ANEXA 1

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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 RANITIDIN ARENA 150mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 4.55 0.227500 0.194850 0.1753652 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. 150mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.56 0.228000 0.194850 0.1753653 A02BA02 RANITIDINUM RANITIDIN COMPR. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.55 0.227500 0.194850 0.1753654 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 7.01 0.350500 0.194850 0.1753655 A02BA02 RANITIDINUM N - RANITIDIN COMPR. FILM. 150mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. FILM. P-6L 20 3.99 0.199500 0.194850 0.1753656 A02BA02 RANITIDINUM RANITIDINA LAROPHARM 150 mg COMPR. FILM. 150mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 4.55 0.227500 0.194850 0.1753657 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 4.56 0.228000 0.194850 0.1753658 A02BA02 RANITIDINUM RANITIDINA ATB 150 MG COMPR. FILM. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 4.55 0.227500 0.194850 0.1753659 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 13.00 0.433333 0.389700 0.350730

10 A02BA02 RANITIDINUM RANITIDINA ATB 300 mg COMPR. FILM. 300mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 4.33 0.433000 0.389700 0.35073011 A02BA02 RANITIDINUM RANITIDINA ATB 300 mg COMPR. FILM. 300mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 8.66 0.433000 0.389700 0.35073012 A02BA02 RANITIDINUM ARNETIN SOL. INJ. 25mg/ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE X 2 ML P-RF 5 12.67 2.534000 1.678945 1.51105113 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 8.89 0.296333 0.194850 0.17536514 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 20mg COMPR. FILM. 20mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.86 0.195333 0.194850 0.17536515 A02BA03 FAMOTIDINUM QUAMATEL 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 9.45 0.337500 0.194850 0.17536516 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 7.72 0.257333 0.257333 0.23159917 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 12.31 0.410333 0.389700 0.35073018 A02BA03 FAMOTIDINUM QUAMATEL 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 9.45 0.675000 0.389700 0.35073019 A02BA03 FAMOTIDINUM QUAMATEL 20 mg PULB+SOLV. PT. SOL. INJ./PERF. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5 S/P-RF 5 24.64 4.928000 4.928000 4.43520020 A02BA04 NIZATIDINUM NIZATIDIN VIM SPECTRUM 150 mg CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 18.23 0.911500 0.194850 0.17536521 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 14.45 1.032142 0.676575 0.60891722 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 14.45 1.032142 0.676575 0.60891723 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 12.80 0.640000 0.640000 0.57600024 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 28 21.42 0.765000 0.676575 0.60891725 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 22.68 0.756000 0.676575 0.60891726 A02BC01 OMEPRAZOLUM OMEPRAZOL TERAPIA 20 mg CAPS. GASTROREZ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 22.53 0.751000 0.676575 0.60891727 A02BC01 OMEPRAZOLUM OMEPRAZOL ARENA 20 mg CAPS. GASTROREZ. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 22.02 0.734000 0.676575 0.60891728 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMEX 20 mg CAPS. GASTROREZ. 20mg FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 20.85 0.695000 0.676575 0.60891729 A02BC01 OMEPRAZOLUM NOVOGAST 20 mg CAPS. GASTROREZ. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L 20 15.04 0.752000 0.676575 0.60891730 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6L 10 6.49 0.649000 0.649000 0.58410031 A02BC01 OMEPRAZOLUM OMEPRAZOL OZONE 20 mg CAPS. GASTROREZ. 20mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ. P-6L 28 18.58 0.663571 0.663571 0.59721332 A02BC01 OMEPRAZOLUM OMEPRAZOL ROMPHARM 20 mg CAPS. GASTROREZ. 20mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 22.16 0.738666 0.676575 0.60891733 A02BC01 OMEPRAZOLUM ORTANOL 20 mg CAPS. GASTROREZ. 20mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 8.07 0.576428 0.576428 0.51878534 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L 14 10.06 0.718571 0.676575 0.60891735 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 20.79 0.742500 0.676575 0.60891736 A02BC01 OMEPRAZOLUM OMEZ 20mg CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L 30 21.42 0.714000 0.676575 0.60891737 A02BC01 OMEPRAZOLUM OMZATOL 20 mg CAPS. GASTROREZ. 20mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 14 10.71 0.765000 0.676575 0.60891738 A02BC01 OMEPRAZOLUM OMZATOL 20 mg CAPS. GASTROREZ. 20mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 28 21.42 0.765000 0.676575 0.60891739 A02BC01 OMEPRAZOLUM ORTANOL 40 mg CAPS. GASTROREZ. 40mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 7 8.03 1.147142 1.147142 1.03242740 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 33.19 2.370714 0.338287 0.30445841 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 24.96 3.565714 0.676575 0.608917

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM

DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE VALABILA INCEPAND CU

1 OCTOMBRIE 2012

Pagina 1 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

42 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 14.45 1.032142 0.676575 0.60891743 A02BC01 OMEPRAZOLUM LOSEC 40 mg LIOF. PT. SOL. PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 5 FLAC. X 45 MG LIOF. PT. SOL. PERF. S/P-RF 5 114.72 22.944000 20.649600 18.58464044 A02BC01 OMEPRAZOLUM OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA PULB. PT. SOL. PERF. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF. S/P-RF 1 16.22 16.220000 16.220000 14.59799945 A02BC01 OMEPRAZOLUM HELICID 40 INF PULB. PT. SOL. PERF. FARA CONCENTRATIE ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. S/P-RF 1 22.77 22.770000 20.649600 18.58464046 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 6.56 0.468571 0.338287 0.30445847 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 13.13 0.937857 0.676575 0.60891748 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 11.36 0.811428 0.676575 0.60891749 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 16.66 0.833000 0.676575 0.60891750 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 25.07 0.835666 0.835666 0.75209951 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L 30 25.07 0.835666 0.835666 0.75209952 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 25.07 0.835666 0.835666 0.75209953 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L 30 25.07 0.835666 0.835666 0.75209954 A03AA04 MEBEVERINUM COLOSPASMIN DRAJ. 100mg E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 9.03 0.451500 0.417833 0.37604955 A03AA05 TRIMEBUTINUM TRIMEBUTIN 100 COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.12 0.370666 0.370665 0.33359956 A03AA05 TRIMEBUTINUM COLPERIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 11.12 0.370666 0.370665 0.33359957 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 17.13 0.571000 0.370665 0.33359958 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 36.01 1.800500 1.112002 1.00080259 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 12.05 12.050000 12.050000 10.84500060 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.140681 0.12661361 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.39 0.269500 0.269500 0.24255062 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 1.16 0.029000 0.029000 0.02610063 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1.36 0.034000 0.030600 0.02754064 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.28 0.107000 0.030600 0.02754065 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID ARENA 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 1.39 0.034750 0.030600 0.02754066 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 2.85 2.850000 2.850000 2.56500067 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 8.69 8.690000 2.230071 2.00706468 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 10.03 2.006000 2.006000 1.80540069 A03FA03 DOMPERIDONUM MOTILIUM 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 12.31 1.231000 0.030600 0.02754070 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 124.28 1.242800 1.242800 1.11852071 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 71.49 1.429800 1.359112 1.22320172 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 68.77 1.375400 1.359112 1.22320173 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 54.19 0.903166 0.815468 0.73392174 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 35.88 1.794000 1.630936 1.46784275 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 136.52 2.730400 2.718225 2.44640276 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 268.17 2.681700 2.681700 2.41353077 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 97.49 97.490000 67.955690 61.16012178 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 10.37 10.370000 7.099085 6.38917679 A06AD11 LACTULOSUM DUPHALAC (R) LICHID ORAL 66,7% ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 10.37 10.370000 7.099085 6.38917680 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 10.42 10.420000 10.377223 9.33950181 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3.47 3.470000 3.459074 3.11316782 A06AD11 LACTULOSUM LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 17.23 17.230000 17.230000 15.50700083 A06AD11 LACTULOSUM LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 33.34 33.340000 33.340000 30.00600084 A06AD11 LACTULOSUM LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 7.09 7.090000 7.024582 6.32212385 A06AD11 LACTULOSUM LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 3.57 3.570000 3.565507 3.20895686 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 6.81 0.340500 0.340500 0.30645087 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 28.24 0.564800 0.564800 0.50832088 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 31.25 0.312500 0.312500 0.28125089 A07EC02 MESALAZINUM** PENTASA 1 g COMPR. CU ELIB. PREL. 1g FERRING GMBH GERMANIA CUTIE CU 6 BLIST. AL/AL X 10 COMPR. CU ELIB. PREL. P6L 60 197.11 3.285166 1.645732 1.48115990 A07EC02 MESALAZINUM** PENTASA COMPR. ELIB. PREL. 500mg FERRING GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 143.02 1.430200 0.822866 0.740579

Pagina 2 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

91 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 67.24 0.672400 0.411431 0.37028892 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 100 120.94 1.209400 0.822866 0.74057993 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 73.85 1.477000 0.822866 0.74057994 A07EC02 MESALAZINUM** MESALAZINA DUO 400 mg COMPR. GASTROREZISTENTE 400mg DUO FARMACEUTICI S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L 60 47.43 0.790500 0.658292 0.59246295 A07EC02 MESALAZINUM** MESALAZINA DUO 800 mg COMPR. GASTROREZISTENTE 800mg DUO FARMACEUTICI S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L 60 90.11 1.501833 1.316586 1.18492896 A07EC02 MESALAZINUM** MESALAZINA DUO 800 mg COMPR. GASTROREZISTENTE 800mg DUO FARMACEUTICI S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L 90 130.49 1.449888 1.316586 1.18492897 A07EC02 MESALAZINUM** PENTASA SUPOZ. 1g FERRING GMBH GERMANIA CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI P-6L 28 173.80 6.207142 6.207142 5.58642798 A07EC02 MESALAZINUM** SALOFALK 1 g SUPOZ. 1g DR. FALK PHARMA GMBH GERMANIA CUTIE CU FOLII TERMOSUDATE PVC/PE X 30 SUPOZ. P6L 30 223.62 7.454000 6.207142 5.58642799 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 21.74 2.174000 1.551780 1.396602100 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 36.00 3.600000 3.103571 2.793213101 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 7 169.61 24.230000 24.230000 21.807000102 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.53 0.217666 0.181166 0.163049103 B01AA07 ACENOCUMAROLUM SINTROM 4 mg COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.76 0.338000 0.338000 0.304200104 B01AC05 TICLOPIDINUM1) TICLODIN COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 35.53 1.776500 1.205445 1.084900105 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 33.37 1.668500 1.205445 1.084900106 B01AC05 TICLOPIDINUM1) TICLID (R) 250 mg COMPR. FILM. 250mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST PVC TRANSPARENT/AL X 10 COMPR. FILM. P-RF 20 12.82 0.641000 0.641000 0.576900107 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 11.77 2.354000 2.354000 2.118600108 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 8.58 0.286000 0.286000 0.257399109 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 12.08 0.402666 0.264668 0.238201110 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 21.49 0.716333 0.716333 0.644699111 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE P-6L 1 8.81 8.810000 8.810000 7.929000112 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 13.53 13.530000 11.115000 10.003500113 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 15.39 15.390000 11.115000 10.003500114 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 10.06 10.060000 7.410000 6.669000115 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 14.85 0.297000 0.297000 0.267300116 B03BB01 ACIDUM FOLICUM ACIFOL 5 mg COMPR. FILM. 5mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L 30 7.40 0.246666 0.246666 0.221999117 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 2.79 0.111600 0.111600 0.100440118 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0,5mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 6.64 1.328000 1.328000 1.195200119 C01BA01 CHINIDINI SULFAS CHINIDINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF 20 12.37 0.618500 0.618500 0.556650120 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.03 0.401500 0.362500 0.326250121 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 36.25 0.362500 0.362500 0.326250122 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF 20 49.98 2.499000 0.362500 0.326250123 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 32.02 0.640400 0.362500 0.326250124 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 18.71 0.374200 0.362500 0.326250125 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 7.49 0.374500 0.362500 0.326250126 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 34.95 0.349500 0.349500 0.314550127 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 18.09 0.361800 0.361800 0.325620128 C01BC03 PROPAFENONUM PROPANORM 300 mg COMPR. FILM. 300mg PRO. MED. CS PRAHA CEHIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 40.30 0.806000 0.725000 0.652500129 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 36.79 7.358000 7.358000 6.622199130 C01BD01 AMIODARONUM AMIODARONA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.99 0.366333 0.366333 0.329699131 C01BD01 AMIODARONUM AMIODARONA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 11.29 0.376333 0.371333 0.334199132 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 16.90 0.563333 0.371333 0.334199133 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 9.88 0.164666 0.124625 0.112162134 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 3.87 0.193500 0.115256 0.103730135 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 18.47 1.847000 1.847000 1.662300136 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 15.30 15.300000 15.300000 13.770000137 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 9.03 0.451500 0.159775 0.143798138 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 2.14 0.035666 0.035666 0.032099139 C01DA08 ISOSORBIDI DINITRAS ISODINIT(R) RETARD COMPR. ELIB. PREL. 20mg PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L 60 3.94 0.065666 0.065666 0.059099

