESARTANUM** APROVEL 300 mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 130.97 4.68 4.68 4.6838 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0539 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0540 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.0541 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.0542 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.0543 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.5144 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.5145 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.6346 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.6347 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.6348 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.7149 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.7150 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.7151 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.5152 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.5153 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.5554 V06DDN1 COMBINATII (AMINOACIZI)* KETOSTERIL (R) COMPR. FILM. FARA CONCENTRATIE FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 5 BLIST. X 20 COMPR. FILM. P-RF 100 189.94 1.9 1.9 1.9

20. BOALA CRONICA DE RINICHI - faza predializa - G 25

19. BOALA WILSON - G23

Page 16 of 20

Page 62: Liste Medicamente

1 S01EC03 DORZOLAMIDUM TRUSOPT SOL. OFT. 20mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT. P-6L 1 42.44 42.44 42.44 42.442 S01EC04 BRINZOLAMIDUM AZOPT 10 mg/ml PICATURI OFT.-SUSP. 10mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML P-6L 1 47.61 47.61 47.61 47.613 S01ED01 TIMOLOLUM NYOLOL GEL GEL OFT. 1mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR P-6L 1 11.27 11.27 11.27 11.274 S01ED01 TIMOLOLUM TIMOLOL RPH 0,25% PIC. OFT., SOL. 2.5mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L 1 3.07 3.07 3.07 3.075 S01ED01 TIMOLOLUM TIMABAK 2,5 mg/ml PIC. OFT.,SOL. 2.5mg/ml LABORATOIRES THEA FRANTA CUTIE X 1 FLAC. DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 18.86 18.86 3.07 3.076 S01ED01 TIMOLOLUM TIMABAK 5 mg/ml PIC. OFT.,SOL. 5mg/ml LABORATORIES THEA FRANTA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT. SOL. P-6L 1 19.8 19.8 3.55 3.557 S01ED01 TIMOLOLUM TIMOLOL RPH 0,5% PIC. OFT.,SOL. 5mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L 1 3.55 3.55 3.55 3.558 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 2.5mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE, SOL. P-6L 1 6.97 6.97 3.07 3.079 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 5mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL. P-6L 1 7.47 7.47 3.55 3.55

10 S01ED01 TIMOLOLUM TIMOLOL 0,25% PICATURI OFT.-SOL. 0.25% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML P-6L 1 3.1 3.1 3.07 3.0711 S01ED01 TIMOLOLUM TIMO-COMOD (R) PICATURI OFT.-SOL. 0.25% URSAPHARM ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN PE PREVAZUT CU POMPA DE VID SI PICURATOR (SISTEM COMOD) X 10 ML P-6L 1 12.27 12.27 3.07 3.0712 S01ED01 TIMOLOLUM TIMOLOL 0,5% PICATURI OFT.-SOL. 0.5% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML P-6L 1 4.32 4.32 3.55 3.5513 S01ED01 TIMOLOLUM TIMO-COMOD (R) PICATURI OFT.-SOL. 0.5% URSAPHARM ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN PE PREVAZUT CU POMPA DE VID SI PICURATOR (SISTEM COMOD) X 10 ML P-6L 1 16.35 16.35 3.55 3.5514 S01ED01 TIMOLOLUM TIMO-GAL (R) PICATURI OFT.-SOL. 0.5% TERAPIA SA ROMANIA CUTIE X 1 FLACON X 10 ML P-6L 1 3.59 3.59 3.55 3.5515 S01ED01 TIMOLOLUM ARUTIMOL 0,25% PICATURI OFT.-SOL. 2.5mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA CUTIE X 1 FLACON DIN PEJD + CAPAC DIN PP X 5 ML PIC. OFT.,SOL. P-6L 1 5.98 5.98 3.07 3.0716 S01ED01 TIMOLOLUM ARUTIMOL 0,5% PICATURI OFT.-SOL. 5mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA CUTIE X 1 FLACON DIN PEJD + CAPAC DIN PP X 5 ML PIC. OFT.,SOL. P-6L 1 6.69 6.69 3.55 3.5517 S01ED02 BETAXOLOLUM BETAX PIC. OFT.-SOL. 5mg/ml ROMPHARM SRL ROMANIA CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL., PREV. CU PICURATOR DIN PEJD P-6L 1 3.79 3.79 3.79 3.7918 S01ED02 BETAXOLOLUM BETOPTIC - S PICATURI OFT.-SUSP. 0.25% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP. P-6L 1 22.28 22.28 22.28 22.2819 S01ED02 BETAXOLOLUM BETOPTIC PIC.OFTALMICE,SOL. 5mg/ml ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL. P-6L 1 21.83 21.83 3.79 3.7920 S01ED02 BETAXOLOLUM BETAXOLOL PIC. OFT., SOL. 5mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL. P-6L 1 4.2 4.2 3.79 3.7921 S01ED05 CARTEOLOLUM FORTINOL EP 2% PIC. OFTALMICE CU ELIB. PREL. 20mg/ml DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL. P-6L 1 9.76 9.76 9.76 9.7622 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 2% S.I.F.I. SPA ITALIA CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML P-6L/S 1 23.51 23.51 23.51 23.5123 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 20mg/ml S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 11.08 11.08 11.08 11.0824 S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM) GANFORT PIC. OFT.,SOL. 300µg/ml+5mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF 1 69.18 69.18 69.18 69.1825 S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM) COSOPT PIC. OFT.-SOL. FARA CONCENTRATIE MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL. P-6L 1 53.82 53.82 53.82 53.8226 S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALCOM (R) SOL. OFT. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 74.71 74.71 74.71 74.7127 S01EE01 LATANOPROSTUM XALATAN (R) PICATURI OFT.-SOL. 0.005% PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L 1 67.16 67.16 67.16 67.1628 S01EE03 BIMATOPROSTUM LUMIGAN PIC. OFT.,SOL. 0,3mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF 1 56.73 56.73 56.73 56.7329 S01EE04 TRAVOPROSTUM TRAVATAN (R) PICATURI OFT.SOL. 40µg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 76.63 76.63 76.63 76.63

Tratamentul se initiaza de catre medicul in specialitatea oftalmologie

1 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 100 103.34 1.03 0.71 0.712 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 71.11 0.71 0.71 0.713 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 7.55 0.76 0.71 0.714 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 5.91 1.18 0.71 0.715 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 47.53 0.95 0.95 0.956 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 35.65 1.78 1.78 1.787 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.48 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 11.059 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 11.05

10 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 2.211 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 27.9112 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.5313 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.5314 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 33.0715 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 33.0716 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0517 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.0518 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.0519 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.0520 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.0521 J04BA02 DAPSONUM422 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.5123 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 32.83 32.83 32.83 32.8324 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 16.41 16.41 16.41 16.4125 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 9.58 9.58 9.58 9.5826 L01BA01 METHOTREXATUM427 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.5128 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.6329 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.6330 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.6331 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.7132 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.7133 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.7134 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.5135 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.5136 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55

Tratamentul se initiaza de catre medicul in specialitatea dermatologie

1 A16AB02 IMIGLUCERASUM**** CEREZYME 200 U PULB. PT.CONC. PT.SOL. PERF. 200U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 2753.16 2753.16 2753.16 2753.16

22. PEMFIGUS - G 27

23. BOALA GAUCHER - G 29

Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de supleere a functiei renale la bolnavii cu insuficienta renala cronica.

21. GLAUCOM - G 26

Page 17 of 20

Page 63: Liste Medicamente

2 A16AB02 IMIGLUCERASUM**** CEREZYME 400 U PULB. PT.CONC. PT.SOL. PERF. 400U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 5506.33 5506.33 5506.33 5506.333 A16AX06 MIGLUSTATUM**** ZAVESCA CAPS. 100mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST AL/ACLAR X 21 CAPS. P-RF/R 84 28103.92 334.57 334.57 334.57

1 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5 0.25 0.19 0.192 J01AA02 DOXYCYCLINUM DOXICICLINA 100 MG CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 1.89 0.19 0.19 0.193 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. DIN AL/PVC X 10 CAPS. P-RF 10 2.6 0.26 0.19 0.194 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.65 0.27 0.19 0.195 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 6.97 0.7 0.7 0.76 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.1 0.11 0.1 0.17 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.02 0.1 0.1 0.18 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.23 0.11 0.1 0.19 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 1 000 000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.89 1.89 1.53 1.53

10 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.53 1.53 1.53 1.5311 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 400 000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.13 1.13 1.03 1.0312 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 400000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.03 1.03 1.03 1.0313 J01CE02 PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.5 0.33 0.33 0.3314 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.63 0.22 0.22 0.2215 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 4.62 0.39 0.39 0.3916 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.06 0.17 0.17 0.1717 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 6.91 6.91 6.91 6.9118 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.54 1.54 1.54 1.5419 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.03 1.03 1.03 1.0320 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 19.18 1.92 1.92 1.9221 J01DD08 CEFIXIMUM SUPRAX COMPR. FILM. 200mg GEDEON RICHTER LTD. UNGARIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 46.45 4.65 4.65 4.6522 J01DD08 CEFIXIMUM SUPRAX GRAN. PT. SUSP. ORALA 100mg/5ml GEDEON RICHTER PLC UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT. 50 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 25.84 25.84 25.84 25.8423 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.06 0.25 0.25 0.2524 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.56 0.33 0.25 0.2525 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.03 0.3 0.25 0.2526 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.91 0.35 0.25 0.2527 J01FA01 ERYTHROMYCINUM ERITRO 200 PULB. PT. SUSP. ORALA 200mg/5ml LEK PHARMATECH SRL ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 7.84 7.84 7.84 7.8428 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 34.73 4.34 4.34 4.3429 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 26.05 4.34 4.34 4.3430 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 23.7 3.95 3.95 3.9531 J01FA10 AZITHROMYCINUM AZITROX (R) 250 COMPR. FILM. 250mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 30.82 5.14 5.07 5.0732 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 30.44 5.07 5.07 5.0733 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 38.51 12.84 7.79 7.7934 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 30.82 10.27 7.79 7.7935 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 30.44 10.15 7.79 7.7936 J01FA10 AZITHROMYCINUM AZRO (R) 500 mg COMPR. FILM. 500mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 23.36 7.79 7.79 7.7937 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 23.7 7.9 7.79 7.7938 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 39.47 39.47 39.47 39.4739 J01FA10 AZITHROMYCINUM SUMAMED (R) LIOF. PT. SOL. PERF. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF. S/P-RF 5 115.54 23.11 23.11 23.1140 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 11.21 11.21 11.21 11.2141 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINSTRARE ORALA P-RF 1 13.5 13.5 13.5 13.542 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINISTRARE ORALA P-RF 1 21.35 21.35 11.21 11.2143 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 20.09 20.09 11.21 11.2144 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 32.88 32.88 11.21 11.2145 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 41.05 41.05 11.21 11.2146 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 4.83 0.4 0.4 0.447 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.67 0.67 0.3 0.348 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 10.96 1.1 0.3 0.349 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.72 0.47 0.3 0.350 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.8 0.48 0.3 0.351 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.69 0.48 0.3 0.352 J01MA02 CIPROFLOXACINUM CIPROZONE 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.07 0.41 0.3 0.353 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 4.74 0.47 0.3 0.354 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 5.29 0.53 0.3 0.355 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 7.7 0.77 0.3 0.356 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 2.96 0.3 0.3 0.357 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 500 COMPR. FILM. 500mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. FILM. P-RF 10 63.07 6.31 0.4 0.458 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 19.26 1.93 0.4 0.459 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.460 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.41 0.84 0.4 0.461 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.25 0.93 0.4 0.462 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 7.89 0.79 0.4 0.463 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 9.08 0.91 0.4 0.464 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 10.22 1.02 0.4 0.465 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 11.15 1.12 0.4 0.466 J01MA02 CIPROFLOXACINUM SIFLOKS (R) COMPR. FILM. 500mg ECZACIBASI ILAC SANAYI VE TICARET AS TURCIA CUTIE X 2 BLIST. X 7 COMPR.FILM. P-RF 14 5.63 0.4 0.4 0.467 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.468 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.03 0.4 0.4 0.469 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 10.37 1.04 0.4 0.470 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 24.41 2.44 2.44 2.4471 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 96.28 1.93 1.93 1.93

După precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de către medicul de specialitatea gastroenterologie, hematologie, neurologie si pediatrie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30

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72 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 10.67 2.13 1.93 1.9373 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml SICOMED SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF 5 14.6 2.92 1.93 1.9374 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 200 SOL. PERF. 200mg/100ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 100 ML S/P-RF 5 339.03 67.81 2.96 2.9675 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 621.7 124.34 2.96 2.9676 J01MA02 CIPROFLOXACINUM UFEXIL SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 SACI X 100 ML S 10 116.13 11.61 2.96 2.9677 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF 1 2.96 2.96 2.96 2.9678 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 1 5.93 5.93 2.96 2.9679 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF 1 11.85 11.85 11.85 11.85

1 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.652 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.653 L04AA17 ADALIMUMABUM****

1 L01XC02 RITUXIMABUM**** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 2192.46 1096.23 1096.23 1096.232 L01XC02 RITUXIMABUM**** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 5481.16 5481.16 5481.16 5481.163 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.274 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.135 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.576 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.137 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.658 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.65

1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.272 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.133 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.574 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.135 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.656 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.657 L04AA17 ADALIMUMABUM****

1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.272 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.133 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.574 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.135 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.656 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.65

1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.272 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.133 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.574 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.13

1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.272 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.133 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.574 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.135 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.656 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.657 L04AA17 ADALIMUMABUM****8 L04AA21 EFALIZUMABUM**** RAPTIVA (R) PULB. + SOLV. PT. SOL. INJ. 100mg/ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 4 FLAC. PULB. + 4 SERINGI PRE-UMPLUTA CU SOLV. + 4 ACE PT. RECONSTITUIREA SOL. INJ. + 4 ACE P-RF/R 4 4866.87 1216.72 1216.72 1216.729 L04AA21 EFALIZUMABUM**** RAPTIVA (R) PULB. + SOLV. PT. SOL. INJ. 100mg/ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. + 1 SERINGA PRE-UMPLUTA CU SOLV. + 1 AC PT. RECONSTITUIREA SOL. INJ. + 1 AC PT P-RF/R 1 1232.52 1232.52 1216.72 1216.72

Tratamentul se initiaza de catre medicul in specialitatea dermatologie si obstetrica-ginecologie (pentru gonoree si infectia cu Chlamidia)

29. ARTRITA JUVENILA - G 31e

25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a

Tratamentul se prescrie și monitorizează de către medicul în specialitatea gastro-enterologie și medicină internă (unități sanitare nominalizate de către Ministerul Sănătății Publice)

26. POLIARTITRITA REUMATOIDA - G31b

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienţii cu afectare renală), medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

27. ARTROPATIA PSORIAZICA - G31c

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

30. PSORIAZIS CRONIC SEVER - G 31f

28. SPONDILITA ANKILOZANTA - G 31d

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

IMUNOSUPRESOARE SELECTIVE - G31

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Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu ( 5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

NOTĂ: Medicamentele din această sublistă se eliberează prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

- Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MSP;

NOTA: - Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 J05AE01 SAQUINAVIRUM INVIRASE 200mg CAPS. 200mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flac. x 270 caps. P-RF/R 270 791.33 888.43 3.292 J05AE01 SAQUINAVIRUM INVIRASE 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 120 compr. film. P-RF/R 120 773.25 868.12 7.233 J05AE02 INDINAVIRUM CRIXIVAN 200mg CAPS. 200mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 360 caps. P-RF/R 360 111.87 125.60 0.354 J05AE02 INDINAVIRUM CRIXIVAN 400mg CAPS. 400mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 1 flac din PEID. x 180 caps. P-RF/R 180 111.87 125.60 0.705 J05AE03 RITONAVIRUM NORVIR 100 mg CAPS. MOI 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 4 flac. PEID x 84 caps. moi P-RF/R 336 813.97 913.85 2.726 J05AE04 NELFINAVIRUM VIRACEPT 250 mg COMPR. FILM. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 270 compr. film. P-RF/R 270 791.33 888.43 3.297 J05AE04 NELFINAVIRUM VIRACEPT 50 mg/g PULB. PT. SOL. ORALA 50mg/g ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flac.PEID x 144 g pulb.orala+ 2 lingurite dozatoare x 1 g si 5 g P-RF/R 1 110.60 124.17 124.178 J05AE06 LOPINAVIRUM+RITONAVIRUM KALETRA 133,3mg/33,3mg CAPS. MOI 133.3mg/33.3mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 2 flac. din PEID x 90 caps. moi P-RF/R 180 1326.94 1489.76 8.289 J05AE06 LOPINAVIRUM+RITONAVIRUM KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 1 flac. din PEID x 120 compr. film. P-RF/R 120 1389.03 1559.46 13.00

10 J05AE06 LOPINAVIRUM+RITONAVIRUM KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 5 flac. multidoza din TPE x 60 ml + 5 seringi gradate a 5 ml P-RF/R 5 1056.34 1185.95 237.1911 J05AE07 FOSAMPRENAVIRUM TELZIR 700mg COMPR. FILM. 700mg GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flac. din HDPE x 60 compr. film. prevazut cu sistem de inchidere securizat pt. copii P-RF/R 60 861.94 967.70 16.1312 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 60 caps. (blist. Al/Al 6x1) P-RF/R 60 1147.63 1288.45 21.4713 J05AE08 ATAZANAVIRUM REYATAZ 200 mg CAPS. 200mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 60caps.(blist. Al/Al 6 x 1) P-RF/R 60 1275.16 1431.62 23.8614 J05AE09 TIPRANAVIRUM APTIVUS 250mg CAPS. MOI 250mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA Cutie x 1 flac. din PEID x 120 caps. moi P-RF/R 120 2135.33 2397.34 19.9815 J05AE10 DARUNAVIRUM PREZISTA 300mg COMPR. FILM. 300mg JANSSEN-CILAG INTERNATIONAL NV BELGIA Cutie x 1 flac. din PEID x 120 compr. film. P-RF/R 120 2037.24 2287.21 19.06

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

SECŢIUNEA C2 - CU PROCENT DE COMPENSARE 100% din pret de decontare - cuprinde denumirile comune internaţionale corespunzătoare medicamentelor eliberate prin farmaciile cu circuit deschis pentru tratamentul bolnavilor incluşi în unele

subprograme de sănătate CONFORM HG NR. 357/2008

VALABILĂ ÎNCEPÂND CU 15 iulie 2008

MEDICATIE SPECIFICA ANTIRETROVIRALA

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

ANEXA 5

Pagina 1 din 57

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16 J05AF01 ZIDOVUDINUM RETROVIR? CAPS. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 10 blist. Al/PVC x 10 caps. S/P-RF 100 44.09 51.42 0.5117 J05AF01 ZIDOVUDINUM RETROVIR? SOL. ORALA 1% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flacon din sticla bruna x 200 ml + 1 adaptor de dozare + 1 seringa pt. adm. orala a 10 ml S/P-RF 1 6.74 7.86 7.8618 J05AF02 DIDANOSINUM VIDEX EC 125 mg CAPS. GASTROREZ. 125mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 3 blist. x 10 caps. gastrorez. S/P-RF 30 143.92 161.58 5.3919 J05AF02 DIDANOSINUM VIDEX EC 200 mg CAPS. GASTROREZ. 200mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 3 blist. x 10 caps. gastrorez. S/P-RF 30 230.28 258.53 8.6220 J05AF02 DIDANOSINUM VIDEX EC 250 mg CAPS. GASTROREZ. 250mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 3 blist. x 10 caps. gastrorez. S/P-RF 30 287.84 323.16 10.7721 J05AF02 DIDANOSINUM VIDEX EC 400 mg CAPS. GASTROREZ. 400mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 3 blist. x 10 caps. gastrorez. S/P-RF 30 460.55 517.06 17.2422 J05AF04 STAVUDINUM ZERIT 15 mg CAPS. 15mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 4 blist. Acla/Al x 14 caps. P-RF/R 56 309.57 347.56 6.2123 J05AF04 STAVUDINUM ZERIT 20 mg CAPS. 20mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 4 blist. Aclar/Al x 14 caps. P-RF/R 56 321.12 360.52 6.4424 J05AF04 STAVUDINUM ZERIT 30 mg CAPS. 30mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 4 blist. Aclar/Al x 14 caps. P-RF/R 56 335.95 377.18 6.7425 J05AF04 STAVUDINUM ZERIT 40 mg CAPS. 40mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 4 blist. Aclar/Al x 14 caps. P-RF/R 56 347.16 389.76 6.9626 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flacon PEID x 240ml sol. orala + 1 seringa dozatoare + 1 adaptor P-RF/R 1 59.13 67.67 67.6727 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 60 compr. film. P-RF/R 60 217.58 244.28 4.0728 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 28 150.39 168.84 6.0329 J05AF05 LAMIVUDINUM ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flacon HDPE x 240 ml + 1 seringa dozatoare PP + 1 adaptor PE P-RF/R 1 68.60 78.51 78.5130 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flacon PEID x 240 ml sol. orala + seringa dozatoare PP x 10 ml + adaptor PE P-RF/R 1 125.75 141.18 141.1831 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg GLAXO GROUP LTD. MAREA BRITANIE Cutie x 60 compr. film. P-RF/R 60 436.65 490.22 8.1732 J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE VIREAD 245mg COMPR. FILM. 245mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE Cutie x 1 flac. din PEID x 30 compr. film P-RF/R 30 780.88 876.69 29.2233 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE Cutie x 1 flac. din PEID x 30 caps. P-RF/R 30 500.42 561.82 18.7334 J05AG01 NEVIRAPINUM VIRAMUNE 200mg COMPR. 200mg BOEHRINGER INGELHEIM INT. GMBH GERMANIA Cutie x 6 blist. x 10 compr. P-RF/R 60 437.07 490.70 8.1835 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM INT. GMBH GERMANIA Cutie x 1 flacon PEID x 240 ml + o seringa x 5 ml + un dispozitiv de adaptare a seringii la flacon P-RF/R 1 124.76 140.06 140.0636 J05AG03 EFAVIRENZUM STOCRIN 100 mg CAPS. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 30 caps., prevazut un sist. de inchidere securizat pt. copii P-RF/R 30 16.14 18.83 0.6337 J05AG03 EFAVIRENZUM STOCRIN 50 mg CAPS. 50mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 30 caps., prevazut un sist. de inchidere securizat pt. copii P-RF/R 30 8.06 9.40 0.3138 J05AG03 EFAVIRENZUM STOCRIN 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 30compr. film. prevazut cu un sist. de inchidere securizat pt. copii P-RF/R 30 8.06 9.40 0.3139 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 30 compr. film. prevazut cu un sist. de inchidere securizat pt. copii P-RF/R 30 45.95 53.59 1.7940 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 1 blist. Al perforat x 30 compr. film. P-RF/R 30 45.95 53.59 1.7941 J05AR01 ZIDOVUDINUM+LAMIVUDINUM COMBIVIR 150mg/300mg COMPR. FILM. 150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE Cutie x 6 blist. x 10 compr. film. P-RF/R 60 467.05 524.36 8.7442 J05AR02 ABACAVIRUM+LAMIVUDINUM KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE Cutie x 30 compr. film.( blist.alb-opac PVC-PVDC/Al ) P-RF/R 30 941.05 1056.52 35.2243 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flac. din PEID x 60 compr. film. P-RF/R 60 873.30 980.45 16.3444 J05AX07 ENFUVIRTIDUM FUZEON 90mg/ml PULB. + SOLV. PT. SOL. INJ. 90mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 60 flac. pulb. pt. sol. inj. + 60 flac. solv. + 60 seringi x 3 ml + 60 seringi x 1 ml, 180 tampoane cu alcool P-RF/R 60 4320.30 4850.41 80.8445 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 22.45 26.18 2.1846 D01AC02 MICONAZOLUM DERMOZOL GEL 2% PHARCO IMPEX 93 S.R.L. ROMANIA Cutie x 1 tub x 15 g P-RF 1 1.53 1.79 1.7947 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA Cutie x 1 tub x 30g P-RF 1 4.24 4.95 4.9548 D01AC02 MICONAZOLUM MICONAL ECOBI CREMA 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA Cutie x 1 tub din Al x 30 g crema P-RF 1 4.65 5.42 5.4249 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA Cutie x 1 tub x 20 g P-RF 1 3.33 3.89 3.8950 D06BB03 ACICLOVIRUM ACICLOVIR CREMA 5% OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 tub x 5 g P-RF 1 2.36 2.75 2.7551 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 1 tub x 5 g crema P-RF 1 2.43 2.83 2.8352 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 1 tub x 15 g crema P-RF 1 3.71 4.33 4.3353 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA Cutie x 1 tub din Al x 15 g crema P-RF 1 3.57 4.17 4.1754 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA Cutie x 1 tub x 5 g crema P-RF 1 2.89 3.37 3.3755 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA Cutie x 1 tub x 10 g crema P-RF 1 4.33 5.05 5.0556 D06BB03 ACICLOVIRUM CLOVIRAL? 5% CREMA 5% ANTIBIOTICE SA ROMANIA Cutie x 1 tub Al. x 12 g P-RF 1 3.13 3.65 3.6557 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 tub x 5g crema P-RF 1 24.86 28.99 28.9958 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA Cutie x 1 tub x 78 g P-RF 1 9.59 11.19 11.1959 G01AF04 MICONAZOLUM MICONAL ECOBI CAPS. MOI VAG. 1.2g FARMACEUTICI ECOBI S.A.S ITALIA Cutie x 1 blist. Al/PVC x 2 caps. moi vaginale P-RF 2 8.69 10.14 5.07

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60 G01AF04 MICONAZOLUM MICONAL ECOBI CREMA VAG. 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA Cutie x 1 tub din Al x 78 g crema vaginala + canula P-RF 1 6.80 7.93 7.9361 G01AF04 MICONAZOLUM MICONAL ECOBI OVULE 50mg FARMACEUTICI ECOBI S.A.S ITALIA Cutie x 3 folii preformate PVC/PE x 5 ovule P-RF 15 4.39 5.12 0.3462 G01AF04 MICONAZOLUM MICONAL ECOBI SOL. VAGINALA 2mg/ml FARMACEUTICI ECOBI S.A.S ITALIA Cutie x 5 flacoane din PEJD x 150 ml sol. vag. + 5 canule P-RF 5 8.79 10.25 2.0563 G01AF04 MICONAZOLUM MYCOHEAL CREMA VAG. 2% DAR AL DAWA PHARMA S.R.L. ROMANIA Cutie x 1 tub x 50 g + aplicator P-RF 1 9.19 10.72 10.7264 G01AF04 MICONAZOLUM MYCOHEAL 200 SUPOZ. VAG. 200mg DAR AL DAWA PHARMA S.R.L ROMANIA Cutie x 1 folie x 7 supoz. vag. P-RF 7 6.48 7.56 1.0865 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 2.78 3.24 0.1666 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 3.30 3.84 0.1967 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 151.56 170.16 0.1768 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA Cutie x 1 blist.Al/PVC x 12 caps. P-RF 12 2.98 3.48 0.2969 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 3.13 3.65 0.1870 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. x 10 caps. P-RF 10 3.03 3.53 0.3571 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA Cutie x 100 blist. x 10 caps. P-RF/S 1000 175.80 197.37 0.2072 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA Cutie x 1 flac. din sticla incolora cu pulb. pt. sol. inj./perf. i.m./i.v. P-RF 1 2.35 2.74 2.7473 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 250 mg PULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg ANTIBIOTICE SA ROMANIA Cutie x 1 flac. din sticla incolora cu pulb. pt. sol. inj./perf. i.m./i.v. P-RF 1 0.85 0.99 0.9974 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA Cutie x 1 flac. din sticla incolora cu pulb. pt. sol. inj./perf. i.m./i.v. P-RF 1 1.39 1.62 1.6275 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 3.64 4.24 0.2176 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 127.18 142.79 0.1477 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 3.83 4.46 0.4578 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 3.29 3.83 0.1979 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 5.45 6.35 0.3280 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA Cutie x 50 blist. Al/PVC x 10 caps. P-RF/S 500 128.51 144.28 0.2981 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 4.02 4.69 0.4782 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 3.76 4.39 0.2283 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 3.44 4.01 0.4084 J01CF04 OXACILLINUM OXALIN 500 mg CAPS. 500mg EUROPHARM SA ROMANIA Cutie x 2 blist. Al/PVC x 6 caps. P-RF 12 5.36 6.25 0.5285 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS? 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA Cutie x 1 flac. pulb. pt. sol. inj. x 1,5 g P-RF 1 12.34 14.39 14.3986 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS? 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA Cutie x 50 flac. pulb. pt. sol. inj. x 1,5 g P-RF/S 50 437.47 491.14 9.8287 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156.25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 flac. din sticla bruna cu 25 mg pulb. pt. 100 ml susp. orala P-RF 1 9.94 11.59 11.5988 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 625 mg COMPR. FILM. 625mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 blist. Al/Al x 14 compr. film. P-RF 14 22.00 25.66 1.8389 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312.5mg/5ml PULB. PT.SUSP. ORALA 312.5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 flac. din sticla bruna cu 25 g pulb. pt. 100 ml susp. orala + lingurita dozatoare P-RF 1 12.09 14.10 14.1090 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1.2g ANTIBIOTICE SA ROMANIA Cutie x 1 flacon cu pulb. pt. sol. inj. / perf. P-RF 1 4.08 4.76 4.7691 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1.2g ANTIBIOTICE SA ROMANIA Cutie x 50 flacoane cu pulb. pt. sol. inj. / perf. P-RF/S 50 188.96 212.15 4.2492 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1.2g ANTIBIOTICE SA ROMANIA Cutie x 100 flacoane cu pulb. pt. sol. inj. / perf. P-RF/S 100 374.90 420.90 4.2193 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA Cutie x 1 flacon cu pulb. pt. sol inj. / perf. P-RF 1 3.30 3.84 3.8494 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA Cutie x 50 flacoane cu pulb. pt. sol inj. / perf. P-RF/S 50 151.56 170.16 3.4095 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA Cutie x 100 flacoane cu pulb. pt. sol inj. / perf. P-RF/S 100 299.84 336.63 3.3796 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 1 g COMPR. FILM. 875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE Cutie x 2 blist. Al/PVDC-PVC x 7 compr. film., fiecare blister fiind introdus intr-o punga protectoare din Al laminat P-RF 14 31.62 36.88 2.6397 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 625 mg COMPR. FILM. 500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE Cutie x 2 blist. Al/PVDC-PVC x 7 compr. film., fiecare blister fiind introdus intr-o punga protectoare din Al laminat P-RF 14 19.96 23.28 1.6698 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 1 flac. din sticla cu pulb. pt. 35 ml susp. orala + 1 seriga pt. adm. orala P-RF 1 12.98 15.14 15.1499 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 1 flac. din sticla cu pulb. pt. 70 ml susp. orala + masura dozatoare P-RF 1 14.28 16.65 16.65

100 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 1.2g PULB. PT. SOL. INJ./PERF. 1000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE Cutie x 10 flac. din sticla incolora cu pulb. pt. sol. inj./perf. S/P-RF 10 35.34 41.21 4.12101 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 2,2g PULB. PT. SOL. PERF. 2000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE Cutie x 1 flac. din sticla incolora cu pulb. pt. sol. perf. S/P-RF 1 15.43 18.00 18.00102 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN? SR COMPR. FILM. ELIB. PREL. 1062.5mg BEECHAM GROUP PLC MAREA BRITANIE Cutie x 7 blist. Al/PVC-Al sau Al/PP-Al x 4 compr. film. elib. prel. P-RF 28 35.34 41.21 1.47103 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN? ES PULB. PT. SUSP. ORALA 642.90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 1 flacon din sticla cu pulb. pt. 100 ml susp. orala + 1 masura dozatoare P-RF 1 17.32 20.20 20.20

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104 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 156.25mg/5ml PULB. PT. SUSP. ORALA 156.25mg/5ml SANDOZ GMBH AUSTRIA Cutie x 1 flac. pulb. pt. reconstituirea a 100 ml susp. orala P-RF 1 13.98 16.31 16.31105 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 312.5mg/5ml PULB. PT. SUSP. ORALA 312.5mg/5ml SANDOZ GMBH AUSTRIA Cutie x 1 flac. pulb. pt. reconstituirea a 100 ml susp. orala P-RF 1 17.48 20.38 20.38106 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 625 mg COMPR. FILM. 625mg SANDOZ GMBH AUSTRIA Cutie x 3 folii Al/Al x 4 compr.film. P-RF 12 22.61 26.37 2.20107 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 625 mg COMPR. FILM. 625mg SANDOZ GMBH AUSTRIA Cutie x 7 folii Al/Al x 3 compr.film. P-RF 21 39.60 46.19 2.20108 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 312,5 mg/5 ml PULB. PT.SUSP. ORALA 312.5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 flac. din PEID cu pulb. pt. susp. orala + masura dozatoare P-RF 1 11.09 12.94 12.94109 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 4 folii Al-PEJD x 7 compr. film. P-RF 28 23.79 27.75 0.99110 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 250/62,5 COMPR. DISP. 250/62,5mg ASTELLAS PHARMA EUROPE BV OLANDA Cutie x 5 blist. PA-Al-PVC/Al x 4 compr. disp. P-RF 20 11.83 13.80 0.69111 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 500/125 COMPR. DISP. 500/125mg ASTELLAS PHARMA EUROPE BV OLANDA Cutie x 5 blist. PA-Al-PVC/Al x 4 compr. disp. P-RF 20 17.35 20.23 1.01112 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 875/125 COMPR. DISP. 875mg+125mg ASTELLAS PHARMA EUROPE BV OLANDA Cutie x 2 blist. PA-Al-PVC/Al x 7 compr. disp. P-RF 14 25.65 29.92 2.14113 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU Cutie x 2 blist. Al-PVC/Al x 7 compr. film. P-RF 14 24.50 28.57 2.04114 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 156,25 mg/5 ml PULB. PT. SUSP. ORALA 125mg+31.25/5ml MEDOCHEMIE LTD. CIPRU Cutie x 1 flac. cu pulb. pt. 100ml susp. orala + lingurita dozatoare P-RF 1 8.95 10.43 10.43115 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 375 mg COMPR. FILM. 250mg+125mg MEDOCHEMIE LTD. CIPRU Cutie x 4 blist. x 4 compr. film. P-RF 16 11.06 12.90 0.81116 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 625 mg COMPR. FILM. 500mg+125mg MEDOCHEMIE LTD. CIPRU Cutie x 4 blist. x 4 compr. film. P-RF 16 16.26 18.96 1.19117 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml PULB. PT. SUSP. ORALA 250mg+62.5mg/5ml MEDOCHEMIE LTD. CIPRU Cutie x 1 flac. din sticla bruna cu pulb. pt. 100 ml susp. P-RF 1 10.84 12.64 12.64118 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 32.03 37.36 37.36119 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 286.45 321.60 26.80120 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 55.88 63.96 63.96121 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 650.68 730.52 60.88122 J01CR50 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON? 2 g PULB. PT. SOL. INJ. 1g+1g PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac x 2 g S/P-RF 1 20.03 23.36 23.36123 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj./perf. S/P-RF 1 15.17 17.69 17.69124 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA Cutie x 10 flac. cu pulb. pt. sol. inj./perf. P-RF/S 10 89.87 102.85 10.29125 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj./perf. S/P-RF 1 35.21 41.06 41.06126 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA Cutie x 50 flac. cu pulb. pt. sol. inj./perf. S/P-RF 50 1626.60 1826.19 36.52127 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA Cutie x 100 flac. cu pulb. pt. sol. inj./perf. S/P-RF 100 3185.45 3576.30 35.76128 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj.perf. S/P-RF 1 4.51 5.26 5.26129 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA Cutie x 50 flac. cu pulb. pt. sol. inj.perf. P-RF/S 50 216.88 243.50 4.87130 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA Cutie x 100 flac. cu pulb. pt. sol. inj.perf. P-RF/S 100 406.67 456.57 4.57131 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj./perf. S/P-RF 1 9.15 10.67 10.67132 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA Cutie x 50 flac. cu pulb. pt. sol. inj./perf. S/P-RF 50 406.67 456.57 9.13133 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA Cutie x 100 flac. cu pulb. pt. sol. inj./perf. S/P-RF 100 796.37 894.08 8.94134 J01DD04 CEFTRIAXONUM CEFTRIAXON 1 g PULB. PT. SOL. INJ./PERF. 1g OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 50 flac. cu pulb. pt. sol. inj./perf. S/P-RF 50 172.86 194.07 3.88135 J01DD04 CEFTRIAXONUM LENDACIN 1 g PULB. PT. SOL. INJ. 1g LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 5 flac. pulb. pt. sol. inj. S/P-RF 5 52.68 60.29 12.06136 J01DD04 CEFTRIAXONUM LENDACIN 250 mg PULB. PT. SOL. INJ. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 5 flac. pulb. pt. sol. inj. S/P-RF 5 20.39 23.79 4.76137 J01DD04 CEFTRIAXONUM MEDAXONE 2 g PULB. PT. SOL. INJ./PERF. 2g MEDOCHEMIE LTD. CIPRU Cutie x 10 flacoane x 2 g pulb. pt. sol. inj./perf. S/P-RF 10 286.29 321.42 32.14138 J01DD04 CEFTRIAXONUM NOVOSEF 0,5 g i.m. PULB. + SOLV. PT. SOL. INJ./PERF. 0.5g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. pulb.+ 1 fiola solv. x 2ml S/P-RF 1 2.95 3.44 3.44139 J01DD04 CEFTRIAXONUM NOVOSEF 0,5 g i.v. PULB. PT. SOL. INJ. 0.5g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. pulb. + 1 fiola solv. x 5ml S/P-RF 1 2.95 3.44 3.44140 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.m. PULB. PT. SOL. INJ. 1g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. pulb. + 1 fiola solv. x 3.5ml S/P-RF 1 3.98 4.64 4.64141 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.v. PULB. PT. SOL. INJ. 1g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. pulb. + 1 fiola solv. x 10ml S/P-RF 1 3.98 4.64 4.64142 J01DD04 CEFTRIAXONUM ROCEPHIN? PULB. PT. SOL. PERF. 2g ROCHE ROMANIA S.R.L. ROMANIA Cutie x 1 flac. x 2 g S/P-RF 1 35.23 41.09 41.09143 J01DD04 CEFTRIAXONUM ROCEPHIN? PULB. PT. SOL. PERF. 2g ROCHE ROMANIA S.R.L. ROMANIA Cutie x 50 flac. x 2 g S/P-RF 50 1695.71 1903.78 38.08144 J01DD08 CEFIXIMUM EFICEF? 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 14.07 16.41 1.64145 J01DD08 CEFIXIMUM EFICEF? 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 1253.85 1407.69 1.41146 J01DD08 CEFIXIMUM SUPRAX COMPR. FILM. 200mg GEDEON RICHTER LTD. UNGARIA Cutie x 1 blist. x 10 compr. film. P-RF 10 31.58 36.84 3.68147 J01DD08 CEFIXIMUM SUPRAX GRAN. PT. SUSP. ORALA 100mg/5ml GEDEON RICHTER PLC UNGARIA Cutie x 1 flac. din sticla bruna cu granule pt. 50 ml susp. orala + 1 masura dozatoare P-RF 1 17.57 20.49 20.49