Pagina 3 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

140 C01DA14 ISOSORBIDI MONONITRAS OLICARD 40 mg RETARD CAPS. ELIB. PREL. 40mg ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L 20 12.02 0.601000 0.239663 0.215697141 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 36.41 0.910250 0.359495 0.323546142 C01EA01 ALPROSTADILUM*** PRIDAX 20mcg CONC. PT. SOL. PERF. 20mcg GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF 5 328.95 65.790000 55.530750 49.977675143 C01EA01 ALPROSTADILUM*** VASAPROSTAN 20 LIOF. PT. SOL. PERF. 20mcg SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S/P-RF 10 521.11 52.111000 52.111000 46.899899144 C01EB15 TRIMETAZIDINUM TRIMETAZIDIN VIM SPECTRUM 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L 30 7.61 0.253666 0.253666 0.228299145 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. CU ELIB. PREL. P6L 30 16.72 0.557333 0.444353 0.399918146 C01EB15 TRIMETAZIDINUM APSTAR 35 mg COMPR. ELIB. PREL. 35mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL. P6L 60 33.41 0.556833 0.444353 0.399918147 C01EB15 TRIMETAZIDINUM TRIMELUZINE 35 mg COMPR. ELIB. PREL. 35mg LUPIN (EUROPE) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P6L 10 26.64 2.664000 0.444353 0.399918148 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 7.61 0.253666 0.253666 0.228299149 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 14.61 0.487000 0.253916 0.228524150 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 15.24 0.254000 0.253916 0.228524151 C01EB15 TRIMETAZIDINUM PREDUCTAL 20 mg COMPR. FILM. 20mg LES LABORATOIRES SERVIER FRANTA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P-6L 60 23.44 0.390666 0.253916 0.228524152 C01EB15 TRIMETAZIDINUM PREDUCTAL MR 35 mg 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 49.74 0.829000 0.444353 0.399918153 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 33.39 0.556500 0.444353 0.399918154 C01EB15 TRIMETAZIDINUM MODUXIN MR 35 mg COMPR. FILM. ELIB. PREL. 35mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.72 0.557333 0.444353 0.399918155 C01EB15 TRIMETAZIDINUM PREDUTRIM 20 mg/ml PIC. ORALE, SOL. 20mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 50 ML PIC. ORALE P6L 1 12.33 12.330000 12.330000 11.097000156 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 12.67 0.253400 0.253400 0.228060157 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 10.05 0.201000 0.201000 0.180900158 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 12.34 0.246800 0.217854 0.196069159 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 3.48 0.139200 0.139200 0.125280160 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 15.18 0.506000 0.506000 0.455400161 C03BA11 INDAPAMIDUM INDAPAMIDA TERAPIA 1,5 mg COMPR. CU ELIB. PRELUNGITA 1,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. CU ELIB. PREL. P-6L 30 13.30 0.443333 0.313949 0.282554162 C03BA11 INDAPAMIDUM INDAPAMIDA TERAPIA 2,5mg COMPR. CU ELIB. PRELUNGITA 2,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10COMPR. CU ELIB. PREL. P-6L 30 14.90 0.496666 0.496666 0.446999163 C03BA11 INDAPAMIDUM INDAPAMIDA MYLAN 1,5 mg COMPR. ELIB. PREL. 1,5 mg MYLAN S.A.S. FRANTA/GERMANIA CUTIE CU BLIST DIN PVC/AL X 30 COMPR. ELIB. PREL. P-6L 30 12.60 0.420000 0.313949 0.282554164 C03BA11 INDAPAMIDUM TERTENSIF (R) SR COMPR. ELIB. PREL. 1,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-6L 30 21.05 0.701666 0.313949 0.282554165 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 13.68 0.456000 0.313949 0.282554166 C03BA11 INDAPAMIDUM IDUREN SR 1,5 mg COMPR. ELIB. PREL. 1,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ELIB. PREL. P-6L 30 10.66 0.355333 0.313949 0.282554167 C03BA11 INDAPAMIDUM DIUREMID SR 1,5 mg COMPR. ELIB. PREL. 1,5mg GLENMARK PHARMACEUTICALS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 30 13.68 0.456000 0.313949 0.282554168 C03BA11 INDAPAMIDUM INDAPAMIDA TEVA 1,5 mg COMPR. ELIB. PREL. 1,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L 30 13.31 0.443666 0.313949 0.282554169 C03BA11 INDAPAMIDUM INDAPAMIDA SR TORRENT 1,5 mg COMPR. ELIB. PREL. 1,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L 30 13.68 0.456000 0.313949 0.282554170 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 15.07 0.502333 0.502333 0.452099171 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 14.90 0.496666 0.496666 0.446999172 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 9.11 0.455500 0.313949 0.282554173 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 13.68 0.456000 0.313949 0.282554174 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 11.71 0.390333 0.313949 0.282554175 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 13.16 0.438666 0.313949 0.282554176 C03BA11 INDAPAMIDUM INDAPAMID SR OZONE 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg OZONE LABORATORIES BV OLANDA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 7.84 0.392000 0.313949 0.282554177 C03BA11 INDAPAMIDUM INDAPAMIDA ACTAVIS 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA P-6L 30 13.68 0.456000 0.313949 0.282554178 C03BA11 INDAPAMIDUM REDITENS SR 1.5 mg COMPR. FILM. ELIB. PREL. 1,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.68 0.456000 0.313949 0.282554179 C03BA11 INDAPAMIDUM INDAPEN SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg J & P PHARMA UK. LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. PREL. P-6L 30 9.88 0.329333 0.313949 0.282554180 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.02 0.151000 0.151000 0.135900181 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.28 0.114000 0.114000 0.102600182 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.42 0.271000 0.151250 0.136125183 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 6.02 0.301000 0.151250 0.136125184 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.04 0.152000 0.151250 0.136125185 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.02 0.301000 0.151250 0.136125186 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6.07 1.214000 1.214000 1.092600187 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28.51 0.950333 0.884983 0.796485188 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 16.07 0.321400 0.221245 0.199121

Pagina 4 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

189 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA LPH 25 mg CAPS. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L 60 19.46 0.324333 0.221245 0.199121190 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16.72 0.557333 0.442491 0.398242191 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16.24 0.541333 0.442491 0.398242192 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.30 0.215000 0.215000 0.193500193 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.79 0.215800 0.215800 0.194220194 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16.21 0.324200 0.221245 0.199121195 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.30 0.215000 0.215000 0.193500196 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13.74 0.687000 0.442491 0.398242197 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUROCARD 50 mg/20 mg CAPS. 50mg/20 mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 31.48 1.049333 1.049333 0.944399198 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 23.31 1.165500 1.078374 0.970537199 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 10.25 0.512500 0.358732 0.322859200 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 20.54 0.410800 0.358732 0.322859201 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 33.83 0.676600 0.538099 0.484289202 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100 65.38 0.653800 0.538099 0.484289203 C04AD03 PENTOXIFYLLINUM VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L 50 33.65 0.673000 0.538099 0.484289204 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 6.13 0.306500 0.306500 0.275850205 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 22.42 0.560500 0.358732 0.322859206 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 17.21 0.860500 0.358732 0.322859207 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 6.13 0.306500 0.306500 0.275850208 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 60 18.40 0.306666 0.306666 0.275999209 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 16.46 0.823000 0.538099 0.484289210 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 10mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 25 COMPR. P-6L 50 3.25 0.065000 0.028324 0.025492211 C07AA05 PROPRANOLOLUM N - PROPRANOLOL 10 mg COMPR. 10mg SC MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 3.22 0.064400 0.028324 0.025492212 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.59 0.071800 0.028324 0.025492213 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.74 0.074000 0.028324 0.025492214 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.91 0.058200 0.028324 0.025492215 C07AA05 PROPRANOLOLUM PROPRANOLOL EEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.98 0.099600 0.099600 0.089640216 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.64 0.092800 0.092800 0.083520217 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.80 0.080000 0.080000 0.072000218 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.25 0.065000 0.065000 0.058500219 C07AA05 PROPRANOLOLUM PROPRANOLOL ARENA 40 mg COMPR. 40mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.98 0.099600 0.099600 0.089640220 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 11.62 0.581000 0.453194 0.407875221 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 58.44 0.584400 0.453194 0.407875222 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.17 0.558500 0.453194 0.407875223 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 26.93 0.538600 0.453194 0.407875224 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 54.63 0.546300 0.453194 0.407875225 C07AA07 SOTALOLUM DAROB (R) 80 mg COMPR. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PP/AL X 10 COMPR. P-6L 20 10.06 0.503000 0.226597 0.203937226 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 39.32 0.393200 0.226597 0.203937227 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 8.61 0.430500 0.226597 0.203937228 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 36.53 0.365300 0.226597 0.203937229 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 17.52 0.350400 0.226597 0.203937230 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L 30 14.05 0.468333 0.295885 0.266296231 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.94 0.364666 0.295885 0.266296232 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 6.56 0.328000 0.295885 0.266296233 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.12 0.237333 0.237333 0.213599234 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 9.12 0.304000 0.295885 0.266296235 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100 19.75 0.197500 0.197500 0.177750236 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 13.00 0.260000 0.260000 0.234000237 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.49 0.316333 0.295885 0.266296

Pagina 5 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

238 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.12 0.504000 0.295885 0.266296239 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.38 0.369000 0.295885 0.266296240 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.01 0.233666 0.233666 0.210299241 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.09 0.404500 0.295885 0.266296242 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.09 0.404500 0.295885 0.266296243 C07AB02 METOPROLOLUM METOPROLOL TARTRAT INTAS 100 mg COMPR. 100mg INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L 30 8.09 0.269666 0.269666 0.242699244 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 1.90 0.095000 0.073971 0.066574245 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1.90 0.095000 0.073971 0.066574246 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.095000 0.073971 0.066574247 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.095000 0.073971 0.066574248 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.27 0.175666 0.147942 0.133148249 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 3.51 0.175500 0.147942 0.133148250 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.158333 0.147942 0.133148251 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.27 0.175666 0.147942 0.133148252 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 8.40 0.084000 0.084000 0.075600253 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 7.09 0.141800 0.141800 0.127620254 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.27 0.175666 0.147942 0.133148255 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.06 0.235333 0.147942 0.133148256 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.45 0.172500 0.147942 0.133148257 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.27 0.175666 0.147942 0.133148258 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.51 0.175500 0.147942 0.133148259 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.51 0.175500 0.147942 0.133148260 C07AB02 METOPROLOLUM METOPROLOL TARTRAT INTAS 50 mg COMPR. 50mg INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L 30 5.27 0.175666 0.147942 0.133148261 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 11.12 0.556000 0.295885 0.266296262 C07AB02 METOPROLOLUM BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 25.70 0.856666 0.295885 0.266296263 C07AB02 METOPROLOLUM EMZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.70 0.556666 0.295885 0.266296264 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL. 190mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 21.20 0.757142 0.562182 0.505964265 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL. 47,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 9.51 0.339642 0.140545 0.126490266 C07AB02 METOPROLOLUM BETALOC (R) ZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 15.69 0.523000 0.147942 0.133148267 C07AB02 METOPROLOLUM EMZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 10.22 0.340666 0.147942 0.133148268 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL. 95mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 15.59 0.556785 0.281091 0.252982269 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 22.71 0.757000 0.562182 0.505964270 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 8.14 0.271333 0.140545 0.126490271 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 13.59 0.453000 0.281091 0.252982272 C07AB03 ATENOLOLUM ATENOCOR 100 mg COMPR. 100mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.83 0.361000 0.361000 0.324900273 C07AB03 ATENOLOLUM ATENOLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.04 0.352000 0.352000 0.316799274 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.26 0.313000 0.313000 0.281700275 C07AB03 ATENOLOLUM ATENOLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.26 0.313000 0.313000 0.281700276 C07AB03 ATENOLOLUM ATENOLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.93 0.196500 0.196500 0.176850277 C07AB03 ATENOLOLUM ATENOLOL MEDUMAN 50mg COMPR. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 3.70 0.185000 0.185000 0.166500278 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.50 0.225000 0.225000 0.202500279 C07AB03 ATENOLOLUM ATENOCOR 50 mg COMPR. 50mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.35 0.178333 0.178333 0.160499280 C07AB03 ATENOLOLUM ATENOLOL ARENA 50 MG COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.56 0.178000 0.178000 0.160200281 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 4.61 0.230500 0.230500 0.207450282 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 22.82 0.815000 0.443828 0.399445283 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 28 14.84 0.530000 0.443828 0.399445284 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 15.89 0.529666 0.443828 0.399445285 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.60 0.530000 0.443828 0.399445286 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 14 7.41 0.529285 0.443828 0.399445

Pagina 6 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

287 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.55 0.551666 0.443828 0.399445288 C07AB07 BISOPROLOLUM BISOPROLOL LPH 10mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 18.12 0.604000 0.443828 0.399445289 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.55 0.251666 0.221914 0.199722290 C07AB07 BISOPROLOLUM BISOPROLOL LPH 5mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 8.55 0.285000 0.221914 0.199722291 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 31.83 1.061000 0.443828 0.399445292 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 49.43 0.494300 0.443828 0.399445293 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 18.12 0.604000 0.443828 0.399445294 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 32.72 1.090666 0.443828 0.399445295 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 18.12 0.604000 0.443828 0.399445296 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 14.76 0.492000 0.110957 0.099861297 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 16.33 0.544333 0.221914 0.199722298 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 8.55 0.285000 0.221914 0.199722299 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 25.01 0.250100 0.221914 0.199722300 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22.31 0.743666 0.221914 0.199722301 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 8.55 0.285000 0.221914 0.199722302 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.74 0.291333 0.291333 0.262199303 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 29.94 1.069285 0.354299 0.318869304 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 12.48 0.445714 0.354299 0.318869305 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 13.30 0.443333 0.354299 0.318869306 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.36 0.445333 0.354299 0.318869307 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.72 0.336000 0.336000 0.302400308 C07AG02 CARVEDILOLUM GLADYCOR 12,5 mg COMPR. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 13.10 0.436666 0.354299 0.318869309 C07AG02 CARVEDILOLUM MIOCARVIL 12,5 mg COMPR. 12,5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 13.36 0.445333 0.354299 0.318869310 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 12.87 0.429000 0.354299 0.318869311 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,2 mg COMPR. 12,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.72 0.436000 0.354299 0.318869312 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 33.45 1.194642 0.708599 0.637739313 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 22.05 0.787500 0.708599 0.637739314 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 23.62 0.787333 0.708599 0.637739315 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.18 0.306000 0.306000 0.275400316 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.62 0.787333 0.708599 0.637739317 C07AG02 CARVEDILOLUM GLADYCOR 25 mg COMPR. 25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 23.00 0.766666 0.708599 0.637739318 C07AG02 CARVEDILOLUM MIOCARVIL 25 mg COMPR. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 23.62 0.787333 0.708599 0.637739319 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.57 0.652333 0.652333 0.587099320 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.72 0.786000 0.708599 0.637739321 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 16.46 0.587857 0.177149 0.159434322 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6,25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.44 0.230000 0.177149 0.159434323 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 6.89 0.229666 0.177149 0.159434324 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.89 0.229666 0.177149 0.159434325 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 6.89 0.229666 0.177149 0.159434326 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.56 0.228000 0.177149 0.159434327 C07AG02 CARVEDILOLUM GLADYCOR 6,25 mg COMPR. 6,25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.70 0.223333 0.177149 0.159434328 C07AG02 CARVEDILOLUM MIOCARVIL 6,25 mg COMPR. 6,25mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 6.89 0.229666 0.177149 0.159434329 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.44 0.214666 0.177149 0.159434330 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 13.93 0.464333 0.354299 0.318869331 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 24.30 0.810000 0.708599 0.637739332 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 9.06 0.302000 0.177149 0.159434333 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 29.68 0.989333 0.578399 0.520559334 C08CA01 AMLODIPINUM AMLOHEXAL 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559335 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 19.26 0.642000 0.578399 0.520559

Pagina 7 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

336 C08CA01 AMLODIPINUM VASOREX 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559337 C08CA01 AMLODIPINUM CARDILOPIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559338 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 10 mg COMPR. 10mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559339 C08CA01 AMLODIPINUM ALMACOR 10 mg COMPR. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559340 C08CA01 AMLODIPINUM EPLODIN 10 mg COMPR. 10mg EXTRACTUMPHARMA UNGARIA CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L 30 19.26 0.642000 0.578399 0.520559341 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 12.85 0.642500 0.578399 0.520559342 C08CA01 AMLODIPINUM AGEN 10 COMPR. 10mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559343 C08CA01 AMLODIPINUM ALOZUR 10 mg COMPR. 10mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559344 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 10 mg COMPR. 10mg ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 17.92 0.597333 0.578399 0.520559345 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 10 mg COMPR. 10mg ICN POLFA RZESZOW POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 32.13 0.642600 0.578399 0.520559346 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 10 mg COMPR. 10mg ICN POLFA RZESZOW POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S 100 62.21 0.622100 0.578399 0.520559347 C08CA01 AMLODIPINUM AMLODIPINA LPH 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559348 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 14.67 0.523928 0.523928 0.471535349 C08CA01 AMLODIPINUM AMLODIPINA BLUEFISH 10 mg COMPR. 10mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 10.96 0.365333 0.365333 0.328799350 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 10 mg COMPR. 10mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.28 0.642666 0.578399 0.520559351 C08CA01 AMLODIPINUM AMLODIPINA HELCOR 10 mg COMPR. 10mg HELCOR S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 12.87 0.643500 0.578399 0.520559352 C08CA01 AMLODIPINUM AMLODIPINA TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 19.31 0.643666 0.578399 0.520559353 C08CA01 AMLODIPINUM AMLODIPINA TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L 30 19.31 0.643666 0.578399 0.520559354 C08CA01 AMLODIPINUM AMLODIPINA ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 7.04 0.234666 0.234666 0.211199355 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 12.85 0.642500 0.578399 0.520559356 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 19.94 0.664666 0.289199 0.260279357 C08CA01 AMLODIPINUM AMLOHEXAL 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 11.37 0.379000 0.289199 0.260279358 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 11.40 0.380000 0.289199 0.260279359 C08CA01 AMLODIPINUM VASOREX 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.37 0.379000 0.289199 0.260279360 C08CA01 AMLODIPINUM CARDILOPIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 11.37 0.379000 0.289199 0.260279361 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 5 mg COMPR. 5mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.89 0.263000 0.263000 0.236700362 C08CA01 AMLODIPINUM ALMACOR 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11.36 0.378666 0.289199 0.260279363 C08CA01 AMLODIPINUM EPLODIN 5 mg COMPR. 5mg EXTRACTUMPHARMA UNGARIA CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L 30 11.37 0.379000 0.289199 0.260279364 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 7.44 0.372000 0.289199 0.260279365 C08CA01 AMLODIPINUM AGEN 5 COMPR. 5mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 11.25 0.375000 0.289199 0.260279366 C08CA01 AMLODIPINUM ALOZUR 5 mg COMPR. 5mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 11.02 0.367333 0.289199 0.260279367 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 5 mg COMPR. 5mg ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 9.63 0.321000 0.289199 0.260279368 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 5 mg COMPR. 5mg ICN POLFA RZESZOW POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 18.94 0.378800 0.289199 0.260279369 C08CA01 AMLODIPINUM AMLODIPINE VALEANT 5 mg COMPR. 5mg ICN POLFA RZESZOW POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S 100 36.68 0.366800 0.289199 0.260279370 C08CA01 AMLODIPINUM AMLODIPINA LPH 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.37 0.379000 0.289199 0.260279371 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 8.75 0.312500 0.289199 0.260279372 C08CA01 AMLODIPINUM AMLODIPINA BLUEFISH 5 mg COMPR. 5mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 9.00 0.300000 0.289199 0.260279373 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.89 0.263000 0.263000 0.236700374 C08CA01 AMLODIPINUM AMLODIPINA HELCOR 5 mg COMPR. 5mg HELCOR S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 8.63 0.431500 0.289199 0.260279375 C08CA01 AMLODIPINUM AMLODIPINA TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.82 0.360666 0.289199 0.260279376 C08CA01 AMLODIPINUM AMLODIPINA TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L 30 10.82 0.360666 0.289199 0.260279377 C08CA01 AMLODIPINUM AMLODIPINA ACCORD 5 mg COMPR. 5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 6.35 0.211666 0.211666 0.190499378 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 7.58 0.379000 0.289199 0.260279379 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 50.21 1.673666 0.578399 0.520559380 C08CA02 FELODIPINUM FELODIPIN AL 10 mg COMPR. ELIB. PREL. 10mg ALIUD PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL. P-6L 30 45.73 1.524333 0.578399 0.520559381 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 2,5mg ASTRAZENECA AB SUEDIA CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 22.26 0.742000 0.144599 0.130139382 C08CA02 FELODIPINUM FELODIPIN AL 2,5 mg COMPR. ELIB. PREL. 2,5mg ALIUD PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL. P-6L 30 20.68 0.689333 0.144599 0.130139383 C08CA02 FELODIPINUM FELODIPIN AL 2,5 mg COMPR. ELIB. PREL. 2,5mg ALIUD PHARMA GMBH & CO. KG GERMANIA CUTIE CU 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL. P-6L 50 33.34 0.666800 0.144599 0.130139384 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 28.37 0.945666 0.289199 0.260279

Pagina 8 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

385 C08CA02 FELODIPINUM FELODIPIN AL 5 mg COMPR. ELIB. PREL. 5mg ALIUD PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL. P-6L 30 29.55 0.985000 0.289199 0.260279386 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 30.42 1.014000 0.578399 0.520559387 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 14.47 0.482333 0.144599 0.130139388 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 18.43 0.614333 0.289199 0.260279389 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 42.57 1.419000 0.578399 0.520559390 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 33.56 1.118666 0.578399 0.520559391 C08CA02 FELODIPINUM FELODIPIN SANDOZ 10 mg COMPR. FILM. ELIB. PREL. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 30.52 1.017333 0.578399 0.520559392 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 16.47 0.549000 0.144599 0.130139393 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 8.61 0.287000 0.144599 0.130139394 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 26.66 0.888666 0.289199 0.260279395 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 17.21 0.573666 0.289199 0.260279396 C08CA02 FELODIPINUM FELODIPIN SANDOZ 5 mg COMPR. FILM. ELIB. PREL. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.69 0.523000 0.289199 0.260279397 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 29.88 1.067142 0.289199 0.260279398 C08CA05 NIFEDIPINUM ADALAT CR 30 COMPR. ELIB. MODIF. 30mg BAYER PHARMA AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L 28 29.88 1.067142 0.289199 0.260279399 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 9.26 0.185200 0.185200 0.166680400 C08CA05 NIFEDIPINUM EPILAT RETARD DRAJ. RET. 20mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ. P-6L 20 4.81 0.240500 0.192799 0.173519401 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 17.09 0.170900 0.108397 0.097557402 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 21.02 0.210200 0.210200 0.189180403 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 10.51 0.210200 0.210200 0.189180404 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 15.30 0.306000 0.216794 0.195115405 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 22.60 0.753333 0.650384 0.585346406 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 19.91 0.995500 0.650384 0.585346407 C08DA01 VERAPAMILUM VERAPAMIL 40 mg DRAJ. 40mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 11.82 0.236400 0.108397 0.097557408 C08DA01 VERAPAMILUM VERAPAMIL 80 mg DRAJ. 80mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 17.32 0.346400 0.216794 0.195115409 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 12.40 0.413333 0.268975 0.242077410 C08DB01 DILTIAZEMUM DILTIAZEM EIPICO 60 mg COMPR. 60mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.39 0.269500 0.268975 0.242077411 C08DB01 DILTIAZEMUM DILTIAZEM LPH 60 mg COMPR. 60mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.39 0.269500 0.268975 0.242077412 C08DB01 DILTIAZEMUM DILTIAZEM ARENA 60 mg COMPR. 60mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR. P-6L 50 13.37 0.267400 0.267400 0.240660413 C08DB01 DILTIAZEMUM DILTIAZEM BIOEEL 60 mg COMPR. 60mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR. P-6L 20 5.39 0.269500 0.268975 0.242077414 C08DB01 DILTIAZEMUM DILTIAZEM BIOEEL 60 mg COMPR. 60mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10 COMPR. P-6L 50 13.37 0.267400 0.267400 0.240660415 C08DB01 DILTIAZEMUM CORZEM 120 COMPR. FILM. 120mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 12.84 1.284000 0.537950 0.484155416 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 15.38 0.512666 0.403462 0.363116417 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.41 0.113666 0.049664 0.044698418 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.10 0.136666 0.099329 0.089396419 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.02 0.151000 0.099329 0.089396420 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.28 0.114000 0.099329 0.089396421 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.42 0.114000 0.099329 0.089396422 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.42 0.114000 0.099329 0.089396423 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.64 0.154666 0.099329 0.089396424 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.28 0.114000 0.099329 0.089396425 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.67 0.133500 0.133500 0.120150426 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.67 0.222333 0.198659 0.178793427 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.87 0.193500 0.193500 0.174150428 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.67 0.133500 0.133500 0.120150429 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.50 0.150000 0.150000 0.135000430 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.93 0.131000 0.131000 0.117900431 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.39 0.219500 0.198659 0.178793432 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.39 0.219500 0.198659 0.178793433 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.96 0.198000 0.198000 0.178200

Pagina 9 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

434 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 4.39 0.219500 0.198659 0.178793435 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 4.39 0.219500 0.198659 0.178793436 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.39 0.219500 0.198659 0.178793437 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 4.39 0.219500 0.198659 0.178793438 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 6.59 0.219666 0.198659 0.178793439 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10.52 0.375714 0.198659 0.178793440 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7.30 0.365000 0.198659 0.178793441 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.87 0.229000 0.198659 0.178793442 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.25 0.225000 0.198659 0.178793443 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 22.02 0.220200 0.198659 0.178793444 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 11.28 0.564000 0.198659 0.178793445 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 4.10 0.205000 0.198659 0.178793446 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.94 0.397000 0.397000 0.357300447 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10.18 0.509000 0.397319 0.357587448 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 8.75 0.437500 0.397319 0.357587449 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7.94 0.397000 0.397000 0.357300450 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.12 0.356000 0.356000 0.320400451 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 11.62 0.387333 0.387333 0.348599452 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 17.12 0.611428 0.397319 0.357587453 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 11.11 0.555500 0.397319 0.357587454 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11.12 0.370666 0.370666 0.333599455 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 16.43 0.328600 0.328600 0.295740456 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 20 mg COMPR. 20mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 7.92 0.396000 0.396000 0.356400457 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.67 0.183500 0.099329 0.089396458 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.67 0.183500 0.099329 0.089396459 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.67 0.183500 0.099329 0.089396460 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 5.25 0.175000 0.099329 0.089396461 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 3.67 0.183500 0.099329 0.089396462 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.87 0.281071 0.099329 0.089396463 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 3.84 0.192000 0.099329 0.089396464 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3.93 0.196500 0.099329 0.089396465 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.58 0.186000 0.099329 0.089396466 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.65 0.182500 0.099329 0.089396467 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 5 mg COMPR. 5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 3.67 0.183500 0.099329 0.089396468 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 15.45 3.090000 3.090000 2.781000469 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.98 0.499333 0.198659 0.178793470 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.74 0.537000 0.198659 0.178793471 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.31 0.343666 0.198659 0.178793472 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.61 0.287000 0.198659 0.178793473 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.44 0.481333 0.198659 0.178793474 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12.87 0.429000 0.198659 0.178793475 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.27 0.313500 0.198659 0.178793476 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.72 0.324000 0.198659 0.178793477 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 15.47 0.552500 0.198659 0.178793478 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.75 0.312500 0.049664 0.044698479 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 23.11 0.770333 0.397319 0.357587480 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 15.65 0.782500 0.397319 0.357587481 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.05 0.501666 0.397319 0.357587482 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 12.93 0.431000 0.397319 0.357587