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148 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora cu capacitatea de 15 ml cu pulb. pt. sol. inj. i.m./perf. i.v. S/P-RF 1 4.71 5.50 5.50149 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. inj. S/P-RF 1 3.30 3.85 3.85150 J01DD12 CEFOPERAZONUM LYZONE 1 g PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj. S/P-RF 1 9.43 10.99 10.99151 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj. S/P-RF 1 13.43 15.66 15.66152 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU Cutie x 10 flac. pulb. pt. sol. inj. S/P-RF 10 104.06 116.83 11.68153 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU Cutie x 10 flac. pulb. pt. sol. inj. S/P-RF 10 170.11 190.98 19.10154 J01DE02 CEFPIROMUM CEFROM? 1 g PULB. PT. SOL. INJ./PERF. 1g LAB. AVENTIS FRANTA Cutie x 1 flac. pulb. pt. sol. inj./perf. S/P-RF 1 40.27 46.97 46.97155 J01DE02 CEFPIROMUM CEFROM? 2 g PULB. PT. SOL. INJ./PERF. 2g LAB. AVENTIS FRANTA Cutie x 1 flac. pulb. pt. sol. inj./perf. S/P-RF 1 68.75 78.69 78.69156 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 10 flac. pulb. pt. sol. inj. (cap. 20 ml) S 10 734.92 825.10 82.51157 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 10 flac. pulb. pt. sol. inj. (cap. 20 ml) S 10 374.27 420.19 42.02158 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA Cutie x 5 flac. din sticla bruna cu pulb. pt. sol. perf. S/P-RF 5 185.82 208.62 41.72159 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM COMPR. 400mg/80mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 1.85 2.15 0.11160 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.64 1.91 0.10161 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.64 1.91 0.10162 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 flacon din sticla bruna cu masura dozatoare x 100 ml P-RF 1 2.36 2.75 2.75163 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SEPTRIN SOL. PERF. 400mg/80mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 10 fiole x 5 ml S/P-RF 10 37.11 43.28 4.33164 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 2.02 2.36 0.12165 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 1 flacon din sticla bruna x 100 ml susp. orala + masura dozatoare P-RF 1 4.01 4.67 4.67166 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.07 1.25 0.06167 J01FA02 SPIRAMYCINUM ROVAMYCINE? 1,5 Mil. UI COMPR. FILM. 1.5 M ui LAB. AVENTIS FRANTA Cutie x 2 blist. Al/PVC x 8 compr. film. P-RF 16 14.37 16.75 1.05168 J01FA02 SPIRAMYCINUM ROVAMYCINE? 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA Cutie x 2 blist. Al/PVC x 5 compr. film. P-RF 10 15.17 17.69 1.77169 J01FA06 ROXITHROMYCINUM ROKSOLIT COMPR. FILM. 150mg ECZACIBASI ILAC SANAYI VE TICARET AS TURCIA Cutie x 1 blist. x 10 compr. film. P-RF 10 8.25 9.62 0.96170 J01FA06 ROXITHROMYCINUM ROXAMED? 150 COMPR. FILM. 150mg DAR AL DAWA PHARMA S.R.L ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 7.54 8.79 0.88171 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA Cutie x 5 blist. x 4 compr. film. P-RF 20 18.85 21.99 1.10172 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA Cutie x 5 blist. Al/PVC x 4 compr. film. P-RF 20 24.32 28.36 1.42173 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC-PVDC X 14 compr. film. P-RF 14 12.11 14.13 1.01174 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC-PVDC X 14 compr. film. P-RF 14 23.02 26.85 1.92175 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 2 blist. PVC-PVDC/Al x 7 compr. film. P-RF 14 14.99 17.48 1.25176 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 2 blist. PVC-PVDC/Al x 7 compr. film. P-RF 14 27.33 31.88 2.28177 J01FA09 CLARITHROMYCINUM FROMILID? 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA Cutie x 1 flac. pulb. pt. 60 ml susp. P-RF 1 12.25 14.29 14.29178 J01FA09 CLARITHROMYCINUM FROMILID? UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA Cutie x 1 blist. PVC-PVDC/Al x 5 compr. film. elib. prel. P-RF 5 15.91 18.55 3.71179 J01FA09 CLARITHROMYCINUM FROMILID? UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA Cutie x 1 blist. PVC-PVDC/Al x 7 compr. film. elib. prel. P-RF 7 22.27 25.97 3.71180 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. din PEID x 42 g gran. pt. 60 ml susp . orala P-RF 1 11.22 13.09 13.09181 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. din PEID x 70 g gran. pt. 100 ml susp . orala P-RF 1 16.99 19.82 19.82182 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 14 compr. film. P-RF 14 13.95 16.27 1.16183 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. PEID x 42 g gran. pt. 60 ml susp . orala P-RF 1 19.88 23.19 23.19184 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. PEID x 70 g gran. pt. 100 ml susp . orala P-RF 1 27.26 31.79 31.79185 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 14 compr. film. P-RF 14 26.58 31.00 2.21186 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC/PVDC-Al x 7 compr. film. elib. prel. P-RF 7 17.76 20.72 2.96187 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA Cutie x 1 flac. liof. pt. sol. perf. S/P-RF 1 27.52 32.10 32.10188 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 5 compr. film. elib. prel. P-RF 5 18.85 21.99 4.40189 J01FA09 CLARITHROMYCINUM KLACID? COMPR. FILM. 250mg ABBOTT SPA ITALIA Cutie x 1 blist. x 10 compr. film. P-RF 10 25.90 30.20 3.02190 J01FA09 CLARITHROMYCINUM KLACID? COMPR. FILM. 250mg ABBOTT SPA ITALIA Cutie x 1 blist. x 14 compr. film. P-RF 14 14.14 16.49 1.18191 J01FA09 CLARITHROMYCINUM KLACID? GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA Cutie x 1 flacon PEID cu granule pt. 60 ml susp. orala + 1 lingurita dozatoare x 2,5 ml/5 ml P-RF 1 12.25 14.29 14.29

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192 J01FA09 CLARITHROMYCINUM KLACID? GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA Cutie x 1 flacon PEID cu granule pt. 100 ml susp. orala + 1 lingurita dozatoare x 2,5 ml/5 ml P-RF 1 20.03 23.36 23.36193 J01FA09 CLARITHROMYCINUM KLERIMED? 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU Cutie x 2 blist. Al/PVC-PVDC x 7 compr. film. P-RF 14 14.14 16.49 1.18194 J01FA09 CLARITHROMYCINUM KLERIMED? 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU Cutie x 2 blist. Al/PVC-PVDC x 7 compr. film. P-RF 14 25.91 30.22 2.16195 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA Cutie x 1 flac. PEID cu 41 g granule pt. 60 ml susp. orala + lingurita dozatoare PP P-RF 1 12.80 14.93 14.93196 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA Cutie x 1 flac. PEID cu 68,3 g granule pt. 100 ml susp. orala + lingurita dozatoare PP P-RF 1 19.37 22.59 22.59197 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID cu 41 g granule pt. 60 ml susp. orala + lingurita dozatoare PP P-RF 1 22.64 26.40 26.40198 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID cu 68,3 g granule pt. 100 ml susp. orala + lingurita dozatoare PP P-RF 1 31.07 36.23 36.23199 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 folie Al/Al x 5 compr. film. elib. modif. P-RF 5 18.25 21.28 4.26200 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 folie Al/Al x 7 compr. film. elib. modif. P-RF 7 25.49 29.73 4.25201 J01FA09 CLARITHROMYCINUM LEKOKLAR? 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 2 blist. x 7 compr. film. P-RF 14 15.77 18.39 1.31202 J01FA09 CLARITHROMYCINUM LEKOKLAR? 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 2 blist. x 7 compr. film. P-RF 14 29.48 34.38 2.46203 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. Al/PVC x 6 caps. P-RF 6 21.16 24.68 4.11204 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. Al/PVC x 8 caps. P-RF 8 28.22 32.91 4.11205 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA Cutie x 1 blist. x 3 compr. film. P-RF 3 24.64 28.74 9.58206 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID x 16,5 g pulb. pt. 20 ml susp. orala + seringa pt. adminstrare orala P-RF 1 10.97 12.79 12.79207 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID x 16,5 g pulb. pt. 20 ml susp. orala + seringa pt. administrare orala P-RF 1 17.35 20.23 20.23208 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA Cutie x 1 blist. x 6 compr. film. P-RF 6 24.64 28.74 4.79209 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din PE cu pulb. pt. 15 ml susp. orala reconstituita + flac. cu solv. x 7,5 ml solv. + 1 seringa pt. adm. orala + o ling P-RF 1 9.11 10.62 10.62210 J01FA10 AZITHROMYCINUM AZITROX? 250 COMPR. FILM. 250mg ZENTIVA AS CEHIA Cutie x 2 blist. Al/PVC x 3 compr. film. P-RF 6 25.04 29.21 4.87211 J01FA10 AZITHROMYCINUM AZITROX? 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 3 compr. film. P-RF 3 25.04 29.21 9.74212 J01FA10 AZITHROMYCINUM AZRO? 500 mg COMPR. FILM. 500mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 blist. Al/PVC x 3 compr. film. P-RF 3 18.98 22.14 7.38213 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA Cutie x 1 flac. din PEID cu pulb. pt.15 ml susp. orala + seringa si lingurita dozatoare P-RF 1 16.32 19.04 19.04214 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA Cutie x 1 flac. din PEID cu pulb. pt. 30 ml susp. orala + seringa si lingurita dozatoare P-RF 1 26.71 31.15 31.15215 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA Cutie x 1 flac. din PEID cu pulb. pt. 37,5 ml susp. orala + seringa si lingurita dozatoare P-RF 1 33.35 38.89 38.89216 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA Cutie x 1 blist. Al/PVC x 6 compr. film. P-RF 6 18.85 21.99 3.66217 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA Cutie x 1 blist. Al/PVC x 3 compr. film. P-RF 3 30.63 35.73 11.91218 J01FA10 AZITHROMYCINUM SUMAMED? LIOF. PT. SOL. PERF. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA Cutie x 5 flac. liof. pt. sol. perf. S/P-RF 5 90.18 103.21 20.64219 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC/Al x 3 compr. film. P-RF 3 18.85 21.99 7.33220 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon din PEID cu gran. cu elib. prel. P-RF 1 32.07 37.40 37.40221 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA Cutie x 10 fiole din sticla incolora x 1 ml sol. inj. P-RF 10 3.53 4.12 0.41222 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA Cutie x 10 fiole din sticla incolora x 2 ml sol. inj. P-RF 10 4.71 5.50 0.55223 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA Cutie x 50 fiole din sticla incolora x 2 ml sol. inj. P-RF/S 50 20.97 24.46 0.49224 J01GB03 GENTAMICINUM GENTAMICINA SANDOZ? 40 mg/ml SOL. INJ. 40mg/ml SANDOZ GMBH AUSTRIA Cutie x 50 fiole din sticla incolora x 1 ml P-RF/S 50 22.13 25.81 0.52225 J01GB03 GENTAMICINUM LYRAMYCIN SOL. PARENT. 40mg/ml MEDICAROM GROUP S.R.L. ROMANIA Cutie x 10 flacoane x 2 ml P-RF 10 4.01 4.67 0.47226 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA Cutie x 10 fiole din sticla incolora x 2 ml sol. inj. P-RF 10 3.30 3.85 0.39227 J01GB06 AMIKACINUM AMIKIN SOL. INJ. 250mg/ml BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 1 flacon x 4 ml P-RF 1 9.90 11.54 11.54228 J01GB06 AMIKACINUM AMIKOZIT? 100 mg/2 ml SOL. INJ. 100mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flacon din sticla x 2 ml P-RF 1 1.73 2.02 2.02229 J01GB06 AMIKACINUM AMIKOZIT? 500 mg/2 ml SOL. INJ. 500mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flacon din sticla x 2 ml P-RF 1 3.40 3.96 3.96230 J01GB07 NETILMICINUM NETROMYCINE? SOL. INJ. 150mg/1.5ml SCHERING PLOUGH EUROPE BELGIA Cutie x 1 flacon x 1,5 ml S/P-RF 1 9.90 11.54 11.54231 J01GB07 NETILMICINUM NETROMYCINE? SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA Cutie x 1 flacon x 2 ml S/P-RF 1 12.02 14.02 14.02232 J01GB07 NETILMICINUM NETROMYCINE? SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA Cutie x 1 flacon x 2 ml S/P-RF 1 5.89 6.87 6.87233 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 24.46 28.53 2.85234 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 10.04 11.71 1.17235 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 13.40 15.63 1.56

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236 J01MA01 OFLOXACINUM ZANOCIN? OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE Cutie x 1 blist. x 5 compr. film. elib. prel. P-RF 5 13.40 15.63 3.13237 J01MA01 OFLOXACINUM ZANOCIN? OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE Cutie x 2 blist. x 5 compr. film. elib. prel. P-RF 10 25.49 29.73 2.97238 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. PVC/PVDC-Al x 10 compr. film. P-RF 10 4.30 5.01 0.50239 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. PVC/PVDC-Al x 10 compr. film. P-RF 10 8.31 9.69 0.97240 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA Cutie x 1 blist. PVDC/PVC/Al x 10 compr. film. P-RF 10 6.13 7.15 0.71241 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA Cutie x 1 blist. PVDC/PVC/Al x 10 compr. film. P-RF 10 9.43 10.99 1.10242 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 flacon din sticla incolora x 50 ml sol. perf. S/P-RF 1 2.36 2.75 2.75243 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 flacon din sticla incolora x 100 ml sol. perf. S/P-RF 1 4.71 5.50 5.50244 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 8.72 10.17 1.02245 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 15.32 17.86 1.79246 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 19.43 22.66 2.27247 J01MA02 CIPROFLOXACINUM CIPRINOL? CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA Cutie x 5 fiole x 10 ml S/P-RF 5 8.48 9.89 1.98248 J01MA02 CIPROFLOXACINUM CIPRINOL? CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA Cutie x 50 fiole x 10 ml S 50 75.15 86.01 1.72249 J01MA02 CIPROFLOXACINUM CIPRINOL? SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA Cutie x 1 flacon din sticla x 200 ml S/P-RF 1 9.43 11.00 11.00250 J01MA02 CIPROFLOXACINUM CIPRO QUIN? COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 9.03 10.53 1.05251 J01MA02 CIPROFLOXACINUM CIPROBAY? 200 SOL. PERF. 200mg/100ml BAYER HEALTHCARE AG GERMANIA Cutie x 5 flacoane x 100 ml S/P-RF 5 265.15 297.68 59.54252 J01MA02 CIPROFLOXACINUM CIPROBAY? 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA Cutie x 5 flacoane x 200 ml S/P-RF 5 486.22 545.88 109.18253 J01MA02 CIPROFLOXACINUM CIPROBAY? 500 COMPR. FILM. 500mg BAYER HEALTHCARE AG GERMANIA Cutie x 1 blist. Al/PP x 10 compr. film. P-RF 10 51.24 58.65 5.86254 J01MA02 CIPROFLOXACINUM CIPROBAY? 250 COMPR. FILM. 250mg BAYER HEALTHCARE AG GERMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 21.80 25.43 2.54255 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 5.30 6.18 0.62256 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 9.43 10.99 1.10257 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 8.25 9.62 0.96258 J01MA02 CIPROFLOXACINUM CIPROFLOXACIN 250 mg COMPR. FILM. 250mg LAROPHARM SRL ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 3.80 4.43 0.44259 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml SICOMED SA ROMANIA Cutie x 5 fiole din sticla incolora prevazute cu inel de rupere x 10 ml S/P-RF 5 11.82 13.79 2.76260 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA Cutie x 1 flac. din sticla bruna x 10 compr. film. P-RF 10 3.85 4.49 0.45261 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA Cutie x 1 flac. din sticla bruna x 10 compr. film. P-RF 10 7.38 8.60 0.86262 J01MA02 CIPROFLOXACINUM CIPROLEN? 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 3.83 4.46 0.45263 J01MA02 CIPROFLOXACINUM CIPROLEN? 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 6.81 7.94 0.79264 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 2.36 2.75 0.27265 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 3.20 3.74 0.37266 J01MA02 CIPROFLOXACINUM CIPROZONE 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. x 10 compr. film. P-RF 10 3.30 3.85 0.39267 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. x 10 compr. film. P-RF 10 6.41 7.48 0.75268 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. film. P-RF 20 7.85 9.15 0.46269 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 3.89 4.53 0.45270 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 7.49 8.73 0.87271 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA Cutie x 2 blist. Al/PVC x 6 caps. P-RF 12 3.91 4.57 0.38272 J01MA02 CIPROFLOXACINUM SIFLOKS? COMPR. FILM. 500mg ECZACIBASI ILAC SANAYI VE TICARET AS TURCIA Cutie x 2 blist. x 7 compr.film. P-RF 14 4.48 5.22 0.37273 J01MA02 CIPROFLOXACINUM UFEXIL SOL. PERF. 2mg/ml DEMO SA GRECIA Cutie x 10 saci x 100 ml S 10 90.64 103.74 10.37274 J01MA03 PEFLOXACINUM ABAKTAL COMPR. FILM. 400mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 22.00 25.66 2.57275 J01MA03 PEFLOXACINUM ABAKTAL 400mg/5ml CONC. PT. SOL. PERF. 400mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 10 fiole din sticla incolora x 5 ml conc. pt. sol. perf. S/P-RF 10 33.28 38.82 3.88276 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 23.55 27.47 2.75277 J01MA06 NORFLOXACINUM EPINOR COMPR. FILM. 400mg E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 2 blist. x 7 compr. film. P-RF 14 7.66 8.93 0.64278 J01MA06 NORFLOXACINUM H - NORFLOXACIN 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA Cutie x 2 blist. PVC-PVDC/Al x 10 compr. film. P-RF 20 10.78 12.57 0.63279 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 2 blist. PVC-PVDC/Al x 10 compr. film. P-RF 20 8.72 10.17 0.51

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280 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg LEK PHARMATECH SRL ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 7.19 8.39 0.84281 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE Cutie x 1 blist. x 10 compr. film. P-RF 10 3.06 3.57 0.36282 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. x 14 compr. film. P-RF 14 9.94 11.60 0.83283 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 folie Al-PEJD x 10 compr. film. P-RF 10 3.14 3.67 0.37284 J01MA06 NORFLOXACINUM NORFLOXACIN OZONE 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 2.83 3.30 0.33285 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. film. P-RF 20 7.69 8.96 0.45286 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA Cutie x 1 blist. Al/PVC x 7 compr. film. P-RF 7 41.69 48.62 6.95287 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA Cutie x 1 blist. Al/PVC x 7 compr. film. P-RF 7 59.79 68.43 9.78288 J01MA12 LEVOFLOXACINUM TAVANIC? COMPR. FILM. 500mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA Cutie x 1 blist. x 7 compr. film. P-RF 7 71.02 81.28 11.61289 J01MA12 LEVOFLOXACINUM TAVANIC? I.V. 500 mg SOL. PERF. 5mg/ml AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA Cutie x 1 flacon x 100 ml S/P-RF 1 75.33 86.22 86.22290 J01MA14 MOXIFLOXACINUM AVELOX? 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA Cutie x 1 blist. alb opac PP/Al x 5 compr. film. P-RF 5 48.10 56.10 11.22291 J01MA14 MOXIFLOXACINUM AVELOX? 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA Cutie x 5 flacoane din sticla x 250 ml S 5 432.14 485.17 97.03292 J01XA01 VANCOMYCINUM VANCOCIN PULB. LIOF. PT. SOL. INJ. 1g ELI LILLY SUA Cutie x 1 flac. pulb. liof. S 1 47.72 55.65 55.65293 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 flac. din sticla incolora x 500 mg liof. pt. sol. perf./inj. S/P-RF 1 25.94 30.26 30.26294 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 flac. din sticla incolora cu pulb. liof. pt. sol. perf./inj. S/P-RF 1 49.29 57.48 57.48295 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA Cutie x 1 flac. din sticla cu liof. pt. sol. perf. S/P-RF 1 32.07 37.40 37.40296 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA Cutie x 1 flac. din sticla cu liof. pt. sol. perf. S/P-RF 1 16.03 18.70 18.70297 J01XA02 TEICOPLANINUM TARGOCID? 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE Cutie x 1 flac. liof. + o fiola solv. P-RF 1 129.43 145.31 145.31298 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA Cutie x 100 flac. din sticla incolora cu pulb. pt. sol. inj./perf. S 100 1142.18 1282.33 12.82299 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA Cutie x 50 flac. din sticla incolora cu pulb. pt. sol. inj./perf. S 50 571.09 641.17 12.82300 J01XD01 METRONIDAZOLUM FLAGYL ( vezi P01AB01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA Cutie x 2 blist. PVC-PVDC/Al x 10 compr. film. P-RF 20 7.60 8.86 0.44301 J01XD01 METRONIDAZOLUM FLAGYL 4% (P01AB01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA Cutie x 1 flacon x 120 ml susp. orala + lingurita dozatoare x 5 ml P-RF 1 9.01 10.51 10.51302 J01XD01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB1) COMPR. 250mg ARENA GROUP SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 0.98 1.14 0.04303 J01XD01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB1) COMPR. 250mg ZENTIVA SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 0.68 0.79 0.04304 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA Cutie x 1 flacon x 200 ml S/P-RF 1 4.45 5.19 5.19305 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA Cutie x 12 flacoane x 200 ml S/P-RF 12 53.28 60.98 5.08306 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA Cutie x 1 flacon x 200 ml S/P-RF 1 4.34 5.07 5.07307 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA Cutie x 12 flacoane x 200 ml S/P-RF 12 52.25 59.80 4.98308 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA Cutie x 10 flac. din sticla incolora x 100 ml sol. perf. S/P-RF 10 24.69 28.80 2.88309 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA Cutie x 10 flac. din PEJD x 100 ml sol. perf. S/P-RF 10 24.69 28.80 2.88310 J01XX08 LINEZOLIDUM ZYVOXID? COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 10 compr. film. P-RF 10 1202.19 1349.69 134.97311 J01XX08 LINEZOLIDUM ZYVOXID? GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 66 g gran. ptr. 150 ml susp. + 1 lingurita dozatoare dubla x 2,5 ml/5 ml P-RF 1 623.78 700.31 700.31312 J01XX08 LINEZOLIDUM ZYVOXID? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 pungi x 300 ml S 10 1202.19 1349.69 134.97313 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 4.62 5.39 0.54314 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA Cutie x 1 blist. x 10 compr. P-RF 10 3.65 4.26 0.43315 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 4.48 5.22 0.52316 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 4.28 4.99 0.50317 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 6.17 7.20 0.72318 J02AB02 KETOCONAZOLUM NIZORAL COMPR. 200mg JANSSEN PHARMACEUTICA NV BELGIA Cutie x 1 blist. PVC-PEJD-PVDC/Al x 10 compr. P-RF 10 12.83 14.96 1.50319 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA Cutie x 1 blist. x 10 compr. P-RF 10 10.00 11.66 1.17320 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA Cutie x 4 blist. x 7 caps. P-RF 28 129.29 145.16 5.18321 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 1 caps. P-RF 1 12.96 15.12 15.12322 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 83.24 95.27 13.61323 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 31.58 36.83 5.26

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324 J02AC01 FLUCONAZOLUM DIFLAZON? SOL. PERF. 2mg/ml KRKA D.D. SLOVENIA Cutie x 1 flacon x 100 ml S/P-RF 1 37.70 43.97 43.97325 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 14.56 16.98 16.98326 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 38.60 45.02 6.43327 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 25 ml S/P-RF 1 18.85 21.99 21.99328 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 50 ml S/P-RF 1 20.74 24.18 24.18329 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 200 ml S/P-RF 1 90.64 103.74 103.74330 J02AC01 FLUCONAZOLUM DIFLUCAN? 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. PEID pulb. pt. 35 ml susp. orala + 1 lingurita dozatoare x 5 ml P-RF 1 63.47 72.65 72.65331 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 6.36 7.42 7.42332 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.73 5.52 5.52333 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.42 5.15 5.15334 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 11.55 13.47 1.92335 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 12.47 14.54 1.45336 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.56 11.15 1.59337 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.34 10.90 1.56338 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.42 5.15 5.15339 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.01 4.67 4.67340 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 7.89 9.20 1.31341 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 150 CAPS. 150mg SANDOZ SRL GERMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 9.07 10.58 10.58342 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 50 CAPS. 50mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 21.16 24.68 3.53343 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.50 5.24 5.24344 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.62 11.22 1.60345 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 2 caps. P-RF 2 4.62 5.39 2.69346 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 15.39 17.95 2.56347 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 3.37 3.93 3.93348 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 19.88 23.19 3.31349 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 8.14 9.50 1.36350 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 31.39 36.61 5.23351 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVDC/Al x 1 caps. P-RF 1 9.94 11.59 11.59352 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVdC/Al x 7 caps. P-RF 7 20.94 24.42 3.49353 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 4 caps. P-RF 4 12.51 14.59 3.65354 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA Cutie x 1 flac. x 1 caps. P-RF 1 4.86 5.66 5.66355 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 7 caps. P-RF 7 11.03 12.86 1.84356 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 2 blist. PVC/Al x 8 caps. P-RF 16 43.93 51.24 3.20357 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 4 caps. P-RF 4 4.65 5.42 1.36358 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 8 caps. P-RF 8 9.30 10.85 1.36359 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 8.05 9.39 9.39360 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 3 caps. P-RF 3 33.70 39.30 13.10361 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 100 ml sol. perf. S/P-RF 1 28.15 32.84 32.84362 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 200 ml sol. perf. S/P-RF 1 92.29 105.63 105.63363 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 50 ml sol. perf. S 1 20.17 23.52 23.52364 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 2 blist. Al/PVC x 1 caps. P-RF 2 27.58 32.16 16.08365 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 4 blist. Al/PVC x 1 caps. P-RF 4 54.12 61.94 15.49366 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA Cutie x 3 blist. Al/PVC x 5 caps. P-RF 15 64.83 74.20 4.95367 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 3 blist. Al/PVC x 5 caps. P-RF 15 64.83 74.20 4.95

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368 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL S.R.L. ROMANIA Cutie x 3 blist. Al/Al x 5 caps. P-RF 15 48.74 56.85 3.79369 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA NV BELGIA Cutie x 3 blist. Al/PVC-PE-PVDC x 5 caps. P-RF 15 98.81 113.08 7.54370 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA S.A. ROMANIA Cutie x 3 blist. Al/Al x 5 caps. P-RF 15 62.65 71.70 4.78371 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.93372 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.93373 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.03374 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.98375 J02AC04 POSACONAZOLUM NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA Cutie x 1 flac. x 105ml susp. orala P-RF/R 1 2006.37 2252.55 2252.55376 J02AX04 CASPOFUNGINUM CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 861.02 966.66 966.66377 J02AX04 CASPOFUNGINUM CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 1123.75 1261.63 1261.63378 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 2 blist. Al/PVC x 15 caps. S/P-RF 30 204.14 229.19 7.64379 J04AC01 ISONIAZIDUM ISONIAZIDA COMPR. 300mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 compr. S/P-RF 20 1.68 1.96 0.10380 J04AC01 ISONIAZIDUM ISONIAZIDA COMPR. 300mg ANTIBIOTICE SA ROMANIA Cutie x 150 blist. x 10 compr. S 1500 142.47 159.95 0.11381 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 compr. S/P-RF 20 0.40 0.47 0.02382 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA Cutie x 150 blist. x 10 compr. S 1500 33.61 39.20 0.03383 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA Cutie x 100 fiole din sticla bruna x 10 ml S 100 44.19 51.54 0.52384 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. S/P-RF 20 3.23 3.77 0.19385 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA Cutie x 150 blist. Al/PVC x 10 compr. S 1500 234.54 263.32 0.18386 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA Cutie x 150 blist. Al/PVC x 10 compr. film. S 1500 133.26 149.62 0.10387 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. S/P-RF 10 2.08 2.42 0.24388 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. S 1000 222.51 249.81 0.25389 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 10.46 12.20 0.61390 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 488.47 548.41 0.55391 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 9.88 11.52 0.58392 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 8.40 9.80 0.49393 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 4 blist. PVC-PVDC/Al x 5 compr. P-RF 20 6.73 7.85 0.39394 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg TERAPIA SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 6.34 7.40 0.37395 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 4 blist. x 5 compr. disp. P-RF 20 3.58 4.18 0.21396 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 9.51 11.10 1.11397 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 2 blist. PVC-PVDC/Al x 5 compr. P-RF 10 9.40 10.96 1.10398 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA Cutie x 7 blist. Al/PVC x 5 compr. film. P-RF 35 28.86 33.66 0.96399 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 8.03 9.36 0.47400 J05AB01 ACICLOVIRUM EUVIROX 200 mg CAPS. 200mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 10.36 12.08 0.60401 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. din PVC-PVDC/Al x 10 compr. disp. P-RF 10 1.83 2.13 0.21402 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 5 flac. x 250 mg pulb. pt. sol. inj./perf. S/P-RF 5 171.14 192.14 38.43403 J05AB01 ACICLOVIRUM ZOVIRAX COMPR. 200mg GLAXO WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVDC-PVC x 25 compr. P-RF 25 35.35 41.22 1.65404 J05AB04 RIBAVIRINUM COPEGUS? COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 168 compr. film. P-RF 168 1867.55 2096.70 12.48405 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA Cutie x 140caps. ( blist. PVC/PE/PVDC ) P-RF/R 140 1628.62 1828.45 13.06406 J05AB06 GANCICLOVIRUM CYMEVENE LIOF. PT. SOL. INJ. 500mg ROCHE ROMANIA S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora cu liof. pt. sol. inj. S 1 95.75 109.58 109.58407 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 52.80 60.43 6.04408 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.16409 J05ABN1 BRIVUDINUM BRIVAL? COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA Cutie x 1 blist. x 7 compr. P-RF 7 191.38 214.86 30.69410 J06BB16 PALIVIZUMABUM SYNAGIS 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 1 flac. pulb. pt. sol. inj. + fiola x 1 ml solv. S 1 2513.67 2822.10 2822.10411 J06BB16 PALIVIZUMABUM SYNAGIS 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 1 flac. pulb. pt. sol. inj. + fiola x 1 ml solv. S 1 1513.67 1699.40 1699.40

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412 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 30MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 196.66 220.78 220.78413 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 340.22 381.96 381.96414 S01AA23 NETILMICINUM NETTACIN? PIC. OFT., SOL 0.3% S.I.F.I. SPA ITALIA Cutie x 1 flacon x 5ml P-RF 1 4.94 5.76 5.76415 S01AA23 NETILMICINUM NETTACIN? PICATURI OFT.-SOL. 0.3% S.I.F.I. SPA ITALIA Cutie x 3 folii termosudate x 5 flacoane unidoza din polietilena x 0,3 ml P-RF 15 14.14 16.49 1.10416 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA Cutie x 1 tub din Al x 5 g unguent oftalmic, prev. cu aplicator P-RF 1 17.09 19.93 19.93417 S01AX17 LOMEFLOXACINUM OKACIN PICATURI OFT.-SOL. 3mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flacon picurator PEJD x 5 ml P-RF 1 9.79 11.41 11.41418 S03AAN2 NORFLOXACINUM NORFLOX PICATURI OFT./AURIC.-SOL. 0.3% CIPLA (UK) LIMITED MAREA BRITANIE Cutie x 1 flacon PEJD x 5 ml P-RF 1 2.36 2.75 2.75419 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA Cutie x 1 flac. din PEID x 5 ml pic. oft., suspensie P-RF 1 3.84 4.48 4.48420 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA Cutie x 1 flac. din PEID x 10 ml pic. oft., suspensie P-RF 1 6.72 7.84 7.84421 S01BA01 DEXAMETHASONUM MAXIDEX? PICATURI OFT.-SUSP. 0.1% ALCON COUVREUR NV BELGIA Cutie x 1 flacon picurator din PE x 5 ml P-RF 1 9.94 11.59 11.59

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA Cutie x 1 flac. din PE x 20 compr. P-6L 20 0.90 1.06 0.052 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA Cutie x 5 fiole din sticla incolora cu inel de rupere x 5 ml sol. inj. P-RF 5 2.61 3.04 0.613 A11HA02 PYRIDOXINUM SICOVIT B6 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA Cutie x 5 fiole din sticla incolora cu inel de rupere x 2 ml sol. inj. P-RF 5 1.64 1.91 0.384 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA Cutie x 1 flacon din PE x 20 compr. P-6L 20 0.90 1.06 0.055 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 50.82 58.17 19.396 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 18.02 21.02 7.017 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA Cutie x 1 flac. x 30 compr. P-RF 30 1.21 1.41 0.058 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 1.24 1.44 0.059 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 1.28 1.49 0.05

10 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 compr. P-RF/S 1000 29.35 34.23 0.0311 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 0.88 1.02 0.0512 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 0.88 1.02 0.0513 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA Cutie x 5 blist. x 4 compr. film. P-RF 20 18.85 21.99 1.1014 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA Cutie x 5 blist. Al/PVC x 4 compr. film. P-RF 20 24.32 28.36 1.4215 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC-PVDC X 14 compr. film. P-RF 14 12.11 14.13 1.0116 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC-PVDC X 14 compr. film. P-RF 14 23.02 26.85 1.9217 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 2 blist. PVC-PVDC/Al x 7 compr. film. P-RF 14 14.99 17.48 1.2518 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 2 blist. PVC-PVDC/Al x 7 compr. film. P-RF 14 27.33 31.88 2.2819 J01FA09 CLARITHROMYCINUM FROMILID? 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA Cutie x 1 flac. pulb. pt. 60 ml susp. P-RF 1 12.25 14.29 14.2920 J01FA09 CLARITHROMYCINUM FROMILID? UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA Cutie x 1 blist. PVC-PVDC/Al x 5 compr. film. elib. prel. P-RF 5 15.91 18.55 3.71

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

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21 J01FA09 CLARITHROMYCINUM FROMILID? UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA Cutie x 1 blist. PVC-PVDC/Al x 7 compr. film. elib. prel. P-RF 7 22.27 25.97 3.7122 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. din PEID x 42 g gran. pt. 60 ml susp . orala P-RF 1 11.22 13.09 13.0923 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. din PEID x 70 g gran. pt. 100 ml susp . orala P-RF 1 16.99 19.82 19.8224 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 14 compr. film. P-RF 14 13.95 16.27 1.1625 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. PEID x 42 g gran. pt. 60 ml susp . orala P-RF 1 19.88 23.19 23.1926 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. PEID x 70 g gran. pt. 100 ml susp . orala P-RF 1 27.26 31.79 31.7927 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 14 compr. film. P-RF 14 26.58 31.00 2.2128 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC/PVDC-Al x 7 compr. film. elib. prel. P-RF 7 17.76 20.72 2.9629 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA Cutie x 1 flac. liof. pt. sol. perf. S/P-RF 1 27.52 32.10 32.1030 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 5 compr. film. elib. prel. P-RF 5 18.85 21.99 4.4031 J01FA09 CLARITHROMYCINUM KLACID? COMPR. FILM. 250mg ABBOTT SPA ITALIA Cutie x 1 blist. x 10 compr. film. P-RF 10 25.90 30.20 3.0232 J01FA09 CLARITHROMYCINUM KLACID? COMPR. FILM. 250mg ABBOTT SPA ITALIA Cutie x 1 blist. x 14 compr. film. P-RF 14 14.14 16.49 1.1833 J01FA09 CLARITHROMYCINUM KLACID? GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA Cutie x 1 flacon PEID cu granule pt. 60 ml susp. orala + 1 lingurita dozatoare x 2,5 ml/5 ml P-RF 1 12.25 14.29 14.2934 J01FA09 CLARITHROMYCINUM KLACID? GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA Cutie x 1 flacon PEID cu granule pt. 100 ml susp. orala + 1 lingurita dozatoare x 2,5 ml/5 ml P-RF 1 20.03 23.36 23.3635 J01FA09 CLARITHROMYCINUM KLERIMED? 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU Cutie x 2 blist. Al/PVC-PVDC x 7 compr. film. P-RF 14 14.14 16.49 1.1836 J01FA09 CLARITHROMYCINUM KLERIMED? 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU Cutie x 2 blist. Al/PVC-PVDC x 7 compr. film. P-RF 14 25.91 30.22 2.1637 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA Cutie x 1 flac. PEID cu 41 g granule pt. 60 ml susp. orala + lingurita dozatoare PP P-RF 1 12.80 14.93 14.9338 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA Cutie x 1 flac. PEID cu 68,3 g granule pt. 100 ml susp. orala + lingurita dozatoare PP P-RF 1 19.37 22.59 22.5939 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID cu 41 g granule pt. 60 ml susp. orala + lingurita dozatoare PP P-RF 1 22.64 26.40 26.4040 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID cu 68,3 g granule pt. 100 ml susp. orala + lingurita dozatoare PP P-RF 1 31.07 36.23 36.2341 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 folie Al/Al x 5 compr. film. elib. modif. P-RF 5 18.25 21.28 4.2642 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 folie Al/Al x 7 compr. film. elib. modif. P-RF 7 25.49 29.73 4.2543 J01FA09 CLARITHROMYCINUM LEKOKLAR? 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 2 blist. x 7 compr. film. P-RF 14 15.77 18.39 1.3144 J01FA09 CLARITHROMYCINUM LEKOKLAR? 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 2 blist. x 7 compr. film. P-RF 14 29.48 34.38 2.4645 J01GB06 AMIKACINUM AMIKIN SOL. INJ. 250mg/ml BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 1 flacon x 4 ml P-RF 1 9.90 11.54 11.5446 J01GB06 AMIKACINUM AMIKOZIT? 100 mg/2 ml SOL. INJ. 100mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flacon din sticla x 2 ml P-RF 1 1.73 2.02 2.0247 J01GB06 AMIKACINUM AMIKOZIT? 500 mg/2 ml SOL. INJ. 500mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flacon din sticla x 2 ml P-RF 1 3.40 3.96 3.9648 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 24.46 28.53 2.8549 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 10.04 11.71 1.1750 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 13.40 15.63 1.5651 J01MA01 OFLOXACINUM ZANOCIN? OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE Cutie x 1 blist. x 5 compr. film. elib. prel. P-RF 5 13.40 15.63 3.1352 J01MA01 OFLOXACINUM ZANOCIN? OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE Cutie x 2 blist. x 5 compr. film. elib. prel. P-RF 10 25.49 29.73 2.9753 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. PVC/PVDC-Al x 10 compr. film. P-RF 10 4.30 5.01 0.5054 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. PVC/PVDC-Al x 10 compr. film. P-RF 10 8.31 9.69 0.9755 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA Cutie x 1 blist. PVDC/PVC/Al x 10 compr. film. P-RF 10 6.13 7.15 0.7156 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA Cutie x 1 blist. PVDC/PVC/Al x 10 compr. film. P-RF 10 9.43 10.99 1.1057 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 flacon din sticla incolora x 50 ml sol. perf. S/P-RF 1 2.36 2.75 2.7558 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 flacon din sticla incolora x 100 ml sol. perf. S/P-RF 1 4.71 5.50 5.5059 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 8.72 10.17 1.0260 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 15.32 17.86 1.7961 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 19.43 22.66 2.2762 J01MA02 CIPROFLOXACINUM CIPRINOL? CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA Cutie x 5 fiole x 10 ml S/P-RF 5 8.48 9.89 1.9863 J01MA02 CIPROFLOXACINUM CIPRINOL? CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA Cutie x 50 fiole x 10 ml S 50 75.15 86.01 1.7264 J01MA02 CIPROFLOXACINUM CIPRINOL? SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA Cutie x 1 flacon din sticla x 200 ml S/P-RF 1 9.43 11.00 11.00

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65 J01MA02 CIPROFLOXACINUM CIPRO QUIN? COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 9.03 10.53 1.0566 J01MA02 CIPROFLOXACINUM CIPROBAY? 200 SOL. PERF. 200mg/100ml BAYER HEALTHCARE AG GERMANIA Cutie x 5 flacoane x 100 ml S/P-RF 5 265.15 297.68 59.5467 J01MA02 CIPROFLOXACINUM CIPROBAY? 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA Cutie x 5 flacoane x 200 ml S/P-RF 5 486.22 545.88 109.1868 J01MA02 CIPROFLOXACINUM CIPROBAY? 250 COMPR. FILM. 250mg BAYER HEALTHCARE AG GERMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 51.24 58.65 5.8669 J01MA02 CIPROFLOXACINUM CIPROBAY? 500 COMPR. FILM. 500mg BAYER HEALTHCARE AG GERMANIA Cutie x 1 blist. Al/PP x 10 compr. film. P-RF 10 51.24 58.65 5.8670 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 10 compr. film. P-RF 10 5.30 6.18 0.6271 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 9.43 10.99 1.1072 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 8.25 9.62 0.9673 J01MA02 CIPROFLOXACINUM CIPROFLOXACIN 250 mg COMPR. FILM. 250mg LAROPHARM SRL ROMANIA Cutie x 1 blist. x 10 compr. film. P-RF 10 3.80 4.43 0.4474 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml SICOMED SA ROMANIA Cutie x 5 fiole din sticla incolora prevazute cu inel de rupere x 10 ml S/P-RF 5 11.82 13.79 2.7675 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA Cutie x 1 flac. din sticla bruna x 10 compr. film. P-RF 10 3.85 4.49 0.4576 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA Cutie x 1 flac. din sticla bruna x 10 compr. film. P-RF 10 7.38 8.60 0.8677 J01MA02 CIPROFLOXACINUM CIPROLEN? 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 3.83 4.46 0.4578 J01MA02 CIPROFLOXACINUM CIPROLEN? 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 6.81 7.94 0.7979 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 2.36 2.75 0.2780 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 3.20 3.74 0.3781 J01MA02 CIPROFLOXACINUM CIPROZONE 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. x 10 compr. film. P-RF 10 3.30 3.85 0.3982 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. x 10 compr. film. P-RF 10 6.41 7.48 0.7583 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. film. P-RF 20 7.85 9.15 0.4684 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 3.89 4.53 0.4585 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 7.49 8.73 0.8786 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA Cutie x 2 blist. Al/PVC x 6 caps. P-RF 12 3.91 4.57 0.3887 J01MA02 CIPROFLOXACINUM SIFLOKS? COMPR. FILM. 500mg ECZACIBASI ILAC SANAYI VE TICARET AS TURCIA Cutie x 2 blist. x 7 compr.film. P-RF 14 4.48 5.22 0.3788 J01MA02 CIPROFLOXACINUM UFEXIL SOL. PERF. 2mg/ml DEMO SA GRECIA Cutie x 10 saci x 100 ml S 10 90.64 103.74 10.3789 J01MA14 MOXIFLOXACINUM AVELOX? 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA Cutie x 1 blist. alb opac PP/Al x 5 compr. film. P-RF 5 48.10 56.10 11.2290 J01MA14 MOXIFLOXACINUM AVELOX? 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA Cutie x 5 flacoane din sticla x 250 ml S 5 432.14 485.17 97.0391 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA Cutie x 5 folii termosudate din Al/Al x 10 caps. P-RF 50 115.66 129.86 2.6092 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA Cutie x 10 folii termosudate din Al/Al x 10 caps. P-RF 100 229.00 257.10 2.5793 J04AB01 CICLOSERINUM HELPOCERIN CAPS. 250mg HELP PHARMACEUTICALS LTD. GRECIA Cutie x 5 blist. x 10 caps. S/P-RF 50 147.44 165.53 3.3194 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. S/P-RF 20 2.11 2.46 0.1295 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. S/P-RF 10 2.21 2.58 0.2696 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA Cutie x 100 blist. Al/PVC x 10 compr. S 1000 197.78 222.05 0.2297 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 2 blist. Al/PVC x 15 caps. S/P-RF 30 204.14 229.19 7.6498 J04AC01 ISONIAZIDUM ISONIAZIDA COMPR. 300mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 compr. S/P-RF 20 1.68 1.96 0.1099 J04AC01 ISONIAZIDUM ISONIAZIDA COMPR. 300mg ANTIBIOTICE SA ROMANIA Cutie x 150 blist. x 10 compr. S 1500 142.47 159.95 0.11