Pagina 10 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

483 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.44 0.722000 0.397319 0.357587484 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 23.37 0.779000 0.397319 0.357587485 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 7.43 0.743000 0.397319 0.357587486 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.48 0.782666 0.397319 0.357587487 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 22.90 0.817857 0.397319 0.357587488 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 13.81 1.381000 0.794639 0.715175489 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 39.31 1.310333 0.794639 0.715175490 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.64 0.254666 0.099329 0.089396491 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.15 0.238333 0.099329 0.089396492 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.50 0.216666 0.099329 0.089396493 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.67 0.289000 0.099329 0.089396494 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 7.37 0.245666 0.099329 0.089396495 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 9.28 0.331428 0.099329 0.089396496 C09AA05 RAMIPRILUM VIVOKAR 10 mg CAPS. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-6L 30 24.95 0.831666 0.794639 0.715175497 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 23.28 0.831428 0.794639 0.715175498 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 23.28 0.831428 0.794639 0.715175499 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 24.95 0.831666 0.794639 0.715175500 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 24.93 0.831000 0.794639 0.715175501 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 23.28 0.831428 0.794639 0.715175502 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 23.28 0.831428 0.794639 0.715175503 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 10.51 0.525500 0.525500 0.472950504 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 34.64 1.237142 0.794639 0.715175505 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 7.46 0.266428 0.198659 0.178793506 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 9.37 0.334642 0.198659 0.178793507 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 10.05 0.335000 0.198659 0.178793508 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.02 0.334000 0.198659 0.178793509 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9.37 0.334642 0.198659 0.178793510 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9.37 0.334642 0.198659 0.178793511 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.41 0.514642 0.198659 0.178793512 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 10.15 0.362500 0.362500 0.326250513 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10.17 0.363214 0.363214 0.326892514 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 10.83 0.361000 0.361000 0.324900515 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.85 0.361666 0.361666 0.325499516 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 10.17 0.363214 0.363214 0.326892517 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10.17 0.363214 0.363214 0.326892518 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 7.09 0.354500 0.354500 0.319050519 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 15.62 0.557857 0.397319 0.357587520 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 6.89 0.229666 0.099329 0.089396521 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 33.00 1.100000 0.794639 0.715175522 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 11.23 0.374333 0.198659 0.178793523 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 20.51 0.683666 0.397319 0.357587524 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 11.69 0.389666 0.132439 0.119195525 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 7.60 0.253333 0.132439 0.119195526 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 16.75 0.558333 0.264879 0.238391527 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 15.05 0.501666 0.264879 0.238391528 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 44.09 1.469666 0.529759 0.476783529 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 8.20 0.273333 0.066219 0.059597530 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 7.61 0.253666 0.066219 0.059597531 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 20.83 0.743928 0.132439 0.119195

Pagina 11 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

532 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 14.76 0.492000 0.132439 0.119195533 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 14.76 0.492000 0.132439 0.119195534 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 28.58 1.020714 0.264879 0.238391535 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 18.89 0.629666 0.264879 0.238391536 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 25.61 0.853666 0.264879 0.238391537 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 25.61 0.853666 0.264879 0.238391538 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 8.89 0.444500 0.444500 0.400050539 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 9.82 0.491000 0.485399 0.436859540 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 7.95 0.397500 0.397500 0.357750541 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 8.88 0.296000 0.296000 0.266399542 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 11.82 0.394000 0.394000 0.354600543 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL 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 23.22 0.829285 0.485399 0.436859544 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 13.27 0.442333 0.442333 0.398099545 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 2,5mg/12,5mg COMPR. 2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 8.58 0.286000 0.286000 0.257399546 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TRITACE 2,5 PLUS COMPR. 2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 24.59 0.878214 0.485399 0.436859547 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL 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 29.45 1.051785 0.485399 0.436859548 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 20.15 0.671666 0.485399 0.436859549 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 5mg/25mg COMPR. 5mg/25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 18.21 0.607000 0.485399 0.436859550 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TRITACE 5 PLUS COMPR. 5mg/25mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 28.95 1.033928 0.485399 0.436859551 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 33.41 1.113666 1.113666 1.002299552 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 33.41 1.113666 1.113666 1.002299553 C09CA01 LOSARTANUM LOZAP 100 COMPR. FILM. 100mg ZENTIVA A.S. SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 37.61 1.253666 1.253666 1.128299554 C09CA01 LOSARTANUM LORISTA 100 mg COMPR. FILM. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 32.76 1.170000 1.170000 1.053000555 C09CA01 LOSARTANUM TALOSAN 12,5 mg COMPR. FILM. 12,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 4.25 0.141666 0.141666 0.127499556 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 7.81 0.260333 0.260333 0.234299557 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 7.81 0.260333 0.260333 0.234299558 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 17.92 0.597333 0.597333 0.537599559 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 17.92 0.597333 0.597333 0.537599560 C09CA01 LOSARTANUM LOSARTAN FARMAL 50 mg COMPR. FILM. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM. P-6L 28 17.89 0.638928 0.637499 0.573749561 C09CA01 LOSARTANUM LOZAP 50 COMPR. FILM. 50mg ZENTIVA A.S. SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 19.63 0.654333 0.637499 0.573749562 C09CA01 LOSARTANUM COZAAR 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 64.56 2.305714 0.637499 0.573749563 C09CA01 LOSARTANUM LORISTA 50 mg COMPR. FILM. 50mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 18.00 0.642857 0.637499 0.573749564 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM. 10 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 8.75 0.312500 0.253792 0.228413565 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 8.75 0.312500 0.253792 0.228413566 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 9.37 0.312333 0.253792 0.228413567 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 4.38 0.312857 0.253792 0.228413568 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 8.75 0.312500 0.253792 0.228413569 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 13.45 0.480357 0.253792 0.228413570 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 9.35 0.311666 0.253792 0.228413571 C10AA01 SIMVASTATINUM VASILIP 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 8.74 0.312142 0.253792 0.228413572 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 9.37 0.312333 0.253792 0.228413573 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 8.75 0.312500 0.253792 0.228413574 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 9.35 0.311666 0.253792 0.228413575 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 9.26 0.308666 0.253792 0.228413576 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 10 mg COMPR. FILM. 10mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 5.56 0.185333 0.185333 0.166799577 C10AA01 SIMVASTATINUM RANVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 4.24 0.302857 0.253792 0.228413578 C10AA01 SIMVASTATINUM RANVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 8.47 0.302500 0.253792 0.228413579 C10AA01 SIMVASTATINUM RANVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 9.37 0.312333 0.253792 0.228413580 C10AA01 SIMVASTATINUM SIMVASTATINA SUN 10 mg COMPR. FILM. 10mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 8.46 0.302142 0.253792 0.228413

Pagina 12 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

581 C10AA01 SIMVASTATINUM SIMVACARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 8.74 0.312142 0.253792 0.228413582 C10AA01 SIMVASTATINUM SIMVASTATINA ALVOGEN 10 mg COMPR. FILM. 10mg ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 9.37 0.312333 0.253792 0.228413583 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 9.21 0.307000 0.253792 0.228413584 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 20 mg COMPR. FILM. 20 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 16.55 0.591071 0.507584 0.456826585 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 16.55 0.591071 0.507584 0.456826586 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 17.75 0.591666 0.507584 0.456826587 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 16.56 0.591428 0.507584 0.456826588 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 8.27 0.590714 0.507584 0.456826589 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 12.74 0.910000 0.507584 0.456826590 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 25.45 0.908928 0.507584 0.456826591 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 17.69 0.589666 0.507584 0.456826592 C10AA01 SIMVASTATINUM VASILIP 20 mg COMPR. FILM. 20mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 16.55 0.591071 0.507584 0.456826593 C10AA01 SIMVASTATINUM SIMCOR 20 mg COMPR. FILM. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 17.73 0.591000 0.507584 0.456826594 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 17.73 0.591000 0.507584 0.456826595 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 44.47 1.588214 0.507584 0.456826596 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM P-6L 28 13.11 0.468214 0.468214 0.421392597 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 14.05 0.468333 0.468333 0.421499598 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 17.73 0.591000 0.507584 0.456826599 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 20 mg COMPR. FILM. 20mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 13.61 0.486071 0.486071 0.437463600 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 20 mg COMPR. FILM. 20mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 14.58 0.486000 0.486000 0.437400601 C10AA01 SIMVASTATINUM RANVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 7.90 0.564285 0.507584 0.456826602 C10AA01 SIMVASTATINUM RANVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 15.79 0.563928 0.507584 0.456826603 C10AA01 SIMVASTATINUM RANVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 14.05 0.468333 0.468333 0.421499604 C10AA01 SIMVASTATINUM SIMVASTATINA SUN 20 mg COMPR. FILM. 20mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 15.78 0.563571 0.507584 0.456826605 C10AA01 SIMVASTATINUM SIMVACARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 16.55 0.591071 0.507584 0.456826606 C10AA01 SIMVASTATINUM SIMVASTATINA ALVOGEN 20 mg COMPR. FILM. 20mg ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 16.84 0.561333 0.507584 0.456826607 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 17.46 0.582000 0.507584 0.456826608 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 21.09 0.703000 0.703000 0.632699609 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 40 mg COMPR. FILM. 40 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 29.88 1.067142 1.015169 0.913652610 C10AA01 SIMVASTATINUM VASILIP (R) 40 mg COMPR. FILM. 40mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L 28 29.86 1.066428 1.015169 0.913652611 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 44.47 1.588214 1.015169 0.913652612 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 22.99 1.642142 1.015169 0.913652613 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 29.88 1.067142 1.015169 0.913652614 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 14.93 1.066428 1.015169 0.913652615 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 29.88 1.067142 1.015169 0.913652616 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 31.99 1.066333 1.015169 0.913652617 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 31.99 1.066333 1.015169 0.913652618 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 10.66 1.066000 1.015169 0.913652619 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 31.99 1.066333 1.015169 0.913652620 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 67.54 2.412142 1.015169 0.913652621 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 31.99 1.066333 1.015169 0.913652622 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 40 mg COMPR. FILM. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 21.56 0.770000 0.770000 0.693000623 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 40 mg COMPR. FILM. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 23.11 0.770333 0.770333 0.693299624 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 40 mg COMPR. FILM. 40mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 31.99 1.066333 1.015169 0.913652625 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 14 15.01 1.072142 1.015169 0.913652626 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 30.03 1.072500 1.015169 0.913652627 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 18.54 0.618000 0.618000 0.556200628 C10AA01 SIMVASTATINUM RANVOR 40 mg COMPR. FILM. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 15.01 1.072142 1.015169 0.913652629 C10AA01 SIMVASTATINUM RANVOR 40 mg COMPR. FILM. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 23.14 0.771333 0.771333 0.694199

Pagina 13 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

630 C10AA01 SIMVASTATINUM SIMVASTATINA SUN 40 mg COMPR. FILM. 40mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 29.83 1.065357 1.015169 0.913652631 C10AA01 SIMVASTATINUM SIMVASTATINA ALVOGEN 40 mg COMPR. FILM. 40mg ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 23.14 0.771333 0.771333 0.694199632 C10AA01 SIMVASTATINUM SIMVACARD 40 mg COMPR. FILM. 40mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 30.03 1.072500 1.015169 0.913652633 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 40 mg COMPR. FILM. 40mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 31.51 1.050333 1.015169 0.913652634 C10AA01 SIMVASTATINUM RANVOR 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 2.45 0.175000 0.126895 0.114206635 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 54.32 1.810666 1.810666 1.629599636 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 80 mg COMPR. FILM. 80mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 56.17 1.872333 1.872333 1.685099637 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 67.59 0.675900 0.338389 0.304550638 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 14.44 1.444000 0.338389 0.304550639 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 20.79 0.693000 0.338389 0.304550640 C10AA02 LOVASTATINUM LOVASTATINA BIOGALENICA 20 mg COMPR. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 25.87 0.862333 0.338389 0.304550641 C10AA02 LOVASTATINUM MEDOSTATIN 40 mg COMPR. 40mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 47.66 1.588666 0.676779 0.609101642 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 17.21 0.614642 0.253792 0.228413643 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 22.45 0.801785 0.507584 0.456826644 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 35.52 1.268571 1.015169 0.913652645 C10AB05 FENOFIBRATUM LIPANTHYL (R) 100 CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS. P-6L 48 20.74 0.432083 0.432083 0.388874646 C10AB05 FENOFIBRATUM LIPOFIB 160 mg CAPS. 160mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.89 0.896333 0.714133 0.642719647 C10AB05 FENOFIBRATUM FENOLIP 160 mg CAPS. 160mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 CAPS. P6L 30 26.44 0.881333 0.714133 0.642719648 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. 200mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-6L 10 13.56 1.356000 0.892666 0.803399649 C10AB05 FENOFIBRATUM LIPOFIB 200 mg CAPS. 200mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 27.83 0.927666 0.892666 0.803399650 C10AB05 FENOFIBRATUM LIPOFIB 267 mg CAPS. 267mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 33.54 1.118000 1.118000 1.006200651 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 17.60 0.880000 0.880000 0.792000652 C10AB05 FENOFIBRATUM LIPIVIM CAPS. PULB. MICRONIZATA 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.43 0.881000 0.881000 0.792900653 C10AB05 FENOFIBRATUM TRIGLIPO 160 mg COMPR. 160mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 26.87 0.895666 0.714133 0.642719654 C10AB05 FENOFIBRATUM LIPANTIL NANO 145 mg COMPR. FILM. 145mg LAB. FOURNIER S.A. FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 34.74 1.158000 0.647183 0.582464655 C10AB05 FENOFIBRATUM FENOFIBRAT TEVA 160 mg COMPR. FILM. 160mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 26.89 0.896333 0.714133 0.642719656 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 10 13.81 1.381000 0.714133 0.642719657 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 30 40.04 1.334666 0.714133 0.642719658 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 8.57 8.570000 8.570000 7.713000659 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 6.83 6.830000 5.926500 5.333850660 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 9.51 9.510000 8.889750 8.000775661 D06BB03 ACICLOVIRUM ACICLOVIR 50mg/g CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 7.60 7.600000 6.050250 5.445225662 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 21.06 21.060000 2.016750 1.815075663 D06BB03 ACICLOVIRUM ACICLOVIR 50mg/g CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 4.98 4.980000 2.016750 1.815075664 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 6.39 6.390000 4.840200 4.356180665 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 7.33 7.330000 6.050250 5.445225666 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 4.70 4.700000 4.700000 4.230000667 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF 1 6.72 6.720000 6.050250 5.445225668 D06BB03 ACICLOVIRUM ACICLOVIR TERAPIA 50 mg/g CREMA 50mg/g TERAPIA S.A. ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 6.72 6.720000 6.050250 5.445225669 D07AA02 HYDROCORTISONUM HIDROCORTIZON 1% UNGUENT 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 7.40 7.400000 7.400000 6.660000670 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 5.96 5.960000 3.570000 3.213000671 D07AC01 BETAMETHASONUM EKARZIN 0,5MG/G CREMA 0,5mg/g ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 7.40 7.400000 7.400000 6.660000672 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 5.96 5.960000 3.570000 3.213000673 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 5.96 0.993333 0.993333 0.893999674 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 5.72 1.906666 1.906666 1.715999675 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 19.37 19.370000 13.614749 12.253274676 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 13.93 13.930000 13.614749 12.253274677 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 9.00 0.600000 0.436370 0.392733678 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 18.00 3.600000 2.618221 2.356399

Pagina 14 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

679 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 5.95 1.190000 1.190000 1.071000680 G03BA03 TESTOSTERONUM* UNDESTOR TESTOCAPS 40 mg CAPS. MOI 40mg N.V. ORGANON OLANDA CUTIE X 6 PLICURI DIN PES-AL-PE X 1 BLIST. AL/PVC X 10 CAPS. MOI P-RF 60 47.33 0.788833 0.788833 0.709949681 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 30 223.35 7.445000 7.445000 6.700500682 G03BA03 TESTOSTERONUM* NEBIDO 1000 mg/4 ml SOL. INJ. 1000mg/4ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ. S/P-RF 1 484.53 484.530000 484.530000 436.077000683 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 29.40 29.400000 10.252796 9.227516684 G03CA03 ESTRADIOLUM* OESTROGEL 0,6 mg/g GEL 0,6mg/g LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN P-6L 1 16.61 16.610000 9.842684 8.858415685 G03CA03 ESTRADIOLUM* CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 33.33 8.332500 8.332500 7.499250686 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 10.18 0.339333 0.202537 0.182283687 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 10.18 0.339333 0.202537 0.182283688 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 17.07 0.569000 0.405074 0.364567689 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 17.07 0.569000 0.405074 0.364567690 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 30.86 1.028666 0.810149 0.729134691 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 30.86 1.028666 0.810149 0.729134692 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) 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 46.49 1.660357 0.810149 0.729134693 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) 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 46.49 1.660357 0.810149 0.729134694 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 37.34 1.244666 0.810149 0.729134695 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 37.34 1.244666 0.810149 0.729134696 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.81 8.810000 8.018749 7.216874697 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 31.02 31.020000 31.020000 27.918000698 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.65 0.132500 0.083583 0.075224699 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.62 0.087333 0.083583 0.075224700 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.47 0.082333 0.082333 0.074099701 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.71 0.123666 0.083583 0.075224702 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 2.57 0.128500 0.083583 0.075224703 H02AB09 HYDROCORTISONUM* HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. PRF 25 12.20 0.488000 0.488000 0.439200704 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. P-RF 1 3.91 3.910000 3.175199 2.857679705 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 3.91 3.910000 3.175199 2.857679706 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. P-RF 1 11.91 11.910000 11.910000 10.719000707 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 21.33 4.266000 0.793799 0.714419708 J01AA02 DOXYCYCLINUM DOXICICLINA ATB 100 mg CAPS. 100 mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 3.59 0.359000 0.323100 0.290790709 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.00 0.350000 0.323100 0.290790710 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.59 0.359000 0.323100 0.290790711 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.61 0.361000 0.323100 0.290790712 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 9.58 0.958000 0.323100 0.290790713 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.95 0.297500 0.279787 0.251808714 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.24 0.312000 0.279787 0.251808715 J01CA04 AMOXICILLINUM OSPAMOX 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS. P-RF/S 12 4.44 0.370000 0.279787 0.251808716 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.15 0.307500 0.279787 0.251808717 J01CA04 AMOXICILLINUM AMOXICILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.25 0.262500 0.262500 0.236250718 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.42 0.542000 0.481978 0.433780719 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 7.53 0.941250 0.481978 0.433780720 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.92 0.592000 0.481978 0.433780721 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 8.81 0.440500 0.440500 0.396450722 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS. P-RF 10 5.69 0.569000 0.481978 0.433780723 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 500 mg CAPSULE CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.92 0.492000 0.481978 0.433780724 J01CA04 AMOXICILLINUM OSPAMOX 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 12 11.63 0.969166 0.963957 0.867561725 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 5.69 0.474166 0.474166 0.426749726 J01CA04 AMOXICILLINUM AMOXICILINA TERAPIA 1 g COMPR. PT. DISP. ORALA 1g TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA P-RF 21 19.41 0.924285 0.924285 0.831856727 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 23.77 1.188500 0.963957 0.867561

Pagina 15 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

728 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 10.12 0.506000 0.279787 0.251808729 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 14.76 0.738000 0.481978 0.433780730 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 19.75 0.987500 0.722968 0.650671731 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 7.55 7.550000 2.797875 2.518087732 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 5.73 5.730000 1.678725 1.510852733 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 4.55 4.550000 1.678725 1.510852734 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 8.20 8.200000 5.595750 5.036175735 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 4.88 4.880000 3.357450 3.021705736 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 4.88 4.880000 3.357450 3.021705737 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 3.47 0.289166 0.289166 0.260249738 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 6.10 0.508333 0.440718 0.396646739 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 2.62 0.218333 0.146906 0.132215740 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 9.51 9.510000 0.195874 0.176287741 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI PULB. PT. SUSP. INJ. 1200000UI ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. P-RF 1 3.62 3.620000 2.935121 2.641609742 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI PULB. PT. SUSP. INJ. 1200000UI ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. S/P-RF 100 315.25 3.152500 2.935121 2.641609743 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.10 0.355000 0.291895 0.262705744 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.55 0.377500 0.291895 0.262705745 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.70 0.385000 0.291895 0.262705746 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.73 0.336500 0.291895 0.262705747 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 6.89 0.689000 0.583790 0.525411748 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 6.19 0.619000 0.583790 0.525411749 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.17 0.558500 0.558500 0.502650750 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 7.04 0.704000 0.583790 0.525411751 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF/S 100 289.43 2.894300 2.558825 2.302942752 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 3.33 3.330000 2.558825 2.302942753 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 100 448.06 4.480600 4.480600 4.032540754 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 5.33 5.330000 5.117650 4.605885755 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL. P-RF 28 44.84 1.601428 1.601428 1.441285756 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 39.13 2.795000 1.436383 1.292745757 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 40.71 2.907857 1.436383 1.292745758 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 500 mg/125mg COMPR. FILM. 500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 33.07 1.181071 0.820790 0.738711759 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500/125 mg COMPR. FILM. 500/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 10.83 0.773571 0.773571 0.696213760 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO P-RF 14 15.32 1.094285 0.820790 0.738711761 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 28.06 2.004285 0.820790 0.738711762 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 18.97 1.355000 1.355000 1.219500763 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO P-RF 14 26.35 1.882142 1.436383 1.292745764 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 25.07 1.790714 1.436383 1.292745765 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 16.53 1.180714 0.820790 0.738711766 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 14.90 14.900000 7.211383 6.490245767 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 11.69 11.690000 7.211383 6.490245768 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 22.11 22.110000 14.422767 12.980491769 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 6.46 6.460000 6.460000 5.814000770 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 12.93 12.930000 12.930000 11.637000771 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA P-RF 1 9.95 9.950000 8.076750 7.269075772 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 9.95 9.950000 8.076750 7.269075773 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 19.89 19.890000 16.153500 14.538150774 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 600 mg/42,9mg/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 34.30 34.300000 34.300000 30.869999775 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 250 mg/ 62,5 mg/5 ml PULB. PT.SUSP. ORALA 250 mg/ 62,5 mg/5 ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE P-RF 1 22.71 22.710000 14.422767 12.980491776 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 24.02 24.020000 14.422767 12.980491

Pagina 16 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

777 J01DB01 CEFALEXINUM CEFALEXINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.91 0.595500 0.444150 0.399735778 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 11.82 0.591000 0.444150 0.399735779 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 12 7.15 0.595833 0.444150 0.399735780 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 5.98 0.598000 0.444150 0.399735781 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 9.86 0.986000 0.888300 0.799470782 J01DB01 CEFALEXINUM CEFALEXINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 9.00 0.900000 0.888300 0.799470783 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ CAPS. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 10.02 1.002000 0.888300 0.799470784 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 15.79 1.315833 1.315833 1.184249785 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 11.88 0.990000 0.888300 0.799470786 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 6.19 6.190000 5.136250 4.622625787 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 7.61 7.610000 5.136250 4.622625788 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 6.93 6.930000 5.136250 4.622625789 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 10.48 10.480000 10.272500 9.245250790 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 9.65 9.650000 9.650000 8.685000791 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 9.63 9.630000 9.630000 8.667000792 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 18.55 1.855000 0.444150 0.399735793 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 13.45 1.345000 0.888300 0.799470794 J01DB05 CEFADROXILUM CEFADROXIL TERAPIA CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 9.51 0.951000 0.888300 0.799470795 J01DB05 CEFADROXILUM CEFORAN 500 mg CAPS. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 13.02 1.302000 0.888300 0.799470796 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 26.15 2.615000 1.776600 1.598940797 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 12.05 12.050000 5.136250 4.622625798 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 22.42 22.420000 10.272500 9.245250799 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 14.38 1.438000 1.355400 1.219860800 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 14.28 1.428000 1.355400 1.219860801 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 14.28 1.428000 1.355400 1.219860802 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 30.20 3.020000 2.710800 2.439720803 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 30.12 3.012000 2.710800 2.439720804 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 30.12 3.012000 2.710800 2.439720805 J01DC02 CEFUROXIMUM AXYCEF (R) 125 COMPR. ACOPERITE 125mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 9.82 0.982000 0.982000 0.883800806 J01DC02 CEFUROXIMUM AXYCEF (R) 250 COMPR. ACOPERITE 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 11.82 1.182000 1.182000 1.063800807 J01DC02 CEFUROXIMUM AXYCEF (R) 500 COMPR. ACOPERITE 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 20.22 2.022000 2.022000 1.819799808 J01DC02 CEFUROXIMUM ZINNAT (R) 125 mg COMPR. FILM. 125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 15.13 1.513000 1.283999 1.155600809 J01DC02 CEFUROXIMUM ZINNAT (R) 250 mg COMPR. FILM. 250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 16.61 1.661000 1.355400 1.219860810 J01DC02 CEFUROXIMUM ZINNAT (R) 500 mg COMPR. FILM. 500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 27.64 2.764000 2.710800 2.439720811 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 19.41 19.410000 12.839999 11.556000812 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 17.66 17.660000 17.660000 15.894000813 J01DC04 CEFACLORUM CECLODYNE 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 16.07 1.607000 0.677700 0.609930814 J01DC04 CEFACLORUM CEFACLOR ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 15.16 1.516000 0.677700 0.609930815 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 21.40 1.337500 0.677700 0.609930816 J01DC04 CEFACLORUM CEFACLOR TERAPIA 250 mg CAPS. 250mg TERAPIA SA ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF 15 13.81 0.920666 0.677700 0.609930817 J01DC04 CEFACLORUM CECLODYNE FORTE 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 29.55 2.955000 1.355400 1.219860818 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 28.55 1.784375 1.355400 1.219860819 J01DC04 CEFACLORUM CEFACLOR ARENA 500 mg CAPS. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 27.89 2.789000 1.355400 1.219860820 J01DC04 CEFACLORUM CEFACLOR TERAPIA 500 mg CAPS. 500mg TERAPIA SA ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF 15 32.67 2.178000 1.355400 1.219860821 J01DC04 CEFACLORUM CECLOR MR 500 mg COMPR. CU ELIB. PREL. 500mg ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL. PRF 10 26.19 2.619000 1.355400 1.219860822 J01DC04 CEFACLORUM CECLOR MR 750 mg COMPR. CU ELIB. PREL. 750mg ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL. PRF 10 35.79 3.579000 2.033100 1.829790823 J01DC04 CEFACLORUM CEFACLOR TERAPIA MR 375 COMPR. ELIB. PREL. 375mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 32.82 3.282000 1.016550 0.914895824 J01DC04 CEFACLORUM CEFACLOR TERAPIA MR 750 COMPR. ELIB. PREL. 750mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 55.59 5.559000 2.033100 1.829790825 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 35.49 3.549000 1.016550 0.914895