100 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 compr. S/P-RF 20 0.40 0.47 0.02101 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA Cutie x 150 blist. x 10 compr. S 1500 33.61 39.20 0.03102 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA Cutie x 100 fiole din sticla bruna x 10 ml S 100 44.19 51.54 0.52103 J04AD01 PROTIONAMIDUM PROTIONAMIDA 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA Cutie x 1 flac. din polistiren x 50 compr. film. S/P-RF 50 20.23 23.59 0.47104 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. S/P-RF 20 3.23 3.77 0.19105 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA Cutie x 150 blist. Al/PVC x 10 compr. S 1500 234.54 263.32 0.18106 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA Cutie x 150 blist. Al/PVC x 10 compr. film. S 1500 133.26 149.62 0.10107 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. S/P-RF 10 2.08 2.42 0.24108 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. S 1000 222.51 249.81 0.25

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg SCHERING AG GERMANIA Cutie x 1 flac. x 50 compr. P-RF 50 126.09 141.56 2.832 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. perf./inj S 1 7.76 9.05 9.053 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf./inj. S 1 26.58 31.00 31.004 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 5 blist. PVC-PVDC/Al x 10 draj. P-RF 50 20.84 24.31 0.495 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf./inj. S 1 13.31 15.52 15.526 L01AA02 CHLORAMBUCILUM LEUKERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flac. x 25 compr. film. P-RF 25 11.85 13.82 0.557 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flac. din sticla bruna x 25 compr. film. P-RF 25 4.55 5.31 0.218 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. cu pulb. pt. sol. perf. S 1 92.92 106.35 106.359 L01AA06 IFOSFAMIDUM HOLOXAN 2 g PULB. PT. SOL. PERF. 2g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. cu pulb. pt. sol. perf. S 1 181.07 203.28 203.28

10 L01AA06 IFOSFAMIDUM HOLOXAN 500 mg PULB. PT. SOL. PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. cu pulb. pt. sol. perf. S 1 55.70 63.74 63.7411 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flac. din sticla bruna x 25 compr. film. P-RF 25 14.52 16.93 0.6812 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg SP EUROPE BELGIA Cutie x 1 flac. din sticla bruna x 5 caps. P-RF/R 5 1156.82 1298.76 259.7513 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg SP EUROPE BELGIA Cutie x 1 flac. din sticla bruna x 5 caps. P-RF/R 5 235.90 264.85 52.9714 L01AX03 TEMOZOLOMIDUM TEMODAL 250 mg CAPS. 250mg SP EUROPE BELGIA Cutie x 1 flac. din sticla bruna x 5 caps. P-RF/R 5 2835.35 3183.24 636.6515 L01AX03 TEMOZOLOMIDUM TEMODAL 5 mg CAPS. 5mg SP EUROPE BELGIA Cutie x 1 flac. din sticla bruna x 5 caps. P-RF/R 5 61.28 70.13 14.0316 L01AX04 DACARBAZINUM DALTRIZEN? 200 mg LIOF. PT. SOL. PERF. 200mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. perf S 1 7.95 9.27 9.2717 L01BA01 METHOTREXATUM ANTIFOLAN? 50 mg PULB. PT. SOL. INJ./PERF. 50mg SINDAN SRL ROMANIA Cutie x 1 flac. de sticla cu pulb. pt. sol. inj./perf. S 1 5.67 6.61 6.6118 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 tub din material plastic x 1 fiola x 10 ml S 1 54.88 62.81 62.8119 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 10 fiole x 1 ml S 10 11.64 13.58 1.3620 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 5 ml S 1 6.51 7.59 7.5921 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 5 fiole x 5 ml S 5 130.11 146.07 29.2122 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 50 ml S 1 269.19 302.22 302.2223 L01BA04 PEMETREXEDUM ALIMTA 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ELI LILLY NEDERLAND BV OLANDA Cutie x 1 flac. pulb. pt. conc. pt. sol. perf. S 1 3704.07 4158.56 4158.5624 L01BB02 MERCAPTOPURINUM PURI - NETHOL COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flac. din sticla bruna x 25 compr. P-RF 25 30.63 35.73 1.4325 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flac. x 25 compr. P-RF 25 51.24 58.65 2.3526 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA Cutie x 1 flacon x 5 ml S 1 1010.46 1134.44 1134.4427 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA Cutie x 5 flacoane x 5 ml S 5 4867.08 5464.27 1092.8528 L01BB05 FLUDARABINUM FLUDARA? ORAL COMPR. FILM. 10mg SCHERING AG GERMANIA Cutie x 1 flac. x 4 blist. x 5 compr. film. P-RF 20 1602.01 1798.58 89.9329 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon din sticla x 2 ml sol. inj. S 1 3.05 3.55 3.5530 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 10 flacoane din sticla x 5 ml sol. inj. S 10 64.35 73.65 7.3631 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 10 ml. sol. inj. S 1 29.85 34.82 34.82

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32 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 20 ml. sol. inj. S 1 51.31 58.72 58.7233 L01BC01 CYTARABINUM CYTOSAR? 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla incolora cu pulb. + 1 fiola din sticla incolora x 5 ml solv. S 1 7.07 8.24 8.2434 L01BC01 CYTARABINUM DEPOCYTE 50mg SUSP. INJ. 50mg SKYEPHARMKA PLC MAREA BRITANIE Cutie x 1 flac. x 50mg susp.inj. (monodoza 5ml) S 1 5029.05 5646.11 5646.1135 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon din sticla bruna x 5 ml concentrat pt. sol. inj./perf. S 1 4.62 5.39 5.3936 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon din sticla bruna x 10 ml concentrat pt. sol. inj./perf. S 1 7.79 9.09 9.0937 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon din sticla bruna x 20 ml concentrat pt. sol. inj./perf. S 1 13.98 16.31 16.3138 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon din sticla bruna x 100 ml concentrat pt. sol. inj./perf. S 1 59.44 68.03 68.0339 L01BC02 FLUOROURACILUM EFUDIX UNGUENT 50 mg/g ICN HUNGARY CO. LTD. UNGARIA Cutie x 1 tub x 20 g unguent S/P-RF 1 9.79 11.41 11.4140 L01BC02 FLUOROURACILUM FLUOROSINDAN 250mg/5ml SOL. PERF./INJ. 250mg/5ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla x 5 ml sol. perf./inj. S 1 3.91 4.57 4.5741 L01BC05 GEMCITABINUM GEMCITABINA SINDAN 1 g PULB. PT. SOL. PERF. 1g ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. perf. S 1 688.59 773.08 773.0842 L01BC05 GEMCITABINUM GEMCITABINA SINDAN 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. perf. S 1 156.09 175.24 175.2443 L01BC06 CAPECITABINUM XELODA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 blist. din PVC/PE/PVDC x 10 compr. film. P-RF/R 60 161.28 181.07 3.0244 L01BC06 CAPECITABINUM XELODA 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 12 blist. din PVC/PE/PVDC x 10 compr. film. P-RF/R 120 1070.18 1201.50 10.0145 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA Cutie x 7 blist din PVC-PVDC/Al x 3 caps. P-RF 21 254.75 286.00 13.6246 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA Cutie x 7 blist din PVC-PVDC/Al x 4 caps. P-RF 28 339.66 381.34 13.6247 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA Cutie x 7 blist din PVC-PVDC/Al x 5 caps. P-RF 35 424.58 476.67 13.6248 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA Cutie x 7 blist din PVC-PVDC/Al x 6 caps. P-RF 42 509.49 572.01 13.6249 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA Cutie x 3 blist. PVC-PVDC/Al x 12 caps. P-RF 36 436.71 490.29 13.6250 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA Cutie x 10 blist. PVC-PVDC/Al x 12 caps. P-RF 120 1455.70 1634.31 13.6251 L01CA02 VINCRISTINUM SINDOVIN 1 mg LIOF. PT. SOL. INJ./PERF. I.V. 1mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla cu liof. pt. sol. inj./perf. i.v. S 1 13.64 15.91 15.9152 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT FRANTA Cutie x 1 blist. PVC-PVDC/Al-PETP x 1 caps. moale P-RF 1 150.14 168.56 168.5653 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT FRANTA Cutie x 1 blist. PVC-PVDC/Al-PETP x 1 caps. moale P-RF 1 225.21 252.84 252.8454 L01CA04 VINORELBINUM NAVELBINE? SOL. INJ. 10mg/ml LAB. PIERRE FABRE FRANTA Cutie x 10 fiole x 1 ml S 10 799.96 898.11 89.8155 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 1 ml conc. pt. sol. perf. S 1 69.02 78.99 78.9956 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 5 ml conc. pt. sol. perf. S 1 303.51 340.75 340.7557 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flac. x 1 ml conc. pt. sol. inj/perf. S 1 64.51 73.83 73.8358 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flac. x 5 ml conc. pt. sol. inj/perf. S 1 284.29 319.17 319.1759 L01CA04 VINORELBINUM VINORELBIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 flac. din sticla incolora x 1 ml conc. pt. sol. perf. S 1 64.19 73.47 73.4760 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 5 ml S 1 40.72 47.50 47.5061 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. x 5 ml conc. pt. sol. perf. S 1 21.10 24.61 24.6162 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. x 10 ml conc. pt. sol. perf. S 1 42.23 49.25 49.2563 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 5 ml conc. pt. sol. perf. S 1 21.68 25.28 25.2864 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 1 blist. PVC/A0-PVC-PVDC x 10 caps. P-RF 10 221.79 249.01 24.9065 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 2 blist. PVC/Al-PVC-PVDC x 10 caps. P-RF 20 206.03 231.31 11.5766 L01CD01 PACLITAXELUM ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon x 5 ml conc. pt. sol. perf. S 1 117.95 132.42 132.4267 L01CD01 PACLITAXELUM ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon x 16,7 ml conc. pt. sol. perf. S 1 362.92 407.46 407.4668 L01CD01 PACLITAXELUM ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon x 25 ml conc. pt. sol. perf. S 1 567.07 636.65 636.6569 L01CD01 PACLITAXELUM ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon x 50 ml conc. pt. sol. perf. S 1 1134.14 1273.30 1273.3070 L01CD01 PACLITAXELUM PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA Cutie x 10 flac. x 5 ml S 10 697.61 783.20 78.3271 L01CD01 PACLITAXELUM PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA Cutie x 4 flac. x 16,7 ml S 4 907.40 1018.74 254.6872 L01CD01 PACLITAXELUM PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA Cutie x 1 flac. x 50 ml S 1 720.40 808.80 808.8073 L01CD01 PACLITAXELUM PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla incolora x 5 ml conc. pt. sol. perf. S 1 120.85 135.67 135.6774 L01CD01 PACLITAXELUM PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla incolora x 16,6 ml conc. pt. sol. perf. S 1 371.92 417.55 417.5575 L01CD01 PACLITAXELUM PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla incolora x 25 ml conc. pt. sol. perf. S 1 581.17 652.48 652.48

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76 L01CD01 PACLITAXELUM PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla incolora x 50 ml conc. pt. sol. perf. S 1 1162.34 1304.96 1304.9677 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora x 5 ml conc. pt. sol. perf. S 1 77.19 88.35 88.3578 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora x 16,67 ml conc. pt. sol. perf. S 1 236.92 265.99 265.9979 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora x 25 ml conc. pt. sol. perf. S 1 383.60 430.66 430.6680 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora x 50 ml conc. pt. sol. perf. S 1 775.78 870.97 870.9781 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora x 43,33 ml conc. pt. sol. perf. S 1 637.19 715.37 715.3782 L01CD02 DOCETAXELUM TAXOTERE 20 mg CONC. + SOLV. PT. SOL. PERF. 20mg AVENTIS PHARMA SA FRANTA Cutie x 1 flacon x 0,5 ml conc. sol. perf. + 1 flacon x 1,5 ml solv. S 1 373.31 419.11 419.1183 L01CD02 DOCETAXELUM TAXOTERE 80 mg CONC. + SOLV. PT. SOL. PERF. 80mg AVENTIS PHARMA SA FRANTA Cutie x 1 flacon x 2 ml conc. sol. perf. + 1 flacon x 6 ml solv. S 1 1493.26 1676.49 1676.4984 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. liof. pt. sol. inj. S 1 18.85 21.98 21.9885 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. liof. pt. sol. inj. S 1 76.64 87.71 87.7186 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA Cutie x 1 flacon din sticla x 10 ml S 1 1134.14 1273.30 1273.3087 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA Cutie x 1 flacon din sticla x 25 ml S 1 3241.06 3638.74 3638.7488 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 5 ml conc. pt. sol. perf. (10 mg doxorubicina) S 1 18.63 21.73 21.7389 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 25 ml conc. pt. sol. perf. (50 mg doxorubicina) S 1 72.66 83.16 83.1690 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L ROMANIA Cutie x 1 flac. din sticla incolora x 10 ml sol. inj. S 1 44.67 52.10 52.1091 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L ROMANIA Cutie x 1 flac. din sticla incolora x 25 ml sol. inj. S 1 58.84 67.35 67.3592 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA Cutie x 1 flac. din sticla incolora cu capacitatea de 8 ml continand 10 mg clorhidrat de doxorubicina S 1 17.94 20.93 20.9393 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA Cutie x 1 flac. din sticla incolora cu capacitatea de 50 ml continand 50 mg clorhidrat de doxorubicina S 1 69.68 79.75 79.7594 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 5 ml S 1 33.03 38.52 38.5295 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 25 ml S 1 157.42 176.74 176.7496 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 50 ml S 1 311.76 350.01 350.0197 L01DB03 EPIRUBICINUM EPISINDAN 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. cu liof. pt. sol. inj. S 1 31.95 37.27 37.2798 L01DB03 EPIRUBICINUM EPISINDAN 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. cu liof. pt. sol. inj. S 1 154.41 173.35 173.3599 L01DB03 EPIRUBICINUM FARMORUBICIN RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 10 mg liof. pt. sol. inj. S 1 40.13 46.81 46.81

100 L01DB03 EPIRUBICINUM FARMORUBICIN? RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 50 mg liof. pt. sol. inj. S 1 172.47 193.63 193.63101 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 1 caps. P-RF 1 217.75 244.47 244.47102 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla incolora cu liof. pt. sol. inj. S 1 238.17 267.39 267.39103 L01DB07 MITOXANTRONUM MITOXANTRONE TEVA 2 mg/ml CONC. PT. SOL. PERF. 2 mg/ml TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 flacon x 10 ml conc.pt. sol. perf. S 1 334.76 375.83 375.83104 L01DB07 MITOXANTRONUM NOVANTRONE SOL. PERF. 20mg/10ml WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flacon din sticla x 10 ml sol. perf. S 1 493.88 554.47 554.47105 L01DB07 MITOXANTRONUM ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flacon x 10 ml conc. pt. sol. inj. S 1 430.85 483.71 483.71106 L01DC01 BLEOMYCINUM SULFAS BLEOCIN LIOF. PT. SOL. INJ. 15mg EURO NIPPON KAYAKU GMBH GERMANIA Cutie x 1 flac. din sticla incolora cu liof. pt. sol. inj. S 1 35.74 41.68 41.68107 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 20 ml conc. pt. sol. perf. S 1 6.06 7.07 7.07108 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 50 ml cond. pt. sol. perf. S 1 14.56 16.98 16.98109 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 100 ml conc. pt. sol. perf. S 1 20.84 24.31 24.31110 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. x 20 ml S 1 5.87 6.84 6.84111 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 10 ml x 10 mg conc. sol. perf. S 1 5.12 5.97 5.97112 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 50 ml x 50 mg conc. sol. perf. S 1 16.12 18.80 18.80113 L01XA01 CISPLATINUM SINPLATIN 10 mg LIOF. PT. SOL. PERF. 10mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. liof. pt. sol. perf. S 1 5.67 6.61 6.61114 L01XA01 CISPLATINUM SINPLATIN 50 mg LIOF. PT. SOL. PERF. 50mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. liof. pt. sol. perf. S 1 17.90 20.87 20.87115 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla x 5 ml conc. pt. sol. perf. S 1 14.43 16.83 16.83116 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla x 15 ml conc. pt. sol. perf. S 1 42.01 48.99 48.99117 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla x 45 ml conc. pt. sol. perf. S 1 117.30 131.69 131.69118 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 5 ml conc. pt. sol. perf. S 1 11.91 13.90 13.90119 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 15 ml conc. pt. sol. perf. S 1 33.02 38.51 38.51

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120 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 45 ml conc. pt. sol. perf. S 1 89.33 102.24 102.24121 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 15 ml conc. pt. sol. perf. S 1 31.33 36.54 36.54122 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 45 ml conc. pt. sol. perf. S 1 89.18 102.06 102.06123 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA Cutie x 1 flac. x 100 mg oxaliplatina S 1 1697.70 1906.01 1906.01124 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA Cutie x 1 flac. x 50 mg oxaliplatina S 1 848.85 953.00 953.00125 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA Cutie 1 flac. x 50 mg liof. pt. sol. perf. S 1 787.74 884.40 884.40126 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 100 mg liof. pt. sol. perf. S 1 1528.87 1716.46 1716.46127 L01XC02 RITUXIMABUM MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 2 flacoane x 10 ml S 2 1688.18 1895.32 947.66128 L01XC02 RITUXIMABUM MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 50 ml(500mg rituximab in 50ml- 10mg/ml) S 1 4220.45 4738.29 4738.29129 L01XC03 TRASTUZUMABUM HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flac. pulb. pt. conc. pt. sol. perf. S 1 1863.40 2092.04 2092.04130 L01XC04 ALEMTUZUMABUM MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA Cutie x 3 fiole x 3 ml concentrat intr-o fiola de 5ml S 3 3842.97 4314.50 1438.17131 L01XC04 ALEMTUZUMABUM MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA Cutie x 3 flacoane x 1 ml concentrat intr-un flacon de 2ml S 3 3696.69 4150.28 1383.43132 L01XC06 CETUXIMABUM ERBITUX 2mg/ml SOL. PERF. 2mg/ml MERCK KGAA GERMANIA Cutie x 1 flac. din sticla x 50 ml sol. perf. S 1 614.26 689.63 689.63133 L01XC06 CETUXIMABUM ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA Cutie x 1 flac. din sticla x 20 ml sol. perf. S 1 614.26 689.63 689.63134 L01XC06 CETUXIMABUM ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA Cutie x 1 flac. din sticla x 100 ml sol. perf. S 1 3071.29 3448.14 3448.14135 L01XC07 BEVACIZUMABUM AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flac. din sticla x 4 ml S 1 1023.08 1148.61 1148.61136 L01XC07 BEVACIZUMABUM AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flac. din sticla x 16 ml S 1 3721.15 4177.74 4177.74137 L01XE01 IMATINIBUM GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 120 caps. P-RF/R 120 7536.51 8461.24 70.51138 L01XE03 ERLOTINIBUM TARCEVA 100 mg COMPR. FILM. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 30 compr. film. (blist. Al/PVC) P-RF/R 30 4405.09 4945.59 164.85139 L01XE03 ERLOTINIBUM TARCEVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 30 compr. film. (blist. Al/PVC) P-RF/R 30 6029.21 6768.99 225.63140 L01XE03 ERLOTINIBUM TARCEVA 25 mg COMPR. FILM. 25mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 30 compr. film. (blist. Al/PVC) P-RF/R 30 1320.77 1482.83 49.43141 L01XE04 SUNITINIBUM SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flacon din PEID x 30 caps. P-RF/R 30 3631.84 4077.47 135.92142 L01XE04 SUNITINIBUM SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flacon din PEID x 30 caps. P-RF/R 30 7263.68 8154.93 271.83143 L01XE04 SUNITINIBUM SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flacon din PEID x 30 caps. P-RF/R 30 14527.36 16309.87 543.66144 L01XE05 SORAFENIBUM NEXAVAR 200 mg COMPR. FILM. 200mg BAYER HEALTHCARE AG GERMANIA Cutie x 4 blist. Al/PP x 28 compr.film. P-RF/R 112 10994.91 12343.99 110.21145 L01XE06 DASATINIBUM SPRYCEL 20mg COMPR. FILM. 20 mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 1 flac. din PEID x 60 compr. film. P-RF/R 60 5631.45 6322.43 105.37146 L01XE06 DASATINIBUM SPRYCEL 50mg COMPR. FILM. 50 mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 1 flac. din PEID x 60 compr. film. P-RF/R 60 11262.92 12644.88 210.75147 L01XE06 DASATINIBUM SPRYCEL 70mg COMPR. FILM. 70 mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE Cutie x 1 flac. din PEID x 60 compr. film. P-RF/R 60 11262.92 12644.88 210.75148 L01XX02 ASPARAGINAZUM ASPARAGINASE 10000 MEDAC LIOF. PT. SOL. INJ./PERF. 10000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA Cutie x 5 flac. din sticla x 10 000 UI liof. pt. sol. inj./perf. S 5 827.24 928.74 185.75149 L01XX02 ASPARAGINAZUM ASPARAGINASE 5000 MEDAC LIOF. PT. SOL. INJ./PERF. 5000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA Cutie x 5 flac. din sticla x 5000 UI liof. pt. sol. inj./perf. S 5 524.74 589.13 117.83150 L01XX05 HYDROXYCARBAMIDUM HYDREA CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 1 flac. din sticla bruna x 100 caps. P-RF 100 44.77 52.22 0.52151 L01XX11 ESTRAMUSTINUM ESTRACYT CAPS. 140mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 100 caps. P-RF 100 272.19 305.59 3.06152 L01XX17 TOPOTECAMUM HYCAMTIN 4 mg PULB.CONC.SOL.PERF. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 1 flac. pulb. pt. conc. pt. sol. perf. S 1 889.42 998.55 998.55153 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla bruna x 5 ml conc. pt. sol. perf. S 1 489.25 549.28 549.28154 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 2 ml conc. pt. sol. inj. S 1 110.08 123.59 123.59155 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 5 ml conc. pt. sol. inj. S 1 347.99 390.69 390.69156 L01XX32 BORTEZOMIBUM VELCADE 3,5 mg PULB. PT. SOL. INJ. 3.5mg JANSSEN-CILAG INTERNATIONAL NV BELGIA Cutie x 1 flac. x 10ml x 3,5 mg pulb. pt. sol. inj., introdus intr-un blister transparent S 1 3491.55 3919.96 3919.96157 L02AB01 MEGESTROLUM MEGACE SUSP. ORALA 40mg/ml BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 1 flacon din PEID x 240 ml susp. orala + 1 masura dozatoare x 20 ml P-RF 1 193.94 217.73 217.73158 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 30 compr. P-RF 30 78.89 90.29 3.01159 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 100 compr. P-RF/S 100 226.81 254.64 2.55160 L02AE02 LEUPRORELINUM ELIGARD 22,5 mg LIOF. SI SOLV. PT. SOL. INJ. 22.5mg ASTELLAS PHARMA EUROPE B.V. OLANDA Cutie x 1 set x 2 seringi din PP preumplute (o seringa A si o seringa B), in pungi laminate S 1 864.28 970.33 970.33161 L02AE02 LEUPRORELINUM ELIGARD 7,5 mg LIOF. SI SOLV. PT. SOL. INJ. 7.5mg ASTELLAS PHARMA EUROPE B.V. OLANDA Cutie x 1 set x 2 seringi din PP preumplute (o seringa A si o seringa B), in pungi laminate S 1 302.50 339.62 339.62162 L02AE02 LEUPRORELINUM LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11.25mg ABBOTT LABORATORIES S.A. SPANIA Cutie x 1 kit x 1 flac. cu liofilizat (microsfere) + 1 fiola x 2 ml solv. + 1 seringa + 2 ace si tampon imbibat cu alcool izopropilic S 1 622.64 699.04 699.04163 L02AE02 LEUPRORELINUM LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3.75mg ABBOTT LABORATORIES S.A. SPANIA Cutie x 1 kit x 1 flac. cu liofilizat (microsfere) + 1 fiola x 2 ml solv. + 1 seringa si tampon imbibat cu alcool izopropilic 70% S 1 241.80 271.47 271.47

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164 L02AE03 GOSERELINUM ZOLADEX? IMPLANT 3.6mg ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 1 punga laminata continand: 1 seringa pre-umpluta cu 10,8 mg implant+sist. de protectie a acului+ac din inox S 1 356.12 399.82 399.82165 L02AE04 TRIPTORELINUM DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0.1mg BEAUFOUR IPSEN PHARMA FRANTA Cutie x 7 flac. cu liof. pt. sol. inj. + 7 fiole x 1 ml solv. S/P-RF 7 114.52 128.57 18.37166 L02AE04 TRIPTORELINUM DIPHERELINE? 11,25 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11.25mg BEAUFOUR IPSEN PHARMA FRANTA Cutie x 1 flac. liof. + 1 fiola x 2 ml solv. + o seringa x 3 ml + 2 ace ptr. injectie S/P-RF 1 1006.27 1129.74 1129.74167 L02AE04 TRIPTORELINUM DIPHERELINE? 3,75 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3.75mg BEAUFOUR IPSEN PHARMA FRANTA Cutie x 1 flac. liof. + 1 fiola x 2 ml solv. + o seringa x 3 ml + 2 ace ptr. injectie S/P-RF 1 365.84 410.73 410.73168 L02BA01 TAMOXIFENUM TAMONEPRIN? 10 mg COMPR. 10mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 60 compr. P-RF 60 14.11 16.46 0.27169 L02BA01 TAMOXIFENUM TAMOXIFEN 10 TEVA COMPR. 10mg PHARMACHEMIE BV OLANDA Cutie x 10 blist. PVC-PVDC/Al x 10 compr. P-RF/S 100 11.35 13.24 0.13170 L02BA01 TAMOXIFENUM TAMOXIFEN? 10 HEXAL COMPR. FILM. 10mg HEXAL AG GERMANIA Cutie x 10 blist. x 10 compr. film. P-RF/S 100 26.26 30.63 0.31171 L02BA03 FULVESTRANTUM FASLODEX 250mg/5ml SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 1 seringa preumpluta x 5 ml + 1 ac S 1 1205.55 1353.47 1353.47172 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU Cutie x 10 blist. Al/PVC x 10 compr. P-RF 100 145.17 162.98 1.63173 L02BB01 FLUTAMIDUM FLUTASIN 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. sticla bruna x 30 compr. P-RF 30 20.34 23.73 0.79174 L02BB03 BICALUTAMIDUM CALUMID COMPR. FILM. 50mg GEDEON RICHTER PLC. UNGARIA Cutie x 2 blist. Al/PVDC-PVC x 15 compr. film. P-6L 30 287.07 322.29 10.74175 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 2 blist. x 14 compr. film. P-6L 28 738.53 829.15 29.61176 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 2 blist. tip calendar Al/PVC x 14 compr. film. P-6L 28 336.93 378.27 13.51177 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN? 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 40 compr. P-RF 40 83.27 95.30 2.38178 L02BG03 ANASTROZOLUM ARIMIDEX COMPR. FILM. 1mg ACTAVIS S.R.L. ROMANIA Cutie x 2 blist. PVC/Al x 14 compr. film. P-6L 28 304.93 342.34 12.23179 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 2 blist. tip calendar Al/PVC x 14 compr. film. P-6L 28 273.46 307.02 10.96180 L02BG04 LETROZOLUM FEMARA 2,5 mg COMPR. FILM. 2.5mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 3 blist. PVC-PVDC/Al x 10 compr. P-6L 30 423.93 475.94 15.86181 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 2 blist. PVC-PVDC/PVC-Al x 15 draj. P-RF 30 215.49 241.93 8.06182 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 30MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 196.66 220.78 220.78183 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 340.22 381.96 381.96184 L03AA13 PEGFILGRASTIMUM NEULASTA 6mg SOL. INJ. 6mg AMGEN EUROPE B.V. OLANDA Cutie x blister x 1 seringa preumpluta x 0,6ml sol. inj. P-RF/R 1 3093.11 3472.64 3472.64185 L03AB04 INTERFERONUM ALFA 2a ROFERON A SOL. INJ. 18Mui/0.6ml ROCHE ROMANIA S.R.L. ROMANIA Cutie x 1 cartus multidoza x 0,6 ml sol. inj. S/P-RF 1 227.89 255.85 255.85186 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 53.78 61.55 61.55187 L03AB04 INTERFERONUM ALFA 2a ROFERON A SOL. INJ. 4.5Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA Cutie x 1 seringa preumpluta x 0.5ml sol. inj. + ac steril S/P-RF 1 74.91 85.73 85.73188 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 1 131.89 148.07 148.07189 L03AB05 INTERFERONUM ALFA 2b INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA Cutie x 1 stilou injector (pen) x 1,2 ml sol. inj. + 12 ace + 12 tampoane dezinfectante P-RF/R 1 289.57 325.10 325.10190 L03AB05 INTERFERONUM ALFA 2b INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA Cutie x 1 stilou injector (pen) x 1,2 ml + 12 ace + 12 tampoane dezinfectante P-RF/R 1 482.61 541.83 541.83191 M05BA02 ACIDUM CLODRONICUM BONEFOS? 400 mg CAPS. 400mg SCHERING OY (SCHERING AG) FINLANDA Cutie x 1 flac. PEID x 100 caps. P-6L 100 536.60 602.44 6.02192 M05BA02 ACIDUM CLODRONICUM BONEFOS? 60 mg/ml CONC. PT. SOL. PERF. 60mg/ml SCHERING OY FINLANDA Cutie x 5 fiole x 5 ml S/P-RF 5 295.12 331.33 66.27193 M05BA02 ACIDUM CLODRONICUM BONEFOS? 800 mg COMPR. FILM. 800mg SCHERING OY FINLANDA Cutie x 6 blist. Al/PVC x 10 compr. film. P-6L 60 568.17 637.89 10.63194 M05BA02 ACIDUM CLODRONICUM SINDRONAT? 400 mg CAPS. 400mg ACTAVIS S.R.L. ROMANIA Cutie x 3 blist. x 10 caps. P-6L 30 49.82 58.10 1.94195 M05BA02 ACIDUM CLODRONICUM SINDRONAT? 400 mg CAPS. 400mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 100 caps. P-6L 100 159.79 179.40 1.79196 M05BA02 ACIDUM CLODRONICUM SINDRONAT? 400 mg CAPS. 400mg ACTAVIS S.R.L. ROMANIA Cutie x 12 blist. x 10 caps. P-6L 120 191.77 215.30 1.79197 M05BA03 ACIDUM PAMIDRONICUM AREDIA? 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 4 flac. din sticla x 15 mg liof. pt. sol. perf. + 4 fiole din sticla x 5 ml solv. S/P-RF 4 422.04 473.83 118.46198 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 1 ml S/P-RF 1 73.03 83.59 83.59199 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 2 ml S/P-RF 1 122.39 137.41 137.41200 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 4 ml S/P-RF 1 240.46 269.96 269.96201 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 6 ml S/P-RF 1 362.23 406.67 406.67202 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 flac. din sticla incolora x 30 mg liof. pt. sol. perf. i.v. S/P-RF 1 104.05 116.82 116.82203 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 flac. din sticla incolora x 60 mg liof. pt. sol. perf. i.v. S/P-RF 1 158.78 178.26 178.26204 M05BA06 ACIDUM IBANDRONICUM BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 4 blist. Al/PVC x 7 compr. film. S 28 757.42 850.35 30.37205 M05BA06 ACIDUM IBANDRONICUM BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 12 blist. Al/PVC x 7 compr. film. S 84 2212.91 2484.43 29.58206 M05BA06 ACIDUM IBANDRONICUM BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 6 ml S 1 706.55 793.24 793.24207 M05BA08 ACIDUM ZOLEDRONICUM ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 1 flac. x 100 ml + 1 capac Al/PP cu componenta flip. S 1 1203.82 1351.53 1351.53

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208 M05BA08 ACIDUM ZOLEDRONICUM ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 1 flac. 4mg pulb. pt. sol. perf. + 1 fiola x 5 ml solv. S 1 876.12 983.62 983.62209 V03AF01 MESNUM UROMITEXAN? 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA Cutie x 3 suporturi termoformate din plastic x 5 fiole de sticla incolora x 4 ml S 15 51.18 58.57 3.90210 V03AF03 CALCII FOLINAS CALCIUM FOLINAT "EBEWE" 15 mg CAPS. 15mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x1 flac. x 20 caps. P-6L 20 59.79 68.43 3.42211 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 5 fiole x 3 ml S/P-RF 5 59.47 68.07 13.61212 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 5 fiole x 10 ml S/P-RF 5 136.74 153.52 30.70213 V03AF03 CALCII FOLINAS FOLCASIN 10 mg/ml SOL. INJ. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon x 3 ml sol. inj. S/P-RF 1 12.32 14.37 14.37214 V03AF03 CALCII FOLINAS FOLCASIN? 100 mg/10 ml SOL. INJ. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon x 10 ml S/P-RF 1 24.30 28.35 28.35215 V03AF03 CALCII FOLINAS FOLCASIN? 30 mg/10 ml SOL. INJ. 3mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon x 10 ml S/P-RF 1 8.93 10.42 10.42216 V03AF03 CALCII FOLINAS LEUCOVORIN-TEVA 100 mg/10 ml SOL. INJ. 10mg/ml TEVA PHARM. IND. LTD. OLANDA Cutie x 1 flacon x 10 ml S/P-RF 1 23.47 27.37 27.37217 V03AF03 CALCII FOLINAS LEUCOVORIN-TEVA 50 mg/5 ml SOL. INJ. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flacon x 5 ml S/P-RF 1 10.89 12.70 12.70218 V03AF05 AMIFOSTINUM ETHYOL LIOF. PT. SOL. PERF. 375mg SCHERING PLOUGH EUROPE BELGIA Cutie x 5 flac. din sticla incolora cu liof. pt. sol. perf. S 5 1587.79 1782.62 356.52219 V03AF05 AMIFOSTINUM ETHYOL? LIOF. PT. SOL. PERF. 500mg SCHERING PLOUGH EUROPE BELGIA Cutie x 3 flac. din sticla incolora continand 500 mg liof. pt. sol. perf. S 3 1360.97 1527.96 509.32

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 L03AB07 INTERFERONUM BETA 1a AVONEX 30 µg BIO-SET PULB. + SOLV. PT. SOL. INJ. 30µg (6 mil. UI) BIOGEN IDEC LIMITED MAREA BRITANIE Cutie x 4 blist. (1 flac. din sticla x 3 ml prevazut cu dispozitiv BIO-SET, cu pulb. + 1 seringa pre-umpluta x 1 ml solv. + 1 ac) P-RF/R 4 2379.09 2671.01 667.752 L03AB07 INTERFERONUM BETA 1a REBIF 22 micrograme SOL. INJ. 22µg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE Cutie x 1 seringa preumpluta x 0,5 ml sol. inj. P-RF/R 1 142.90 160.44 160.443 L03AB07 INTERFERONUM BETA 1a REBIF 22 micrograme SOL. INJ. 22µg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE Cutie x 3 seringi preumplute x 0,5 ml sol. inj. P-RF/R 3 426.44 478.76 159.594 L03AB07 INTERFERONUM BETA 1a REBIF 22 micrograme SOL. INJ. 22µg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE Cutie x 12 seringi preumplute x 0,5 ml sol. inj. P-RF/R 12 1688.96 1896.19 158.025 L03AB07 INTERFERONUM BETA 1a REBIF 44 micrograme SOL. INJ. 44µg SERONO EUROPE LTD. MAREA BRITANIE Cutie x 1 seringa preumpluta x 0,5 ml sol. inj. P-RF/R 1 174.66 196.09 196.096 L03AB07 INTERFERONUM BETA 1a REBIF 44 micrograme SOL. INJ. 44µg SERONO EUROPE LTD. MAREA BRITANIE Cutie x 3 seringi preumplute x 0,5 ml sol. inj. P-RF/R 3 517.17 580.62 193.547 L03AB07 INTERFERONUM BETA 1a REBIF 44 micrograme SOL. INJ. 44µg SERONO EUROPE LTD. MAREA BRITANIE Cutie x 12 seringi preumplute x 0,5ml sol. inj. P-RF/R 12 2041.45 2291.93 190.998 L03AB08 INTERFERONUM BETA 1B BETAFERON 250µg/ml PULB. + SOLV. PT. SOL. INJ. 250µg/ml BAYER SCHERING AG GERMANIA Cutie x 15 flac. pulb. pt. sol. inj. + 15 seringi preumplute cu solvent P-RF/P 15 2714.53 3047.60 203.179 L03AX13 GLATIRAMER ACETAT COPAXONE SOL. INJ. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 28 blist. PVC x 1 seringa preumpluta x 1 ml prevazuta cu ac fix S/P-RF 28 2549.63 2862.47 102.23

10 L04AA23 NATALIZUMABUM TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml ELAN PHARMA INTERNATIONAL LTD IRLANDA Cutie x 1 flac. conc. pt. sol. perf S 1 5152.76 5785.01 5785.0111 L04AX01 AZATHIOPRINUM IMURAN? COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 4 blist. Al/PVC x 25 compr. film. S/P-RF 100 43.59 50.84 0.51

Tratamentul medicamentos al bolnavilor cu diabet zaharatP5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Subprogramul de tratament al sclerozei multipleP4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Pagina 19 din 57

Page 85: Liste Medicamente

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A10AB01 INSULINE UMANE ACTRAPID 100 UI/ml SOL. INJ. IN FLACON 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 1 flacon x 10 ml P-RF 1 31.75 37.03 37.032 A10AB01 INSULINE UMANE ACTRAPID NOVOLET 100 UI/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 stilouri injectoare (pen-uri) preumplute x 3 ml P-RF 5 94.98 108.70 21.743 A10AB01 INSULINE UMANE ACTRAPID PENFILL 100 UI/ml SOL. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 cartuse x 3 ml sol. inj. P-RF 5 70.07 80.20 16.044 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA Cutie x 1 flac. x 10 ml sol. inj. P-RF 1 32.16 37.51 37.515 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA Cutie x 5 cartuse x 3 ml sol. inj. P-RF 5 60.81 69.60 13.926 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml OPTISET SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare x 1 cartus din sticla incolora x 3 ml sol. inj. P-RF 5 90.15 103.18 20.647 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 cartuse din sticla incolora x 3 ml sol. inj. P-RF 5 78.38 89.71 17.948 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 flacoane din sticla incolora x 5 ml sol. inj. P-RF 5 105.72 118.69 23.749 A10AB04 INSULINUM LISPRO HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA Cutie x 5 cartuse x 3 ml sol.inj. P-RF 5 95.38 109.17 21.83

10 A10AB05 INSULINUM ASPART NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100Uml NOVO NORDISK A/S DANEMARCA Cutie x 5 cartuse x 3 ml sol. inj. P-RF 5 124.23 139.47 27.8911 A10AB06 INSULINUM GLULIZINA APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 cartuse x 3 ml P-RF 5 143.53 161.14 32.2312 A10AB06 INSULINUM GLULIZINA APIDRA 100U/ml SOL. INJ. IN FLACON 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 1 flacon x 10 ml P-RF 1 88.11 100.84 100.8413 A10AB06 INSULINUM GLULIZINA APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare (pen-uri) preumplute (OptiSet?) x 3 ml P-RF 5 148.16 166.34 33.2714 A10AB06 INSULINUM GLULIZINA APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare (pen-uri) preumplute (SoloStar) x 3 ml P-RF 5 93.42 106.92 21.3815 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA Cutie x 1 flac. din sticla incolora x 10 ml susp. inj. P-RF 1 32.16 37.51 37.5116 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA Cutie x 5 cartuse din sticla incolora x 3 ml susp. inj. P-RF 5 60.81 69.60 13.9217 A10AC01 INSULINE UMANE INSULATARD 100 UI/ml SUSP. INJ. IN FLACON 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 1 flacon x 10 ml P-RF 1 31.75 37.03 37.0318 A10AC01 INSULINE UMANE INSULATARD NOVOLET 100 UI/ml SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 stilouri injectoare (pen-uri) preumplute x 3 ml P-RF 5 94.98 108.70 21.7419 A10AC01 INSULINE UMANE INSULATARD PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 cartuse x 3 ml P-RF 5 70.07 80.20 16.0420 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 cartuse din sticla incolora x 3 ml susp. inj. P-RF 5 78.38 89.71 17.9421 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 flacoane din sticla incolora x 5 ml susp. inj. P-RF 5 105.69 118.66 23.7322 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare x 1 cartus din sticla incolora x 3 ml susp. inj. P-RF 5 90.15 103.18 20.6423 A10AC04 INSULINUM LISPRO HUMALOG NPL 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA Cutie x 5 cartuse x 3 ml sol.inj. P-RF 5 105.27 118.19 23.6424 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA Cutie x 1 flacon din sticla incolora x 10 ml susp. inj. P-RF 1 32.16 37.51 37.5125 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA Cutie x 5 cartuse din sticla incolora x 3 ml susp. inj. P-RF 5 60.81 69.60 13.9226 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 cartuse din sticla incolora x 3 ml susp. inj. P-RF 5 78.38 89.71 17.9427 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 flacoane din sticla incolora x 5 ml susp. inj. P-RF 5 105.72 118.69 23.7428 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare x 1 cartus din sticla incolora x 3 ml susp. inj. P-RF 5 90.15 103.18 20.6429 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 cartuse din sticla incolora x 3 ml susp. inj. P-RF 5 78.38 89.71 17.9430 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 flacoane din sticla incolora x 5 ml susp. inj. P-RF 5 105.72 118.69 23.7431 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare x 1 cartus din sticla incolora x 3 ml susp. inj. P-RF 5 90.15 103.18 20.6432 A10AD01 INSULINE UMANE MIXTARD 20 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 cartuse x 3 ml susp. inj. P-RF 5 70.07 80.20 16.0433 A10AD01 INSULINE UMANE MIXTARD 30 100UI/ml SUSP. INJ. IN FLACON 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 1 flac. x 10 ml susp. inj P-RF 1 31.75 37.03 37.0334 A10AD01 INSULINE UMANE MIXTARD 30 NOVOLET 100 UI/ml SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 stilouri injectoare (pen-uri) preumplute x 3 ml susp. inj. P-RF 5 94.98 108.70 21.74

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35 A10AD01 INSULINE UMANE MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 cartuse x 3 ml susp. inj. P-RF 5 70.07 80.20 16.0436 A10AD01 INSULINE UMANE MIXTARD 40 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 cartuse x 3 ml susp. inj. P-RF 5 70.07 80.20 16.0437 A10AD04 INSULINUM LISPRO HUMALOG MIX25 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA Cutie x 5 cartuse x 3 ml susp.inj. P-RF 5 99.36 113.72 22.7438 A10AD04 INSULINUM LISPRO HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA Cutie x 5 cartuse x 3 ml susp. inj. P-RF 5 90.47 103.54 20.7139 A10AD04 INSULINUM LISPRO HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA 2 cutii x 5 cartuse x 3 ml susp. inj. ( 2 x(5 x3 ml)) P-RF 10 177.49 199.26 19.9340 A10AD05 INSULINUM ASPART NOVOMIX 30 FLEXPEN SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UIml NOVO NORDISK A/S DANEMARCA Cutie x 5 stilouri preumplute x 3 ml susp. inj. P-RF 5 124.23 139.47 27.8941 A10AE04 INSULINUM GLARGINE LANTUS 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 cartuse din sticla x 3 ml sol. inj. P-RF 5 178.10 199.96 39.9942 A10AE04 INSULINUM GLARGINE LANTUS 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 flacoane din sticla x 5 ml sol. inj. P-RF 5 279.35 313.62 62.7243 A10AE04 INSULINUM GLARGINE LANTUS 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 1 flacon din sticla x 10 ml sol. inj. P-RF 1 109.58 123.02 123.0244 A10AE04 INSULINUM GLARGINE LANTUS OptiSet SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare (pen-uri) preumplute x 3 ml P-RF 5 183.66 206.20 41.2445 A10AE04 INSULINUM GLARGINE LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA Cutie x 5 stilouri injectoare (pen-uri) preumplute x 3 ml P-RF 5 148.16 166.34 33.2746 A10AE05 INSULINUM DETEMIR LEVEMIR FLEXPEN 100 U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 stilouri injectoare (pen-uri) preumplute x 3 ml P-RF 5 172.04 193.15 38.6347 A10AE05 INSULINUM DETEMIR LEVEMIR PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA Cutie x 5 cartuse x 3 ml P-RF 5 161.50 181.31 36.2648 A10BA02 METFORMINUM DIAFORMIN? 850 mg COMPR. 850mg TERAPIA SA ROMANIA Cutie x 5 blist. Al/PVC x 6 compr. P-RF 30 5.07 5.91 0.2049 A10BA02 METFORMINUM DIGUAN? 500 mg COMPR. 500mg ZENTIVA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.39 1.62 0.0850 A10BA02 METFORMINUM DIPIMET 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. film. P-RF 30 3.10 3.61 0.1251 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA S.A. ROMANIA Cutie x 5 blist. PA-Al-PVC/Al x 6 compr. pt. sol. orala P-RF 30 4.55 5.31 0.1852 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA S.A. ROMANIA Cutie x 5 blist. PVC-ACLAR/Al x 6 compr. pt. sol. orala P-RF 30 4.55 5.31 0.1853 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA S.A. ROMANIA Cutie x 5 blist. PA-Al-PVC/Al x 6 compr. pt. sol orala P-RF 30 1.89 2.21 0.0754 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA S.A. ROMANIA Cutie x 5 blist. PVC-ACLAR/Al x 6 compr. pt. sol. orala P-RF 30 1.89 2.21 0.0755 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA S.A. ROMANIA Cutie x 5 blist. PA-Al-PVC/Al x 6 compr. pt. sol. orala P-RF 30 3.24 3.78 0.1356 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA S.A. ROMANIA Cutie x 5 blist. PVC-ACLAR/Al x 6 compr. pt. sol. orala P-RF 30 3.24 3.78 0.1357 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA Cutie x 3 blist. x 10 compr. film. P-RF 30 8.47 9.87 0.3358 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA Cutie x 5 blist. x 10 compr. film. P-RF 50 13.63 15.89 0.3259 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA Cutie x 6 blist. x 10 compr. film. P-RF 60 15.04 17.54 0.2960 A10BA02 METFORMINUM GLUCOPHAGE 500 COMPR. FILM. 500mg MERCK SANTE FRANTA Cutie x 5 blist. x 10 compr. film. P-RF 50 6.41 7.48 0.1561 A10BA02 METFORMINUM GLUCOPHAGE 500 COMPR. FILM. 500mg MERCK SANTE FRANTA Cutie x 10 blist. x 10 compr. film. P-RF/S 100 12.47 14.55 0.1562 A10BA02 METFORMINUM GLUCOPHAGE 850 mg COMPR. FILM. 850mg MERCK SANTE FRANTA Cutie x 4 blist. Al/PVC x 15 compr. film. P-RF 60 13.72 16.01 0.2763 A10BA02 METFORMINUM GLUCOPHAGE 850 mg COMPR. FILM. 850mg MERCK SANTE FRANTA Cutie x 10 blist. Al/PVC x 10 compr. film. P-RF/S 100 19.88 23.19 0.2364 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA Cutie x 3 blist. Al/PVC-PVDC x 10 compr. elib. prel. P-RF 30 11.54 13.46 0.4565 A10BA02 METFORMINUM MEDIFOR 850 COMPR. FILM. 850mg STD CHEMICALS LTD. MAREA BRITANIE Cutie x 4 blist. PVC-PVDC/Al x 14 compr. film. P-RF 56 6.60 7.70 0.1466 A10BA02 METFORMINUM MEGUAN? 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. PVC-PVDC/Al x 10 compr. film. P-RF 20 2.11 2.46 0.1267 A10BA02 METFORMINUM MEGUAN? 850 mg COMPR. FILM. 850mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. PVC-PVDC/Al x 10 compr. film. P-RF 20 3.16 3.69 0.1868 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 8 blist. Al/PVC x 15 compr. film P-RF/S 120 18.82 21.95 0.1869 A10BA02 METFORMINUM METFOGAMMA 850 COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 3 blist. Al/PVC x 10 compr. film. P-RF 30 3.85 4.49 0.1570 A10BA02 METFORMINUM METFOGAMMA 850 COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 6 blist. Al/PVC x 10 compr. film. P-RF 60 7.70 8.98 0.1571 A10BA02 METFORMINUM METFOGAMMA 850 COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 9 blist. Al/PVC x 10 compr. film. P-RF 90 11.54 13.46 0.1572 A10BA02 METFORMINUM METFOGAMMA 850 COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 12 blist. Al/PVC x 10 compr. film. P-RF/S 120 15.39 17.95 0.1573 A10BA02 METFORMINUM METFOGAMMA? 500 COMPR. FILM. 500mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 12 blist. Al/PVDC-PVC x 10 compr. film. P-RF/S 120 11.54 13.46 0.1174 A10BA02 METFORMINUM METFORMIN 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA Cutie x 10 blist. Al/PVC x 5 compr. P-RF 50 12.32 14.37 0.2975 A10BA02 METFORMINUM METFORMIN 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA Flacon din PE x 200 compr. P-RF/S 200 47.93 55.90 0.2876 A10BA02 METFORMINUM METFORMIN 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA Cutie x 1 flac. din PE x 60 compr. P-RF 60 2.36 2.76 0.0577 A10BA02 METFORMINUM METFORMIN 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA Cutie x 3 blist. Al/PVC x 5 compr. P-RF 15 3.27 3.81 0.2578 A10BA02 METFORMINUM METFORMIN 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA Cutie x 200 blist. Al/PVC x 5 compr. P-RF/S 1000 210.10 235.88 0.24

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79 A10BA02 METFORMINUM METFORMIN AL 500 COMPR. FILM. 500mg ALIUD PHARMA GMBH & CO.KG GERMANIA Cutie x 4 blist. Al/PVC x 15 compr. film. P-RF 60 9.43 11.00 0.1880 A10BA02 METFORMINUM METFORMIN AL 850 COMPR. FILM. 850mg ALIUD PHARMA GMBH & CO.KG GERMANIA Cutie x 4 blist. Al/PVC x 15 compr. film. P-RF 60 12.02 14.02 0.2381 A10BA02 METFORMINUM METFORMIN LPH? 500 mg COMPR. FILM. 500mg LABORMED PHARMA SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. film. P-RF 30 3.65 4.26 0.1482 A10BA02 METFORMINUM METFORMIN LPH? 850 mg COMPR. FILM. 850mg LABORMED PHARMA SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. film. P-RF 30 6.63 7.73 0.2683 A10BA02 METFORMINUM METFORMIN-TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICAL S.R.L. ROMANIA Cutie x 6 blist. PVC-PVDC/Al x 10 compr. film. P-RF 60 2.69 3.14 0.0584 A10BA02 METFORMINUM METFORMIN-TEVA 850 mg COMPR. FILM. 850mg TEVA PHARMACEUTICAL S.R.L. ROMANIA Cutie x 6 blist. PVC-PVDC/Al x 10 compr. film. P-RF 60 4.55 5.31 0.0985 A10BA02 METFORMINUM SIOFOR 1000 COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA Cutie x 4 blist. PVC/Al x 15 compr. film. P-RF 60 14.17 16.53 0.2886 A10BA02 METFORMINUM SIOFOR? 850 COMPR. FILM. 850mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA Cutie x 4 blist. x 15 compr. film. P-RF 60 13.15 15.33 0.2687 A10BA03 BUFORMINUM SILUBIN RETARD DRAJ. RET. 100mg DITA IMPORT EXPORT SRL ROMANIA Cutie x 4 bllist. x 15 draj.ret. P-RF 60 9.33 10.89 0.1888 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 1,75 mg COMPR. 1.75mg LABORMED PHARMA SA ROMANIA Cutie x 6 blist. Al/PVC x 20 compr. P-RF 120 7.26 8.46 0.0789 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 1,75 mg COMPR. 1.75mg LABORMED PHARMA SA ROMANIA Cutie x 3 blist. Al/PVC x 20 compr. P-RF 60 3.70 4.32 0.0790 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA Cutie x 1 flac. din PE x 100 compr. P-RF/S 100 1.82 2.12 0.0291 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ANTIBIOTICE 1,75 mg COMPR. 1,75 mg ANTIBIOTICE S.A. ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 1.39 1.62 0.0592 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ANTIBIOTICE 3,5 mg COMPR. 3,5mg ANTIBIOTICE S.A. ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 1.79 2.09 0.0793 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1.75mg ARENA GROUP SA ROMANIA Cutie x 1 flac. PEID x 100 compr. P-RF/S 100 5.68 6.62 0.0794 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1.75mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 compr. P-RF/S 1000 36.69 42.79 0.0495 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3.5mg ARENA GROUP SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 2.74 3.20 0.1196 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3.5mg ARENA GROUP SA ROMANIA Cutie x 1 flac. PEID x 100 compr. P-RF/S 100 7.02 8.19 0.0897 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3.5mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 compr. P-RF/S 1000 51.37 58.79 0.0698 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 3,5 mg COMPR. 3.5mg LABORMED PHARMA SA ROMANIA Cutie x 6 blist. Al/PVC x 20 compr. P-RF 120 11.26 13.13 0.1199 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 3,5 mg COMPR. 3.5mg LABORMED PHARMA SA ROMANIA Cutie x 3 blist. Al/PVC x 20 compr. P-RF 60 5.52 6.44 0.11

100 A10BB01 GLIBENCLAMIDUM MANINIL 1,75 mg COMPR. 1.75mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA Cutie x 1 flac. x 120 compr. P-RF/S 120 5.77 6.73 0.06101 A10BB01 GLIBENCLAMIDUM MANINIL 3,5 mg COMPR. 3.5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA Cutie x 1 flac. x 120 compr. P-RF/S 120 7.54 8.79 0.07102 A10BB03 TOLBUTAMIDUM TOLBUTAMID COMPR. 500mg SINTOFARM SA ROMANIA Cutie x 1 flac. x 50 compr. P-RF 50 2.29 2.67 0.05103 A10BB07 GLIPIZIDUM GLIPIZID LPH 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 9.50 11.09 0.37104 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din PEID, prevazut cu sistem de inchidere securizat pt. copii x 30 compr. film. cu elib. modif. P-RF 30 29.69 34.63 1.15105 A10BB07 GLIPIZIDUM GLUCOTROL XL 5mg COMPR. FILM. ELIB. MODIF. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din PEID prevazut cu sistem de inchidere securizat pt. copii x 30 compr. film. cu elib. prel. P-RF 30 16.26 18.96 0.63106 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM INT. GMBH GERMANIA Cutie x 6 blist. Al/PVC x 10 compr. P-RF 60 13.64 15.91 0.27107 A10BB09 GLICLAZIDUM DIABREZIDE COMPR. 80mg L. MOLTENI ITALIA Cutie x 2 blist. PVC-PE-PVDC/Al x 20 compr. P-RF 40 6.51 7.59 0.19108 A10BB09 GLICLAZIDUM DIAPREL COMPR. DIVIZ. 80mg LES LABORATOIRES SERVIER FRANTA Cutie x 3 blist. din Al/PVC x 20 compr. diviz. P-RF 60 18.57 21.65 0.36109 A10BB09 GLICLAZIDUM DIAPREL MR COMPR. ELIB. MODIF. 30mg LES LABORATOIRES SERVIER FRANTA Cutie x 2 blist. x 30 compr. elib. modif. P-RF 60 19.72 23.00 0.38110 A10BB09 GLICLAZIDUM ESQUEL? 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. x 15 compr. P-RF 30 9.30 10.84 0.36111 A10BB09 GLICLAZIDUM GLICLAZID LPH COMPR. 80mg LABORMED PHARMA SA ROMANIA Cutie x 6 blist. Al/PVC x 10 compr. P-RF 60 10.28 11.98 0.20112 A10BB09 GLICLAZIDUM GLICLAZID MR LPH 30 mg COMPR. ELIB. PREL. 30mg LABORMED PHARMA SA ROMANIA Cutie x 3 blist. Al/PVC x 20 compr. elib. prel. P-RF 60 15.63 18.23 0.30113 A10BB09 GLICLAZIDUM GLIDIET COMPR. 80mg MEDICAROM GROUP S.R.L. ROMANIA Cutie x 5 blist. x 10 compr. P-RF 50 8.25 9.62 0.19114 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg AVENTIS PHARMA DEUTSCHLAND GERMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 3.30 3.85 0.13115 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg AVENTIS PHARMA DEUTSCHLAND GERMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 7.12 8.30 0.28116 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg AVENTIS PHARMA DEUTSCHLAND GERMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 10.16 11.86 0.40117 A10BB12 GLIMEPIRIDUM AMYX 1 COMPR. 1 mg ZENTIVA A.S. SLOVACIA Cutie x 3 blist. OPA-Al-PVC/Al x 10 compr. P-RF 30 5.77 6.73 0.22118 A10BB12 GLIMEPIRIDUM AMYX 2 COMPR. 2mg ZENTIVA A.S. SLOVACIA Cutie x 3 blist. OPA-Al-PVC/Al x 10 compr. P-RF 30 7.76 9.05 0.30119 A10BB12 GLIMEPIRIDUM AMYX 3 COMPR. 3mg ZENTIVA A.S. SLOVACIA Cutie x 3 blist. OPA-Al-PVC/Al x 10 compr. P-RF 30 9.24 10.77 0.36120 A10BB12 GLIMEPIRIDUM AMYX 4 COMPR. 4mg ZENTIVA A.S. SLOVACIA Cutie x 3 blist. OPA-Al-PVC/Al x 10 compr. P-RF 30 14.43 16.83 0.56121 A10BB12 GLIMEPIRIDUM DIBIGLIM 2 mg COMPR. 2mg SANDOZ SRL ROMANIA Cutie x 3 blist. PVC-PE-PVDC/Al x 10 compr. P-RF 30 7.31 8.53 0.28122 A10BB12 GLIMEPIRIDUM DIBIGLIM 3 mg COMPR. 3mg SANDOZ SRL ROMANIA Cutie x 3 blist. PVC-PE-PVDC/Al x 10 compr. P-RF 30 11.09 12.94 0.43

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123 A10BB12 GLIMEPIRIDUM GLEMPID 1 mg COMPR. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 3.66 4.26 0.14124 A10BB12 GLIMEPIRIDUM GLEMPID 2 mg COMPR. 2mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 7.34 8.56 0.29125 A10BB12 GLIMEPIRIDUM GLEMPID 3 mg COMPR. 3mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 11.00 12.83 0.43126 A10BB12 GLIMEPIRIDUM GLEMPID 4 mg COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 14.65 17.09 0.57127 A10BB12 GLIMEPIRIDUM GLIME TAD 1 mg COMPR. 1mg TAD PHARMA GMBH GERMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 3.37 3.93 0.13128 A10BB12 GLIMEPIRIDUM GLIME TAD 1 mg COMPR. 1mg TAD PHARMA GMBH GERMANIA Cutie x 6 blist. Al/PVC x 10 compr. P-RF 60 6.73 7.85 0.13129 A10BB12 GLIMEPIRIDUM GLIME TAD 1 mg COMPR. 1mg TAD PHARMA GMBH GERMANIA Cutie x 12 blist. Al/PVC x 10 compr. P-RF/S 120 14.11 16.46 0.14130 A10BB12 GLIMEPIRIDUM GLIME TAD 2 mg COMPR. 2mg TAD PHARMA GMBH GERMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 6.99 8.15 0.27131 A10BB12 GLIMEPIRIDUM GLIME TAD 2 mg COMPR. 2mg TAD PHARMA GMBH GERMANIA Cutie x 6 blist. Al/PVC x 10 compr. P-RF 60 13.98 16.31 0.27132 A10BB12 GLIMEPIRIDUM GLIME TAD 2 mg COMPR. 2mg TAD PHARMA GMBH GERMANIA Cutie x 12 blist. Al/PVC x 10 compr. P-RF/S 120 28.86 33.66 0.28133 A10BB12 GLIMEPIRIDUM GLIME TAD 3 mg COMPR. 3mg TAD PHARMA GMBH GERMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 10.39 12.12 0.40134 A10BB12 GLIMEPIRIDUM GLIME TAD 3 mg COMPR. 3mg TAD PHARMA GMBH GERMANIA Cutie x 6 blist. Al/PVC x 10 compr. P-RF 60 20.78 24.23 0.40135 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 8.44 9.84 0.33136 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 2 mg COMPR. 2mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 12.96 15.12 0.50137 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 14.75 17.20 0.57138 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 2 mg COMPR. 2mg ACTAVIS GROUP HF. ISLANDA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 10.45 12.19 0.41139 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 3 mg COMPR. 3mg ACTAVIS GROUP HF. ISLANDA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 13.85 16.16 0.54140 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 3.40 3.96 0.13141 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 flacon din PEID x 30 compr. P-RF 30 3.40 3.96 0.13142 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 7.12 8.30 0.28143 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 flacon din PEID x 30 compr. P-RF 30 7.12 8.30 0.28144 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 3 blist. Al/PVC X 10 compr. P-RF 30 10.16 11.86 0.40145 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 flacon din PEID x 30 compr. P-RF 30 10.16 11.86 0.40146 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 3 blist Al/PVC x 10 compr. P-RF 30 14.49 16.90 0.56147 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 flacon din PEID x 30 compr. P-RF 30 14.49 16.90 0.56148 A10BB12 GLIMEPIRIDUM GLIPREX 1 mg COMPR. 1mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 3 blist. Al/PVDC x 10 compr. P-RF 30 6.96 8.12 0.27149 A10BB12 GLIMEPIRIDUM GLIPREX 2 mg COMPR. 2mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 3 blist. Al/PVDC x 10 compr. P-RF 30 11.64 13.58 0.45150 A10BB12 GLIMEPIRIDUM GLIPREX 3 mg COMPR. 3mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 3 blist. Al/PVDC x 10 compr. P-RF 30 14.78 17.24 0.57151 A10BB12 GLIMEPIRIDUM GLIPREX 4 mg COMPR. 4mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 3 blist. Al/PVDC x 10 compr. P-RF 30 21.48 25.06 0.84152 A10BB12 GLIMEPIRIDUM MEGLIMID 1 mg COMPR. 1mg KRKA D.D. SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 4.81 5.61 0.19153 A10BB12 GLIMEPIRIDUM MEGLIMID 2 mg COMPR. 2mg KRKA D.D. SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 9.56 11.14 0.37154 A10BB12 GLIMEPIRIDUM MEGLIMID 3 mg COMPR. 3mg KRKA D.D. SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 13.21 15.41 0.51155 A10BB12 GLIMEPIRIDUM MEGLIMID 4 mg COMPR. 4mg KRKA D.D. SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 15.49 18.06 0.60156 A10BB12 GLIMEPIRIDUM MEGLIMID 6 mg COMPR. 6mg KRKA D.D. SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 30.05 35.04 1.17157 A10BB12 GLIMEPIRIDUM OLTAR 1 mg COMPR. 1mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA Cutie x 3 blist. PVC-PVDC/Al x 10 compr. P-RF 30 4.94 5.76 0.19158 A10BB12 GLIMEPIRIDUM OLTAR 3 mg COMPR. 3mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA Cutie x 3 blist. PVC-PVDC/Al x 10 compr. P-RF 30 10.90 12.72 0.42159 A10BB12 GLIMEPIRIDUM TINERIL 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 3.29 3.83 0.13160 A10BB12 GLIMEPIRIDUM TINERIL 2 mg COMPR. 2mg GEDEON RICHTER ROMANIA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 7.49 8.73 0.29161 A10BB12 GLIMEPIRIDUM TINERIL 3 mg COMPR. 3mg GEDEON RICHTER ROMANIA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 10.79 12.58 0.42162 A10BB12 GLIMEPIRIDUM TINERIL 4 mg COMPR 4mg GEDEON RICHTER ROMANIA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. P-RF 30 15.41 17.97 0.60163 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2.5mg ARENA GROUP SA ROMANIA Cutie x 4 blist. Al/PVC x 5 caps. P-RF 20 5.22 6.09 0.30164 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2.5mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 5 caps. P-RF/S 500 117.35 131.75 0.26165 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIBOMET? COMPR. FILM. 2,5mg/400mg LAB. GUIDOTTI SPA ITALIA Cutie x 3 blist. x 20 compr. film. P-RF 60 13.79 16.08 0.27166 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIFORMIN COMPR. FILM. 400mg + 2.5mg LABORMED PHARMA SA ROMANIA Cutie x 6 blist. Al/PVC x 10 compr. film. P-RF 60 13.79 16.08 0.27

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167 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE? 500 mg/2,5 mg COMPR. FILM. 500mg/2.5mg MERCK SANTE FRANTA Cutie x 2 blist. x 15 compr. film. P-RF 30 7.70 8.98 0.30168 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE? 500 mg/2,5 mg COMPR. FILM. 500mg/2.5mg MERCK SANTE FRANTA Cutie x 4 blist. x 15 compr. film. P-RF 60 15.68 18.29 0.30169 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE? 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA Cutie x 2 blist. x 15 compr. film. P-RF 30 9.72 11.33 0.38170 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE? 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA Cutie x 4 blist. x 15 compr. film. P-RF 60 19.24 22.44 0.37171 A10BD03 COMBINATII(ROSIGLITAZONUM+METFORMINUM) AVANDAMET 1mg/500mg COMPR. FILM. 1mg/500mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 56 compr. film.( blist. PVC opac/PVDC/Al) P-RF 56 37.16 43.34 0.77172 A10BD03 COMBINATII(ROSIGLITAZONUM+METFORMINUM) AVANDAMET 2mg/1000mg COMPR. FILM. 2mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 56 compr. film.( blist. PVC opac/PVDC/Al) P-RF 56 66.43 76.02 1.36173 A10BD03 COMBINATII(ROSIGLITAZONUM+METFORMINUM) AVANDAMET 2mg/500mg COMPR. FILM. 2mg/500mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 56 compr. film. ( blist. PVC opac/PVDC/Al) P-RF 56 60.70 69.47 1.24174 A10BD03 COMBINATII(ROSIGLITAZONUM+METFORMINUM) AVANDAMET 4mg/1000mg COMPR. FILM. 4mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 56 compr. film.( blist. PVC opac/PVDC/Al) P-RF 56 106.62 119.70 2.14175 A10BD04 COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM) AVAGLIM 4mg/4mg COMPR. FILM. 4mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 28 compr. film. ( blist. PVC/PVDC/Al) P-RF 28 61.80 70.73 2.53176 A10BD04 COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM) AVAGLIM 8mg/4mg COMPR. FILM. 8mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 28 compr. film. ( blist. PVC/PVDC/Al) P-RF 28 111.46 125.14 4.47177 A10BD05 COMBINATII ( PIOGLITAZONUM + METFORMINUM) COMPETACT COMPR. FILM. 15mg/850mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE Cutie x 56 compr. film. ( blist. Al/Al ) P-RF 56 113.03 126.90 2.27178 A10BF01 ACARBOSUM GLUCOBAY? 100 COMPR. 100mg BAYER HEALTHCARE AG GERMANIA Cutie x 2 blist. PP/Al x 15 compr. P-RF 30 20.59 24.01 0.80179 A10BF01 ACARBOSUM GLUCOBAY? 100 COMPR. 100mg BAYER HEALTHCARE AG GERMANIA Cutie x 8 blist. Al/PP x 15 compr. P-RF 120 74.01 84.70 0.71180 A10BF01 ACARBOSUM GLUCOBAY? 50 COMPR. 50mg BAYER HEALTHCARE AG GERMANIA Cutie x 2 blist. Al/PP x 15 compr. P-RF 30 14.33 16.72 0.56181 A10BF01 ACARBOSUM GLUCOBAY? 50 COMPR. 50mg BAYER HEALTHCARE AG GERMANIA Cutie x 8 blist. Al/PP x 15 compr. P-RF 120 52.46 60.04 0.50182 A10BG02 ROSIGLITAZONUM AVANDIA 4mg COMPR. FILM. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE Cutie x 28 compr.film. (blist.opac Al/PVC) P-RF 28 53.49 61.21 2.19183 A10BG03 PIOGLITAZONUM ACTOS 15mg COMPR. 15mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE Cutie x 28 compr. (blist. Al/Al) P-RF 28 70.57 80.77 2.88184 A10BG03 PIOGLITAZONUM ACTOS 30mg COMPR. 30mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE Cutie x 28 compr.(blist. Al/Al) P-RF 28 106.06 119.08 4.25185 A10BG03 PIOGLITAZONUM ACTOS 45mg COMPR. 45mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE Cutie x 28 compr.(blist. Al/Al) P-RF 28 137.82 154.73 5.53186 A10BH01 SITAGLIPTINUM JANUVIA 100mg COMPR. FILM. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 28 compr. film. (Blist. PVC/PE/PVDC/Al) P-RF 28 123.59 138.76 4.96187 A10BX02 REPAGLINIDUM NOVONORM 0,5 mg COMPR. 0.5mg NOVO NORDISK A/S DANEMARCA Cutie x 90 compr. (blist. Al/Al) P-RF 90 46.46 54.18 0.60188 A10BX02 REPAGLINIDUM NOVONORM 1 mg COMPR. 1mg NOVO NORDISK A/S DANEMARCA Cutie x 90 compr. (blist. Al/Al) P-RF 90 48.61 56.69 0.63189 A10BX02 REPAGLINIDUM NOVONORM 2 mg COMPR. 2mg NOVO NORDISK A/S DANEMARCA Cutie x 90 compr. (blist. Al/Al) P-RF 90 50.76 58.10 0.65190 A10BX04 EXENATIDUM BYETTA 10µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10µg/doza ELI LILLY NEDERLAND BV OLANDA Cutie x 1 stilou injector (pen) preumplut (60 doze) P-RF 1 271.85 305.20 305.20191 A10BX04 EXENATIDUM BYETTA 5µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5µg/doza ELI LILLY NEDERLAND BV OLANDA Cutie x 1 stilou injector (pen) preumplut (60 doze) P-RF 1 271.85 305.20 305.20192 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 5 blist. PVC-PVDC/Al x 20 draj. P-6L 100 26.33 30.70 0.31193 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 5 blist. PVC-PVDC/Al x 10 draj. P-6L 50 14.04 16.38 0.33194 A11DBN1 COMBINATII MILGAMMA? DRAJ. WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 2 blist. PVC-PVDC/Al x 10 draj. P-6L 20 9.91 11.56 0.58195 A11DBN1 COMBINATII MILGAMMA? DRAJ. WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 5 blist. PVC-PVDC/Al x 10 draj. P-6L 50 23.66 27.60 0.55196 A11DBN1 COMBINATII MILGAMMA? DRAJ. WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 10 blist. PVC-PVDC/Al x 10 draj. P-6L 100 44.83 52.28 0.52197 A11DBN1 COMBINATII MILGAMMA? N CAPS. MOI WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 2 blist. PVC/PVdC x 10 caps. moi P-6L 20 9.91 11.56 0.58198 A11DBN1 COMBINATII MILGAMMA? N CAPS. MOI WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 5 blist. PVC/PVdC x 10 caps. moi P-6L 50 23.66 27.60 0.55199 A11DBN1 COMBINATII MILGAMMA? N CAPS. MOI WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 10 blist. PVC/PVdC x 10 caps. moi P-6L 100 44.83 52.28 0.52200 A11DBN1 COMBINATII MILGAMMA? N SOL. INJ. WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 5 fiole din sticla bruna prevazute cu punct de rupere x 2 ml P-RF 5 10.04 11.71 2.34201 A11DBN1 COMBINATII MILGAMMA? N SOL. INJ. WORWAG PHARMA GMBH & CO. KG GERMANIA Cutie x 25 fiole din sticla bruna prevazute cu punct de rupere x 2 ml P-RF 25 45.37 52.92 2.12202 H04AA01 GLUCAGONUM GLUCAGEN HYPOKIT 1 mg PULB. + SOLV. PT. SOL. INJ. 1mg NOVO NORDISK A/S DANEMARCA Ctuie x 1 flac. din sticla cu pulb. pt. sol. inj. + 1 seringa preumpluta x 1 ml solv. P-6L 1 54.88 62.81 62.81

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 V03AC01 DEFEROXAMINUM DESFERAL LIOF. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 flac. din sticla x 500 mg liof. pt. sol. inj./perf. S/P-RF 10 117.57 132.00 13.202 V03AC03 DEFERASIROXUM EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 28 compr. disp.(blist. PVC/PE/PVDC/Al) P-RF/R 28 539.41 605.59 21.633 V03AC03 DEFERASIROXUM EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 84 compr. disp. (blist. PVC/PE/PVDC/Al) P-RF/R 84 1655.13 1858.22 22.124 V03AC03 DEFERASIROXUM EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 28 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 28 1078.84 1211.21 43.265 V03AC03 DEFERASIROXUM EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 84 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 84 3308.35 3714.29 44.226 V03AC03 DEFERASIROXUM EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 28 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 28 2157.62 2422.36 86.517 V03AC03 DEFERASIROXUM EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 84 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 84 6615.28 7426.98 88.42

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 D06AA04 TETRACYCLINUM TETRACICLINA CLORHIDRAT UNGUENT 3% ANTIBIOTICE SA ROMANIA Cutie x 1 tub x 12 g P-RF 1 1.50 1.76 1.762 D06AX01 ACIDUM FUSIDICUM FUCIDIN? CREMA 2% LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 1 tub x 15 g P-RF 1 8.02 9.35 9.353 D06AX01 ACIDUM FUSIDICUM FUCIDIN? UNGUENT 2% LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 1 tub x 15 g P-RF 1 8.02 9.35 9.354 D06BA01 SULFADIAZINUM DERMAZIN 1% CREMA 1% LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 tub. X 50 g P-RF 1 5.52 6.43 6.435 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN? H CREMA LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 1 tub din Al x 15 g crema P-RF 1 10.61 12.38 12.386 D07CC01 COMBINATII BELOGENT CREMA A & G MED TRADING S.R.L. ROMANIA Cutie x 1 tub. din Al x 15 g crema P-RF 1 5.36 6.25 6.257 D07CC01 COMBINATII BELOGENT CREMA A & G MED TRADING S.R.L. ROMANIA Cutie x 1 tub. din Al x 30 g crema P-RF 1 6.12 7.14 7.148 D07CC01 COMBINATII BELOGENT UNGUENT A & G MED TRADING S.R.L. ROMANIA Cutie x 1 tub din Al x 15 g unguent P-RF 1 5.36 6.25 6.259 D07CC01 COMBINATII BELOGENT UNGUENT A & G MED TRADING S.R.L. ROMANIA Cutie x 1 tub din Al x 30 g unguent P-RF 1 6.12 7.14 7.14

10 D07CC01 COMBINATII DIPROGENTA? CREMA SCHERING PLOUGH EUROPE BELGIA Cutie x 1 tub x 15 g P-RF 1 6.83 7.97 7.9711 D07CC01 COMBINATII DIPROGENTA? UNGUENT SCHERING PLOUGH EUROPE BELGIA Cutie x 1 tub x 15 g P-RF 1 6.83 7.97 7.9712 D07CC01 COMBINATII TRIDERM UNGUENT SCHERING PLOUGH EUROPE BELGIA Cutie x 1 tub din Al x 15 g unguent P-RF 1 7.54 8.79 8.7913 D07CC01 COMBINATII TRIDERM? CREMA SCHERING PLOUGH EUROPE BELGIA Cutie x 1 tub Al x 15 g P-RF 1 7.54 8.79 8.79

P6.2: EPIDERMOLIZA BULOASAP6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

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14 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 1.48 1.72 0.0915 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 1.39 1.62 0.0816 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA Cutie x 100 blist. x 10 caps. P-RF/S 1000 66.45 76.05 0.0817 J01AA07 TETRACYCLINUM TETRACICLINA CAPS. 250mg ARENA GROUP SA ROMANIA Cutie x 1 flac. x 20 caps. P-RF 20 1.15 1.34 0.0718 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 1.33 1.56 0.0819 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. x 10 compr. P-6L 20 0.60 0.70 0.0420 N03AB02 PHENYTOINUM PHENHYDAN?SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA Cutie x 5 fiole din sticla incolora x 5 ml sol. inj. P-RF 5 26.23 30.59 6.12

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 C02KX01 BOSENTANUM TRACLEER 125 mg COMPR. FILM. 125mg ACTELION REGISTRATION LTD. MAREA BRITANIE Cutie x 4 blist. PVC/PE/PVDC/Al x 14 compr. film. P-RF/R 56 6992.26 7850.22 140.182 G04BE03 SILDENAFILUM REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE Cutie x 6 blist. Al/PVC x 15 compr. film. P-RF/R 90 1469.59 1649.91 18.33

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA Cutie x 5 blist. x 4 compr. film. P-RF 20 18.85 21.99 1.102 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA Cutie x 5 blist. Al/PVC x 4 compr. film. P-RF 20 24.32 28.36 1.423 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC-PVDC X 14 compr. film. P-RF 14 12.11 14.13 1.014 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC-PVDC X 14 compr. film. P-RF 14 23.02 26.85 1.925 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 2 blist. PVC-PVDC/Al x 7 compr. film. P-RF 14 14.99 17.48 1.256 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 2 blist. PVC-PVDC/Al x 7 compr. film. P-RF 14 27.33 31.88 2.287 J01FA09 CLARITHROMYCINUM FROMILID? 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA Cutie x 1 flac. pulb. pt. 60 ml susp. P-RF 1 12.25 14.29 14.298 J01FA09 CLARITHROMYCINUM FROMILID? UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA Cutie x 1 blist. PVC-PVDC/Al x 5 compr. film. elib. prel. P-RF 5 15.91 18.55 3.71

P6.4: MUCOVISCIDOZAP6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

P6.3: HIPERTENSIUNE PULMONARAP6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

Pagina 26 din 57

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9 J01FA09 CLARITHROMYCINUM FROMILID? UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA Cutie x 1 blist. PVC-PVDC/Al x 7 compr. film. elib. prel. P-RF 7 22.27 25.97 3.7110 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. din PEID x 42 g gran. pt. 60 ml susp . orala P-RF 1 11.22 13.09 13.0911 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. din PEID x 70 g gran. pt. 100 ml susp . orala P-RF 1 16.99 19.82 19.8212 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 14 compr. film. P-RF 14 13.95 16.27 1.1613 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. PEID x 42 g gran. pt. 60 ml susp . orala P-RF 1 19.88 23.19 23.1914 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA Cutie x 1 flac. PEID x 70 g gran. pt. 100 ml susp . orala P-RF 1 27.26 31.79 31.7915 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 14 compr. film. P-RF 14 26.58 31.00 2.2116 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC/PVDC-Al x 7 compr. film. elib. prel. P-RF 7 17.76 20.72 2.9617 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA Cutie x 1 flac. liof. pt. sol. perf. S/P-RF 1 27.52 32.10 32.1018 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 5 compr. film. elib. prel. P-RF 5 18.85 21.99 4.4019 J01FA09 CLARITHROMYCINUM KLACID? COMPR. FILM. 250mg ABBOTT SPA ITALIA Cutie x 1 blist. x 10 compr. film. P-RF 10 25.90 30.20 3.0220 J01FA09 CLARITHROMYCINUM KLACID? COMPR. FILM. 250mg ABBOTT SPA ITALIA Cutie x 1 blist. x 14 compr. film. P-RF 14 14.14 16.49 1.1821 J01FA09 CLARITHROMYCINUM KLACID? GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA Cutie x 1 flacon PEID cu granule pt. 60 ml susp. orala + 1 lingurita dozatoare x 2,5 ml/5 ml P-RF 1 12.25 14.29 14.2922 J01FA09 CLARITHROMYCINUM KLACID? GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA Cutie x 1 flacon PEID cu granule pt. 100 ml susp. orala + 1 lingurita dozatoare x 2,5 ml/5 ml P-RF 1 20.03 23.36 23.3623 J01FA09 CLARITHROMYCINUM KLERIMED? 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU Cutie x 2 blist. Al/PVC-PVDC x 7 compr. film. P-RF 14 14.14 16.49 1.1824 J01FA09 CLARITHROMYCINUM KLERIMED? 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU Cutie x 2 blist. Al/PVC-PVDC x 7 compr. film. P-RF 14 25.91 30.22 2.1625 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA Cutie x 1 flac. PEID cu 41 g granule pt. 60 ml susp. orala + lingurita dozatoare PP P-RF 1 12.80 14.93 14.9326 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA Cutie x 1 flac. PEID cu 68,3 g granule pt. 100 ml susp. orala + lingurita dozatoare PP P-RF 1 19.37 22.59 22.5927 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID cu 41 g granule pt. 60 ml susp. orala + lingurita dozatoare PP P-RF 1 22.64 26.40 26.4028 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA Cutie x 1 flac. din PEID cu 68,3 g granule pt. 100 ml susp. orala + lingurita dozatoare PP P-RF 1 31.07 36.23 36.2329 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 folie Al/Al x 5 compr. film. elib. modif. P-RF 5 18.25 21.28 4.2630 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 folie Al/Al x 7 compr. film. elib. modif. P-RF 7 25.49 29.73 4.2531 J01FA09 CLARITHROMYCINUM LEKOKLAR? 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 2 blist. x 7 compr. film. P-RF 14 15.77 18.39 1.3132 J01FA09 CLARITHROMYCINUM LEKOKLAR? 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 2 blist. x 7 compr. film. P-RF 14 29.48 34.38 2.4633 J01GB01 TOBRAMYCINUM TOBI? SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 4 plicuri din Al; fiecare plic contine 7 fiole gemene din PEJD x 5 ml sol. de inhalat prin nebulizator P-RF 56 5855.52 6573.99 117.3934 R05CB13 DORNAZA ALFA PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA Cutie x 6 fiole unidoza PE x 2,5 ml sol. inhal. prin nebulizator, introduse in punga Al S/P-RF 6 484.22 543.63 90.61

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 N07XX02 RILUZOLUM RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA Cutie x 4 blist. x 14 compr. P-RF/R 56 1129.37 1267.94 22.64