Pagina 17 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

826 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 46.90 4.690000 1.355400 1.219860827 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 66.58 6.658000 2.033100 1.829790828 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 16.73 16.730000 9.629999 8.667000829 J01DC04 CEFACLORUM CEFACLOR TERAPIA 125mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF 1 12.39 12.390000 9.629999 8.667000830 J01DC04 CEFACLORUM CEFACLOR TERAPIA 250mg/5ml GRAN. PT. SUSP. ORALA 250 mg/5 ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA P-RF 1 22.30 22.300000 19.259999 17.334000831 J01DC04 CEFACLORUM CEFACLOR TERAPIA 250mg/5ml GRAN. PT. SUSP. ORALA 250 mg/5 ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA P-RF 1 29.74 29.740000 25.679999 23.112000832 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 33.16 33.160000 19.259999 17.334000833 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 11.90 11.900000 9.629999 8.667000834 J01DC04 CEFACLORUM CEFAKLOR 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 9.09 9.090000 7.703999 6.933599835 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 21.40 21.400000 19.259999 17.334000836 J01DC04 CEFACLORUM CEFAKLOR 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 16.53 16.530000 15.407999 13.867199837 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 21.56 2.156000 1.752524 1.577272838 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 34.77 3.477000 3.477000 3.129299839 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.72 0.386000 0.284062 0.255656840 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 4.13 0.206500 0.206500 0.185850841 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 7.04 0.352000 0.284062 0.255656842 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.72 0.386000 0.284062 0.255656843 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 8.20 8.200000 3.853124 3.467812844 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 4.76 4.760000 4.760000 4.284000845 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.09 0.354500 0.354500 0.319050846 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.60 0.480000 0.429171 0.386254847 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.44 0.422000 0.422000 0.379799848 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 11.46 11.460000 11.460000 10.314000849 J01FA09 CLARITHROMYCINUM CLAXIRIT 500 mg COMPR. CU ELIB. PREL. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF 7 32.05 4.578571 2.145855 1.931270850 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 28.57 2.040714 1.072927 0.965635851 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 32.23 2.302142 1.072927 0.965635852 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 22.99 1.149500 1.072927 0.965635853 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 16.69 1.192142 1.072927 0.965635854 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 14.67 1.047857 1.047857 0.943071855 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 16.69 1.192142 1.072927 0.965635856 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 37.95 2.710714 2.145855 1.931270857 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 32.62 2.330000 2.145855 1.931270858 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 32.08 2.291428 2.145855 1.931270859 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 44.36 2.218000 2.145855 1.931270860 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 32.62 2.330000 2.145855 1.931270861 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 43.35 2.167500 2.145855 1.931270862 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 35.21 5.030000 2.145855 1.931270863 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 36.43 7.286000 2.145855 1.931270864 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 28.09 4.012857 2.145855 1.931270865 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 39.14 39.140000 28.410000 25.569000866 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 31.60 31.600000 28.410000 25.569000867 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 24.48 24.480000 17.046000 15.341400868 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 23.30 23.300000 17.046000 15.341400869 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 26.21 26.210000 17.046000 15.341400870 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 18.94 18.940000 17.046000 15.341400871 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 61.52 61.520000 56.820000 51.138000872 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 51.09 51.090000 51.090000 45.981000873 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 44.85 44.850000 34.092000 30.682800874 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 31.68 31.680000 31.680000 28.512000

Pagina 18 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

875 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 53.78 53.780000 25.576250 23.018625876 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 11.36 1.136000 1.136000 1.022400877 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 20.02 2.002000 1.189800 1.070820878 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 37.31 3.731000 0.237960 0.214164879 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 65.61 3.280500 0.237960 0.214164880 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 6.83 0.683000 0.594900 0.535410881 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 6.83 0.683000 0.594900 0.535410882 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 6.83 0.683000 0.594900 0.535410883 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 6.83 0.683000 0.594900 0.535410884 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 12.30 0.615000 0.594900 0.535410885 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 7.87 0.787000 0.594900 0.535410886 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 6.93 0.693000 0.594900 0.535410887 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.56 0.656000 0.594900 0.535410888 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.30 0.615000 0.594900 0.535410889 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.76 0.476000 0.476000 0.428400890 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 13.22 1.322000 1.189800 1.070820891 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 13.22 1.322000 1.189800 1.070820892 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 13.22 1.322000 1.189800 1.070820893 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 13.22 1.322000 1.189800 1.070820894 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 15.12 1.512000 1.189800 1.070820895 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 8.78 0.878000 0.878000 0.790200896 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.22 1.322000 1.189800 1.070820897 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.23 0.923000 0.923000 0.830700898 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 16.43 0.821500 0.821500 0.739350899 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.49 0.649000 0.594900 0.535410900 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 38.50 3.850000 1.784700 1.606230901 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 37.31 3.731000 1.784700 1.606230902 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 84.70 12.100000 2.379600 2.141640903 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 27.63 9.210000 1.189800 1.070820904 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 27.86 2.786000 1.189800 1.070820905 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 17.60 0.880000 0.660875 0.594787906 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 15.73 0.786500 0.660875 0.594787907 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 6.19 0.619000 0.619000 0.557100908 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 17.60 0.880000 0.660875 0.594787909 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 7.70 0.550000 0.550000 0.495000910 J01MA06 NORFLOXACINUM NOR QUIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S 20 17.60 0.880000 0.660875 0.594787911 J01MB02 ACIDUM NALIDIXICUM NALIXID 500 mg CAPS. 500mg ZENTIVA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 24.41 0.813666 0.813666 0.732299912 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.72 0.257333 0.257333 0.231599913 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.72 0.257333 0.257333 0.231599914 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 8.40 0.420000 0.341399 0.307259915 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 8.40 0.420000 0.341399 0.307259916 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 12 100.25 8.354166 8.354166 7.518749917 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 9.11 9.110000 8.632083 7.768874918 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 98.29 8.190833 8.190833 7.371749919 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 8.91 8.910000 8.632083 7.768874920 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 48.92 4.892000 4.316041 3.884437921 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 48.37 4.837000 4.316041 3.884437922 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 278.47 13.923500 4.316041 3.884437923 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.95 7.950000 7.949999 7.154999

Pagina 19 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

924 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.95 7.950000 7.949999 7.154999925 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 20.48 2.048000 0.803000 0.722700926 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 8.03 0.803000 0.803000 0.722700927 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.87 0.687000 0.687000 0.618300928 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 12.62 1.262000 0.803000 0.722700929 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 9.17 0.917000 0.803000 0.722700930 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 236.41 8.443214 4.152855 3.737570931 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 25.61 6.402500 4.152855 3.737570932 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 43.36 6.194285 4.152855 3.737570933 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 82.66 5.166250 4.152855 3.737570934 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 9.43 4.715000 4.152855 3.737570935 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 31.51 4.501428 4.152855 3.737570936 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 22.51 22.510000 6.229283 5.606355937 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 9.94 9.940000 6.229283 5.606355938 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 25.08 25.080000 6.229283 5.606355939 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 18.86 18.860000 6.229283 5.606355940 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 14.58 14.580000 6.229283 5.606355941 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 6.59 6.590000 6.229283 5.606355942 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.68 9.680000 6.229283 5.606355943 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.20 8.200000 6.229283 5.606355944 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.59 6.590000 6.229283 5.606355945 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.03 9.030000 6.229283 5.606355946 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 9.94 9.940000 6.229283 5.606355947 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 63.10 15.775000 6.229283 5.606355948 J02AC01 FLUCONAZOLUM FLUCONAZOL ACTAVIS 150 mg CAPS. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF 1 10.06 10.060000 6.229283 5.606355949 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 12.53 12.530000 6.229283 5.606355950 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 9.94 9.940000 6.229283 5.606355951 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 12.94 12.940000 6.229283 5.606355952 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 39.37 5.624285 5.624285 5.061856953 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 61.72 8.817142 2.076427 1.868785954 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 22.56 3.222857 2.076427 1.868785955 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 56.54 8.077142 2.076427 1.868785956 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 29.61 4.230000 2.076427 1.868785957 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 41.93 5.990000 2.076427 1.868785958 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 19.04 2.380000 2.076427 1.868785959 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 25.52 2.552000 2.076427 1.868785960 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 16.69 2.384285 2.076427 1.868785961 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 19.58 2.797142 2.076427 1.868785962 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 16.15 2.307142 2.076427 1.868785963 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 15.76 2.251428 2.076427 1.868785964 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 19.12 2.731428 2.076427 1.868785965 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 22.56 3.222857 2.076427 1.868785966 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 50 mg CAPS. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 22.56 3.222857 2.076427 1.868785967 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 56.54 56.540000 14.534994 13.081495968 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 45.82 45.820000 38.999700 35.099730969 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 162.58 162.580000 77.999400 70.199460970 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 40.53 40.530000 19.499850 17.549865971 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 20.23 1.011500 0.736123 0.662511972 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 21.42 1.071000 0.736123 0.662511

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

973 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 21.42 1.071000 0.736123 0.662511974 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 19.48 1.948000 1.472247 1.325022975 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 17.15 0.857500 0.736123 0.662511976 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 17.23 0.861500 0.736123 0.662511977 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 16.44 0.822000 0.736123 0.662511978 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 13.81 0.690500 0.690500 0.621450979 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 13.00 0.650000 0.650000 0.585000980 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 19.23 1.923000 1.472247 1.325022981 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 5 282.97 56.594000 56.594000 50.934600982 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 151.38 3.784500 3.784500 3.406050983 M01AB01 INDOMETACINUM INDOMETACIN LAROPHARM 25 mg CAPS. 25mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-6L 20 1.62 0.081000 0.071775 0.064597984 M01AB01 INDOMETACINUM INDOMETACIN ARENA 25 MG CAPS. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 2.14 0.071333 0.071333 0.064199985 M01AB01 INDOMETACINUM INDOMETACIN ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 3.53 0.176500 0.143550 0.129195986 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 4.13 0.688333 0.312750 0.281475987 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 6.87 0.687000 0.312750 0.281475988 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 5.27 0.527000 0.312750 0.281475989 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 47.70 2.385000 0.430650 0.387585990 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 20.49 0.683000 0.215325 0.193792991 M01AB05 DICLOFENACUM TRATUL 50 CAPS. MOI GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ. P-6L 30 6.39 0.213000 0.143550 0.129195992 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 3.93 0.393000 0.215325 0.193792993 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 6.56 0.656000 0.287100 0.258390994 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.55 0.427500 0.287100 0.258390995 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 8.21 0.410500 0.287100 0.258390996 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 5.72 0.190666 0.071775 0.064597997 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 6.56 0.328000 0.143550 0.129195998 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 4.25 0.212500 0.143550 0.129195999 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.04 0.152000 0.143550 0.1291951,000 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 2.27 0.113500 0.113500 0.1021501,001 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 2.34 0.234000 0.143550 0.1291951,002 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.72 0.190666 0.071775 0.0645971,003 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.54 0.127000 0.127000 0.1143001,004 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.65 0.132500 0.132500 0.1192501,005 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ. P-6L 30 3.98 0.132666 0.132666 0.1193991,006 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 9.40 1.880000 1.097999 0.9881991,007 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 6.10 1.220000 1.097999 0.9881991,008 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 14.24 2.848000 1.317600 1.1858401,009 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 6.10 1.220000 1.097999 0.9881991,010 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 6.10 1.220000 1.097999 0.9881991,011 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 6.10 1.220000 1.097999 0.9881991,012 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 12.22 1.222000 1.097999 0.9881991,013 M01AB05 DICLOFENACUM REFEN 75 mg SOL. INJ./PERF. 25mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF 5 4.05 0.810000 0.810000 0.7290001,014 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 3.94 0.656666 0.625500 0.5629501,015 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.47 1.094000 0.625500 0.5629501,016 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 6.95 0.695000 0.625500 0.5629501,017 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 5.10 0.510000 0.510000 0.4590001,018 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.45 0.945000 0.312750 0.2814751,019 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 6.75 0.337500 0.095699 0.0861291,020 M01AB15 KETOROLACUM TROMETHAMIN KETANOV 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. FILM. P-6L 20 10.14 0.507000 0.095699 0.0861291,021 M01AB15 KETOROLACUM TROMETHAMIN KETANOV SOL. INJ. 30mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 24.75 2.475000 1.464000 1.317600

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,022 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 19.61 1.961000 1.464000 1.3176001,023 M01AB16 ACECLOFENACUM AFLAMIL 100mg COMPR. FILM. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR. P-6L 20 22.71 1.135500 0.143550 0.1291951,024 M01AC02 TENOXICAMUM TENOXICAM LPH 20 mg CAPS. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.45 0.572500 0.451350 0.4062151,025 M01AC02 TENOXICAMUM TENOXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.11 0.705500 0.451350 0.4062151,026 M01AC02 TENOXICAMUM TENOXICAM ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.11 0.705500 0.451350 0.4062151,027 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 6.35 0.635000 0.451350 0.4062151,028 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 5.44 5.440000 2.118600 1.9067401,029 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 15.44 0.772000 0.451350 0.4062151,030 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 7.70 0.770000 0.451350 0.4062151,031 M01AC06 MELOXICAMUM MELOXICAM LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10.03 0.501500 0.451350 0.4062151,032 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 15 mg COMPR. 15mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.98 0.499000 0.451350 0.4062151,033 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 30.39 1.013000 0.451350 0.4062151,034 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 10.60 1.060000 0.451350 0.4062151,035 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 14.11 0.705500 0.451350 0.4062151,036 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 10.03 0.501500 0.451350 0.4062151,037 M01AC06 MELOXICAMUM VALZER 15 mg COMPR. 15mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 10.03 0.501500 0.451350 0.4062151,038 M01AC06 MELOXICAMUM NOFLAMEN 15 mg COMPR. 15mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 10 5.01 0.501000 0.451350 0.4062151,039 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 15 mg COMPR. 15mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.03 0.501500 0.451350 0.4062151,040 M01AC06 MELOXICAMUM ASPIFLEX 15 mg COMPR. 15mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.03 0.501500 0.451350 0.4062151,041 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 9.61 0.961000 0.225675 0.2031071,042 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 25.65 0.855000 0.225675 0.2031071,043 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 7.41 0.741000 0.225675 0.2031071,044 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 14.84 0.742000 0.225675 0.2031071,045 M01AC06 MELOXICAMUM MELOXICAM LPH 7,5 mg COMPR. 7,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.65 0.482500 0.225675 0.2031071,046 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 9.65 0.482500 0.225675 0.2031071,047 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 9.65 0.482500 0.225675 0.2031071,048 M01AC06 MELOXICAMUM VALZER 7,5mg COMPR. 7,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.65 0.482500 0.225675 0.2031071,049 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 7,5 mg COMPR. 7,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.65 0.482500 0.225675 0.2031071,050 M01AC06 MELOXICAMUM ASPIFLEX 7,5 mg COMPR. 7,5mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 9.65 0.482500 0.225675 0.2031071,051 M01AC06 MELOXICAMUM MOVALIS 15mg/1,5ml 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 15.12 3.024000 2.118600 1.9067401,052 M01AC06 MELOXICAMUM MELOXICAM 15 mg SUPOZ. 15mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 9.46 1.576666 0.563625 0.5072621,053 M01AE03 KETOPROFENUM KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 11.93 1.193000 0.496874 0.4471871,054 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 16.49 0.824500 0.745312 0.6707811,055 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 26.32 1.316000 0.993749 0.8943741,056 M01AE03 KETOPROFENUM KETALGON 200 mg CAPS. ELIB. PREL. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 10 7.55 0.755000 0.755000 0.6795001,057 M01AE03 KETOPROFENUM KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 15.13 1.513000 0.993749 0.8943741,058 M01AE03 KETOPROFENUM KETARD 200 mg CAPS. ELIB. PREL. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 10 7.57 0.757000 0.757000 0.6813001,059 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 15.02 0.751000 0.745312 0.6707811,060 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 9.03 0.451500 0.451500 0.4063501,061 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 18.26 0.608666 0.496874 0.4471871,062 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 11.62 0.581000 0.496874 0.4471871,063 M01AE03 KETOPROFENUM KETOPROXIN 100 mg COMPR. FILM. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 7.89 0.394500 0.394500 0.3550501,064 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 7.15 0.357500 0.248437 0.2235931,065 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 16.27 1.162142 0.993749 0.8943741,066 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 11.36 1.136000 1.049499 0.9445491,067 M01AE03 KETOPROFENUM KETOPROFEN TERAPIA 100MG/2ML SOL. INJ./CONC. SOL. PERF. 100mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML P-RF 5 9.63 1.926000 1.926000 1.7334001,068 M01AE03 KETOPROFENUM KETONAL 100 mg SUPOZ. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L 12 8.20 0.683333 0.668166 0.6013491,069 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 4.10 0.683333 0.668166 0.6013491,070 M01AE03 KETOPROFENUM KETOMAG SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L 10 6.53 0.653000 0.653000 0.587700