P6.6: OSTEOGENEZA IMPERFECTAP6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATORIIP6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

Pagina 27 din 57

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 M05BA03 ACIDUM PAMIDRONICUM AREDIA? 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 4 flac. din sticla x 15 mg liof. pt. sol. perf. + 4 fiole din sticla x 5 ml solv. S/P-RF 4 422.04 473.83 118.462 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 1 ml S/P-RF 1 73.03 83.59 83.593 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 2 ml S/P-RF 1 122.39 137.41 137.414 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 4 ml S/P-RF 1 240.46 269.96 269.965 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 1 fiola PE x 6 ml S/P-RF 1 362.23 406.67 406.676 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 flac. din sticla incolora x 30 mg liof. pt. sol. perf. i.v. S/P-RF 1 104.05 116.82 116.827 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 flac. din sticla incolora x 60 mg liof. pt. sol. perf. i.v. S/P-RF 1 158.78 178.26 178.26

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 H01AC01 SOMATROPINUM GENOTROPIN? 16 ui (5,3 mg) PULB. + SOLV. PT. SOL. INJ. 5.3mg/ml (16ui) PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 cartus bicameral multidoza cu pulb. si solv. pt. sol. inj. P-RF 1 326.63 366.71 366.712 H01AC01 SOMATROPINUM NORDITROPIN SIMPLEX x 10mg/1,5ml SOL. INJ. 10mg/1.5ml NOVO NORDISK A/S DANEMARCA Cutie x 1 cartus din sticla x 1,5 ml sol. inj. P-RF 1 828.96 930.67 930.673 H01AC01 SOMATROPINUM NORDITROPIN SIMPLEXx 5 mg/1,5 ml SOL. INJ. 5mg/1.5ml NOVO NORDISK A/S DANEMARCA Cutie x 1 cartus din sticla x 1,5 ml sol. inj. P-RF 1 465.85 523.01 523.014 H01AC01 SOMATROPINUM NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE Cutie x 1 cartus x 2 ml. sol. inj. P-RF/R 1 895.15 1004.99 1004.995 H01AC01 SOMATROPINUM OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA Cutie x 1cartus x 1,5 ml sol.inj. P-RF/R 1 274.72 308.43 308.436 H01AC01 SOMATROPINUM ZOMACTON LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) FERING GMBH GERMANIA Cutie x 1 flac. liof. pt. sol. inj. + 1 fiola x 3,5 ml solv. P-RF 1 321.02 360.41 360.41

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.8: BOALA FABRY

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.7: SINDROM PRADER WILLI

Pagina 28 din 57

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A16AB04 AGALSIDASUM BETA FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA Cutie x 1 flac. cu pulb. pt. conc. pt. sol. perf. S 1 10872.34 12206.38 12206.38

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A16AB07 ALGLUCOSIDASUM ALPHA MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg GENZYME EUROPE B.V. OLANDA Cutie x 1 flac. cu 50mg pulb. pt. conc. pt. sol. perf. S 1 1675.47 1881.05 1881.05

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A11CC02 DIHYDROTACHYSTEROLUM A.T. 10? PICATURI ORALE-SOL. 1mg/ml MERCK KGAA GERMANIA Cutie x 1 flacon din sticla bruna prevazut cu picurator x 15 ml P-6L 1 12.70 14.81 14.812 A11CC02 DIHYDROTACHYSTEROLUM TACHYSTIN PICATURI ORALE-SOL. 0.1mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA Cutie x 1 flacon din sticla bruna x 20 ml pic. orale, sol., prevazut cu aplicator pt. picurare P-6L 1 16.83 19.63 19.633 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 µg CAPS. MOI 0.25µg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 flac. din PPID x 50 caps. moi P-RF 50 20.08 23.41 0.474 A11CC03 ALFACALCIDOLUM ALPHA D3 0.50 µg CAPS. MOI 0.50µg TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din PP x 30 caps. moi P-RF 30 16.52 19.27 0.64

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.9: BOALA POMPE

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

Pagina 29 din 57

Page 95: Liste Medicamente

5 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0.25µg ROCHE ROMANIA S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 100 caps. moi P-RF 100 106.74 119.83 1.206 G03CA03 ESTRADIOLUM CLIMARA PLASTURE TRANSDERM. 50µg/24ore SCHERING AG GERMANIA Cutie x 4 plicuri x 1 plasture transderm. P-6L 4 17.22 20.08 5.027 G03CA03 ESTRADIOLUM ESTREVA? GEL 0.1% LAB. THERAMEX MONACO Cutie x 1 flacon PE, inchis cu pompa dozatoare x 50 g P-6L 1 14.37 16.75 16.758 G03CA03 ESTRADIOLUM ESTROFEM 1 mg COMPR. FILM. 1mg NOVO NORDISK A/S DANEMARCA Cutie x 1 disc tip calendar x 28 compr.film. P-6L 28 12.04 14.05 0.509 G03CA03 ESTRADIOLUM OESTROGEL? GEL 0.06% LAB. BESINS INTERNATIONAL FRANTA Cutie x 1 tub din Al x 80 g P-6L 1 8.31 9.69 9.69

10 G03CA03 ESTRADIOLUM RISELLE 25 mg IMPLANT 25mg ORGANON NV MAREA BRITANIE Cutie x 1 trusa PETG x 1 fiola cu implant steril + 1 dispozitiv de adm (trocar) + 1 pensa P-RF 1 99.94 114.38 114.3811 G03CA03 ESTRADIOLUM VAGIFEM COMPR. VAG. 25µg NOVO NORDISK A/S DANEMARCA Cutie x 3 blist. Al/PVC x 5 aplicatoare din PE/PP x 1 compr. vag. P-6L 15 31.46 36.69 2.4512 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA Cutie x 1 blist. din Al-PVDC/PVC x 28 compr. P-RF 28 37.84 44.13 1.5813 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA Cutie x 3 blist. din Al-PVDC/PVC x 28 compr. P-RF 84 99.43 113.80 1.3514 G03DC05 TIBOLONUM LIVIAL? 2,5 mg COMPR. 2.5mg ORGANON NV OLANDA Cutie x 1 blist. x 28 compr. P-RF 28 53.49 61.22 2.1915 G03FA15 ESTRADIOLUMVALERAT+DIENOGEST KLIMODIEN DRAJ. SCHERING AG GERMANIA Cutie x 1 blist. x 28 draj. P-RF 28 21.32 24.87 0.8916 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg ELI LILLY NEDERLAND BV OLANDA Cutie x 28 compr. film. (blist. Aclar) P-RF 28 86.04 98.47 3.5217 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0.9mg GENZYME EUROPE BV OLANDA Cutie x 2 flacoane S 2 2654.58 2980.30 1490.1518 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA Cutie x 1 flac. liof. + 1 fiola solv. x 2 ml S/P-RF 1 8.95 10.43 10.4319 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA Cutie x 15 flac. liof. + 15 fiole solv. x 1 ml S/P-RF 15 26.81 31.27 2.0820 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA Cutie x 15 flac. liof. + 15 fiole solv. x 1 ml S/P-RF 15 42.87 50.00 3.3321 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA Cutie x 1 flac. liof. + 1 fiola solv. x 7,8 ml S/P-RF 1 26.81 31.27 31.2722 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 28.28 32.98 1.6523 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla x 30 compr. P-RF 30 9.43 10.99 0.3724 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 37.70 43.97 0.8825 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla incolora cu liof. pt. sol. inj. + 1 flac. x 7,8 ml solv. P-RF 1 27.10 31.60 31.6026 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. bicompartimentat (compartiment inferior) liof. pt. sol. inj. (compartiment superior) 2 ml solv. P-RF 1 10.60 12.37 12.3727 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 22.15 25.83 25.8328 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. bicompartimentat (compartiment inferior) liof. pt. sol. inj. + (compartiment superior) 1 ml solv. P-RF 1 4.71 5.50 5.5029 H03AA01 LEVOTHYROXINUM EUTHYROX? 100 COMPR. 100µg MERCK KGAA GERMANIA Cutie x 4 blist. PP/Al x 25 compr. P-6L 100 5.71 6.66 0.0730 H03AA01 LEVOTHYROXINUM EUTHYROX? 200 COMPR. 200µg MERCK KGAA GERMANIA Cutie x 4 blist. Al/PP x 25 compr. P-6L 100 11.80 13.76 0.1431 H03AA01 LEVOTHYROXINUM EUTHYROX? 25 COMPR. 25µg MERCK KGAA GERMANIA Cutie x 4 blist. PP/Al x 25 compr. P-6L 100 4.81 5.61 0.0632 H03AA01 LEVOTHYROXINUM EUTHYROX? 50 COMPR. 50µg MERCK KGAA GERMANIA Cutie x 4 blist. PP/Al x 25 compr. P-6L 100 4.04 4.71 0.0533 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100µg BERLIN CHEMIE AG MENARINI GROUP GERMANIA Cutie x 4 blist. PVC-PVDC/Al x 25 compr. P-6L 100 6.09 7.11 0.0734 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50µg BERLIN CHEMIE AG MENARINI GROUP GERMANIA Cutie x 4 blist. PVC-PVDC/Al x 25 compr. P-6L/S 100 4.10 4.79 0.0535 H03AAN1 LEVOTIROXINUM+KALII IODIDUM JODTHYROX? 100/130,8 COMPR. MERCK KGAA GERMANIA Cutie x 2 blist. PP/Al x 25 compr. P-6L 50 7.21 8.41 0.1736 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU Cutie x 10 blist. Al/PVC x 10 compr. film. P-6L 100 8.24 9.61 0.1037 H03BB02 THIAMAZOLUM THYROZOL? 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA Cutie x 5 blist. x 10 compr. film. P-6L 50 12.28 14.32 0.2938 H03BB02 THIAMAZOLUM THYROZOL? 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA Cutie x 5 blist. x 10 compr. film. P-6L 50 14.59 17.02 0.3439 H03BB02 THIAMAZOLUM THYROZOL? 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA Cutie x 10 blist. x 10 compr. film. P-6L/S 100 15.07 17.58 0.1840 H03CA01 KALII IODIDUM JODID 100 COMPR. 100µg MERCK KGAA GERMANIA Cutie x 4 blist. Al/PP x 25 compr. P-RF 100 6.32 7.37 0.0741 H03CA01 KALII IODIDUM JODID 100 COMPR. 100µg MERCK KGAA GERMANIA Cutie x 4 blist. Al/PVC x 25 compr. P-RF 100 6.32 7.37 0.0742 H03CA01 KALII IODIDUM JODID 200 COMPR. 200µg MERCK KGAA GERMANIA Cutie x 4 blist. PP/Al x 25 compr. P-RF 100 10.39 12.12 0.1243 H03CA01 KALII IODIDUM JODID 200 COMPR. 200µg MERCK KGAA GERMANIA Cutie x 4 blist. PVC/Al x 25 compr. P-RF 100 10.39 12.12 0.1244 H05AA02 TERIPARATIDUM FORSTEO 20µg/80µg SOL. INJ. 20µg/80µg ELI LILLY NEDERLAND BV OLANDA Cutie x 1 stilou injector (pen) preumplut x 3 ml (28 doze x 20 µg/80µl) P-RF 1 1210.00 1358.46 1358.4645 H05BA01 CALCITONINUM (SOMON) MIACALCIC? SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 5 fiole x 1 ml P-RF 5 47.95 55.93 11.1946 H05BA01 CALCITONINUM (SOMON) MIACALCIC? NASAL 200 SPRAY NAZAL - SOL. 200ui/doza NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flac. din sticla prevazut cu pompa dozatoare cu sistem de numararea dozelor, ce contine sol. pt. adm. a 14 doze P-RF 1 86.43 98.92 98.9247 H05BA01 CALCITONINUM (SOMON) NYLEX 100 UI/doza SPRAY NAZ.,SOL. 100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA GRECIA Cutie x 1 flacon prevazut cu pompa dozatoare x 2 ml spray nazal, sol. P-RF 1 24.74 28.86 28.8648 H05BA01 CALCITONINUM (SOMON) NYLEX? SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA Cutie x 5 fiole x 1ml P-RF 5 16.02 18.69 3.74

Pagina 30 din 57

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49 H05BA01 CALCITONINUM (SOMON) NYLEX? SPRAY NAZAL - SOL. 200UI/doza PROEL E.P. CORONIS SA GRECIA Cutie x 1 flacon din sticla prevazut cu pompa dozatoare cu aplicator nazal x 2 ml P-RF 1 38.41 44.80 44.8050 H05BA01 CALCITONINUM (SOMON) TONOCALCIN 100 UI SOL. INJ. 100UI ALFA WASSERMANN SPA ITALIA Cutie x 5 fiole x 1 ml sol. inj. P-RF 5 44.89 52.36 10.4751 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME S.R.L. ROMANIA Cutie x 1 blist. Al/PVC x 14 compr. P-6L 14 49.48 57.71 4.1252 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME S.R.L. ROMANIA Cutie x 2 blist. Al/PVC x 14 compr. P-6L 28 97.12 111.15 3.9753 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME S.R.L. ROMANIA Cutie x 1 blist. Al/Al in portofel x 2 compr. P-6L 2 33.67 39.27 19.6354 M05BA04 ACIDUM ALENDRONICUM TEVA NAT COMPR. 70 mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-Al-OPA/Al x 4 compr. P-6L 4 42.97 50.11 12.5355 M05BA06 ACIDUM IBANDRONICUM BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 compr. film.( blist. Al/Al) P-6L 1 77.69 88.92 88.9256 M05BA06 ACIDUM IBANDRONICUM BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 3 compr. film.( blist. Al/Al) P-6L 3 228.64 256.69 85.5657 M05BA06 ACIDUM IBANDRONICUM BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 3mg/3ml ROCHE REGISTRATION LTD MAREA BRITANIE Cutie x 1 seringa preumpluta din sticla x 3 ml sol. inj. + 1 ac P-6L 1 256.03 287.45 287.4558 M05BA07 ACIDUM RISEDRONICUM ACTONEL? SAPTAMANAL COMPR. FILM. 35mg AVENTIS PHARMA AB SUEDIA Cutie x 1 blist. x 2 compr. film. P-6L 2 49.38 57.59 28.8059 M05BA07 ACIDUM RISEDRONICUM ACTONEL? SAPTAMANAL COMPR. FILM. 35mg AVENTIS PHARMA AB SUEDIA Cutie x 1 blist. x 4 compr. film. P-6L 4 96.92 110.92 27.7360 M05BA07 ACIDUM RISEDRONICUM RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA A.S. CEHIA Cutie x 1 blist. OPA-Al-PVC/Al x 4 compr. film. P-6L 4 62.21 71.20 17.8061 M05BA08 ACIDUM ZOLEDRONICUM ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 1 flac. x 100 ml + 1 capac Al/PP cu componenta flip. S 1 1203.82 1351.53 1351.5362 M05BA08 ACIDUM ZOLEDRONICUM ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 1 flac. 4mg pulb. pt. sol. perf. + 1 fiola x 5 ml solv. S 1 876.12 983.62 983.6263 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 2 compr. (1 pliant cu blist. Al/Al x 2 compr.) P-6L 2 32.71 38.15 19.0764 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME LTD. MAREA BRITANIE Cutie x 4 compr. (1 pliant cu blist. Al/Al x 4 compr.) P-6L 4 64.19 73.47 18.3765 M05BX03 STRONTIUM RANELATUM OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA Cutie x 14 plicuri harti-PE-Al/PE gran. pt. susp. orala P-RF 14 55.07 63.02 4.5066 M05BX03 STRONTIUM RANELATUM OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA Cutie x 28 plicuri harti-PE-Al/PE gran. pt. susp. orala P-RF 28 108.04 121.29 4.33

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 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 11.78 13.74 2.752 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 22.39 26.11 5.223 A04AA01 ONDANSETRONUM ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE Cutie x 1 folie din poliamida/Al/PVC x 10 compr. orodispersabile P-RF 10 9.36 10.92 1.094 A04AA01 ONDANSETRONUM ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE Cutie x 1 folie din Al/PE x 10 compr. orodispersabile P-RF 10 9.36 10.92 1.095 A04AA01 ONDANSETRONUM ONDARAN MD 8 mg COMPR. ORODISPERSABILE 8mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 fole PA/Al/PVC x 10 compr. orodispersabile P-RF 10 16.39 19.11 1.916 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 9.43 10.99 1.107 A04AA01 ONDANSETRONUM OSETRON 4 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA Cutie 1 blist. Al/PVC x 5 fiole x 2 ml sol. inj. S/P-RF 5 11.78 13.74 2.758 A04AA01 ONDANSETRONUM OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES (UK) LTD ROMANIA Cutie x 1 blist. hartie/Al, PVDC/PVC x 10 compr. film. P-RF 10 16.49 19.24 1.929 A04AA01 ONDANSETRONUM OSETRON 8 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA Cutie x 1 blist. Al/PVC x 5 fiole x 4 ml sol. inj. S/P-RF 5 22.39 26.11 5.22

10 A04AA01 ONDANSETRONUM SETRONON 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 9.59 11.18 1.1211 A04AA01 ONDANSETRONUM SETRONON 4 mg/2 ml SOL. INJ./PERF. 4mg/2ml PLIVA LJUBLJANA D.O.O. SLOVENIA Cutie x 5 fiole din sticla incolora x 2 ml sol inj/perf. S/P-RF 5 11.51 13.43 2.6912 A04AA01 ONDANSETRONUM SETRONON 8 mg COMPR. FILM. 8mg PLIVA LJUBLJANA D.O.O. SLOVENIA Cutie x 1 blist. Al/PVC x 10 compr.film. P-RF 10 16.64 19.41 1.94

P9.1: TRANSPLANT MEDULAR

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

Pagina 31 din 57

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13 A04AA01 ONDANSETRONUM SETRONON 8 mg/4 ml SOL. INJ./PERF. 8mg/4 ml PLIVA LJUBLJANA D.O.O. SLOVENIA Cutie x 5 fiole din sticla incolora x 4 ml sol.inj./perf. S/P-RF 5 22.41 26.14 5.2314 A04AA01 ONDANSETRONUM ZOFRAN 4 mg COMPR. FILM. 4mg GLAXO WELLCOME UK LTD. MAREA BRITANIE Cutie x 2 blist. Al/Al x 5 compr. film. P-RF 10 87.82 100.51 10.0515 A04AA01 ONDANSETRONUM ZOFRAN 4mg/2ml SOL. INJ. 4mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE Cutie x 5 fiole x 2 ml sol. inj. S/P-RF 5 74.85 85.67 17.1316 A04AA01 ONDANSETRONUM ZOFRAN 8mg/4ml SOL. INJ. 8mg/4ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE Cutie x 5 fiole din sticla incolora x 4 ml sol. inj. S/P-RF 5 98.16 112.34 22.4717 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 2 blist. Al/PVC x 25 caps. P-6L 50 54.50 62.38 1.2518 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 4 blist. Al/PVC x 25 caps. P-6L/S 100 94.02 107.61 1.0819 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA Cutie x 5 blist. Al/PVC x 10 caps. P-6L 50 35.91 41.89 0.8420 B01AB08 REVIPARINUM CLIVARIN? 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 2 blist. x 5 seringi preumplute unidoza x 0.25ml S/P-RF 10 61.52 70.41 7.0421 B01AB08 REVIPARINUM CLIVARIN? 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 1 blist x 5 seringi preumplute unidoza x 0,60 ml S/P-RF 5 54.25 62.09 12.4222 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 129.61 145.51 24.2523 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 259.90 291.79 48.6324 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 390.35 438.24 73.0425 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 520.73 584.62 97.4426 B03XA01 EPOETINUM ALFA EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 83.24 95.27 15.8827 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 136.10 152.80 25.4728 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 226.83 254.66 25.4729 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,4 ml sol. inj. S/P-RF 6 272.19 305.59 50.9330 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 453.66 509.32 50.9331 B03XA01 EPOETINUM ALFA EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 181.46 203.73 20.3732 B03XA01 EPOETINUM ALFA EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 362.92 407.46 40.7533 B03XA01 EPOETINUM ALFA EPREX? 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 197.83 222.11 37.0234 B03XA01 EPOETINUM ALFA EPREX? 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 1 ml S/P-RF 6 1978.33 2221.08 370.1835 B03XA01 EPOETINUM ALFA EPREX? 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 395.67 444.22 74.0436 B03XA01 EPOETINUM ALFA EPREX? 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,3 ml S/P-RF 6 593.50 666.32 111.0537 B03XA01 EPOETINUM ALFA EPREX? 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 1 flacon din sticla x 1 ml S/P-RF 1 1069.05 1200.23 1200.2338 B03XA01 EPOETINUM ALFA EPREX? 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,4 ml S/P-RF 6 791.33 888.43 148.0739 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 2028.26 2277.13 379.5240 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0,3 ml sol. inj. + 6 ace S/P-RF/R 6 202.83 227.71 37.9541 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 6 405.65 455.43 75.9042 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 6 811.31 910.85 151.8143 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 1014.13 1138.57 189.7644 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0.3 ml sol. inj. + 6 ace S/P-RF/R 6 103.43 116.12 19.3545 J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM TIMENTIN 3,2 g PULB. PT. SOL. INJ./PERF. 3.2g BEECHAM GROUP PLC MAREA BRITANIE Cutie x 10 flac. din sticla incolora cu pulb. pt. sol. inj./perf. S/P-RF 10 238.17 267.40 26.7446 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 32.03 37.36 37.3647 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 286.45 321.60 26.8048 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 55.88 63.96 63.9649 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 650.68 730.52 60.8850 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 10 flac. pulb. pt. sol. inj. (cap. 20 ml) S 10 734.92 825.10 82.5151 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE Cutie x 10 flac. pulb. pt. sol. inj. (cap. 20 ml) S 10 374.27 420.19 42.0252 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA Cutie x 5 flac. din sticla bruna cu pulb. pt. sol. perf. S/P-RF 5 185.82 208.62 41.7253 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 flac. din sticla incolora x 500 mg liof. pt. sol. perf./inj. S/P-RF 1 25.94 30.26 30.2654 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA Cutie x 1 flac. din sticla incolora cu pulb. liof. pt. sol. perf./inj. S/P-RF 1 49.29 57.48 57.4855 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA Cutie x 1 flac. din sticla cu liof. pt. sol. perf. S/P-RF 1 32.07 37.40 37.4056 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA Cutie x 1 flac. din sticla cu liof. pt. sol. perf. S/P-RF 1 16.03 18.70 18.70

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57 J01XA02 TEICOPLANINUM TARGOCID? 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE Cutie x 1 flac. liof. + o fiola solv. P-RF 1 129.43 145.31 145.3158 J01XX08 LINEZOLIDUM ZYVOXID? COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 10 compr. film. P-RF 10 1202.19 1349.69 134.9759 J01XX08 LINEZOLIDUM ZYVOXID? GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 66 g gran. ptr. 150 ml susp. + 1 lingurita dozatoare dubla x 2,5 ml/5 ml P-RF 1 623.78 700.31 700.3160 J01XX08 LINEZOLIDUM ZYVOXID? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 pungi x 300 ml S 10 1202.19 1349.69 134.9761 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA Cutie x 4 blist. x 7 caps. P-RF 28 129.29 145.16 5.1862 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 1 caps. P-RF 1 12.96 15.12 15.1263 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 83.24 95.27 13.6164 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 31.58 36.83 5.2665 J02AC01 FLUCONAZOLUM DIFLAZON? SOL. PERF. 2mg/ml KRKA D.D. SLOVENIA Cutie x 1 flacon x 100 ml S/P-RF 1 37.70 43.97 43.9766 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 14.56 16.98 16.9867 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 38.60 45.02 6.4368 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 25 ml S/P-RF 1 18.85 21.99 21.9969 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 50 ml S/P-RF 1 20.74 24.18 24.1870 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 200 ml S/P-RF 1 90.64 103.74 103.7471 J02AC01 FLUCONAZOLUM DIFLUCAN? 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. PEID pulb. pt. 35 ml susp. orala + 1 lingurita dozatoare x 5 ml P-RF 1 63.47 72.65 72.6572 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 6.36 7.42 7.4273 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.73 5.52 5.5274 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.42 5.15 5.1575 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 11.55 13.47 1.9276 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 12.47 14.54 1.4577 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.56 11.15 1.5978 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.34 10.90 1.5679 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.42 5.15 5.1580 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.01 4.67 4.6781 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 7.89 9.20 1.3182 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 150 CAPS. 150mg SANDOZ SRL GERMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 9.07 10.58 10.5883 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 50 CAPS. 50mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 21.16 24.68 3.5384 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.50 5.24 5.2485 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.62 11.22 1.6086 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 2 caps. P-RF 2 4.62 5.39 2.6987 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 15.39 17.95 2.5688 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 3.37 3.93 3.9389 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 19.88 23.19 3.3190 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 8.14 9.50 1.3691 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 31.39 36.61 5.2392 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVDC/Al x 1 caps. P-RF 1 9.94 11.59 11.5993 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVdC/Al x 7 caps. P-RF 7 20.94 24.42 3.4994 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 4 caps. P-RF 4 12.51 14.59 3.6595 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA Cutie x 1 flac. x 1 caps. P-RF 1 4.86 5.66 5.6696 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 7 caps. P-RF 7 11.03 12.86 1.8497 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 2 blist. PVC/Al x 8 caps. P-RF 16 43.93 51.24 3.2098 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 4 caps. P-RF 4 4.65 5.42 1.3699 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 8 caps. P-RF 8 9.30 10.85 1.36

100 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 8.05 9.39 9.39Pagina 33 din 57

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101 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 3 caps. P-RF 3 33.70 39.30 13.10102 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 100 ml sol. perf. S/P-RF 1 28.15 32.84 32.84103 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 200 ml sol. perf. S/P-RF 1 92.29 105.63 105.63104 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 50 ml sol. perf. S 1 20.17 23.52 23.52105 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 2 blist. Al/PVC x 1 caps. P-RF 2 27.58 32.16 16.08106 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 4 blist. Al/PVC x 1 caps. P-RF 4 54.12 61.94 15.49107 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.93108 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.93109 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.03110 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.98111 J02AC04 POSACONAZOLUM NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA Cutie x 1 flac. x 105ml susp. orala P-RF/R 1 2006.37 2252.55 2252.55112 J02AX04 CASPOFUNGINUM CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 861.02 966.66 966.66113 J02AX04 CASPOFUNGINUM CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 1123.75 1261.63 1261.63114 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 10.46 12.20 0.61115 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 488.47 548.41 0.55116 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 9.88 11.52 0.58117 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 8.40 9.80 0.49118 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 4 blist. PVC-PVDC/Al x 5 compr. P-RF 20 6.73 7.85 0.39119 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg TERAPIA SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 6.34 7.40 0.37120 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 4 blist. x 5 compr. disp. P-RF 20 3.58 4.18 0.21121 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 9.51 11.10 1.11122 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 2 blist. PVC-PVDC/Al x 5 compr. P-RF 10 9.40 10.96 1.10123 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA Cutie x 7 blist. Al/PVC x 5 compr. film. P-RF 35 28.86 33.66 0.96124 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 8.03 9.36 0.47125 J05AB01 ACICLOVIRUM EUVIROX 200 mg CAPS. 200mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 10.36 12.08 0.60126 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. din PVC-PVDC/Al x 10 compr. disp. P-RF 10 1.83 2.13 0.21127 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 5 flac. x 250 mg pulb. pt. sol. inj./perf. S/P-RF 5 171.14 192.14 38.43128 J05AB01 ACICLOVIRUM ZOVIRAX COMPR. 200mg GLAXO WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVDC-PVC x 25 compr. P-RF 25 35.35 41.22 1.65129 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 52.80 60.43 6.04130 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.16131 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. perf./inj S 1 7.76 9.05 9.05132 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf./inj. S 1 26.58 31.00 31.00133 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 5 blist. PVC-PVDC/Al x 10 draj. P-RF 50 20.84 24.31 0.49134 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf./inj. S 1 13.31 15.52 15.52135 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flac. din sticla bruna x 25 compr. film. P-RF 25 4.55 5.31 0.21136 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. cu pulb. pt. sol. perf. S 1 92.92 106.35 106.35137 L01AA06 IFOSFAMIDUM HOLOXAN 2 g PULB. PT. SOL. PERF. 2g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. cu pulb. pt. sol. perf. S 1 181.07 203.28 203.28138 L01AA06 IFOSFAMIDUM HOLOXAN 500 mg PULB. PT. SOL. PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. cu pulb. pt. sol. perf. S 1 55.70 63.74 63.74139 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 flac. din sticla bruna x 25 compr. film. P-RF 25 14.52 16.93 0.68140 L01BA01 METHOTREXATUM ANTIFOLAN? 50 mg PULB. PT. SOL. INJ./PERF. 50mg SINDAN SRL ROMANIA Cutie x 1 flac. de sticla cu pulb. pt. sol. inj./perf. S 1 5.67 6.61 6.61141 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 tub din material plastic x 1 fiola x 10 ml S 1 54.88 62.81 62.81142 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 10 fiole x 1 ml S 10 11.64 13.58 1.36143 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 5 ml S 1 6.51 7.59 7.59144 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 5 fiole x 5 ml S 5 130.11 146.07 29.21

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145 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 50 ml S 1 269.19 302.22 302.22146 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg SCHERING AG GERMANIA Cutie x 5 flac. cu liof. pt. sol. inj./perf. S 5 2288.41 2569.19 513.84147 L01BB05 FLUDARABINUM FLUDARA? ORAL COMPR. FILM. 10mg SCHERING AG GERMANIA Cutie x 1 flac. x 4 blist. x 5 compr. film. P-RF 20 1602.01 1798.58 89.93148 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 5 ml S 1 40.72 47.50 47.50149 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. x 5 ml conc. pt. sol. perf. S 1 21.10 24.61 24.61150 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. x 10 ml conc. pt. sol. perf. S 1 42.23 49.25 49.25151 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 5 ml conc. pt. sol. perf. S 1 21.68 25.28 25.28152 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 1 blist. PVC/A0-PVC-PVDC x 10 caps. P-RF 10 221.79 249.01 24.90153 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA Cutie x 2 blist. PVC/Al-PVC-PVDC x 10 caps. P-RF 20 206.03 231.31 11.57154 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 1 caps. P-RF 1 217.75 244.47 244.47155 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla incolora cu liof. pt. sol. inj. S 1 238.17 267.39 267.39156 L01DB07 MITOXANTRONUM MITOXANTRONE TEVA 2 mg/ml CONC. PT. SOL. PERF. 2 mg/ml TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 flacon x 10 ml conc.pt. sol. perf. S 1 334.76 375.83 375.83157 L01DB07 MITOXANTRONUM NOVANTRONE SOL. PERF. 20mg/10ml WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flacon din sticla x 10 ml sol. perf. S 1 493.88 554.47 554.47158 L01DB07 MITOXANTRONUM ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flacon x 10 ml conc. pt. sol. inj. S 1 430.85 483.71 483.71159 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 20 ml conc. pt. sol. perf. S 1 6.06 7.07 7.07160 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 50 ml cond. pt. sol. perf. S 1 14.56 16.98 16.98161 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA Cutie x 1 flacon x 100 ml conc. pt. sol. perf. S 1 20.84 24.31 24.31162 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. x 20 ml S 1 5.87 6.84 6.84163 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 10 ml x 10 mg conc. sol. perf. S 1 5.12 5.97 5.97164 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. x 50 ml x 50 mg conc. sol. perf. S 1 16.12 18.80 18.80165 L01XA01 CISPLATINUM SINPLATIN 10 mg LIOF. PT. SOL. PERF. 10mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. liof. pt. sol. perf. S 1 5.67 6.61 6.61166 L01XA01 CISPLATINUM SINPLATIN 50 mg LIOF. PT. SOL. PERF. 50mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. liof. pt. sol. perf. S 1 17.90 20.87 20.87167 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla x 5 ml conc. pt. sol. perf. S 1 14.43 16.83 16.83168 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla x 15 ml conc. pt. sol. perf. S 1 42.01 48.99 48.99169 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA Cutie x 1 flacon din sticla x 45 ml conc. pt. sol. perf. S 1 117.30 131.69 131.69170 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 5 ml conc. pt. sol. perf. S 1 11.91 13.90 13.90171 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 15 ml conc. pt. sol. perf. S 1 33.02 38.51 38.51172 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA Cutie x 1 flacon din sticla incolora x 45 ml conc. pt. sol. perf. S 1 89.33 102.24 102.24173 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 15 ml conc. pt. sol. perf. S 1 31.33 36.54 36.54174 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 45 ml conc. pt. sol. perf. S 1 89.18 102.06 102.06175 L01XC02 RITUXIMABUM MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 2 flacoane x 10 ml S 2 1688.18 1895.32 947.66176 L01XC02 RITUXIMABUM MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 50 ml(500mg rituximab in 50ml- 10mg/ml) S 1 4220.45 4738.29 4738.29177 L01XC04 ALEMTUZUMABUM MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA Cutie x 3 fiole x 3 ml concentrat intr-o fiola de 5ml S 3 3842.97 4314.50 1438.17178 L01XC04 ALEMTUZUMABUM MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA Cutie x 3 flacoane x 1 ml concentrat intr-un flacon de 2ml S 3 3696.69 4150.28 1383.43179 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 30MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 196.66 220.78 220.78180 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 340.22 381.96 381.96181 L04AA01 CICLOSPORINUM CICLORAL? HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 164.68 184.88 3.70182 L04AA01 CICLOSPORINUM CICLORAL? HEXAL? 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 75.61 86.54 1.73183 L04AA01 CICLOSPORINUM EQUORAL? SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon din sticla bruna x 50 ml, un dispozitiv de masurat + un capac cu filet S/P-RF 1 340.24 381.99 381.99184 L04AA01 CICLOSPORINUM EQUORAL? 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 286.94 322.14 6.44185 L04AA01 CICLOSPORINUM EQUORAL? 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 63.59 72.78 1.46186 L04AA01 CICLOSPORINUM EQUORAL? 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 141.77 159.16 3.18187 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 152.33 171.02 3.42188 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 270.37 303.55 6.07

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189 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flacon x 50 ml + kit de adm. S/P-RF 1 601.04 674.78 674.78190 L04AA05 TACROLIMUSUM ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 173.07 194.31 3.89191 L04AA05 TACROLIMUSUM ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 346.11 388.58 7.77192 L04AA05 TACROLIMUSUM ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 1730.60 1942.95 38.86193 L04AA05 TACROLIMUSUM PROGRAF? 0,5 mg CAPS. 0.5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 175.48 197.01 3.94194 L04AA05 TACROLIMUSUM PROGRAF? 1 mg CAPS. 1mg ASTELLAS IRELAND CO. LTD. GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 356.52 400.26 8.01195 L04AA05 TACROLIMUSUM PROGRAF? 5 mg CAPS. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 1682.26 1888.68 37.77196 L04AA05 TACROLIMUSUM PROGRAF? 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA GMBH GERMANIA Cutie x 10 fiole x 1 ml S 10 2078.26 2333.26 233.33197 L04AA06 MYCOPHENOLATUM CELLCEPT 1mg/5ml PULB. PT. SUSP. ORALA 1g/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 110 g P-RF/R 1 482.71 541.94 541.94198 L04AA06 MYCOPHENOLATUM CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 10 blist. x 10 caps. P-RF/R 100 344.80 387.10 3.87199 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 5 blist. x 10 compr. film. P-RF/R 50 344.80 387.10 7.74200 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 4 flacoane pulb. pt. conc. sol. perf. S 4 172.40 193.55 48.39201 L04AA06 MYCOPHENOLATUM MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 404.28 453.88 3.78202 L04AA06 MYCOPHENOLATUM MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 808.55 907.76 7.56203 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 100 compr. P-RF/R 100 237.68 266.84 2.67204 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 50 compr. P-RF/R 100 237.68 266.84 2.67205 L04AA08 DACLIZUMABUM ZENAPAX 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 5 ml S 1 951.48 1068.23 1068.23206 L04AA10 SIROLIMUS RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE Cutie x 30 draj. (blist. PVC/PE /Aclar) P-RF/R 30 432.14 485.17 16.17207 L04AA11 ETANERCEPTUM ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE Cutie x 4 flac. + 4 seringi preumplute cu solv. + 8 tampoane cu alcool P-RF/R 4 1493.97 1677.29 419.32208 L04AA11 ETANERCEPTUM ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE Cutie x 4 seringi preumplute x 8 tampoane cu alcool P-RF/R 4 1493.97 1677.29 419.32209 L04AA11 ETANERCEPTUM ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE Cutie x 4 flac. pulb. pt. sol. inj. + 4 seringi preumplute cu solvent + 4 adaptoare pt. flac. + 8 tampoane cu alcool P-RF/R 4 2987.95 3354.57 838.64210 L04AA11 ETANERCEPTUM ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE Cutie x 4 seringi preumplute x 8 tampoane cu alcool P-RF/R 4 2987.95 3354.57 838.64211 N02AX02 TRAMADOLUM K-ALMA? CAPS. 50mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 7.75 9.04 0.45212 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU Cutie x 5 fiole din sticla bruna x 2 ml sol. inj. S/P-RF 5 9.43 11.00 2.20213 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU Cutie x 100 fiole din sticla bruna x 2 ml sol. inj. S/P-RF 100 74.01 84.70 0.85214 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 2.44 2.84 0.28215 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 1 blist. din PVC-PVDC/Al x 5 compr.elim.prel. P-RF 5 4.01 4.67 0.94216 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 3 blist. din PVC-PVDC/Al x 10 compr.elim.prel. P-RF 30 20.20 23.56 0.79217 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 1 blist. din PVC-PVDC/Al x 10 compr.elib. prel. P-RF 10 13.11 15.30 1.53218 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 3 blist. din PVC-PVDC/Al x 10 compr.elib. prel. P-RF 30 33.41 38.97 1.30219 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 1 blist. x PVC-PE-Aclar/Al x 10 compr. elib. prel. P-RF 10 17.19 20.05 2.00220 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 3 blist. x PVC-PE-Aclar/Al x 10 compr. elib. prel. P-RF 30 49.48 57.71 1.92221 N02AX02 TRAMADOLUM TRADOLAN SOL. INJ. 100mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 5 fiole x 2 ml sol. inj. S/P-RF 5 7.28 8.49 1.70222 N02AX02 TRAMADOLUM TRADOLAN SOL. ORALA 100mg/ml LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 1 flacon de sticla bruna x 10 ml sol. orala + sistem de inchidere securizat P-RF 1 7.47 8.71 8.71223 N02AX02 TRAMADOLUM TRADOLAN SUPOZ. 100mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 1 blist. PE/PVC x 5 supoz. P-RF 5 5.84 6.81 1.36224 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 3 blist. Al/PVC x 10 compr.film. P-RF 30 7.21 8.41 0.28225 N02AX02 TRAMADOLUM TRADOLAN 50 mg SOL. INJ. 50mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 5 fiole x 1 ml sol. inj. P-RF 5 6.12 7.14 1.43226 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA Cutie x 1 flacon din sticla bruna x 10 ml pic. orale, sol. P-RF 1 6.16 7.18 7.18227 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA Cutie x 1 flacon din sticla bruna x 96 ml pic. orale, sol. P-RF 1 53.39 61.10 61.10228 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA Cutie x 5 fiole x 2 ml sol. inj. S/P-RF 5 6.00 6.99 1.40229 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 4.17 4.86 0.24230 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA Cutie x 5 fiole x 1 ml sol. inj. S/P-RF 5 5.61 6.54 1.31231 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA Cutie x 1 blist. PVC/Al x 10 compr. elib. prel. P-RF 10 4.97 5.80 0.58232 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA Cutie x 3 blist. PVC/Al x 10 compr. elib. prel. P-RF 30 14.69 17.13 0.57