Pagina 22 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,071 M04AA01 ALLOPURINOLUM* MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 6.04 0.120800 0.117116 0.1054041,072 M04AA01 ALLOPURINOLUM* MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 10.43 0.347666 0.347666 0.3128991,073 M04AC01 COLCHICINUM COLCHICINA COMPR. 1mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 COMPR. P-RF 40 5.76 0.144000 0.144000 0.1296001,074 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. X 100 COMPR. P-RF/S 100 76.53 0.765300 0.765300 0.6887701,075 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC X 20 COMPR. P-RF 20 18.57 0.928500 0.806100 0.7254901,076 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 14.70 1.470000 1.368750 1.2318751,077 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 66.75 1.335000 1.335000 1.2015001,078 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.82 0.291000 0.291000 0.2618991,079 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.82 0.291000 0.291000 0.2618991,080 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 11.53 0.384333 0.323549 0.2911941,081 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.85 0.385000 0.323549 0.2911941,082 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.85 0.385000 0.323549 0.2911941,083 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.67 0.383500 0.323549 0.2911941,084 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 3.85 0.385000 0.323549 0.2911941,085 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.67 0.383500 0.323549 0.2911941,086 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.82 0.382000 0.323549 0.2911941,087 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.00 0.450000 0.323549 0.2911941,088 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 17.38 1.738000 0.647101 0.5823911,089 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 47.39 1.579666 0.647101 0.5823911,090 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 26.09 2.609000 0.970652 0.8735871,091 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 48.58 2.429000 0.970652 0.8735871,092 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 68.71 2.290333 0.970652 0.8735871,093 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 78.13 2.604333 1.294202 1.1647821,094 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.67 0.383500 0.323549 0.2911941,095 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.67 0.383500 0.323549 0.2911941,096 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.67 0.383500 0.323549 0.2911941,097 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 6.30 0.630000 0.630000 0.5670001,098 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 18.91 0.630333 0.630333 0.5672991,099 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 32.56 0.651200 0.647101 0.5823911,100 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 6.30 0.630000 0.630000 0.5670001,101 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 18.89 0.629666 0.629666 0.5666991,102 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 33.57 1.119000 0.970652 0.8735871,103 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 21.05 2.105000 0.970652 0.8735871,104 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 27.50 2.750000 1.294202 1.1647821,105 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 10.65 0.355000 0.323549 0.2911941,106 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 9.69 0.969000 0.647101 0.5823911,107 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 22.03 2.203000 0.970652 0.8735871,108 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 41.57 1.385666 0.970652 0.8735871,109 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 28.18 2.818000 1.294202 1.1647821,110 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 53.20 1.773333 1.294202 1.1647821,111 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 5.04 5.040000 5.040000 4.5360001,112 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 9.83 1.966000 1.572302 1.4150721,113 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 134.56 1.345600 1.345600 1.2110401,114 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 12.28 2.456000 1.572302 1.4150721,115 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.93 0.986000 0.786148 0.7075341,116 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.90 0.980000 0.786148 0.7075341,117 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 13.10 2.620000 1.572302 1.4150721,118 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.67 1.534000 1.534000 1.3806001,119 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 5.58 1.116000 1.116000 1.004400

Pagina 23 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,120 N02CC01 SUMATRIPTANUM* IMIGRAN DR 100 mg COMPR. DISP. 100mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF 2 44.81 22.405000 9.986749 8.9880741,121 N02CC01 SUMATRIPTANUM* IMIGRAN DR 50 mg COMPR. DISP. 50mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF 2 25.36 12.680000 4.993374 4.4940371,122 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 20.02 10.010000 9.986749 8.9880741,123 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 58.12 9.686666 9.686666 8.7179991,124 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 99.79 9.979000 9.979000 8.9811001,125 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 58.12 9.686666 9.686666 8.7179991,126 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 41.47 6.911666 4.993374 4.4940371,127 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 14.28 7.140000 4.993374 4.4940371,128 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 66.77 6.677000 4.993374 4.4940371,129 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 41.45 6.908333 4.993374 4.4940371,130 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 17.38 0.347600 0.226200 0.2035801,131 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.31 0.226200 0.226200 0.2035801,132 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.31 0.226200 0.226200 0.2035801,133 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 11.31 0.226200 0.226200 0.2035801,134 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.221000 0.1989001,135 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.50 0.225000 0.225000 0.2025001,136 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 11.31 0.226200 0.226200 0.2035801,137 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.96 0.248000 0.226200 0.2035801,138 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 4.51 0.225500 0.225500 0.2029501,139 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26.26 0.525200 0.452400 0.4071601,140 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 400 mg COMPR. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.51 0.525500 0.452400 0.4071601,141 N03AF01 CARBAMAZEPINUM TIMONIL RETARD 150 mg COMPR. CU ELIB. PRELUNGITA 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIB. PRELUNGITA PR/P6L 50 15.16 0.303200 0.169650 0.1526851,142 N03AF01 CARBAMAZEPINUM TIMONIL RETARD 300 mg COMPR. CU ELIBERARE PRELUNGITA 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA PR/P6L 50 20.62 0.412400 0.339300 0.3053701,143 N03AF01 CARBAMAZEPINUM TIMONIL RETARD 600 mg COMPR. CU ELIBERARE PRELUNGITA 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA PR/P6L 50 36.53 0.730600 0.678600 0.6107401,144 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 20.68 0.413600 0.339300 0.3053701,145 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 36.59 0.731800 0.678600 0.6107401,146 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 19.17 0.383400 0.226200 0.2035801,147 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 25.35 0.845000 0.452400 0.4071601,148 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 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 27.10 0.542000 0.452400 0.4071601,149 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 12.43 0.248600 0.226200 0.2035801,150 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 22.51 22.510000 22.510000 20.2590001,151 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 60.61 0.606100 0.359372 0.3234351,152 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 31.05 0.621000 0.621000 0.5589001,153 N03AX12 GABAPENTINUM GRIMODIN 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 33.34 0.555666 0.359372 0.3234351,154 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 70.89 1.417800 1.078123 0.9703111,155 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 133.56 1.335600 1.078123 0.9703111,156 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 65.96 1.319200 1.078123 0.9703111,157 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 133.09 1.330900 1.078123 0.9703111,158 N03AX12 GABAPENTINUM GRIMODIN 300 mg CAPS. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 63.62 1.060333 1.060333 0.9542991,159 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 94.53 1.890600 1.437502 1.2937521,160 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 175.18 1.751800 1.437502 1.2937521,161 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 72.72 1.454400 1.437502 1.2937521,162 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 169.16 1.691600 1.437502 1.2937521,163 N03AX12 GABAPENTINUM GRIMODIN 400 mg CAPS. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 85.96 1.432666 1.432666 1.2893991,164 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 65.21 2.173666 2.156253 1.9406281,165 N03AX12 GABAPENTINUM GABAGAMMA 600 mg COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 195.74 1.957400 1.957400 1.7616601,166 N03AX12 GABAPENTINUM GRIMODIN 600 mg COMPR. FILM. 600mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 123.68 2.061333 2.061333 1.8551991,167 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 30 104.24 3.474666 2.875004 2.5875041,168 N03AX12 GABAPENTINUM GABAGAMMA 800 mg COMPR. FILM. 800mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 329.52 3.295200 2.875004 2.587504

Pagina 24 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,169 N03AX12 GABAPENTINUM GRIMODIN 800 mg COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 197.38 3.289666 2.875004 2.5875041,170 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.24 0.162000 0.081000 0.0729001,171 N05AD01 HALOPERIDOLUM HALOPERIDOL 1 mg COMPR. 1mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.72 0.257333 0.162000 0.1458001,172 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg COMPR. 2mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.80 0.360000 0.324000 0.2916001,173 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 17.94 0.717600 0.717600 0.6458401,174 N05AD01 HALOPERIDOLUM HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL. 2 mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF 1 4.31 4.310000 4.310000 3.8789991,175 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 6.66 6.660000 3.240000 2.9160001,176 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 44.52 8.904000 8.904000 8.0136001,177 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 5 12.48 2.496000 1.162619 1.0463571,178 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.99 0.099500 0.099500 0.0895501,179 N05BA01 DIAZEPAMUM DIAZEPAM COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.14 0.104666 0.104666 0.0941991,180 N05BA01 DIAZEPAMUM DIAZEPAM LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.05 0.052500 0.052500 0.0472501,181 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 8.34 1.668000 1.668000 1.5011991,182 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 32.62 6.524000 6.524000 5.8716001,183 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 25.99 5.198000 5.198000 4.6782001,184 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 3.82 0.152800 0.122849 0.1105641,185 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.45 0.122500 0.122500 0.1102501,186 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 5.61 0.112200 0.112200 0.1009801,187 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR. P-RF 20 2.25 0.112500 0.112500 0.1012501,188 N05BA03 MEDAZEPAMUM* MEDAZEPAM LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.47 0.123500 0.122849 0.1105641,189 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 6.70 0.134000 0.098279 0.0884511,190 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 1,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR. P-RF 10 3.08 0.308000 0.036854 0.0331691,191 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 1,5 mg COMPR. 1,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.14 0.107000 0.036854 0.0331691,192 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 3mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 1.56 0.156000 0.073709 0.0663381,193 N05BA08 BROMAZEPAMUM* LEXOTAN COMPR. 3mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.16 0.238666 0.073709 0.0663381,194 N05BA08 BROMAZEPAMUM* LEXOTANIL COMPR. 3mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 1.56 0.156000 0.073709 0.0663381,195 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.10 0.155000 0.073709 0.0663381,196 N05BA08 BROMAZEPAMUM* BROMAZEPAM SLAVIA 3 mg COMPR. 3mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.20 0.220000 0.073709 0.0663381,197 N05BA08 BROMAZEPAMUM* BROMAZEPAM ARENA 3 mg COMPR. 3mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. P-RF 10 1.54 0.154000 0.073709 0.0663381,198 N05BA12 ALPRAZOLAMUM* XANAX 0,25 mg COMPR. 0,25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.65 0.188333 0.061424 0.0552821,199 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 2.68 0.134000 0.061424 0.0552821,200 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 4.35 0.145000 0.061424 0.0552821,201 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 4.93 0.164333 0.061424 0.0552821,202 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 8.94 0.298000 0.122849 0.1105641,203 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 4.24 0.212000 0.122849 0.1105641,204 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 7.46 0.248666 0.122849 0.1105641,205 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 5.79 0.193000 0.122849 0.1105641,206 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 12.70 0.423333 0.245699 0.2211291,207 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.06 0.303000 0.245699 0.2211291,208 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 8.24 0.274666 0.245699 0.2211291,209 N05BA12 ALPRAZOLAMUM* FRONTIN 1mg COMPR. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 12.60 0.420000 0.245699 0.2211291,210 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 1.37 0.068500 0.055912 0.0503211,211 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 1.57 0.078500 0.078500 0.0706501,212 N05CD02 NITRAZEPAMUM NITRAZEPAM 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.40 0.120000 0.111825 0.1006421,213 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 15.50 0.775000 0.775000 0.6975001,214 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 4.13 0.413000 0.413000 0.3717001,215 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 8.27 0.413500 0.413500 0.3721501,216 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 4.25 0.425000 0.419250 0.3773251,217 N05CF02 ZOLPIDEMUM* ZOLPIDEM ATB 10 MG COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.25 0.425000 0.419250 0.377325