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233 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA Cutie x 5 blist. PVC/Al x 10 compr. elib. prel. P-RF 50 24.47 28.54 0.57234 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA Cutie x 1 blist. PVC/Al x 10 compr. elib. prel. P-RF 10 10.74 12.53 1.25235 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA Cutie x 3 blist. PVC/Al x 10 compr. elib. prel. P-RF 30 31.46 36.69 1.22236 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA Cutie x 1 blist. PVC/Al x 10 compr. elib. prel. P-RF 10 13.44 15.67 1.57237 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA Cutie x 1 blist. PVC/Al x 10 caps. P-RF 10 3.16 3.69 0.37238 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 6.60 7.70 0.38239 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA Cutie x 5 fiole x 1 ml S/P-RF 5 5.30 6.18 1.24240 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA Cutie x 5 fiole x 2 ml S/P-RF 5 6.48 7.56 1.51241 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 5 supoz. P-RF 5 5.42 6.32 1.26242 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 6.58 7.68 0.38243 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 5.16 6.02 0.30244 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 1 blist. x 10 caps. P-RF 10 3.69 4.30 0.43245 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 3 blist. x 10 caps. P-RF 30 9.30 10.85 0.36246 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 5 blist. x 10 caps. P-RF/S 50 15.23 17.76 0.36247 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 10 blist. x 10 caps. P-RF/S 100 30.14 35.15 0.35248 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. ALIUD PHARMA GMBH & CO.KG GERMANIA Cutie x 1 flacon din sticla bruna x 10 ml pic. orale, sol. P-RF 1 7.05 8.23 8.23249 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. ALIUD PHARMA GMBH & CO.KG GERMANIA Cutie x 1 flacon din sticla bruna x 20 ml pic. orale, sol. P-RF 1 14.11 16.46 16.46250 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 4.39 5.12 0.26251 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 5.80 6.76 0.34252 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. film. elib. prel. P-RF 30 33.41 38.97 1.30253 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. film. elib. prel. P-RF 30 41.75 48.70 1.62254 N02AX02 TRAMADOLUM TRAMADOLOR? 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA Cutie x 1 blist. x 10 compr. elib. modif. P-RF 10 5.77 6.73 0.67255 N02AX02 TRAMADOLUM TRAMADOL? AL 100 Fiole SOL. INJ. 50mg/ml ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 5 fiole x 2 ml S/P-RF 5 6.73 7.85 1.57256 N02AX02 TRAMADOLUM TRAMADOL? AL 100 Fiole SOL. INJ. 50mg/ml ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 10 fiole x 2 ml S/P-RF 10 13.47 15.71 1.57257 N02AX02 TRAMADOLUM TRAMADOL? RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA Cutie x 3 blist. x 10 compr. elib. prel. P-RF 30 13.43 15.66 0.52258 N02AX02 TRAMADOLUM TRAMAG 100 SUPOZ. 100mg MAGISTRA C & C ROMANIA Cutie x 1 folie termosudata din PVC/PE x 5 supoz. P-RF 5 4.31 5.03 1.01259 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 4.81 5.61 0.28260 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA Cutie x 1 blist. Al/PVDC x 10 compr. film. cu elib. prel. P-RF 10 8.48 9.89 0.99261 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA Cutie x 1 blist. PVC-PVDC/Al x 10 compr.film. cu elib. prel. P-RF 10 12.02 14.02 1.40262 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA Cutie x 1 blist. PVC-PVDC/Al x 10 compr.film. elib. prel. P-RF 10 15.79 18.41 1.84263 N02AX02 TRAMADOLUM TRAMAL? CAPS. 50mg GRUNENTHAL GMBH GERMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 7.66 8.93 0.45264 N02AX02 TRAMADOLUM TRAMAL? PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA Cutie x 1 flacon picurator x 10 ml P-RF 1 7.66 8.93 8.93265 N02AX02 TRAMADOLUM TRAMAL? SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA Cutie x 1 folie PP/Al/PE x 5 supoz. P-RF 5 6.83 7.97 1.59266 N02AX02 TRAMADOLUM TRAMAL? 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA Cutie x 5 fiole x 2 ml S/P-RF 5 7.42 8.66 1.73267 N02AX02 TRAMADOLUM TRAMAL? 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA Cutie x 5 fiole x 1 ml S/P-RF 5 6.83 7.97 1.59268 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA Cutie x 1 blist. x 10 caps. P-RF 10 2.59 3.02 0.30269 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA Cutie x 5 fiole x 1 ml S/P-RF 5 3.89 4.53 0.91270 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA Cutie x 5 fiole x 2 ml S/P-RF 5 5.30 6.18 1.24271 R05CB13 DORNAZA ALFA PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA Cutie x 6 fiole unidoza PE x 2,5 ml sol. inhal. prin nebulizator, introduse in punga Al S/P-RF 6 484.22 543.63 90.61272 V03AC03 DEFERASIROXUM EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 28 compr. disp.(blist. PVC/PE/PVDC/Al) P-RF/R 28 539.41 605.59 21.63273 V03AC03 DEFERASIROXUM EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 84 compr. disp. (blist. PVC/PE/PVDC/Al) P-RF/R 84 1655.13 1858.22 22.12274 V03AC03 DEFERASIROXUM EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 28 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 28 1078.84 1211.21 43.26275 V03AC03 DEFERASIROXUM EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 84 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 84 3308.35 3714.29 44.22276 V03AC03 DEFERASIROXUM EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 28 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 28 2157.62 2422.36 86.51

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277 V03AC03 DEFERASIROXUM EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 84 compr. disp. ( PVC/PE/PVDC/Al) P-RF/R 84 6615.28 7426.98 88.42278 V03AF01 MESNUM UROMITEXAN? 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA Cutie x 3 suporturi termoformate din plastic x 5 fiole de sticla incolora x 4 ml S 15 51.18 58.57 3.90

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 B01AB08 REVIPARINUM CLIVARIN? 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 2 blist. x 5 seringi preumplute unidoza x 0.25ml S/P-RF 10 61.52 70.41 7.042 B01AB08 REVIPARINUM CLIVARIN? 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 1 blist x 5 seringi preumplute unidoza x 0,60 ml S/P-RF 5 54.25 62.09 12.423 B05AA06 POLYGELINUM HAEMACCEL SOL. PERF. 3.5% THERASELECT GMBH GERMANIA Cutie x 14 flac. din PE x 500 ml sol. perf. S 14 112.36 126.14 9.014 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA Cutie x 100 fiole x 1 ml S 100 42.46 49.52 0.505 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 32.03 37.36 37.366 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 286.45 321.60 26.807 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 55.88 63.96 63.968 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 650.68 730.52 60.889 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 flac. din sticla incolora cu capacitatea de 15 ml cu pulb. pt. sol. inj. i.m./perf. i.v. S/P-RF 1 4.71 5.50 5.50

10 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. inj. S/P-RF 1 3.30 3.85 3.8511 J01DD12 CEFOPERAZONUM LYZONE 1 g PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj. S/P-RF 1 9.43 10.99 10.9912 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA Cutie x 1 flac. cu pulb. pt. sol. inj. S/P-RF 1 13.43 15.66 15.6613 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU Cutie x 10 flac. pulb. pt. sol. inj. S/P-RF 10 104.06 116.83 11.6814 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU Cutie x 10 flac. pulb. pt. sol. inj. S/P-RF 10 170.11 190.98 19.1015 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA Cutie x 5 flac. din sticla bruna cu pulb. pt. sol. perf. S/P-RF 5 185.82 208.62 41.7216 J01XX08 LINEZOLIDUM ZYVOXID? COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 10 compr. film. P-RF 10 1202.19 1349.69 134.9717 J01XX08 LINEZOLIDUM ZYVOXID? GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 66 g gran. ptr. 150 ml susp. + 1 lingurita dozatoare dubla x 2,5 ml/5 ml P-RF 1 623.78 700.31 700.3118 J01XX08 LINEZOLIDUM ZYVOXID? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 pungi x 300 ml S 10 1202.19 1349.69 134.9719 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA Cutie x 4 blist. x 7 caps. P-RF 28 129.29 145.16 5.1820 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 1 caps. P-RF 1 12.96 15.12 15.1221 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 83.24 95.27 13.6122 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 31.58 36.83 5.2623 J02AC01 FLUCONAZOLUM DIFLAZON? SOL. PERF. 2mg/ml KRKA D.D. SLOVENIA Cutie x 1 flacon x 100 ml S/P-RF 1 37.70 43.97 43.9724 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 14.56 16.98 16.9825 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 38.60 45.02 6.4326 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 25 ml S/P-RF 1 18.85 21.99 21.9927 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 50 ml S/P-RF 1 20.74 24.18 24.1828 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 200 ml S/P-RF 1 90.64 103.74 103.74

P9.2: TRANSPLANT DE CORDP9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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29 J02AC01 FLUCONAZOLUM DIFLUCAN? 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. PEID pulb. pt. 35 ml susp. orala + 1 lingurita dozatoare x 5 ml P-RF 1 63.47 72.65 72.6530 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 6.36 7.42 7.4231 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.73 5.52 5.5232 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.42 5.15 5.1533 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 11.55 13.47 1.9234 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 12.47 14.54 1.4535 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.56 11.15 1.5936 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.34 10.90 1.5637 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.42 5.15 5.1538 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.01 4.67 4.6739 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 7.89 9.20 1.3140 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 150 CAPS. 150mg SANDOZ SRL GERMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 9.07 10.58 10.5841 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 50 CAPS. 50mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 21.16 24.68 3.5342 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.50 5.24 5.2443 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.62 11.22 1.6044 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 2 caps. P-RF 2 4.62 5.39 2.6945 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 15.39 17.95 2.5646 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 3.37 3.93 3.9347 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 19.88 23.19 3.3148 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 8.14 9.50 1.3649 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 31.39 36.61 5.2350 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVDC/Al x 1 caps. P-RF 1 9.94 11.59 11.5951 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVdC/Al x 7 caps. P-RF 7 20.94 24.42 3.4952 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 4 caps. P-RF 4 12.51 14.59 3.6553 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA Cutie x 1 flac. x 1 caps. P-RF 1 4.86 5.66 5.6654 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 7 caps. P-RF 7 11.03 12.86 1.8455 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 2 blist. PVC/Al x 8 caps. P-RF 16 43.93 51.24 3.2056 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 4 caps. P-RF 4 4.65 5.42 1.3657 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 8 caps. P-RF 8 9.30 10.85 1.3658 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 8.05 9.39 9.3959 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 3 caps. P-RF 3 33.70 39.30 13.1060 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 100 ml sol. perf. S/P-RF 1 28.15 32.84 32.8461 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 200 ml sol. perf. S/P-RF 1 92.29 105.63 105.6362 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 50 ml sol. perf. S 1 20.17 23.52 23.5263 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 2 blist. Al/PVC x 1 caps. P-RF 2 27.58 32.16 16.0864 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 4 blist. Al/PVC x 1 caps. P-RF 4 54.12 61.94 15.4965 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.9366 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.9367 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.0368 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.9869 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.1670 L04AA01 CICLOSPORINUM CICLORAL? HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 164.68 184.88 3.7071 L04AA01 CICLOSPORINUM CICLORAL? HEXAL? 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 75.61 86.54 1.7372 L04AA01 CICLOSPORINUM EQUORAL? SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon din sticla bruna x 50 ml, un dispozitiv de masurat + un capac cu filet S/P-RF 1 340.24 381.99 381.99

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73 L04AA01 CICLOSPORINUM EQUORAL? 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 286.94 322.14 6.4474 L04AA01 CICLOSPORINUM EQUORAL? 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 63.59 72.78 1.4675 L04AA01 CICLOSPORINUM EQUORAL? 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 141.77 159.16 3.1876 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 152.33 171.02 3.4277 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 270.37 303.55 6.0778 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flacon x 50 ml + kit de adm. S/P-RF 1 601.04 674.78 674.7879 L04AA05 TACROLIMUSUM ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 173.07 194.31 3.8980 L04AA05 TACROLIMUSUM ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 346.11 388.58 7.7781 L04AA05 TACROLIMUSUM ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 1730.60 1942.95 38.8682 L04AA05 TACROLIMUSUM PROGRAF? 0,5 mg CAPS. 0.5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 175.48 197.01 3.9483 L04AA05 TACROLIMUSUM PROGRAF? 1 mg CAPS. 1mg ASTELLAS IRELAND CO. LTD. GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 356.52 400.26 8.0184 L04AA05 TACROLIMUSUM PROGRAF? 5 mg CAPS. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 1682.26 1888.68 37.7785 L04AA05 TACROLIMUSUM PROGRAF? 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA GMBH GERMANIA Cutie x 10 fiole x 1 ml S 10 2078.26 2333.26 233.3386 L04AA06 MYCOPHENOLATUM CELLCEPT 1mg/5ml PULB. PT. SUSP. ORALA 1g/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 110 g P-RF/R 1 482.71 541.94 541.9487 L04AA06 MYCOPHENOLATUM CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 10 blist. x 10 caps. P-RF/R 100 344.80 387.10 3.8788 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 5 blist. x 10 compr. film. P-RF/R 50 344.80 387.10 7.7489 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 4 flacoane pulb. pt. conc. sol. perf. S 4 172.40 193.55 48.3990 L04AA06 MYCOPHENOLATUM MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 404.28 453.88 3.7891 L04AA06 MYCOPHENOLATUM MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 808.55 907.76 7.5692 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 100 compr. P-RF/R 100 237.68 266.84 2.6793 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 50 compr. P-RF/R 100 237.68 266.84 2.67

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 2 blist. Al/PVC x 25 caps. P-6L 50 54.50 62.38 1.252 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 4 blist. Al/PVC x 25 caps. P-6L/S 100 94.02 107.61 1.083 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA Cutie x 5 blist. Al/PVC x 10 caps. P-6L 50 35.91 41.89 0.844 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0.2ml SOL. INJ. 2000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,2 ml sol. inj. S/P-RF 10 68.79 78.73 7.875 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0.4ml SOL. INJ. 4000ui anti-Xa/0, LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0.4 ml sol. inj. S/P-RF 10 116.06 130.30 13.036 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0.6ml SOL. INJ. 6000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,6 ml sol. inj. S/P-RF 10 162.64 182.60 18.267 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0.8ml SOL. INJ. 8000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 2 seringi preumplute x 0,8 ml sol. inj. S/P-RF 2 54.81 62.74 31.378 B01AB08 REVIPARINUM CLIVARIN? 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 2 blist. x 5 seringi preumplute unidoza x 0.25ml S/P-RF 10 61.52 70.41 7.049 B01AB08 REVIPARINUM CLIVARIN? 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 1 blist x 5 seringi preumplute unidoza x 0,60 ml S/P-RF 5 54.25 62.09 12.42

P9.3: TRANSPLANT HEPATICP9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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10 B01AC11 ILOPROSTUM ILOMEDIN? 20 CONC. PT. SOL. PERF. 20µg/ml SCHERING AG GERMANIA Cutie x 5 fiole x 1 ml S 5 608.02 682.63 136.5311 B01AD02 ALTEPLASUM ACTILYSE LIOF. + SOLV. PT. SOL. INJ. 50mg BOEHRINGER INGELHEIM INT. GMBH GERMANIA Cutie x 1 flac. liof. pt. sol. inj. + 1 flacon solv. + canula de transfer S 1 1072.89 1204.54 1204.5412 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. TERAPIA SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-6L 20 7.66 8.93 0.4513 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0.2mg FERRING AB SUEDIA Cutie x 1 flac. din PEID x 30 compr. P-RF 30 108.04 121.29 4.0414 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 32.03 37.36 37.3615 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 286.45 321.60 26.8016 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 55.88 63.96 63.9617 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 650.68 730.52 60.8818 J01XX08 LINEZOLIDUM ZYVOXID? COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 10 compr. film. P-RF 10 1202.19 1349.69 134.9719 J01XX08 LINEZOLIDUM ZYVOXID? GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 66 g gran. ptr. 150 ml susp. + 1 lingurita dozatoare dubla x 2,5 ml/5 ml P-RF 1 623.78 700.31 700.3120 J01XX08 LINEZOLIDUM ZYVOXID? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 pungi x 300 ml S 10 1202.19 1349.69 134.9721 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.9322 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.9323 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.0324 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.9825 J02AX04 CASPOFUNGINUM CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 861.02 966.66 966.6626 J02AX04 CASPOFUNGINUM CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 1123.75 1261.63 1261.6327 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.1628 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 30MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 196.66 220.78 220.7829 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 340.22 381.96 381.9630 L04AA01 CICLOSPORINUM CICLORAL? HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 164.68 184.88 3.7031 L04AA01 CICLOSPORINUM CICLORAL? HEXAL? 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 75.61 86.54 1.7332 L04AA01 CICLOSPORINUM EQUORAL? SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon din sticla bruna x 50 ml, un dispozitiv de masurat + un capac cu filet S/P-RF 1 340.24 381.99 381.9933 L04AA01 CICLOSPORINUM EQUORAL? 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 286.94 322.14 6.4434 L04AA01 CICLOSPORINUM EQUORAL? 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 63.59 72.78 1.4635 L04AA01 CICLOSPORINUM EQUORAL? 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 141.77 159.16 3.1836 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 152.33 171.02 3.4237 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 270.37 303.55 6.0738 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flacon x 50 ml + kit de adm. S/P-RF 1 601.04 674.78 674.7839 L04AA05 TACROLIMUSUM ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 173.07 194.31 3.8940 L04AA05 TACROLIMUSUM ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 346.11 388.58 7.7741 L04AA05 TACROLIMUSUM ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 1730.60 1942.95 38.8642 L04AA05 TACROLIMUSUM PROGRAF? 0,5 mg CAPS. 0.5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 175.48 197.01 3.9443 L04AA05 TACROLIMUSUM PROGRAF? 1 mg CAPS. 1mg ASTELLAS IRELAND CO. LTD. GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 356.52 400.26 8.0144 L04AA05 TACROLIMUSUM PROGRAF? 5 mg CAPS. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 1682.26 1888.68 37.7745 L04AA05 TACROLIMUSUM PROGRAF? 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA GMBH GERMANIA Cutie x 10 fiole x 1 ml S 10 2078.26 2333.26 233.3346 L04AA06 MYCOPHENOLATUM CELLCEPT 1mg/5ml PULB. PT. SUSP. ORALA 1g/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 110 g P-RF/R 1 482.71 541.94 541.9447 L04AA06 MYCOPHENOLATUM CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 10 blist. x 10 caps. P-RF/R 100 344.80 387.10 3.8748 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 5 blist. x 10 compr. film. P-RF/R 50 344.80 387.10 7.7449 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 4 flacoane pulb. pt. conc. sol. perf. S 4 172.40 193.55 48.3950 L04AA06 MYCOPHENOLATUM MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 404.28 453.88 3.7851 L04AA06 MYCOPHENOLATUM MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 808.55 907.76 7.5652 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 100 compr. P-RF/R 100 237.68 266.84 2.6753 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 50 compr. P-RF/R 100 237.68 266.84 2.67

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54 L04AA10 SIROLIMUS RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE Cutie x 30 draj. (blist. PVC/PE /Aclar) P-RF/R 30 432.14 485.17 16.17

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 2 blist. Al/PVC x 25 caps. P-6L 50 54.50 62.38 1.252 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 4 blist. Al/PVC x 25 caps. P-6L/S 100 94.02 107.61 1.083 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA Cutie x 5 blist. Al/PVC x 10 caps. P-6L 50 35.91 41.89 0.844 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 µg CAPS. MOI 0.25µg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 flac. din PPID x 50 caps. moi P-RF 50 20.08 23.41 0.475 A11CC03 ALFACALCIDOLUM ALPHA D3 0.50 µg CAPS. MOI 0.50µg TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din PP x 30 caps. moi P-RF 30 16.52 19.27 0.646 B01AB04 DALTEPARINUM FRAGMIN 10000 UI/ml SOL. INJ. 10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 2 suporturi termoformatate x 5 fiole x 1 ml S/P-RF 10 158.78 178.26 17.837 B01AB04 DALTEPARINUM FRAGMIN 2500 UI/0,2 ml SOL. INJ. 2500ui/0.2ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 blist. individuale continand fiecare 1 seringa preumpluta x 0,2 ml S/P-RF 10 50.66 57.98 5.808 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0.2ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 blist. individuale continand fiecare 1 seringa preumpluta x 0,2 ml S/P-RF 10 92.49 105.86 10.599 B01AB04 DALTEPARINUM FRAGMIN 7500 UI/0,3 ml SOL. INJ. 7500ui/0.3ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 blist. individuale continand fiecare 1 seringa preumpluta x 0,3 ml S/P-RF 10 111.15 124.78 12.48

10 B01AB04 DALTEPARINUM FRAGMIN15000 UI/0,6 ml SOL. INJ. 15000ui/0.6ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 5 blist. individuale continand fiecare 1 seringa preumpluta x 0,6 ml sol. inj. S/P-RF 5 104.05 116.82 23.3611 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0.2ml SOL. INJ. 2000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,2 ml sol. inj. S/P-RF 10 68.79 78.73 7.8712 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0.4ml SOL. INJ. 4000ui anti-Xa/0, LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0.4 ml sol. inj. S/P-RF 10 116.06 130.30 13.0313 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0.6ml SOL. INJ. 6000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,6 ml sol. inj. S/P-RF 10 162.64 182.60 18.2614 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0.8ml SOL. INJ. 8000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 2 seringi preumplute x 0,8 ml sol. inj. S/P-RF 2 54.81 62.74 31.3715 B01AB08 REVIPARINUM CLIVARIN? 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 2 blist. x 5 seringi preumplute unidoza x 0.25ml S/P-RF 10 61.52 70.41 7.0416 B01AB08 REVIPARINUM CLIVARIN? 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 1 blist x 5 seringi preumplute unidoza x 0,60 ml S/P-RF 5 54.25 62.09 12.4217 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 129.61 145.51 24.2518 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 259.90 291.79 48.6319 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 390.35 438.24 73.0420 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 520.73 584.62 97.4421 B03XA01 EPOETINUM ALFA EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 83.24 95.27 15.8822 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 136.10 152.80 25.4723 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 226.83 254.66 25.4724 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,4 ml sol. inj. S/P-RF 6 272.19 305.59 50.9325 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 453.66 509.32 50.9326 B03XA01 EPOETINUM ALFA EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 181.46 203.73 20.3727 B03XA01 EPOETINUM ALFA EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 362.92 407.46 40.7528 B03XA01 EPOETINUM ALFA EPREX? 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 197.83 222.11 37.0229 B03XA01 EPOETINUM ALFA EPREX? 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 1 ml S/P-RF 6 1978.33 2221.08 370.18

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREASP9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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30 B03XA01 EPOETINUM ALFA EPREX? 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 395.67 444.22 74.0431 B03XA01 EPOETINUM ALFA EPREX? 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,3 ml S/P-RF 6 593.50 666.32 111.0532 B03XA01 EPOETINUM ALFA EPREX? 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 1 flacon din sticla x 1 ml S/P-RF 1 1069.05 1200.23 1200.2333 B03XA01 EPOETINUM ALFA EPREX? 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,4 ml S/P-RF 6 791.33 888.43 148.0734 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 2028.26 2277.13 379.5235 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0,3 ml sol. inj. + 6 ace S/P-RF/R 6 202.83 227.71 37.9536 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 6 405.65 455.43 75.9037 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 6 811.31 910.85 151.8138 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 1014.13 1138.57 189.7639 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0.3 ml sol. inj. + 6 ace S/P-RF/R 6 103.43 116.12 19.3540 B05AA06 POLYGELINUM HAEMACCEL SOL. PERF. 3.5% THERASELECT GMBH GERMANIA Cutie x 14 flac. din PE x 500 ml sol. perf. S 14 112.36 126.14 9.0141 H01CB02 OCTREOTIDUM SANDOSTATIN LAR 10 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRE 10mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flac. pulbere + 1 seringa preumpluta x 2,5 ml solvent + 2 ace S/P-RF 1 1654.48 1857.49 1857.4942 H01CB02 OCTREOTIDUM SANDOSTATIN LAR 20 mg PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. 20mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flac. pulbere + 1 seringa preumpluta x 2,5 ml solvent + 2 ace S/P-RF 1 2853.37 3203.48 3203.4843 H01CB02 OCTREOTIDUM SANDOSTATIN LAR 30 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRE 30mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flac. pulb. + 1 seringa preumpluta x 2,5 ml solvent + 2 ace S/P-RF 1 3707.68 4162.61 4162.6144 H01CB02 OCTREOTIDUM SANDOSTATIN? SOL. INJ. 0.1mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 5 fiole x 1 ml S/P-RF 5 156.10 175.25 35.0545 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 32.03 37.36 37.3646 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 286.45 321.60 26.8047 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 55.88 63.96 63.9648 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 650.68 730.52 60.8849 J01XA02 TEICOPLANINUM TARGOCID? 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE Cutie x 1 flac. liof. + o fiola solv. P-RF 1 129.43 145.31 145.3150 J01XX08 LINEZOLIDUM ZYVOXID? COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 10 compr. film. P-RF 10 1202.19 1349.69 134.9751 J01XX08 LINEZOLIDUM ZYVOXID? GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 66 g gran. ptr. 150 ml susp. + 1 lingurita dozatoare dubla x 2,5 ml/5 ml P-RF 1 623.78 700.31 700.3152 J01XX08 LINEZOLIDUM ZYVOXID? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 pungi x 300 ml S 10 1202.19 1349.69 134.9753 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 4.62 5.39 0.5454 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA Cutie x 1 blist. x 10 compr. P-RF 10 3.65 4.26 0.4355 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 4.48 5.22 0.5256 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 4.28 4.99 0.5057 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 compr. P-RF 10 6.17 7.20 0.7258 J02AB02 KETOCONAZOLUM NIZORAL COMPR. 200mg JANSSEN PHARMACEUTICA NV BELGIA Cutie x 1 blist. PVC-PEJD-PVDC/Al x 10 compr. P-RF 10 12.83 14.96 1.5059 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA Cutie x 1 blist. x 10 compr. P-RF 10 10.00 11.66 1.1760 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA Cutie x 4 blist. x 7 caps. P-RF 28 129.29 145.16 5.1861 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 1 caps. P-RF 1 12.96 15.12 15.1262 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 83.24 95.27 13.6163 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 31.58 36.83 5.2664 J02AC01 FLUCONAZOLUM DIFLAZON? SOL. PERF. 2mg/ml KRKA D.D. SLOVENIA Cutie x 1 flacon x 100 ml S/P-RF 1 37.70 43.97 43.9765 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 14.56 16.98 16.9866 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 38.60 45.02 6.4367 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 25 ml S/P-RF 1 18.85 21.99 21.9968 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 50 ml S/P-RF 1 20.74 24.18 24.1869 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 200 ml S/P-RF 1 90.64 103.74 103.7470 J02AC01 FLUCONAZOLUM DIFLUCAN? 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. PEID pulb. pt. 35 ml susp. orala + 1 lingurita dozatoare x 5 ml P-RF 1 63.47 72.65 72.6571 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 6.36 7.42 7.4272 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.73 5.52 5.5273 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.42 5.15 5.15

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74 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 11.55 13.47 1.9275 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 12.47 14.54 1.4576 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.56 11.15 1.5977 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.34 10.90 1.5678 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.42 5.15 5.1579 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.01 4.67 4.6780 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 7.89 9.20 1.3181 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 150 CAPS. 150mg SANDOZ SRL GERMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 9.07 10.58 10.5882 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 50 CAPS. 50mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 21.16 24.68 3.5383 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.50 5.24 5.2484 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.62 11.22 1.6085 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 2 caps. P-RF 2 4.62 5.39 2.6986 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 15.39 17.95 2.5687 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 3.37 3.93 3.9388 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 19.88 23.19 3.3189 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 8.14 9.50 1.3690 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 31.39 36.61 5.2391 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVDC/Al x 1 caps. P-RF 1 9.94 11.59 11.5992 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVdC/Al x 7 caps. P-RF 7 20.94 24.42 3.4993 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 4 caps. P-RF 4 12.51 14.59 3.6594 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA Cutie x 1 flac. x 1 caps. P-RF 1 4.86 5.66 5.6695 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 7 caps. P-RF 7 11.03 12.86 1.8496 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 2 blist. PVC/Al x 8 caps. P-RF 16 43.93 51.24 3.2097 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 4 caps. P-RF 4 4.65 5.42 1.3698 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 8 caps. P-RF 8 9.30 10.85 1.3699 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 8.05 9.39 9.39

100 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 3 caps. P-RF 3 33.70 39.30 13.10101 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 100 ml sol. perf. S/P-RF 1 28.15 32.84 32.84102 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 200 ml sol. perf. S/P-RF 1 92.29 105.63 105.63103 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 50 ml sol. perf. S 1 20.17 23.52 23.52104 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 2 blist. Al/PVC x 1 caps. P-RF 2 27.58 32.16 16.08105 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 4 blist. Al/PVC x 1 caps. P-RF 4 54.12 61.94 15.49106 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA Cutie x 3 blist. Al/PVC x 5 caps. P-RF 15 64.83 74.20 4.95107 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 3 blist. Al/PVC x 5 caps. P-RF 15 64.83 74.20 4.95108 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL S.R.L. ROMANIA Cutie x 3 blist. Al/Al x 5 caps. P-RF 15 48.74 56.85 3.79109 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA NV BELGIA Cutie x 3 blist. Al/PVC-PE-PVDC x 5 caps. P-RF 15 98.81 113.08 7.54110 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA S.A. ROMANIA Cutie x 3 blist. Al/Al x 5 caps. P-RF 15 62.65 71.70 4.78111 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.93112 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.93113 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.03114 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.98115 J02AX04 CASPOFUNGINUM CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 861.02 966.66 966.66116 J02AX04 CASPOFUNGINUM CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME LTD MAREA BRITANIE Cutie x 1 flac. pulb. ptr. conc. ptr. sol. perf. S 1 1123.75 1261.63 1261.63117 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 10.46 12.20 0.61

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118 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 488.47 548.41 0.55119 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 9.88 11.52 0.58120 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 8.40 9.80 0.49121 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 4 blist. PVC-PVDC/Al x 5 compr. P-RF 20 6.73 7.85 0.39122 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg TERAPIA SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 6.34 7.40 0.37123 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 4 blist. x 5 compr. disp. P-RF 20 3.58 4.18 0.21124 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 9.51 11.10 1.11125 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 2 blist. PVC-PVDC/Al x 5 compr. P-RF 10 9.40 10.96 1.10126 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA Cutie x 7 blist. Al/PVC x 5 compr. film. P-RF 35 28.86 33.66 0.96127 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 8.03 9.36 0.47128 J05AB01 ACICLOVIRUM EUVIROX 200 mg CAPS. 200mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 10.36 12.08 0.60129 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. din PVC-PVDC/Al x 10 compr. disp. P-RF 10 1.83 2.13 0.21130 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 5 flac. x 250 mg pulb. pt. sol. inj./perf. S/P-RF 5 171.14 192.14 38.43131 J05AB01 ACICLOVIRUM ZOVIRAX COMPR. 200mg GLAXO WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVDC-PVC x 25 compr. P-RF 25 35.35 41.22 1.65132 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVC x 10 compr. film. P-RF 10 52.80 60.43 6.04133 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.16134 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA Cutie x 1 flac. pulb. pt. sol. perf./inj S 1 7.76 9.05 9.05135 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf./inj. S 1 26.58 31.00 31.00136 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 5 blist. PVC-PVDC/Al x 10 draj. P-RF 50 20.84 24.31 0.49137 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN? 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf./inj. S 1 13.31 15.52 15.52138 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 30MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 196.66 220.78 220.78139 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN? SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA Cutie x 1 seringa pre-umpluta x 0,5 ml S/P-RF 1 340.22 381.96 381.96140 L04AA01 CICLOSPORINUM CICLORAL? HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 164.68 184.88 3.70141 L04AA01 CICLOSPORINUM CICLORAL? HEXAL? 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 75.61 86.54 1.73142 L04AA01 CICLOSPORINUM EQUORAL? SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon din sticla bruna x 50 ml, un dispozitiv de masurat + un capac cu filet S/P-RF 1 340.24 381.99 381.99143 L04AA01 CICLOSPORINUM EQUORAL? 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 286.94 322.14 6.44144 L04AA01 CICLOSPORINUM EQUORAL? 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 63.59 72.78 1.46145 L04AA01 CICLOSPORINUM EQUORAL? 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 141.77 159.16 3.18146 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 152.33 171.02 3.42147 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 270.37 303.55 6.07148 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flacon x 50 ml + kit de adm. S/P-RF 1 601.04 674.78 674.78149 L04AA05 TACROLIMUSUM ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 173.07 194.31 3.89150 L04AA05 TACROLIMUSUM ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 346.11 388.58 7.77151 L04AA05 TACROLIMUSUM ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 1730.60 1942.95 38.86152 L04AA05 TACROLIMUSUM PROGRAF? 0,5 mg CAPS. 0.5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 175.48 197.01 3.94153 L04AA05 TACROLIMUSUM PROGRAF? 1 mg CAPS. 1mg ASTELLAS IRELAND CO. LTD. GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 356.52 400.26 8.01154 L04AA05 TACROLIMUSUM PROGRAF? 5 mg CAPS. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 1682.26 1888.68 37.77155 L04AA05 TACROLIMUSUM PROGRAF? 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA GMBH GERMANIA Cutie x 10 fiole x 1 ml S 10 2078.26 2333.26 233.33156 L04AA06 MYCOPHENOLATUM CELLCEPT 1mg/5ml PULB. PT. SUSP. ORALA 1g/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 110 g P-RF/R 1 482.71 541.94 541.94157 L04AA06 MYCOPHENOLATUM CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 10 blist. x 10 caps. P-RF/R 100 344.80 387.10 3.87158 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 5 blist. x 10 compr. film. P-RF/R 50 344.80 387.10 7.74159 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 4 flacoane pulb. pt. conc. sol. perf. S 4 172.40 193.55 48.39160 L04AA06 MYCOPHENOLATUM MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 404.28 453.88 3.78161 L04AA06 MYCOPHENOLATUM MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 808.55 907.76 7.56

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162 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 100 compr. P-RF/R 100 237.68 266.84 2.67163 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 50 compr. P-RF/R 100 237.68 266.84 2.67164 L04AA08 DACLIZUMABUM ZENAPAX 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 5 ml S 1 951.48 1068.23 1068.23165 L04AA09 BASILIXIMABUM SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 1 flac. cu liof.+ 1 fiola solv. apa pt. prep. inj. S 1 4145.08 4653.68 4653.68166 L04AA10 SIROLIMUS RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE Cutie x 30 draj. (blist. PVC/PE /Aclar) P-RF/R 30 432.14 485.17 16.17167 L04AX01 AZATHIOPRINUM IMURAN? COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 4 blist. Al/PVC x 25 compr. film. S/P-RF 100 43.59 50.84 0.51168 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME S.R.L. ROMANIA Cutie x 1 blist. Al/PVC x 14 compr. P-6L 14 49.48 57.71 4.12169 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME S.R.L. ROMANIA Cutie x 2 blist. Al/PVC x 14 compr. P-6L 28 97.12 111.15 3.97170 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME S.R.L. ROMANIA Cutie x 1 blist. Al/Al in portofel x 2 compr. P-6L 2 33.67 39.27 19.63171 M05BA04 ACIDUM ALENDRONICUM TEVA NAT COMPR. 70 mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-Al-OPA/Al x 4 compr. P-6L 4 42.97 50.11 12.53172 N02AB02 PETHIDINUM MIALGIN? 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA Cutie x 5 fiole din sticla x 2 ml P-TS 5 3.81 4.44 0.89

Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 B01AB08 REVIPARINUM CLIVARIN? 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 2 blist. x 5 seringi preumplute unidoza x 0.25ml S/P-RF 10 61.52 70.41 7.042 B01AB08 REVIPARINUM CLIVARIN? 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 1 blist x 5 seringi preumplute unidoza x 0,60 ml S/P-RF 5 54.25 62.09 12.423 B05AA06 POLYGELINUM HAEMACCEL SOL. PERF. 3.5% THERASELECT GMBH GERMANIA Cutie x 14 flac. din PE x 500 ml sol. perf. S 14 112.36 126.14 9.014 J01XX08 LINEZOLIDUM ZYVOXID? COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 10 compr. film. P-RF 10 1202.19 1349.69 134.975 J01XX08 LINEZOLIDUM ZYVOXID? GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 66 g gran. ptr. 150 ml susp. + 1 lingurita dozatoare dubla x 2,5 ml/5 ml P-RF 1 623.78 700.31 700.316 J01XX08 LINEZOLIDUM ZYVOXID? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 pungi x 300 ml S 10 1202.19 1349.69 134.977 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.938 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.939 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.03

10 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.9811 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.16

P9.6: TRANSPLANT PULMONAR

P9.5: TRANSPLANT CELULE PANCREATICE

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0.2ml SOL. INJ. 2000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,2 ml sol. inj. S/P-RF 10 68.79 78.73 7.872 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0.4ml SOL. INJ. 4000ui anti-Xa/0, LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0.4 ml sol. inj. S/P-RF 10 116.06 130.30 13.033 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0.6ml SOL. INJ. 6000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,6 ml sol. inj. S/P-RF 10 162.64 182.60 18.264 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0.8ml SOL. INJ. 8000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 2 seringi preumplute x 0,8 ml sol. inj. S/P-RF 2 54.81 62.74 31.375 B01AB08 REVIPARINUM CLIVARIN? 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 2 blist. x 5 seringi preumplute unidoza x 0.25ml S/P-RF 10 61.52 70.41 7.046 B01AB08 REVIPARINUM CLIVARIN? 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 1 blist x 5 seringi preumplute unidoza x 0,60 ml S/P-RF 5 54.25 62.09 12.427 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA Cutie x 100 fiole x 1 ml S 100 42.46 49.52 0.508 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 32.03 37.36 37.369 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 286.45 321.60 26.80

10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 1 flac. cu liof. pt. sol. inj. S/P-RF 1 55.88 63.96 63.9611 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. WYETH LEDERLE PHARMA GMBH AUSTRIA Cutie x 12 flac. cu liof. pt. sol. inj. S/P-RF 12 650.68 730.52 60.8812 J01XX08 LINEZOLIDUM ZYVOXID? COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. x 10 compr. film. P-RF 10 1202.19 1349.69 134.9713 J01XX08 LINEZOLIDUM ZYVOXID? GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 66 g gran. ptr. 150 ml susp. + 1 lingurita dozatoare dubla x 2,5 ml/5 ml P-RF 1 623.78 700.31 700.3114 J01XX08 LINEZOLIDUM ZYVOXID? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 10 pungi x 300 ml S 10 1202.19 1349.69 134.9715 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA Cutie x 4 blist. x 7 caps. P-RF 28 129.29 145.16 5.1816 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 1 caps. P-RF 1 12.96 15.12 15.1217 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 83.24 95.27 13.6118 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 31.58 36.83 5.2619 J02AC01 FLUCONAZOLUM DIFLAZON? SOL. PERF. 2mg/ml KRKA D.D. SLOVENIA Cutie x 1 flacon x 100 ml S/P-RF 1 37.70 43.97 43.9720 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 14.56 16.98 16.9821 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 38.60 45.02 6.4322 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 25 ml S/P-RF 1 18.85 21.99 21.9923 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 50 ml S/P-RF 1 20.74 24.18 24.1824 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 200 ml S/P-RF 1 90.64 103.74 103.7425 J02AC01 FLUCONAZOLUM DIFLUCAN? 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. PEID pulb. pt. 35 ml susp. orala + 1 lingurita dozatoare x 5 ml P-RF 1 63.47 72.65 72.6526 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 6.36 7.42 7.4227 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.73 5.52 5.5228 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.42 5.15 5.1529 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 11.55 13.47 1.9230 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 12.47 14.54 1.4531 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.56 11.15 1.5932 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.34 10.90 1.5633 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.42 5.15 5.1534 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.01 4.67 4.67

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35 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 7.89 9.20 1.3136 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 150 CAPS. 150mg SANDOZ SRL GERMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 9.07 10.58 10.5837 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 50 CAPS. 50mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 21.16 24.68 3.5338 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.50 5.24 5.2439 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.62 11.22 1.6040 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 2 caps. P-RF 2 4.62 5.39 2.6941 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 15.39 17.95 2.5642 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 3.37 3.93 3.9343 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 19.88 23.19 3.3144 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 8.14 9.50 1.3645 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 31.39 36.61 5.2346 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVDC/Al x 1 caps. P-RF 1 9.94 11.59 11.5947 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVdC/Al x 7 caps. P-RF 7 20.94 24.42 3.4948 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 4 caps. P-RF 4 12.51 14.59 3.6549 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA Cutie x 1 flac. x 1 caps. P-RF 1 4.86 5.66 5.6650 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 7 caps. P-RF 7 11.03 12.86 1.8451 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 2 blist. PVC/Al x 8 caps. P-RF 16 43.93 51.24 3.2052 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 4 caps. P-RF 4 4.65 5.42 1.3653 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 8 caps. P-RF 8 9.30 10.85 1.3654 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 8.05 9.39 9.3955 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 3 caps. P-RF 3 33.70 39.30 13.1056 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 100 ml sol. perf. S/P-RF 1 28.15 32.84 32.8457 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 200 ml sol. perf. S/P-RF 1 92.29 105.63 105.6358 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 50 ml sol. perf. S 1 20.17 23.52 23.5259 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 2 blist. Al/PVC x 1 caps. P-RF 2 27.58 32.16 16.0860 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 4 blist. Al/PVC x 1 caps. P-RF 4 54.12 61.94 15.4961 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.9362 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.9363 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.0364 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.9865 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 10.46 12.20 0.6166 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 488.47 548.41 0.5567 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 9.88 11.52 0.5868 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 8.40 9.80 0.4969 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 4 blist. PVC-PVDC/Al x 5 compr. P-RF 20 6.73 7.85 0.3970 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg TERAPIA SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 6.34 7.40 0.3771 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 4 blist. x 5 compr. disp. P-RF 20 3.58 4.18 0.2172 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 9.51 11.10 1.1173 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 2 blist. PVC-PVDC/Al x 5 compr. P-RF 10 9.40 10.96 1.1074 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA Cutie x 7 blist. Al/PVC x 5 compr. film. P-RF 35 28.86 33.66 0.9675 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 8.03 9.36 0.4776 J05AB01 ACICLOVIRUM EUVIROX 200 mg CAPS. 200mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 10.36 12.08 0.6077 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. din PVC-PVDC/Al x 10 compr. disp. P-RF 10 1.83 2.13 0.2178 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 5 flac. x 250 mg pulb. pt. sol. inj./perf. S/P-RF 5 171.14 192.14 38.43

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79 J05AB01 ACICLOVIRUM ZOVIRAX COMPR. 200mg GLAXO WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVDC-PVC x 25 compr. P-RF 25 35.35 41.22 1.6580 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.1681 L04AA01 CICLOSPORINUM CICLORAL? HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 164.68 184.88 3.7082 L04AA01 CICLOSPORINUM CICLORAL? HEXAL? 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 75.61 86.54 1.7383 L04AA01 CICLOSPORINUM EQUORAL? SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon din sticla bruna x 50 ml, un dispozitiv de masurat + un capac cu filet S/P-RF 1 340.24 381.99 381.9984 L04AA01 CICLOSPORINUM EQUORAL? 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 286.94 322.14 6.4485 L04AA01 CICLOSPORINUM EQUORAL? 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 63.59 72.78 1.4686 L04AA01 CICLOSPORINUM EQUORAL? 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 141.77 159.16 3.1887 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 152.33 171.02 3.4288 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 270.37 303.55 6.0789 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flacon x 50 ml + kit de adm. S/P-RF 1 601.04 674.78 674.7890 L04AA06 MYCOPHENOLATUM CELLCEPT 1mg/5ml PULB. PT. SUSP. ORALA 1g/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 110 g P-RF/R 1 482.71 541.94 541.9491 L04AA06 MYCOPHENOLATUM CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 10 blist. x 10 caps. P-RF/R 100 344.80 387.10 3.8792 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 5 blist. x 10 compr. film. P-RF/R 50 344.80 387.10 7.7493 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 4 flacoane pulb. pt. conc. sol. perf. S 4 172.40 193.55 48.3994 L04AA06 MYCOPHENOLATUM MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 404.28 453.88 3.7895 L04AA06 MYCOPHENOLATUM MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 808.55 907.76 7.5696 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 100 compr. P-RF/R 100 237.68 266.84 2.6797 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 50 compr. P-RF/R 100 237.68 266.84 2.6798 L04AA09 BASILIXIMABUM SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE Cutie x 1 flac. cu liof.+ 1 fiola solv. apa pt. prep. inj. S 1 4145.08 4653.68 4653.6899 L04AX01 AZATHIOPRINUM IMURAN? COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 4 blist. Al/PVC x 25 compr. film. S/P-RF 100 43.59 50.84 0.51

100 N02AX02 TRAMADOLUM K-ALMA? CAPS. 50mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 7.75 9.04 0.45101 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU Cutie x 5 fiole din sticla bruna x 2 ml sol. inj. S/P-RF 5 9.43 11.00 2.20102 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU Cutie x 100 fiole din sticla bruna x 2 ml sol. inj. S/P-RF 100 74.01 84.70 0.85103 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 2.44 2.84 0.28104 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 1 blist. din PVC-PVDC/Al x 5 compr.elim.prel. P-RF 5 4.01 4.67 0.94105 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 3 blist. din PVC-PVDC/Al x 10 compr.elim.prel. P-RF 30 20.20 23.56 0.79106 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 1 blist. din PVC-PVDC/Al x 10 compr.elib. prel. P-RF 10 13.11 15.30 1.53107 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 3 blist. din PVC-PVDC/Al x 10 compr.elib. prel. P-RF 30 33.41 38.97 1.30108 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 1 blist. x PVC-PE-Aclar/Al x 10 compr. elib. prel. P-RF 10 17.19 20.05 2.00109 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg LABOPHARM EUROPE LIMITED IRLANDA Cutie x 3 blist. x PVC-PE-Aclar/Al x 10 compr. elib. prel. P-RF 30 49.48 57.71 1.92110 N02AX02 TRAMADOLUM TRADOLAN SOL. INJ. 100mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 5 fiole x 2 ml sol. inj. S/P-RF 5 7.28 8.49 1.70111 N02AX02 TRAMADOLUM TRADOLAN SOL. ORALA 100mg/ml LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 1 flacon de sticla bruna x 10 ml sol. orala + sistem de inchidere securizat P-RF 1 7.47 8.71 8.71112 N02AX02 TRAMADOLUM TRADOLAN SUPOZ. 100mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 1 blist. PE/PVC x 5 supoz. P-RF 5 5.84 6.81 1.36113 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 3 blist. Al/PVC x 10 compr.film. P-RF 30 7.21 8.41 0.28114 N02AX02 TRAMADOLUM TRADOLAN 50 mg SOL. INJ. 50mg LANNACHER HEILMITTEL GMBH AUSTRIA Cutie x 5 fiole x 1 ml sol. inj. P-RF 5 6.12 7.14 1.43115 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA Cutie x 1 flacon din sticla bruna x 10 ml pic. orale, sol. P-RF 1 6.16 7.18 7.18116 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA Cutie x 1 flacon din sticla bruna x 96 ml pic. orale, sol. P-RF 1 53.39 61.10 61.10117 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA Cutie x 5 fiole x 2 ml sol. inj. S/P-RF 5 6.00 6.99 1.40118 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 4.17 4.86 0.24119 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA Cutie x 5 fiole x 1 ml sol. inj. S/P-RF 5 5.61 6.54 1.31120 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA Cutie x 1 blist. PVC/Al x 10 compr. elib. prel. P-RF 10 4.97 5.80 0.58121 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA Cutie x 3 blist. PVC/Al x 10 compr. elib. prel. P-RF 30 14.69 17.13 0.57122 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA Cutie x 5 blist. PVC/Al x 10 compr. elib. prel. P-RF 50 24.47 28.54 0.57

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123 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA Cutie x 1 blist. PVC/Al x 10 compr. elib. prel. P-RF 10 10.74 12.53 1.25124 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA Cutie x 3 blist. PVC/Al x 10 compr. elib. prel. P-RF 30 31.46 36.69 1.22125 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA Cutie x 1 blist. PVC/Al x 10 compr. elib. prel. P-RF 10 13.44 15.67 1.57126 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA Cutie x 1 blist. PVC/Al x 10 caps. P-RF 10 3.16 3.69 0.37127 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 6.60 7.70 0.38128 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA Cutie x 5 fiole x 1 ml S/P-RF 5 5.30 6.18 1.24129 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA Cutie x 5 fiole x 2 ml S/P-RF 5 6.48 7.56 1.51130 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 5 supoz. P-RF 5 5.42 6.32 1.26131 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 6.58 7.68 0.38132 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 5.16 6.02 0.30133 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 1 blist. x 10 caps. P-RF 10 3.69 4.30 0.43134 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 3 blist. x 10 caps. P-RF 30 9.30 10.85 0.36135 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 5 blist. x 10 caps. P-RF/S 50 15.23 17.76 0.36136 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 10 blist. x 10 caps. P-RF/S 100 30.14 35.15 0.35137 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. ALIUD PHARMA GMBH & CO.KG GERMANIA Cutie x 1 flacon din sticla bruna x 10 ml pic. orale, sol. P-RF 1 7.05 8.23 8.23138 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. ALIUD PHARMA GMBH & CO.KG GERMANIA Cutie x 1 flacon din sticla bruna x 20 ml pic. orale, sol. P-RF 1 14.11 16.46 16.46139 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 4.39 5.12 0.26140 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 5.80 6.76 0.34141 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. film. elib. prel. P-RF 30 33.41 38.97 1.30142 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 3 blist. Al/PVC x 10 compr. film. elib. prel. P-RF 30 41.75 48.70 1.62143 N02AX02 TRAMADOLUM TRAMADOLOR? 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA Cutie x 1 blist. x 10 compr. elib. modif. P-RF 10 5.77 6.73 0.67144 N02AX02 TRAMADOLUM TRAMADOL? AL 100 Fiole SOL. INJ. 50mg/ml ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 5 fiole x 2 ml S/P-RF 5 6.73 7.85 1.57145 N02AX02 TRAMADOLUM TRAMADOL? AL 100 Fiole SOL. INJ. 50mg/ml ALIUD? PHARMA GMBH & CO.KG GERMANIA Cutie x 10 fiole x 2 ml S/P-RF 10 13.47 15.71 1.57146 N02AX02 TRAMADOLUM TRAMADOL? RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA Cutie x 3 blist. x 10 compr. elib. prel. P-RF 30 13.43 15.66 0.52147 N02AX02 TRAMADOLUM TRAMAG 100 SUPOZ. 100mg MAGISTRA C & C ROMANIA Cutie x 1 folie termosudata din PVC/PE x 5 supoz. P-RF 5 4.31 5.03 1.01148 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 4.81 5.61 0.28149 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA Cutie x 1 blist. Al/PVDC x 10 compr. film. cu elib. prel. P-RF 10 8.48 9.89 0.99150 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA Cutie x 1 blist. PVC-PVDC/Al x 10 compr.film. cu elib. prel. P-RF 10 12.02 14.02 1.40151 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA Cutie x 1 blist. PVC-PVDC/Al x 10 compr.film. elib. prel. P-RF 10 15.79 18.41 1.84152 N02AX02 TRAMADOLUM TRAMAL? CAPS. 50mg GRUNENTHAL GMBH GERMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 7.66 8.93 0.45153 N02AX02 TRAMADOLUM TRAMAL? PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA Cutie x 1 flacon picurator x 10 ml P-RF 1 7.66 8.93 8.93154 N02AX02 TRAMADOLUM TRAMAL? SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA Cutie x 1 folie PP/Al/PE x 5 supoz. P-RF 5 6.83 7.97 1.59155 N02AX02 TRAMADOLUM TRAMAL? 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA Cutie x 5 fiole x 2 ml S/P-RF 5 7.42 8.66 1.73156 N02AX02 TRAMADOLUM TRAMAL? 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA Cutie x 5 fiole x 1 ml S/P-RF 5 6.83 7.97 1.59157 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA Cutie x 1 blist. x 10 caps. P-RF 10 2.59 3.02 0.30158 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA Cutie x 5 fiole x 1 ml S/P-RF 5 3.89 4.53 0.91159 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA Cutie x 5 fiole x 2 ml S/P-RF 5 5.30 6.18 1.24

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 2 blist. Al/PVC x 25 caps. P-6L 50 54.50 62.38 1.252 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK? CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 4 blist. Al/PVC x 25 caps. P-6L/S 100 94.02 107.61 1.083 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA Cutie x 5 blist. Al/PVC x 10 caps. P-6L 50 35.91 41.89 0.844 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 129.61 145.51 24.255 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 259.90 291.79 48.636 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 390.35 438.24 73.047 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 520.73 584.62 97.448 B03XA01 EPOETINUM ALFA EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 83.24 95.27 15.889 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 136.10 152.80 25.47

10 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 226.83 254.66 25.4711 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,4 ml sol. inj. S/P-RF 6 272.19 305.59 50.9312 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 453.66 509.32 50.9313 B03XA01 EPOETINUM ALFA EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 181.46 203.73 20.3714 B03XA01 EPOETINUM ALFA EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 362.92 407.46 40.7515 B03XA01 EPOETINUM ALFA EPREX? 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 197.83 222.11 37.0216 B03XA01 EPOETINUM ALFA EPREX? 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 1 ml S/P-RF 6 1978.33 2221.08 370.1817 B03XA01 EPOETINUM ALFA EPREX? 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 395.67 444.22 74.0418 B03XA01 EPOETINUM ALFA EPREX? 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,3 ml S/P-RF 6 593.50 666.32 111.0519 B03XA01 EPOETINUM ALFA EPREX? 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 1 flacon din sticla x 1 ml S/P-RF 1 1069.05 1200.23 1200.2320 B03XA01 EPOETINUM ALFA EPREX? 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,4 ml S/P-RF 6 791.33 888.43 148.0721 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 2028.26 2277.13 379.5222 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0,3 ml sol. inj. + 6 ace S/P-RF/R 6 202.83 227.71 37.9523 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 6 405.65 455.43 75.9024 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 6 811.31 910.85 151.8125 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 1014.13 1138.57 189.7626 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0.3 ml sol. inj. + 6 ace S/P-RF/R 6 103.43 116.12 19.3527 B03XA02 DARBEPOETINUM ALFA ARANESP 100µg/0.5ml SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0.5ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,5 ml P-RF/R 4 2387.36 2680.29 670.0728 B03XA02 DARBEPOETINUM ALFA ARANESP 10µg/0.4ml SOL. INJ. IN SERINGA PREUMPLUTA 10µg/0.4ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,4 ml P-RF/R 4 238.74 268.03 67.0129 B03XA02 DARBEPOETINUM ALFA ARANESP 150µg/0.3ml SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0.3ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,3 ml P-RF/R 4 3581.04 4020.43 1005.1130 B03XA02 DARBEPOETINUM ALFA ARANESP 15µg/0.375ml SOL. INJ. IN SERINGA PREUMPLUTA 15µg/0.375ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,375 ml P-RF/R 4 358.09 402.03 100.5131 B03XA02 DARBEPOETINUM ALFA ARANESP 20µg/0.5ml SOL. INJ. IN SERINGA PREUMPLUTA 20µg/0.5ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,5 ml P-RF/R 4 477.47 536.06 134.0132 B03XA02 DARBEPOETINUM ALFA ARANESP 300µg/0.6ml SOL. INJ. IN SERINGA PREUMPLUTA 300µg/0.6ml AMGEN EUROPE BV OLANDA Cutie x 1 seringa preumpluta a 1 ml x 0,6 ml P-RF/R 1 1790.51 2010.20 2010.2033 B03XA02 DARBEPOETINUM ALFA ARANESP 30µg/0.3ml SOL. INJ. IN SERINGA PREUMPLUTA 30µg/0.3ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,3 ml P-RF/R 4 716.21 804.09 201.0234 B03XA02 DARBEPOETINUM ALFA ARANESP 40µg/0.4ml SOL. INJ. IN SERINGA PREUMPLUTA 40µg/0.4ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,4 ml P-RF/R 4 954.94 1072.12 268.03

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35 B03XA02 DARBEPOETINUM ALFA ARANESP 500µg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500µg/ml AMGEN EUROPE BV OLANDA Cutie x 1 seringa preumpluta a 1 ml x 1 ml P-RF/R 1 2984.19 3350.35 3350.3536 B03XA02 DARBEPOETINUM ALFA ARANESP 50µg/0.5ml SOL. INJ. IN SERINGA PREUMPLUTA 50µg/0.5ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,5 ml P-RF/R 4 1193.68 1340.14 335.0437 B03XA02 DARBEPOETINUM ALFA ARANESP 60µg/0.3ml SOL. INJ. IN SERINGA PREUMPLUTA 60µg/0.3ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,3 ml P-RF/R 4 1432.42 1608.17 402.0438 B03XA02 DARBEPOETINUM ALFA ARANESP 80µg/0.4ml SOL. INJ. IN SERINGA PREUMPLUTA 80µg/0.4ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,4 ml P-RF/R 4 1909.89 2144.23 536.0639 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA Cutie x 1 flac. liof. + 1 fiola solv. x 2 ml S/P-RF 1 8.95 10.43 10.4340 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA Cutie x 15 flac. liof. + 15 fiole solv. x 1 ml S/P-RF 15 26.81 31.27 2.0841 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA Cutie x 15 flac. liof. + 15 fiole solv. x 1 ml S/P-RF 15 42.87 50.00 3.3342 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA Cutie x 1 flac. liof. + 1 fiola solv. x 7,8 ml S/P-RF 1 26.81 31.27 31.2743 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 28.28 32.98 1.6544 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla x 30 compr. P-RF 30 9.43 10.99 0.3745 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 37.70 43.97 0.8846 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. din sticla incolora cu liof. pt. sol. inj. + 1 flac. x 7,8 ml solv. P-RF 1 27.10 31.60 31.6047 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. bicompartimentat (compartiment inferior) liof. pt. sol. inj. (compartiment superior) 2 ml solv. P-RF 1 10.60 12.37 12.3748 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 22.15 25.83 25.8349 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. bicompartimentat (compartiment inferior) liof. pt. sol. inj. + (compartiment superior) 1 ml solv. P-RF 1 4.71 5.50 5.5050 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA Cutie x 1 flac. x 30 compr. P-RF 30 1.21 1.41 0.0551 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 1.24 1.44 0.0552 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF 30 1.28 1.49 0.0553 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 compr. P-RF/S 1000 29.35 34.23 0.0354 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 0.88 1.02 0.0555 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 0.88 1.02 0.0556 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM COMPR. 400mg/80mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 1.85 2.15 0.1157 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.64 1.91 0.1058 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.64 1.91 0.1059 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA Cutie x 1 flacon din sticla bruna cu masura dozatoare x 100 ml P-RF 1 2.36 2.75 2.7560 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SEPTRIN SOL. PERF. 400mg/80mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 10 fiole x 5 ml S/P-RF 10 37.11 43.28 4.3361 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 2.02 2.36 0.1262 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 1 flacon din sticla bruna x 100 ml susp. orala + masura dozatoare P-RF 1 4.01 4.67 4.6763 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.07 1.25 0.0664 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA Cutie x 4 blist. x 7 caps. P-RF 28 129.29 145.16 5.1865 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 1 caps. P-RF 1 12.96 15.12 15.1266 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 83.24 95.27 13.6167 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA Cutie x 1 blist. x 7 caps. P-RF 7 31.58 36.83 5.2668 J02AC01 FLUCONAZOLUM DIFLAZON? SOL. PERF. 2mg/ml KRKA D.D. SLOVENIA Cutie x 1 flacon x 100 ml S/P-RF 1 37.70 43.97 43.9769 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 14.56 16.98 16.9870 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 38.60 45.02 6.4371 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 25 ml S/P-RF 1 18.85 21.99 21.9972 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 50 ml S/P-RF 1 20.74 24.18 24.1873 J02AC01 FLUCONAZOLUM DIFLUCAN? SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flacon x 200 ml S/P-RF 1 90.64 103.74 103.7474 J02AC01 FLUCONAZOLUM DIFLUCAN? 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 1 flac. PEID pulb. pt. 35 ml susp. orala + 1 lingurita dozatoare x 5 ml P-RF 1 63.47 72.65 72.6575 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 6.36 7.42 7.4276 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.73 5.52 5.5277 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.42 5.15 5.1578 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 11.55 13.47 1.92

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79 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 12.47 14.54 1.4580 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.56 11.15 1.5981 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.34 10.90 1.5682 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.42 5.15 5.1583 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 4.01 4.67 4.6784 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 7.89 9.20 1.3185 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 150 CAPS. 150mg SANDOZ SRL GERMANIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 9.07 10.58 10.5886 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ? 50 CAPS. 50mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 21.16 24.68 3.5387 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA Cutie x 1 blist. Al/PVC x 1 capsula P-RF 1 4.50 5.24 5.2488 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. Al/PVC x 7 caps. P-RF 7 9.62 11.22 1.6089 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 2 caps. P-RF 2 4.62 5.39 2.6990 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 15.39 17.95 2.5691 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 1 caps. P-RF 1 3.37 3.93 3.9392 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 19.88 23.19 3.3193 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 8.14 9.50 1.3694 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA Cutie x 1 blist. PVC-PVDC/Al x 7 caps. P-RF 7 31.39 36.61 5.2395 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVDC/Al x 1 caps. P-RF 1 9.94 11.59 11.5996 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA Cutie x 1 blist. folie PVC-PVdC/Al x 7 caps. P-RF 7 20.94 24.42 3.4997 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 4 caps. P-RF 4 12.51 14.59 3.6598 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA Cutie x 1 flac. x 1 caps. P-RF 1 4.86 5.66 5.6699 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA Cutie x 1 blist. x 7 caps. P-RF 7 11.03 12.86 1.84

100 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 2 blist. PVC/Al x 8 caps. P-RF 16 43.93 51.24 3.20101 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 4 caps. P-RF 4 4.65 5.42 1.36102 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA Cutie x 1 blist. PVC/Al x 8 caps. P-RF 8 9.30 10.85 1.36103 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 1 caps. P-RF 1 8.05 9.39 9.39104 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA Cutie x 1 blist. Al/PVC x 3 caps. P-RF 3 33.70 39.30 13.10105 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 100 ml sol. perf. S/P-RF 1 28.15 32.84 32.84106 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 200 ml sol. perf. S/P-RF 1 92.29 105.63 105.63107 J02AC01 FLUCONAZOLUM MYCOMAX? INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA Cutie x 1 flacon din sticla x 50 ml sol. perf. S 1 20.17 23.52 23.52108 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 2 blist. Al/PVC x 1 caps. P-RF 2 27.58 32.16 16.08109 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA Cutie x 4 blist. Al/PVC x 1 caps. P-RF 4 54.12 61.94 15.49110 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 28 compr. film. (blist.PVC/AL) P-RF 28 2591.91 2909.94 103.93111 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. unidoza x 30ml P-RF 1 348.20 390.93 390.93112 J02AC03 VORICONAZOLUM VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE Cutie x 1 flac. PEID de 100ml x 45 g pulb. pt. susp. orala + 1 masura dozatoare (23 ml) + 1 seringa pt. adm. orala (5 ml) + 1 adaptor P-RF 1 1719.99 1931.03 1931.03113 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE Cutie x 28compr. film. ( blist. PVC/AL) P-RF 28 647.82 727.31 25.98114 J02AC04 POSACONAZOLUM NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA Cutie x 1 flac. x 105ml susp. orala P-RF/R 1 2006.37 2252.55 2252.55115 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 10.46 12.20 0.61116 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA Cutie x 100 blist. Al/PVC x 10 caps. P-RF/S 1000 488.47 548.41 0.55117 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF 20 9.88 11.52 0.58118 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 8.40 9.80 0.49119 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 4 blist. PVC-PVDC/Al x 5 compr. P-RF 20 6.73 7.85 0.39120 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg TERAPIA SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 6.34 7.40 0.37121 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE Cutie x 4 blist. x 5 compr. disp. P-RF 20 3.58 4.18 0.21122 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 9.51 11.10 1.11

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123 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA Cutie x 2 blist. PVC-PVDC/Al x 5 compr. P-RF 10 9.40 10.96 1.10124 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA Cutie x 7 blist. Al/PVC x 5 compr. film. P-RF 35 28.86 33.66 0.96125 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 8.03 9.36 0.47126 J05AB01 ACICLOVIRUM EUVIROX 200 mg CAPS. 200mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 10.36 12.08 0.60127 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE Cutie x 1 blist. din PVC-PVDC/Al x 10 compr. disp. P-RF 10 1.83 2.13 0.21128 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA Cutie x 5 flac. x 250 mg pulb. pt. sol. inj./perf. S/P-RF 5 171.14 192.14 38.43129 J05AB01 ACICLOVIRUM ZOVIRAX COMPR. 200mg GLAXO WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 1 blist. Al/PVDC-PVC x 25 compr. P-RF 25 35.35 41.22 1.65130 J05AB14 VALGANCICLOVIRUM VALCYTE? 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA Cutie x 1 flac. x 60 compr. film. P-RF 60 4123.41 4629.36 77.16131 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flacon PEID x 240ml sol. orala + 1 seringa dozatoare + 1 adaptor P-RF/R 1 59.13 67.67 67.67132 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flac. PEID x 60 compr. film. P-RF/R 60 217.58 244.28 4.07133 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 28 150.39 168.84 6.03134 J05AF05 LAMIVUDINUM ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 1 flacon HDPE x 240 ml + 1 seringa dozatoare PP + 1 adaptor PE P-RF/R 1 68.60 78.51 78.51135 L04AA01 CICLOSPORINUM CICLORAL? HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 164.68 184.88 3.70136 L04AA01 CICLOSPORINUM CICLORAL? HEXAL? 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 75.61 86.54 1.73137 L04AA01 CICLOSPORINUM EQUORAL? SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 1 flacon din sticla bruna x 50 ml, un dispozitiv de masurat + un capac cu filet S/P-RF 1 340.24 381.99 381.99138 L04AA01 CICLOSPORINUM EQUORAL? 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 286.94 322.14 6.44139 L04AA01 CICLOSPORINUM EQUORAL? 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 63.59 72.78 1.46140 L04AA01 CICLOSPORINUM EQUORAL? 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA Cutie x 5 blist. x 10 caps. moi S/P-RF 50 141.77 159.16 3.18141 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 152.33 171.02 3.42142 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 270.37 303.55 6.07143 L04AA01 CICLOSPORINUM SANDIMMUN NEORAL? SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA Cutie x 1 flacon x 50 ml + kit de adm. S/P-RF 1 601.04 674.78 674.78144 L04AA05 TACROLIMUSUM ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 173.07 194.31 3.89145 L04AA05 TACROLIMUSUM ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 346.11 388.58 7.77146 L04AA05 TACROLIMUSUM ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 50 caps. elib. prel. ( blist. PVC-PVDC/Al) P-RF/R 50 1730.60 1942.95 38.86147 L04AA05 TACROLIMUSUM PROGRAF? 0,5 mg CAPS. 0.5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 175.48 197.01 3.94148 L04AA05 TACROLIMUSUM PROGRAF? 1 mg CAPS. 1mg ASTELLAS IRELAND CO. LTD. GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 356.52 400.26 8.01149 L04AA05 TACROLIMUSUM PROGRAF? 5 mg CAPS. 5mg ASTELLAS PHARMA GMBH GERMANIA Cutie x 1 punga de Al inchisa etans x 5 blist. x 10 caps. + 1 plic cu desicant S/P-RF 50 1682.26 1888.68 37.77150 L04AA05 TACROLIMUSUM PROGRAF? 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA GMBH GERMANIA Cutie x 10 fiole x 1 ml S 10 2078.26 2333.26 233.33151 L04AA06 MYCOPHENOLATUM CELLCEPT 1mg/5ml PULB. PT. SUSP. ORALA 1g/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 1 flacon x 110 g P-RF/R 1 482.71 541.94 541.94152 L04AA06 MYCOPHENOLATUM CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 10 blist. x 10 caps. P-RF/R 100 344.80 387.10 3.87153 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 5 blist. x 10 compr. film. P-RF/R 50 344.80 387.10 7.74154 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 4 flacoane pulb. pt. conc. sol. perf. S 4 172.40 193.55 48.39155 L04AA06 MYCOPHENOLATUM MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 404.28 453.88 3.78156 L04AA06 MYCOPHENOLATUM MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA Cutie plianta x 12 blist. PA-Al-PVC/Al x 10 compr. film. gastrorez. S/P-RF 120 808.55 907.76 7.56157 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 100 compr. P-RF/R 100 237.68 266.84 2.67158 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA Cutie x blist. PVC/PVDC/Al x 50 compr. P-RF/R 100 237.68 266.84 2.67159 L04AA10 SIROLIMUS RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE Cutie x 30 draj. (blist. PVC/PE /Aclar) P-RF/R 30 432.14 485.17 16.17160 L04AX01 AZATHIOPRINUM IMURAN? COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE Cutie x 4 blist. Al/PVC x 25 compr. film. S/P-RF 100 43.59 50.84 0.51

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 µg CAPS. MOI 0.25µg TEVA PHARMACEUTICALS SRL ROMANIA Cutie x 1 flac. din PPID x 50 caps. moi P-RF 50 20.08 23.41 0.472 A11CC03 ALFACALCIDOLUM ALPHA D3 0.50 µg CAPS. MOI 0.50µg TEVA PHARMACEUTICALS S.R.L. ROMANIA Cutie x 1 flac. din PP x 30 caps. moi P-RF 30 16.52 19.27 0.643 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0.25µg ROCHE ROMANIA S.R.L. ROMANIA Cutie x 1 flac. din sticla bruna x 100 caps. moi P-RF 100 106.74 119.83 1.204 A11CC07 PARICALCITOLUM ZEMPLAR SOL. INJ. 5 µg/ml ABBOTT LABORATORIES S.A. SPANIA Cutie x 5 fiole x 1 ml sol. inj. S 5 274.72 308.43 61.695 A11CC07 PARICALCITOLUM ZEMPLAR SOL. INJ. 5 µg/ml ABBOTT LABORATORIES S.A. SPANIA Cutie x 5 fiole x 2 ml sol. inj. S 5 552.52 620.32 124.066 B01AB01 HEPARINUM HEPARIN SOL. INJ. 5000ui/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA Cutie x 5 fiole x 1ml S 5 4.23 4.94 0.997 B01AB01 HEPARINUM HEPARIN SOL. INJ. 5000ui/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA Cutie x 10 fiole x 5ml S 10 22.16 25.84 2.588 B01AB01 HEPARINUM HEPARIN SANDOZ? 25000 UI/5 ml SOL. INJ. 5000ui/ml SANDOZ GMBH AUSTRIA Cutie x 100 flac. x 5 ml S 100 282.65 317.33 3.179 B01AB01 HEPARINUM HEPARINE SODIQUE PANPHARMA SOL. INJ. 5000ui/ml LAB. PANPHARMA FRANTA Cutie x 10 flacoane din sticla incolora x 5 ml sol. inj. S 10 24.47 28.54 2.85

10 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0.2ml SOL. INJ. 2000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,2 ml sol. inj. S/P-RF 10 68.79 78.73 7.8711 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0.4ml SOL. INJ. 4000ui anti-Xa/0, LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0.4 ml sol. inj. S/P-RF 10 116.06 130.30 13.0312 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0.6ml SOL. INJ. 6000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 10 seringi preumplute x 0,6 ml sol. inj. S/P-RF 10 162.64 182.60 18.2613 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0.8ml SOL. INJ. 8000ui anti-Xa/0. LAB. AVENTIS FRANTA Cutie x 2 seringi preumplute x 0,8 ml sol. inj. S/P-RF 2 54.81 62.74 31.3714 B01AB06 NADROPARINUM FRAXIPARINE? 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0.3m GLAXO GROUP LTD. MAREA BRITANIE Cutie x 10 seringi preumplute din sticla, prevazute cu dispozitiv de protectie a acului x 0,3 ml S/P-RF 10 40.08 46.75 4.6715 B01AB06 NADROPARINUM FRAXIPARINE? 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0.4m GLAXO GROUP LTD. MAREA BRITANIE Cutie x 10 seringi preumplute din sticla, prevazute cu dispozitiv de protectie a acului x 0,4 ml S/P-RF 10 59.52 68.12 6.8116 B01AB06 NADROPARINUM FRAXIPARINE? 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0.6m GLAXO GROUP LTD. MAREA BRITANIE Cutie x 10 seringi preumplute din sticla, prevazute cu dispozitiv de protectie a acului x 0,6 ml S/P-RF 10 71.56 81.89 8.1917 B01AB06 NADROPARINUM FRAXIPARINE? 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AXa/0.8ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 10 seringi preumplute din sticla, prevazute cu dispozitiv de protectie a acului x 0,8 ml S/P-RF 10 104.37 117.18 11.7218 B01AB06 NADROPARINUM FRAXODI 11400 UI anti-factor Xa/0,6ml SOL. INJ. 11400 uiAXa/0.6ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 10 seringi preumplute x 0.6 ml sol. inj. S/P-RF 10 145.35 163.19 16.3219 B01AB06 NADROPARINUM FRAXODI 15200 UI anti-factor Xa/0,8ml SOL. INJ. 15200 uiAXa/0.8ml GLAXO GROUP LTD. MAREA BRITANIE Cutie x 10 seringi preumplute x 0.8 ml sol. inj. S/P-RF 10 197.15 221.34 22.1320 B01AB08 REVIPARINUM CLIVARIN? 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 2 blist. x 5 seringi preumplute unidoza x 0.25ml S/P-RF 10 61.52 70.41 7.0421 B01AB08 REVIPARINUM CLIVARIN? 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA Cutie x 1 blist x 5 seringi preumplute unidoza x 0,60 ml S/P-RF 5 54.25 62.09 12.4222 B01AB10 TINZAPARINUM INNOHEP SOL. INJ. 10000u ANTIF. Xa/ LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 2 seringi preumplute x 0.35 ml sol. inj. (3500 U-AXa) S/P-RF 2 16.99 19.82 9.9123 B01AB10 TINZAPARINUM INNOHEP SOL. INJ. 10000u ANTIF. Xa/ LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 2 seringi preumplute x 0.45 ml sol. inj. (4500 U-AXa) S/P-RF 2 22.77 26.55 13.2824 B01AB10 TINZAPARINUM INNOHEP SOL. INJ. 10000u ANTIF. Xa/ LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 10 flac. din sticla incolora x 2 ml sol. inj. (10000 U-AXa) S/P-RF 10 339.54 381.20 38.1225 B01AB10 TINZAPARINUM INNOHEP SOL. INJ. 20000u ANTIF. Xa/ LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 10 flac. din sticla incolora x 2ml sol. inj. (20000 U-AXa) S/P-RF 10 692.91 777.93 77.7926 B01AB10 TINZAPARINUM INNOHEP SOL. INJ. 20000u ANTIF. Xa/ LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 2 seringi preumplute x 0,50 ml sol. in. (10000 U-AXa) S/P-RF 2 48.10 56.10 28.0527 B01AB10 TINZAPARINUM INNOHEP SOL. INJ. 20000u ANTIF. Xa/ LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 2 seringi preumplute x 0,70 ml sol. in. (14000 U-AXa) S/P-RF 2 60.42 69.15 34.5728 B01AB10 TINZAPARINUM INNOHEP SOL. INJ. 20000u ANTIF. Xa/ LEO PHARMACEUTICAL PRODUCTS DANEMARCA Cutie x 2 seringi preumplute x 0,90 ml sol. in. (18000 U-AXa) S/P-RF 2 76.46 87.51 43.7629 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER? SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA Cutie x 5 fiole x 5 ml S/P-RF 5 82.38 94.28 18.8630 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 129.61 145.51 24.2531 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 259.90 291.79 48.6332 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 390.35 438.24 73.0433 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA Cutie x 6 seringi preumplute S/P-RF/R 6 520.73 584.62 97.4434 B03XA01 EPOETINUM ALFA EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 83.24 95.27 15.88

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35 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,5 ml sol. inj. S/P-RF 6 136.10 152.80 25.4736 B03XA01 EPOETINUM ALFA EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 226.83 254.66 25.4737 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA Cutie x 6 blist. x 1 seringa preumpluta x 0,4 ml sol. inj. S/P-RF 6 272.19 305.59 50.9338 B03XA01 EPOETINUM ALFA EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 453.66 509.32 50.9339 B03XA01 EPOETINUM ALFA EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 181.46 203.73 20.3740 B03XA01 EPOETINUM ALFA EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. S.R.L. ROMANIA Cutie x 10 flac. x 1 ml sol. inj. S/P-RF 10 362.92 407.46 40.7541 B03XA01 EPOETINUM ALFA EPREX? 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 197.83 222.11 37.0242 B03XA01 EPOETINUM ALFA EPREX? 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 1 ml S/P-RF 6 1978.33 2221.08 370.1843 B03XA01 EPOETINUM ALFA EPREX? 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,5 ml S/P-RF 6 395.67 444.22 74.0444 B03XA01 EPOETINUM ALFA EPREX? 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,3 ml S/P-RF 6 593.50 666.32 111.0545 B03XA01 EPOETINUM ALFA EPREX? 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 1 flacon din sticla x 1 ml S/P-RF 1 1069.05 1200.23 1200.2346 B03XA01 EPOETINUM ALFA EPREX? 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA Cutie x 2 blist. x 3 seringi preumplute x 0,4 ml S/P-RF 6 791.33 888.43 148.0747 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 2028.26 2277.13 379.5248 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0,3 ml sol. inj. + 6 ace S/P-RF/R 6 202.83 227.71 37.9549 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 6 405.65 455.43 75.9050 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 6 811.31 910.85 151.8151 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 1014.13 1138.57 189.7652 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE Cutie x 6 seringi preumplute x 0.3 ml sol. inj. + 6 ace S/P-RF/R 6 103.43 116.12 19.3553 B03XA02 DARBEPOETINUM ALFA ARANESP 100µg/0.5ml SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0.5ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,5 ml P-RF/R 4 2387.36 2680.29 670.0754 B03XA02 DARBEPOETINUM ALFA ARANESP 10µg/0.4ml SOL. INJ. IN SERINGA PREUMPLUTA 10µg/0.4ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,4 ml P-RF/R 4 238.74 268.03 67.0155 B03XA02 DARBEPOETINUM ALFA ARANESP 150µg/0.3ml SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0.3ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,3 ml P-RF/R 4 3581.04 4020.43 1005.1156 B03XA02 DARBEPOETINUM ALFA ARANESP 15µg/0.375ml SOL. INJ. IN SERINGA PREUMPLUTA 15µg/0.375ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,375 ml P-RF/R 4 358.09 402.03 100.5157 B03XA02 DARBEPOETINUM ALFA ARANESP 20µg/0.5ml SOL. INJ. IN SERINGA PREUMPLUTA 20µg/0.5ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,5 ml P-RF/R 4 477.47 536.06 134.0158 B03XA02 DARBEPOETINUM ALFA ARANESP 300µg/0.6ml SOL. INJ. IN SERINGA PREUMPLUTA 300µg/0.6ml AMGEN EUROPE BV OLANDA Cutie x 1 seringa preumpluta a 1 ml x 0,6 ml P-RF/R 1 1790.51 2010.20 2010.2059 B03XA02 DARBEPOETINUM ALFA ARANESP 30µg/0.3ml SOL. INJ. IN SERINGA PREUMPLUTA 30µg/0.3ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,3 ml P-RF/R 4 716.21 804.09 201.0260 B03XA02 DARBEPOETINUM ALFA ARANESP 40µg/0.4ml SOL. INJ. IN SERINGA PREUMPLUTA 40µg/0.4ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,4 ml P-RF/R 4 954.94 1072.12 268.0361 B03XA02 DARBEPOETINUM ALFA ARANESP 500µg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500µg/ml AMGEN EUROPE BV OLANDA Cutie x 1 seringa preumpluta a 1 ml x 1 ml P-RF/R 1 2984.19 3350.35 3350.3562 B03XA02 DARBEPOETINUM ALFA ARANESP 50µg/0.5ml SOL. INJ. IN SERINGA PREUMPLUTA 50µg/0.5ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,5 ml P-RF/R 4 1193.68 1340.14 335.0463 B03XA02 DARBEPOETINUM ALFA ARANESP 60µg/0.3ml SOL. INJ. IN SERINGA PREUMPLUTA 60µg/0.3ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,3 ml P-RF/R 4 1432.42 1608.17 402.0464 B03XA02 DARBEPOETINUM ALFA ARANESP 80µg/0.4ml SOL. INJ. IN SERINGA PREUMPLUTA 80µg/0.4ml AMGEN EUROPE BV OLANDA Cutie x 4 seringi preumplute a 1 ml x 0,4 ml P-RF/R 4 1909.89 2144.23 536.0665 H05BX01 CINACALCETUM MIMPARA 30 mg COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA Cutie x 2 blist. Aclar-PVC-PVAc/Al x 14 compr. film. P-RF 28 536.72 602.58 21.5266 H05BX01 CINACALCETUM MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA Cutie x 2 blist. Aclar-PVC-PVAc/Al x 14 compr. film. P-RF 28 992.81 1114.63 39.8167 H05BX01 CINACALCETUM MIMPARA 90 mg COMPR. FILM. 90mg AMGEN EUROPE B.V. OLANDA Cutie x 2 blist. Aclar-PVC-PVAc/Al x 14 compr. film. P-RF 28 1411.93 1585.17 56.6168 V03AE02 SEVELAMER RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA Cutie x 1 flac.PEID. x 180 compr. film. P-RF 180 635.87 713.89 3.97

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELORP11 PROGRAM NATIONAL DE SANATATE MINTALA

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Nr. crt

Grupa Terapeuti

caDenumire generica

Denumire comerciala

Forma Farmace

utica

Concentratie/U.T

. Firma Tara Ambalaj al U.T. prescriere cantitate

Pret cu

ridicata

maximal /

ambalaj

(RON)

Pret cu amanun

tul maxima

l / ambalaj (RON)

Pret cu amanun

tul maximal / U.T. = Pret de

Decontare / U.T. (RON)

1 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 2 blist. PVC-PE-Aclar/Al x 7 compr. film. P-RF 14 110.26 123.79 8.842 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 4 blist. PVC-PE-Aclar/Al x 7 compr. film. P-RF 28 175.17 196.67 7.023 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2.5mg ZENTIVA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 25 compr. P-TS 50 6.40 7.46 0.154 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg COMPR. SUBLING. 2mg/0,5mg SP EUROPE BELGIA Cutie x 7 compr. subling. ( blist.Nylon/Al/PVC) P-TS; S 7 17.67 20.61 2.945 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg COMPR. SUBLING. 8mg/2mg SP EUROPE BELGIA Cutie x 7 compr. subling. ( blist.Nylon/Al/PVC) P-TS; S 7 69.16 79.16 11.31

NOTA:

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

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii Publice;

Medicamentele din această sublistă se eliberează atât prin farmacii cu circuit închis cât și prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

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

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

Pagina 57 din 57

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Nr. crt cod_atc dci den_com forma_farm conc firma_det tara_det ambalaj pres cant_fl

PRET AMANUNTUL

MAXIMAL (RON)

PRET AMANUNTU

L MAXIMAL/U

T (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 A03AD02 DROTAVERINUM NO - SPA 40 mg/2 ml SOL. INJ. 40mg/2ml CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ. P-RF 25 19.97 0.8 0.8 0.82 A03BA01 ATROPINUM SULFAT DE ATROPINA SOL. INJ. 1mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S 5 2.2 0.44 0.44 0.443 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.494 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM FARCORELAXIN SOL. INJ. 20mg/ml PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 3 FIOLE X 1 ML P-RF 3 1.26 0.42 0.42 0.425 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM BUSCOPAN 20 mg/ml SOL. INJ. 20mg/ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 5.72 1.14 0.42 0.426 A03DA02 COMBINATII PIAFEN COMPR. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.8 0.09 0.09 0.097 A03DA02 COMBINATII ALGIFEN COMPRIMATE COMPR. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.47 0.12 0.12 0.128 A03DA02 COMBINATII ALGIFEN SOLUTIE INJECTABILA SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 4.64 0.93 0.93 0.939 A03DA02 COMBINATII PIAFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII X 3 SUPOZ. P-RF 6 1.64 0.27 0.27 0.27

10 A05BAN3 COMBINATII ASPATOFORT (R) SOL. INJ. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 10 ML P-RF 10 7.22 0.72 0.72 0.7211 A06AD65 COMBINATII ENDOFALK PULB. PT. SOL. ORALA FARA CONCENTRATIE DR. FALK PHARMA GMBH GERMANIA CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA P-RF 6 37.93 6.32 6.32 6.3212 A07AX03 NIFUROXAZIDUM ERCEFURYL (R) 200 mg CAPS. 200mg SANOFI-SYNTHELABO OTC FRANTA CUTIE X 2 BLIST. X 14 CAPS. P-RF 28 13.01 0.46 0.46 0.4613 A11CA01 RETINOLUM VITAMINA A FORTE CAPS. MOI 50000ui BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L 30 3.94 0.13 0.13 0.1314 A11CA01 RETINOLUM VITAMINA A PIC. ORALE, SOL. 20mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L 1 1.4 1.4 1.4 1.415 A11CC02 DIHYDROTACHYSTEROLUM TACHYSTIN PICATURI ORALE-SOL. 0.1mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU APLICATOR PT. PICURARE P-6L 1 24.39 24.39 18.39 18.3916 A11CC02 DIHYDROTACHYSTEROLUM A.T. 10 (R) PICATURI ORALE-SOL. 1mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML P-6L 1 18.39 18.39 18.39 18.3917 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0.25µg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 159.51 1.6 1.6 1.618 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 1000 COMPR. 1000UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.35 0.21 0.21 0.2119 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 500 COMPR. 500UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 5.07 0.17 0.17 0.1720 A11CC05 COLECALCIFEROLUM VITAMINA D3 PIC. ORALE, SOL. 0,45mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L 1 3.6 3.6 3.6 3.621 A11CC05 COLECALCIFEROLUM VIGANTOL OIL PIC. ORALE, SOL. 0.5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR P-6L 1 5.45 5.45 5.45 5.4522 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 1000 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.35 0.21 0.21 0.2123 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 500 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 5.98 0.2 0.2 0.224 A11DA01 THIAMINUM SICOVIT (R) B1 10 mg COMPR. 10mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 0.83 0.02 0.02 0.0225 A11DA01 THIAMINUM SICOVIT (R) B1 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.4926 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 20.36 0.41 0.38 0.3827 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 38.13 0.38 0.38 0.3828 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 20 14.35 0.72 0.65 0.6529 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 100 64.92 0.65 0.65 0.6530 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 50 34.27 0.69 0.65 0.6531 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 25 65.71 2.63 2.63 2.6332 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 14.54 2.91 2.63 2.6333 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 20 8.11 0.41 0.33 0.3334 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 100 32.51 0.33 0.33 0.3335 A11GA01 ACIDUM ASCORBICUM VITAMINA C ARENA 750 mg SOL. INJ. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. P-RF 5 16.85 3.37 3.37 3.3736 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 1.36 0.07 0.07 0.0737 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L 20 1.36 0.07 0.07 0.0738 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 3.8 0.76 0.76 0.7639 A11HA02 PYRIDOXINUM SICOVIT B6 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.4940 A11HA03 TOCOFEROLUM VITAMIN E 200 CAPS. MOI 200mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 8.62 0.29 0.29 0.2941 A11HA03 TOCOFEROLUM VITAMIN E 400 CAPS. MOI 400mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 11.4 0.38 0.38 0.3842 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ. P-RF 5 5.91 1.18 0.61 0.6143 A12AA03 CALCII GLUCONAS GLUCONOLACTAT DE CALCIU 10% SOL. INJ. 10% B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF 20 12.12 0.61 0.61 0.61

ANEXA 4

SECŢIUNEA C3 - CU PROCENT DE COMPENSARE 100% - CUPRINDE DCI-URILE DIN CANAMED, ALTELE DECÂT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII PÂNĂ LA 18 ANI, TINERI DE LA 18 LA26 DE ANI DACA SUNT ELEVI, STUDENŢI SAU UCENICI DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LĂUZE

CONFORM HG NR. 720/2008VALABILĂ ÎNCEPÂND CU 15 IULIE 2008

Page 1 of 6

Page 124: Liste Medicamente

44 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 10 FIOLE X 10 ML SOL. INJ. P-RF 10 4.57 0.46 0.46 0.4645 A14AA03 METANDIENONUM NAPOSIM 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.04 0.15 0.15 0.1546 A16AA01 LEVOCARNITINUM CARNIL (R) SOL. ORALA 100mg/ml ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML P-6L 10 21.09 2.11 1.3 1.347 A16AA01 LEVOCARNITINUM MIOCOR SOL. ORALA 10% ECOBI PHARMACEUTICI ITALIA CUTIE X 10 FLACOANE X 10ML P-6L 10 12.95 1.3 1.3 1.348 A16AXN1 DIVERSE ACTOVEGIN (R) DRAJ. 200mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ. P-6L 50 117.76 2.36 2.36 2.3649 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 200mg/5ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML P-RF 5 83.68 16.74 16.74 16.7450 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 80mg/2ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 2 ML P-RF 5 50.3 10.06 10.06 10.0651 B02BX01 ETAMSYLATUM ETAMSILAT SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 2.56 0.51 0.29 0.2952 B02BX01 ETAMSYLATUM ETAMSILAT SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 10 FIOLE X 2 ML SOL INJ P-RF 10 2.94 0.29 0.29 0.2953 B02BX02 CARBAZOCHROMI SALICYLAS ADRENOSTAZIN SOL. INJ. 0.3mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 5 ML P-RF 5 3.45 0.69 0.69 0.6954 B03AA02 FERROSI FUMARAS FERRONAT (R) SUSP. ORALA 3% IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE P-6L 1 2.74 2.74 2.74 2.7455 B03AA03 FERROSI GLUCONAS ASCOFER COMPR. FARA CONCENTRATIE ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR. P-6L 20 2.85 0.14 0.14 0.1456 B03ABN1 FERROCHOLINATUM FER-SOL SOL. ORALA IN PICATURI 24mg Fe/ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE P-6L 1 2.67 2.67 2.67 2.6757 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL. P-6L 100 19.52 0.2 0.2 0.258 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 30 8.57 0.29 0.2 0.259 B03AD03 COMBINATII FERRO SANOL GYN CAPS. FARA CONCENTRATIE SCHWARZ PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PE X 10 CAPS. P-6L 50 27.63 0.55 0.55 0.5560 B03AD03 COMBINATII TARDYFERON FOL (R) DRAJ. ELIB. PREL. FARA CONCENTRATIE LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 12.72 0.42 0.42 0.4261 B03AD04 COMBINATII MALTOFER FOL COMPR. MAST. FARA CONCENTRATIE VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST. P-6L 30 12.16 0.41 0.41 0.4162 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI P-6L 100 31.6 0.32 0.32 0.3263 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVDC-PVCX 10 CAPS. MOI P-6L 50 17.2 0.34 0.32 0.3264 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 10 CAPS. MOI P-6L 20 7.62 0.38 0.32 0.3265 B03AE10 COMBINATII TOT'HEMA SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA FRANTA CUTIE X 20 FIOLE X 10 ML P-6L 20 12.54 0.63 0.63 0.6366 B03BA01 CYANOCOBALAMINUM SICOVIT (R) B12 1000ag/ml SOL. INJ. 1000µg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL INJ. P-RF 5 1.33 0.27 0.27 0.2767 B03BA01 CYANOCOBALAMINUM SICOVIT B12 50ug/ml SOL. INJ. 50µg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.4968 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 64.92 0.65 0.65 0.6569 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 14.35 0.72 0.65 0.6570 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 34.27 0.69 0.65 0.6571 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 64.92 0.65 0.65 0.6572 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 14.35 0.72 0.65 0.6573 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 34.27 0.69 0.65 0.6574 C01EA01 ALPROSTADILUM** ALPROSTADIL "PINT" 500 ug CONC. PT. SOL. PERF. 500µg PINT-PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S 5 1556.09 311.22 311.22 311.2275 C02LA51 COMBINATII NEOCRYSTEPIN DRAJ. FARA CONCENTRATIE ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. P-6L 30 6.5 0.22 0.22 0.2276 C04AE01 CODERGOCRINUM REDERGIN 1 mg/ml PICATURI ORALE-SOL. 0.1% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON X 50 ML P-6L 1 8.66 8.66 1.71 1.7177 C04AE01 CODERGOCRINUM CO-DERGOCRIN SOL. ORALA IN PICATURI 0.1% TERAPIA SA ROMANIA CUTIE X 1 FLACON CU DOP PICATOR X 50ML P-6L 1 3.88 3.88 1.71 1.7178 C04AE01 CODERGOCRINUM SECATOXIN SOL. ORALA IN PICATURI 1mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 10 ML + PICATOR P-6L 1 1.71 1.71 1.71 1.7179 C05AA01 COMBINATII HEMORZON UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 2.94 2.94 2.94 2.9480 C05AA08 COMBINATII ULTRAPROCT (R) SUPOZ. FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 2 FOLII X 5 SUPOZ. P-RF 10 9.4 0.94 0.94 0.9481 C05AA08 COMBINATII ULTRAPROCT (R) UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF 1 10.31 10.31 10.31 10.3182 C05AD01 COMBINATII DOXIPROCT UNGUENT RECTAL FARA CONCENTRATIE OM PORTUGUESA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 21.12 21.12 19.15 19.1583 C05AD01 COMBINATII DOXIPROCT PLUS UNGUENT RECTAL FARA CONCENTRATIE OM PORTUGUESA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 20 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 19.15 19.15 19.15 19.1584 C05BX01 CALCII DOBESILAS DOXILEK CAPS. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L 30 17.64 0.59 0.59 0.5985 C05BX01 CALCII DOBESILAS DOXIUM 500 CAPS. 500mg OM PORTUGUESA S.A. PORTUGALIA CUTIE X 3 BLIST. PVDC-PVC-PVDC/AL X 10 CAPS. P-6L 30 19.71 0.66 0.59 0.5986 C05CA54 TROXERUTINUM (COMBINATII) GINKOR FORT CAPS. FARA CONCENTRATIE BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 18.48 0.62 0.62 0.6287 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 100mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 9.07 0.91 0.91 0.9188 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 200mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 14.75 1.48 1.48 1.4889 C07NAN1 COMBINATII CALMOGEN CAPS. FARA CONCENTRATIE EUROPHARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 4.38 0.15 0.15 0.1590 C07NAN1 COMBINATII DISTONOVAL COMPR. FARA CONCENTRATIE FABIOL S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 2.75 0.14 0.14 0.1491 C07NAN1 COMBINATII DISTONOCALM? COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 3 0.1 0.1 0.192 C08CA06 NIMODIPINUM NIMOTOP (R) COMPR. FILM. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 132.95 1.33 1.33 1.3393 C08CA06 NIMODIPINUM NIMOTOP (R) SOL. PERF. 10mg/50ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA S 5 249.34 49.87 42.97 42.9794 C08CA06 NIMODIPINUM DILCEREN (R) SOL. PERF. 10mg/50ml SLOVAKOFARMA SLOVACIA CUTIE X 1 FLACON X 50 ML S 1 42.97 42.97 42.97 42.9795 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 68.43 2.44 2.43 2.4396 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 237.68 2.43 2.43 2.4397 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 34.54 2.47 2.43 2.4398 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 136.26 2.43 2.43 2.4399 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 15.79 1.13 1.03 1.03

100 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 31.29 1.12 1.03 1.03101 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 101.34 1.03 1.03 1.03102 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 62.36 1.11 1.03 1.03103 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 142.79 1.46 1.46 1.46

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104 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 81.59 1.46 1.46 1.46105 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 41.07 1.47 1.46 1.46106 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 20.74 1.48 1.46 1.46107 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 98 190.68 1.95 1.95 1.95108 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 28.3 2.02 1.95 1.95109 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 56 108.94 1.95 1.95 1.95110 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 28 56.31 2.01 1.95 1.95111 D01AC05 ISOCONAZOLUM TRAVOGEN CREMA 10mg/1g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 12.82 12.82 12.82 12.82112 D01AC08 KETOCONAZOLUM NIZORAL CREMA 2% JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 TUB X 15 G P-RF 1 7.62 7.62 5.66 5.66113 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA 2% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB PEJD X 15 G P-RF 1 5.88 5.88 5.66 5.66114 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA CREMA 20mg/g SC HYPERION SA ROMANIA CUTIE X 1 TUB DIN AL X 20 MG CREMA P-RF 1 5.66 5.66 5.66 5.66115 D01AC08 KETOCONAZOLUM KEFUNGIN 2mg/100mg CREMA 2mg/100mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 5.9 5.9 5.66 5.66116 D01AC52 COMBINATII MYCOHEAL (R) HC CREMA FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 4.99 4.99 4.99 4.99117 D05AC01 DITHRANOLUM PSORIANOL 0,5% UNGUENT 0.5% HYPERION SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 2.11 2.11 2.11 2.11118 D05AC01 DITHRANOLUM PSORIANOL 1% UNGUENT 1% HYPERION SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 2.63 2.63 2.63 2.63119 D05AXN1 COMBINATII ASORIAN SOL. CUT. FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 6.94 6.94 6.94 6.94120 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 22.69 22.69 14.75 14.75121 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 14.75 14.75 14.75 14.75122 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 22.69 22.69 14.75 14.75123 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 14.75 14.75 14.75 14.75124 D07AC04 FLUOCINOLONI ACETONIDUM FLUOCINOLON ACETONID 0,025% UNGUENT 0.025% LAROPHARM SRL ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 3.08 3.08 3.08 3.08125 D07AC05 FLUOCORTOLONUM ULTRALAN CREMA CREMA 0.25% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G P-RF 1 12.72 12.72 12.72 12.72126 D07AC05 FLUOCORTOLONUM ULTRALAN UNGUENT UNGUENT 0.25% SCHERING AG GERMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 12.72 12.72 12.72 12.72127 D07CB01 COMBINATII NIDOFLOR CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 2.94 2.94 2.94 2.94128 D07CB01 COMBINATII PANDERM UNGUENT FARA CONCENTRATIE GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 5.95 5.95 5.95 5.95129 D07CC02 COMBINATII FLUOCINOLON N UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 2.76 2.76 2.76 2.76130 D07XB02 COMBINATII TRIAMCINOLON S CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 2.94 2.94 2.94 2.94131 D07XC01 COMBINATII DIPROSALIC SOL. CUT. FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR P-RF 1 13.09 13.09 13.09 13.09132 D07XC01 COMBINATII BELOSALIC SOL. CUT. FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLAC. PEID X 50 ML, PREVAZUT CU PICURATOR P-RF 1 14.99 14.99 13.09 13.09133 D07XC01 COMBINATII DIPROSALIC UNGUENT FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 8.96 8.96 8.96 8.96134 D07XC01 COMBINATII BELOSALIC UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 30 G P-RF 1 9.21 9.21 8.96 8.96135 D07XC04 COMBINATII TRAVOCORT CREMA FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.82 12.82 12.82 12.82136 D10AD01 TRETINOINUM RETIN - A (R) CREMA 0.05% JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 TUB X 30 G P-RF 1 9.85 9.85 9.85 9.85137 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT. P-RF 1 15.09 15.09 6.12 6.12138 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT. P-RF 1 6.12 6.12 6.12 6.12139 D10AF52 COMBINATII ZINERYT PULB. + SOLV. SOL. CUT. 40mg/12mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA P-RF 1 23.18 23.18 23.18 23.18140 G01AF01 METRONIDAZOLUM FLAGYL OVULE 500mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST. X 5 OVULE P-RF 10 9.24 0.92 0.92 0.92141 G01AXN1 COMBINATII COLPOSEPTINE (R) COMPR. VAG. FARA CONCENTRATIE LAB. THERAMEX MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG. P-RF 18 18.39 1.02 1.02 1.02142 G01BDN1 COMBINATII TERGYNAN COMPR. VAG. FARA CONCENTRATIE LAB. BOUCHARA-RECORDATI FRANTA CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF 10 15.44 1.54 1.54 1.54143 G03AC06 MEDROXYPROGESTERONUM DEPO-PROVERA SUSP. INJ. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 1 ML SUSP. INJ. S/P-RF 1 8.18 8.18 8.18 8.18144 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 23.18 2.32 2.32 2.32145 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000 LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml NV ORGANON OLANDA CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP S/P-RF 3 59.02 19.67 19.67 19.67146 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 500 LIOF. + SOLV. PT. SOL. INJ. 500ui/ml ORGANON NV OLANDA CUTIE X 6 FIOLE CU LIOF. + 6 FIOLE CU SOLV. PT. SOL. INJ. S/P-RF 6 22.97 3.83 3.75 3.75147 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 500 LIOF. + SOLV. PT. SOL. INJ. 500ui/ml ORGANON NV OLANDA CUTIE X 3 FIOLE CU LIOF. + 3 FIOLE CU SOLV. PT. SOL. INJ. S/P-RF 3 11.24 3.75 3.75 3.75148 G03GA02 MENOTROPINUM MENOGON LIOF. SI SOLV.PT.SOL.INJ 75ui FSH / 75ui LH FERING GMBH GERMANIA CUTIE X 10 FIOLE LIOF. + 10 FIOLE SOLV. S/P-RF 10 325.05 32.51 32.51 32.51149 G03GA02 MENOTROPINUM MENOPUR LIOF. + SOLV. PT. SOL. INJ. FARA CONCENTRATIE FERRING LAEGEMIDLER A/S DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF 10 820.06 82.01 32.51 32.51150 G04BCN1 COMBINATII URALYT-U GRANULE FARA CONCENTRATIE MADAUS GMBH GERMANIA CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO P-6L 1 57.6 57.6 57.6 57.6151 H03AA03 COMBINATII NOVOTHYRAL (R) 100 COMPR. 100µg+20µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 26.1 0.26 0.26 0.26152 J01CR50 COMBINATII AMPICLOX CAPS. 250mg+250 mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 5.83 0.49 0.49 0.49153 J01CR50 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. 1g+1g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G S/P-RF 1 28.53 28.53 28.53 28.53154 J01DB04 CEFAZOLINUM LYZOLIN PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB. S/P-RF 1 2.78 2.78 2.78 2.78155 J01DE02 CEFPIROMUM CEFROM (R) 1 g PULB. PT. SOL. INJ./PERF. 1g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 58.33 58.33 58.33 58.33156 J01DE02 CEFPIROMUM CEFROM (R) 2 g PULB. PT. SOL. INJ./PERF. 2g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 101.49 101.49 101.49 101.49157 J01EB05 SULFAFURAZOLUM NEOXAZOL (R) 500 mg COMPR. 500mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.46 0.17 0.16 0.16158 J01EB05 SULFAFURAZOLUM SULFAFURAZOL COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.23 0.16 0.16 0.16159 J01FA06 ROXITHROMYCINUM ROXAMED (R) 150 COMPR. FILM. 150mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 11.03 1.1 1.1 1.1160 J01GB03 GENTAMICINUM GENTAMICINA SANDOZ (R) 40 mg/ml SOL. INJ. 40mg/ml SANDOZ GMBH AUSTRIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 1 ML P-RF/S 50 32.05 0.64 0.54 0.54161 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 5.37 0.54 0.54 0.54162 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S 50 29.88 0.6 0.51 0.51163 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 6.9 0.69 0.51 0.51

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164 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 5.14 0.51 0.51 0.51165 J01GB03 GENTAMICINUM LYRAMYCIN SOL. PARENT. 40mg/ml MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 10 FLACOANE X 2 ML P-RF 10 6.28 0.63 0.51 0.51166 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 150mg/1.5ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 1,5 ML S/P-RF 1 14.46 14.46 14.46 14.46167 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 17.58 17.58 17.58 17.58168 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 8.62 8.62 8.62 8.62169 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3393.74 121.21 121.21 121.21170 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 848.23 30.29 30.29 30.29171 J02AC03 VORICONAZOLUM** VFEND (R) 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2252.06 2252.06 2252.06 2252.06172 M01AA01 PHENYLBUTAZONUM FENILBUTAZONA 250 mg SUPOZ. 250mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.18 0.22 0.22 0.22173 M01AB55 COMBINATII NEODOLPASSE SOL. PERF. FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 10 FLACOANE X 250 ML S 10 177.87 17.79 17.79 17.79174 M01AB55 COMBINATII ACECLOFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L 6 2.27 0.38 0.38 0.38175 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 20 20.15 1.01 1.01 1.01176 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 10 11.75 1.18 1.01 1.01177 M01AE01 IBUPROFENUM MARCOFEN (R) CAPS. 400mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 6 CAPS. P-6L 12 1.98 0.17 0.17 0.17178 M01AE01 IBUPROFENUM PADUDEN (R) SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 14.06 0.47 0.47 0.47179 M01AE01 IBUPROFENUM PADUDEN (R) SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-6L 10 7.84 0.78 0.47 0.47180 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 400mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 12 COMPR. FILM. P-6L 24 8.67 0.36 0.12 0.12181 M01AE01 IBUPROFENUM REUPROFEN (R) 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.42 0.18 0.12 0.12182 M01AE01 IBUPROFENUM IBUPROFEN 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.3 0.12 0.12 0.12183 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 600mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 16.16 0.81 0.19 0.19184 M01AE01 IBUPROFENUM IBUPROFEN 600 COMPR. FILM. 600mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.81 0.19 0.19 0.19185 M01AE01 IBUPROFENUM NUROFEN FORTE DRAJ. 400mg RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 12 DRAJ. P-6L 12 8.76 0.73 0.73 0.73186 M01AE01 IBUPROFENUM IBUGESIC (R) SUSP. ORALA 100mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 4.05 4.05 4.05 4.05187 M01AE01 IBUPROFENUM NUROFEN (R) PENTRU COPII, cu aroma de portocala SUSP. ORALA 100mg/5ml RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 1 FLAC. PE TEREFTALAT X 100 ML + 1 SERINGA DOZATOARE PP CU PISTON DIN PE P-RF 1 5.57 5.57 4.05 4.05188 M01AE01 IBUPROFENUM NUROFEN (R) PENTRU COPII, cu aroma de capsuni SUSP. ORALA 100mg/5ml RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN TEREFTALAT DE POLIETILENA X 100 ML SUSP. ORALA + SERINGA DOZAT. PP + PISTON PE P-RF 1 5.57 5.57 4.05 4.05189 M01AE01 IBUPROFENUM IBALGIN BABY SUSP. ORALA 100mg/5ml ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA P-RF 1 5.05 5.05 4.05 4.05190 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.35 0.32 0.32 0.32191 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.18 0.56 0.56 0.56192 M01AG01 ACIDUM MEFENAMICUM VIDAN COMPR. FILM. 500mg VIANEX SA GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L 24 7.25 0.3 0.3 0.3193 M01AH04 PARECOXIBUM DYNASTAT PULB. + SOLV. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV. S/P-RF 5 122.3 24.46 24.11 24.11194 M01AH04 PARECOXIBUM DYNASTAT PULB. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF 10 241.13 24.11 24.11 24.11195 M01AX02 ACIDUM NIFLUMICUM NIFLURIL CAPS. 250mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. P-6L 30 6.62 0.22 0.22 0.22196 M02ACN3 COMBINATII PERCUTALGINE GEL FARA CONCENTRATIE LABORATOIRES CHEMINEAU FRANTA CUTIE X 1 TUB X 30 G GEL P-RF 1 6.73 6.73 6.73 6.73197 M03BB03 CHLORZOXAZONUM CLORZOXAZON 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.9 0.1 0.09 0.09198 M03BB03 CHLORZOXAZONUM CLORZOXAZONA COMPR. 250mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.89 0.09 0.09 0.09199 M03BB03 CHLORZOXAZONUM CLORZOXAZONA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.1 0.09 0.09200 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 150mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 10.31 0.34 0.34 0.34201 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 50mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.53 0.18 0.18 0.18202 M03BX04 TOLPERISONUM TOLPERISON 50 mg DRAJ. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 3.75 0.13 0.13 0.13203 M03BX04 TOLPERISONUM MYDOCALM SOL. INJ. 100mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF 5 5.23 1.05 1.05 1.05204 M09AX01 ACIDUM HIALURONICUM HYALGAN (R) SOL. INJ. 20mg/2ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF 1 165.12 165.12 165.12 165.12205 N02AA59 COMBINATII PARADOREN 500mg/30mg COMPR. 30mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.7 0.44 0.44 0.44206 N02AA59 COMBINATII PARADOREN 500mg/60mg COMPR. 60mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 13.2 0.66 0.66 0.66207 N02BA71 COMBINATII FASCONAL P COMPR. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.31 0.17 0.17 0.17208 N02BA71 COMBINATII FASCOREM COMPR. FARA CONCENTRATIE REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.31 0.17 0.17 0.17209 N02BB02 METAMIZOLUM NATRIUM ALGOCALMIN (R) 1 g/2 ml SOL. INJ. 1g/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.81 0.56 0.29 0.29210 N02BB02 METAMIZOLUM NATRIUM ALGOCALMIN (R) 1 g/2 ml SOL. INJ. 1g/2ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SIL. INJ. P-RF 10 2.88 0.29 0.29 0.29211 N02BB02 METAMIZOLUM NATRIUM NEVRALGIN PIC. ORALE, SOL. 500mg/ml TERAPIA S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-RF 1 4.43 4.43 4.43 4.43212 N05BA05 CLORAZEPAS DIKALII TRANXENE 10 mg CAPS. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 9.74 0.32 0.32 0.32213 N05BA05 CLORAZEPAS DIKALII TRANXENE 5 mg CAPS. 5mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 6.69 0.22 0.22 0.22214 N05BA23 TOFISOPAMUM GRANDAXIN COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF 20 4.2 0.21 0.21 0.21215 N05CD08 MIDAZOLAMUM DORMICUM (R) COMPR. FILM. 7.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 6.36 0.64 0.64 0.64216 N05CD08 MIDAZOLAMUM DORMICUM (R) 7,5 mg COMPR. FILM. 7.5mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 7.22 0.72 0.64 0.64217 N05CD08 MIDAZOLAMUM DORMICUM (R) SOL. INJ. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML S/P-RF 10 47.85 4.79 1.9 1.9218 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 2 ML SOL. INJ. S/P-RF 10 18.97 1.9 1.9 1.9219 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ. S/P-RF 10 28.85 2.89 1.9 1.9220 N05CD08 MIDAZOLAMUM FULSED 5 mg/ml SOL. INJ. 5mg/ml TERAPIA S.A. ROMANIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 23.6 2.36 2.26 2.26221 N05CD08 MIDAZOLAMUM MIDAZOLAM 5 mg/ml SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 22.6 2.26 2.26 2.26222 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 28.85 2.89 2.26 2.26223 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 10 ML SOL. INJ. S/P-RF 10 160.56 16.06 2.26 2.26

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224 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 3 ML SOL. INJ. S/P-RF 10 48.87 4.89 2.26 2.26225 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 10 6.41 0.64 0.54 0.54226 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 16.31 0.54 0.54 0.54227 N06BA04 METHYLFENIDATUM*** CONCERTA XL 18 mg COMPR. FILM. ELIB. PREL. 18mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 168.67 5.62 5.62 5.62228 N06BA04 METHYLFENIDATUM*** CONCERTA XL 36 mg COMPR. FILM. ELIB. PREL. 36mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 234.26 7.81 7.81 7.81229 N06BA04 METHYLFENIDATUM*** CONCERTA XL 54 mg COMPR. FILM. ELIB. PREL. 54mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 309.23 10.31 10.31 10.31230 N06BA09 ATOMOXETINUM*** STRATTERA 10 mg CAPS. 10mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 93.83 13.4 13.4 13.4231 N06BA09 ATOMOXETINUM*** STRATTERA 18 mg CAPS. 18mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 93.83 13.4 13.4 13.4232 N06BA09 ATOMOXETINUM*** STRATTERA 25 mg CAPS. 25mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 375.39 13.41 13.4 13.4233 N06BA09 ATOMOXETINUM*** STRATTERA 25 mg CAPS. 25mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 93.83 13.4 13.4 13.4234 N06BA09 ATOMOXETINUM*** STRATTERA 40 mg CAPS. 40mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 375.39 13.41 13.41 13.41235 N06BA09 ATOMOXETINUM*** STRATTERA 60 mg CAPS. 60mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 375.39 13.41 13.41 13.41236 N06BX02 PYRITINOLUM ENCEPHABOL (R) 100 mg DRAJ. 100mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 23.6 0.47 0.47 0.47237 N06BX02 PYRITINOLUM ENCEPHABOL (R) FORTE DRAJ. 200mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 44.36 0.89 0.89 0.89238 N06BX02 PYRITINOLUM ENCEPHABOL (R) SUSPENSIE SUSP. ORALA 80.5mg/5ml MERCK KGAA GERMANIA CUTIE X 1 FLACON X 200 ML P-6L 1 29.68 29.68 29.68 29.68239 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.1 0.11 0.07 0.07240 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.57 0.08 0.07 0.07241 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.96 0.1 0.07 0.07242 N06BX03 PIRACETAMUM N - PIRACETAM COMPR. 400mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 2.88 0.07 0.07 0.07243 N06BX03 PIRACETAMUM MEMOTAL 400mg COMPR. 400mg ZENTIVA S.A ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.58 0.08 0.07 0.07244 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 3.31 0.08 0.07 0.07245 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.43 0.07 0.07 0.07246 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg FARMEX COMPANY SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 3.18 0.08 0.07 0.07247 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.84 0.09 0.07 0.07248 N06BX03 PIRACETAMUM LUCETAM (R) 1200 mg COMPR. FILM. 1200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 8.81 0.44 0.43 0.43249 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 10.65 0.53 0.43 0.43250 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 15.8 0.53 0.43 0.43251 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 42.5 0.43 0.43 0.43252 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. FILM. 400mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 1.73 0.09 0.08 0.08253 N06BX03 PIRACETAMUM PIRACETAM LPH (R) 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 5.04 0.08 0.08 0.08254 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM. P-6L 60 8.03 0.13 0.08 0.08255 N06BX03 PIRACETAMUM NOOTROPIL (R) 800 mg COMPR. FILM. 800mg U.C.B. SA BELGIA CUTIE X 6 BLIST. X 15 COMPR. FILM. P-6L 90 32.08 0.36 0.16 0.16256 N06BX03 PIRACETAMUM NOOTROPIL (R) 800 mg COMPR. FILM. 800mg U.C.B. SA BELGIA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-6L 60 21.43 0.36 0.16 0.16257 N06BX03 PIRACETAMUM PIRACETAM 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 3.13 0.16 0.16 0.16258 N06BX03 PIRACETAMUM PIRACETAM LPH 800 mg COMPR. FILM. 800mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 4.76 0.16 0.16 0.16259 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM. P-6L 30 8.03 0.27 0.16 0.16260 N06BX03 PIRACETAMUM MEMOTAL1 g/5 ml SOL. INJ. 1g/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 3.28 0.66 0.66 0.66261 N06BX03 PIRACETAMUM LUCETAM (R) 1 g SOL. INJ. 1g/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 10 FIOLE X 5 ML P-RF 10 11.7 1.17 0.66 0.66262 N06BX03 PIRACETAMUM NOOTROPIL SOL. INJ. 1g U.C.B. SA BELGIA CUTIE X 12 FIOLE DIN STICLA X 5 ML SOL. INJ. P-RF 12 12.07 1.01 0.66 0.66263 N06BX03 PIRACETAMUM LUCETAM (R) 3 g SOL. INJ. 3g/15ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 FIOLE X 15 ML P-RF 4 11.7 2.93 2.93 2.93264 N06BX03 PIRACETAMUM NOOTROPIL (R) SOL. ORALA 20% U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 MASURA DOZATOARE P-6L 1 23.25 23.25 14.76 14.76265 N06BX03 PIRACETAMUM NOOTROPIL (R) SOL. ORALA 20% U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 125 ML + 1 MASURA DOZATOARE P-6L 1 14.76 14.76 14.76 14.76266 N06BX03 PIRACETAMUM NOOTROPIL SOL. PERF. 12g U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA X 60 ML SOL. PERF. S 1 12.07 12.07 12.07 12.07267 N07CA02 CINNARIZINUM STUGERON 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 5.02 0.13 0.05 0.05268 N07CA02 CINNARIZINUM CINARIZIN 25 mg COMPR. 25mg LAROPHARM SRL ROMANIA CUTIE X 3 BLIST. X 20 COMPR. P-6L 60 3.23 0.05 0.05 0.05269 N07CA02 CINNARIZINUM N-CINARIZINA COMPR. 25mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. P-6L 20 1.06 0.05 0.05 0.05270 N07CA02 CINNARIZINUM CINARIZINA 25 mg COMPR. 25mg OZONE LABORATORIES ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 2.66 0.07 0.05 0.05271 P01AX08 TENONITROZOLUM ATRICAN 250 mg CAPS. MOI GASTROREZ. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF 8 10.76 1.35 1.35 1.35272 P02CC01 PYRANTELUM HELMINTOX (R) 125 mg COMPR. FILM. 125mg LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 2.63 0.44 0.44 0.44273 P02CC01 PYRANTELUM HELMINTOX (R) 250 mg COMPR. FILM. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 2.63 0.88 0.88 0.88274 P03AAN1 SULFUR UNGUENT CU SULF 8% UNGUENT 8% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB AL X 40G P-RF 1 1.41 1.41 1.41 1.41275 P03AC04 PERMETHRINUM NIX CREMA CAPILARA 1% GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PEJD X 59 ML + PIEPTENE SPECIAL P-RF 1 9.38 9.38 9.38 9.38276 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 35 G CREMA P-RF 1 3 3 3 3277 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 50 G CREMA P-RF 1 4.29 4.29 3 3278 R01AD07 TIXOCORTOLUM PIVALONE 1% SUSP. NAZALA 1% PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL P-RF 1 7.59 7.59 7.59 7.59279 R01ADN1 COMBINATII BIORINIL SPRAY NAZ.,SUSP. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF 1 18.3 18.3 18.3 18.3280 R01ADN1 COMBINATII FLUORORINIL SUSP. INHAL. FARA CONCENTRATIE FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SUSP. DE INHALAT P-RF 10 18.59 1.86 1.86 1.86281 R01BA52 COMBINATII CLARINASE (R) COMPR. ELIB. MODIF. FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 BLIST. X 7 COMPR. ELIB. MODIF. P-6L 7 6.9 0.99 0.99 0.99282 R02AB03 FUSAFUNGINUM BIOPAROX SPRAY BUCOFARINGIAN SI NAZAL-SOL. 50mg/10ml LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC. P-RF 1 14.26 14.26 14.26 14.26283 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA 10 mg/ ml SOL. INJ. 10mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 5 1.28 0.26 0.26 0.26

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284 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml SOL. INJ. 50mg/ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 10 1.41 0.14 0.14 0.14285 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml SOL. INJ. 50mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 5 2.62 0.52 0.14 0.14286 R03CC03 TERBUTALINUM AIRONYL SIROP 1.5mg/5ml SEDICO IMPEX S.R.L. ROMANIA CUTIE X 1 FLACON X 120 ML P-6L 1 6.12 6.12 6.12 6.12287 R05CB01 ACETYLCYSTEINUM ACC INJECT 300mg/3ml SOL. INJ. 300mg/3ml HEXAL AG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. S/P-RF 5 6.68 1.34 1.34 1.34288 R05CB03 CARBOCISTEINUM MUCOTREIS SIROP 20mg/ml ECOBI PHARMACEUTICI ITALIA CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML P-RF 1 6.4 6.4 6.06 6.06289 R05CB03 CARBOCISTEINUM RHINATHIOL 2% pentru copii si sugari SIROP 2% SANOFI-AVENTIS OTC FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE P-RF 1 6.69 6.69 6.06 6.06290 R05CB03 CARBOCISTEINUM HUMEX EXPECTORANT PENTRU COPII SI SUGARI SIROP 100mg/5ml LAB. URGO FRANTA CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML P-RF 1 6.06 6.06 6.06 6.06291 R05CB03 CARBOCISTEINUM FLUIDOL 100mg/5ml SOL. ORALA 100mg/5ml TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML P-RF 1 2.6 2.6 2.6 2.6292 R06AD02 PROMETHAZINUM PROMETAZINA ARENA 30 mg COMPR. FILM. 30mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 10 0.5 0.5 0.5293 R06AD07 MEQUITAZINUM PRIMALAN (R) 10 mg COMPR. 10mg LAB. PIERRE FABRE FRANTA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-RF 14 21.88 1.56 1.56 1.56294 R06AE05 MECLOZINUM EMETOSTOP COMPR. 30mg SPECIFAR SA GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.69 0.27 0.27 0.27295 R06AX02 CYPROHEPTADINUM PERITOL COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.58 0.13 0.13 0.13296 R06AX02 CYPROHEPTADINUM PERITOL SIROP 2mg/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP P-6L 1 4.25 4.25 4.15 4.15297 R06AX02 CYPROHEPTADINUM BIOHEPT SIROP 2mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE P-6L 1 4.15 4.15 4.15 4.15298 R06AX13 LORATADINUM SYMPHORAL (R) 1 mg/ml SIROP 1mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 11.44 11.44 5.06 5.06299 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L 1 6.72 6.72 5.06 5.06300 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 13.09 13.09 5.06 5.06301 R06AX13 LORATADINUM FLONIDAN SUSP. ORALA 5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE P-6L 1 11.75 11.75 5.06 5.06302 R06AX13 LORATADINUM LORATADINA BIOFARM 5mg/5ml SIROP 5mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2 P-RF 1 5.06 5.06 5.06 5.06303 S01AA01 CHLORAMPHENICOLUM SIFICETINA PULB. + SOLV. PT. SOL. OFT. 0.4% S.I.F.I. SPA ITALIA CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR P-RF 1 4.75 4.75 4.75 4.75304 S01AA13 ACIDUM FUSIDICUM FUCITHALMIC (R) GEL OFT. 1% LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 5 G P-RF 1 11.62 11.62 11.62 11.62305 S01AA24 KANAMYCINUM KANAMICINA SULFAT 1% UNG. OFT. 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL X 6 G P-RF 1 1.84 1.84 1.84 1.84306 S01AA30 COMBINATII ANTIBIOPTAL PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 9.28 9.28 9.28 9.28307 S01AA30 COMBINATII COLBIOCIN PULB. + SOLV. PT. SOL. OFT. FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE P-RF 1 5.36 5.36 5.36 5.36308 S01AA30 COMBINATII ENBECIN UNG. OFT. FARA CONCENTRATIE POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 5 G UNG. OFT. + APLICATOR P-RF 1 2.23 2.23 2.23 2.23309 S01BA07 FLUOROMETHOLONUM FLUMETOL S PICATURI OFT.SUSP. 2mg/ml FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF 1 22.66 22.66 22.66 22.66310 S01BA07 FLUOROMETHOLONUM FLUMETOL S UNGUENT OFTALMIC UNG. OFT. 1mg/g FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 TUB X 5G P-RF 1 7.33 7.33 7.33 7.33311 S01BA11 DESONIDUM PRENACID PICATURI OFT.-SOL. 0.25% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML, PREVAZUT CU PICURATOR P-RF 1 5.04 5.04 5.04 5.04312 S01BC01 INDOMETACINUM INDOCOLLYRE (R) 0.1% PICATURI OFT.-SOL. 0.1% LAB. CHAUVIN FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML P-6L 1 10.76 10.76 10.76 10.76313 S01BC06 PIROXICAMUM BRUXICAM 0,5% PIC. OFT., SOL. 0.5% BRUSCHETTINI S.R.L. ITALIA CUTIE X 1 FLAC. DIN PEJD PREVAZUT CU PICURATOR X 10 ML PIC. OFT., SOL. P-6L 1 11.83 11.83 11.83 11.83314 S01EB01 PILOCARPINUM DROPIL (R) PICATURI OFT.-SOL. 2% BRUSCHETTINI ITALIA CUTIE X 1 FLACON CU PICURATOR DIN POLIETILENA X 10 ML P-6L 1 5.93 5.93 5.93 5.93315 S01GX06 EMEDASTINUM EMADINE PICATURI OFT.-SOL. 0.5mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON PICURATOR DIN PLASTIC X 5 ML P-RF 1 39.47 39.47 39.47 39.47316 S01GX08 KETOTIFENUM ZADITEN 0,25 mg/ml PICATURI OFT.-SOL. 0.25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON MULTIDOZA DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-RF 1 33.23 33.23 33.23 33.23317 S01XA11 NANDROLONUM KERATYL (R) 1% PICATURI OFT.-SOL. 1% LAB. CHAUVIN FRANTA CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML + PICURATOR DIN PVC P-6L 1 9.2 9.2 9.2 9.2318 S01XA12 DEXPANTHENOLUM CORNEREGEL (R) GEL OFT. 5% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR X 10 G P-6L 1 7.89 7.89 7.89 7.89319 S02CA05 COMBINATII SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 10 ML + PICURATOR P-RF 1 2.1 2.1 2.1 2.1

NOTĂ:

Medicamentele din această sublistă corespund DCI-urilor din CANAMED altele decât cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care sunt prevazute in aceste subliste .

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

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

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