Pagina 25 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,218 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 6.56 0.656000 0.419250 0.3773251,219 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 14.22 0.711000 0.419250 0.3773251,220 N05CF02 ZOLPIDEMUM* ZOLSANA 5 mg COMPR. FILM. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 13.56 0.678000 0.209625 0.1886621,221 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 10 mg DRAJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 7.24 0.241333 0.136979 0.1232811,222 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 25 mg DRAJ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 14.31 0.477000 0.342449 0.3082041,223 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 15.01 0.300200 0.300200 0.2701801,224 N06AA12 DOXEPINUM* DOXEPIN 25 mg DRAJ. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 18.30 0.610000 0.342449 0.3082041,225 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS. P-RF 14 11.28 0.805714 0.566399 0.5097591,226 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS. P-RF 28 22.06 0.787857 0.566399 0.5097591,227 N06AB03 FLUOXETINUM* MAGRILAN 20 mg CAPS. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 17.63 0.587666 0.566399 0.5097591,228 N06AB03 FLUOXETINUM* ROFLUXIN 20 mg CAPS. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.12 0.756000 0.566399 0.5097591,229 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 36.82 1.315000 0.566399 0.5097591,230 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 7.40 0.264285 0.264285 0.2378561,231 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 7.12 0.237333 0.237333 0.2135991,232 N06AB04 CITALOPRAMUM** DALSAN 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 7.40 0.264285 0.264285 0.2378561,233 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 10.72 0.382857 0.382857 0.3445711,234 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 39.54 1.318000 0.566399 0.5097591,235 N06AB04 CITALOPRAMUM** DALSAN 20 mg COMPR. FILM. 20mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 10.72 0.382857 0.382857 0.3445711,236 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 33.59 1.199642 1.132799 1.0195191,237 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 32.37 1.079000 1.079000 0.9711001,238 N06AB04 CITALOPRAMUM** DALSAN 40 mg COMPR. FILM. 40mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 33.59 1.199642 1.132799 1.0195191,239 N06AB05 PAROXETINUM* ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 23.05 0.768333 0.566399 0.5097591,240 N06AB05 PAROXETINUM* PAROXETIN ATB 20 mg COMPR. FILM. 20 mg ANTIBIOTICE SA ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 30 23.04 0.768000 0.566399 0.5097591,241 N06AB05 PAROXETINUM* SEROXAT 20 mg COMPR. FILM. 20mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 34.30 1.143333 0.566399 0.5097591,242 N06AB05 PAROXETINUM* PALUXETIL 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 23.05 0.768333 0.566399 0.5097591,243 N06AB05 PAROXETINUM* PAXETIN 20 mg COMPR. FILM. 20mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF 30 23.05 0.768333 0.566399 0.5097591,244 N06AB05 PAROXETINUM* PAROXETIN TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 23.05 0.768333 0.566399 0.5097591,245 N06AB05 PAROXETINUM* REXETIN COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 46.17 1.539000 0.566399 0.5097591,246 N06AB05 PAROXETINUM* PALUXETIL 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 61.70 2.056666 1.132799 1.0195191,247 N06AB06 SERTRALINUM* SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 35.28 1.260000 1.132799 1.0195191,248 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 40.84 1.458571 1.132799 1.0195191,249 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 35.28 1.260000 1.132799 1.0195191,250 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 37.80 1.260000 1.132799 1.0195191,251 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 37.64 1.254666 1.132799 1.0195191,252 N06AB06 SERTRALINUM* SETALOFT 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 34.09 1.217500 1.132799 1.0195191,253 N06AB06 SERTRALINUM* XIMPROVE 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 35.28 1.260000 1.132799 1.0195191,254 N06AB06 SERTRALINUM* ZOLOFT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF 28 68.51 2.446785 1.132799 1.0195191,255 N06AB06 SERTRALINUM* ADJUVIN 100 mg COMPR. FILM. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 49.28 1.642666 1.132799 1.0195191,256 N06AB06 SERTRALINUM* SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 19.54 0.697857 0.566399 0.5097591,257 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 50mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 22.87 0.816785 0.566399 0.5097591,258 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 20.94 0.698000 0.566399 0.5097591,259 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 20.82 0.694000 0.566399 0.5097591,260 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 20.92 0.697333 0.566399 0.5097591,261 N06AB06 SERTRALINUM* SETALOFT 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 18.74 0.669285 0.566399 0.5097591,262 N06AB06 SERTRALINUM* XIMPROVE 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 19.54 0.697857 0.566399 0.5097591,263 N06AB06 SERTRALINUM* ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF 28 36.98 1.320714 0.566399 0.5097591,264 N06AB06 SERTRALINUM* ADJUVIN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 26.58 0.886000 0.566399 0.5097591,265 N06AB06 SERTRALINUM* ZOLOFT 20 mg/ml CONC. PT. SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA P-RF 1 65.61 65.610000 13.593598 12.2342381,266 N06AB08 FLUVOXAMINUM* FEVARIN (R) 100 COMPR. FILM. 100mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 48.83 1.627666 0.566399 0.509759

Pagina 26 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,267 N06AB08 FLUVOXAMINUM* FEVARIN (R) 50 COMPR. FILM. 50mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 25.21 0.840333 0.283199 0.2548791,268 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 46.70 0.467000 0.398248 0.3584231,269 N06AX03 MIANSERINUM* MIANSERIN 30 COMPR. FILM. 30mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 26.06 1.303000 1.194751 1.0752761,270 N06AX11 MIRTAZAPINUM* REMERON SOLTAB 30 mg COMPR. DISP. 30mg NV ORGANON OLANDA CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP. P-RF 30 82.15 2.738333 1.263333 1.1369991,271 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 37.92 1.264000 1.263333 1.1369991,272 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 37.90 1.263333 1.263333 1.1369991,273 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 36.01 1.200333 1.200333 1.0802991,274 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 30 COMPR. FILM. 30mg ZENTIVA KS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 37.92 1.264000 1.263333 1.1369991,275 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 15 mg COMPR. ORODISPERSABILE 15mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 24.62 0.820666 0.631666 0.5684991,276 N06AX11 MIRTAZAPINUM* MIRZATEN Q-TAB 30 mg COMPR. ORODISPERSABILE 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE P-RF 30 37.92 1.264000 1.263333 1.1369991,277 N06AX11 MIRTAZAPINUM* MIRTAZAPINA BLUEFISH 30 mg COMPR. ORODISPERSABILE 30mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 37.92 1.264000 1.263333 1.1369991,278 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 30 mg COMPR. ORODISPERSABILE 30mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 38.11 1.270333 1.263333 1.1369991,279 N06AX11 MIRTAZAPINUM* ZULIN 30 mg COMPR. ORODISPERSABILE 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF 6 7.83 1.305000 1.263333 1.1369991,280 N06AX11 MIRTAZAPINUM* ZULIN 30 mg COMPR. ORODISPERSABILE 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF 30 37.90 1.263333 1.263333 1.1369991,281 N06AX11 MIRTAZAPINUM* PHARMATAZ 30 mg COMPR. ORODISPERSABILE 30mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 5 FOLII TERMOSUDATE OPA-AL/AL-PVC X 6 COMPR. ORODISPERSABILE PRF 30 32.17 1.072333 1.072333 0.9650991,282 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 45 mg COMPR. ORODISPERSABILE 45mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 63.52 2.117333 1.894999 1.7054991,283 N06AX16 VENLAFAXINUM** IVRYX 150mg CAPS. ELIB. PREL. 150 mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 70.43 2.515357 1.485640 1.3370761,284 N06AX16 VENLAFAXINUM** EFECTIN EP 150 mg CAPS. ELIB. PREL. 150 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 58.69 2.096071 1.485640 1.3370761,285 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL. PRF 30 40.87 1.362333 1.362333 1.2260991,286 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 58.69 2.096071 1.485640 1.3370761,287 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 38.14 1.362142 1.362142 1.2259271,288 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 75.31 2.510333 1.485640 1.3370761,289 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 40.87 1.362333 1.362333 1.2260991,290 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 90.38 3.012666 1.485640 1.3370761,291 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 124.93 1.249300 1.249300 1.1243701,292 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 38.14 1.362142 1.362142 1.2259271,293 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL. 150mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 40.71 1.357000 1.357000 1.2213001,294 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 24.38 0.812666 0.371410 0.3342691,295 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 65.80 0.658000 0.371410 0.3342691,296 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 24.04 0.801333 0.371410 0.3342691,297 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 36.85 1.316071 0.742820 0.6685381,298 N06AX16 VENLAFAXINUM** EFECTIN EP 75 mg CAPS. ELIB. PREL. 75 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 35.58 1.270714 0.742820 0.6685381,299 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 35.58 1.270714 0.742820 0.6685381,300 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 23.88 0.852857 0.742820 0.6685381,301 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 32.91 1.097000 0.742820 0.6685381,302 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 25.59 0.853000 0.742820 0.6685381,303 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 39.50 1.316666 0.742820 0.6685381,304 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 25.61 0.853666 0.742820 0.6685381,305 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 78.43 0.784300 0.742820 0.6685381,306 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 23.90 0.853571 0.742820 0.6685381,307 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 25.42 0.847333 0.742820 0.6685381,308 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 23.11 0.412678 0.371410 0.3342691,309 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 32.20 1.073333 0.371410 0.3342691,310 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 37,5 mg COMPR. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 24.04 0.801333 0.371410 0.3342691,311 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 38.50 1.283333 0.495213 0.4456921,312 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 24.50 0.816666 0.495213 0.4456921,313 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 40.87 1.362333 0.742820 0.6685381,314 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 40.87 1.362333 0.742820 0.6685381,315 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 75 mg COMPR. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 25.42 0.847333 0.742820 0.668538

Pagina 27 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,316 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 38.14 1.271333 1.271333 1.1441991,317 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 23.90 0.796666 0.742820 0.6685381,318 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 38.11 0.680535 0.371410 0.3342691,319 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 46.25 0.825892 0.742820 0.6685381,320 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 13.73 0.686500 0.686500 0.6178501,321 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.70 0.925000 0.682799 0.6145191,322 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.68 0.920000 0.682799 0.6145191,323 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.70 0.925000 0.682799 0.6145191,324 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.68 0.920000 0.682799 0.6145191,325 P02CA03 ALBENDAZOLUM ALBENDAZOL VIM SPECTRUM 200 mg COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF 2 6.22 3.110000 3.110000 2.7990001,326 P02CA03 ALBENDAZOLUM ESKAZOLE COMPR. 400mg GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 12 BLIST. PVC-PVDC/AL X 1 COMPR. P-RF 12 71.68 5.973333 5.973333 5.3759991,327 P02CA03 ALBENDAZOLUM DUADOR 200 mg COMPR. FILM. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-RF 2 6.38 3.190000 3.110000 2.7990001,328 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 9.82 4.910000 3.110000 2.7990001,329 P02CA03 ALBENDAZOLUM ALBENDAZOL LPH 200 mg COMPR.FILM 200 mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 6.39 3.195000 3.110000 2.7990001,330 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 5.73 5.730000 3.813750 3.4323751,331 P02CA03 ALBENDAZOLUM VERMIGAL NOVO 400 mg SUSP. ORALA 400mg/10ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF 1 3.74 3.740000 3.740000 3.3660001,332 P02CE01 LEVAMISOLUM DECARIS 150 mg COMPR. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 COMPR. P-RF 1 3.42 3.420000 3.420000 3.0780001,333 P02CE01 LEVAMISOLUM LEVAMISOL ARENA 150 mg COMPR. 150mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 COMPR. P-RF 1 3.42 3.420000 3.420000 3.0780001,334 P02CE01 LEVAMISOLUM DECARIS 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF 2 3.02 1.510000 1.139988 1.0259891,335 P02CE01 LEVAMISOLUM LEVAMISOL ARENA 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. P-RF 2 3.02 1.510000 1.139988 1.0259891,336 R01AD01 BECLOMETASONUM* RINOCLENIL 100 SPRAY NAZ.,SUSP. 100mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE P-RF 1 48.52 48.520000 42.718000 38.4462001,337 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 8.92 8.920000 1.558800 1.4029201,338 R03AC02 SALBUTAMOLUM VENTOLIN 100 INHALER CFC-FREE SUSP. INHAL. PRESURIZATA 100mcg/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 10.51 10.510000 7.794000 7.0146001,339 R03AC02 SALBUTAMOLUM ASTHALIN INHALER SUSP. INHAL. PRESURIZATA 100mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA P-6L 1 6.81 6.810000 6.810000 6.1290001,340 R03BA01 BECLOMETASONUM CLENIL (R) JET 250 mcg SOL. INHALAT PRESURIZATA 250mcg/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 1 101.96 101.960000 101.960000 91.7640001,341 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 39.48 39.480000 39.480000 35.5320001,342 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 75.00 75.000000 75.000000 67.5000001,343 R03BA02 BUDESONIDUM* PULMICORT TURBUHALER 200 mcg/doza PULB. INHAL. 200mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF 1 60.76 60.760000 40.790000 36.7110001,344 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 84.20 84.200000 81.580000 73.4220001,345 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 172.36 172.360000 163.160000 146.8440001,346 R03BA02 BUDESONIDUM* BUDIAIR 200 mcg SOL. DE INHALAT PRESURIZATA 200 mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA P-RF 1 74.98 74.980000 43.509332 39.1583991,347 R03BA02 BUDESONIDUM* BUDIAIR 200 mcg JET SOL. DE INHALAT PRESURIZATA 200mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION P-RF 1 74.98 74.980000 43.509332 39.1583991,348 R03BB01 IPRATROPII BROMIDUM* IPRAXA 500mcg/2ml SOL. DE INHALAT PRIN NEBULIZ. 500mcg/2ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR P-6L 20 31.83 1.591500 1.579124 1.4212121,349 R03BB01 IPRATROPII BROMIDUM* IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA P-6L 1 12.60 12.600000 12.600000 11.3400001,350 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 3.05 3.050000 3.050000 2.7450001,351 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 3.56 0.712000 0.712000 0.6408001,352 R03CC02 SALBUTAMOLUM SALBUTAMOL T SOL. ORALA 0,04% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 2.67 2.670000 2.497500 2.2477501,353 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 5.72 0.286000 0.178800 0.1609191,354 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 9.38 0.234500 0.234500 0.2110501,355 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 4.27 0.427000 0.357600 0.3218391,356 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 5.96 0.596000 0.536400 0.4827601,357 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 13.98 0.349500 0.349500 0.3145501,358 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.01 0.200333 0.151000 0.1359001,359 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 5.13 0.205200 0.151000 0.1359001,360 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.02 0.151000 0.151000 0.1359001,361 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.02 0.151000 0.151000 0.1359001,362 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.19 0.159500 0.151000 0.1359001,363 R05DA04 CODEINUM CODEINA FOSFAT MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.65 0.182500 0.151000 0.1359001,364 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.96 0.148000 0.148000 0.133199

Pagina 28 din 29

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,365 R06AB04 CHLORPHENAMINUM CLORFENIRAMIN COMPR. 4mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.31 0.115500 0.115499 0.1039501,366 R06AE07 CETIRIZINUM CELERG COMPR. FILM. 10 mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 21.16 1.058000 0.970650 0.8735851,367 R06AE07 CETIRIZINUM LETIZEN (R) 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 13.53 0.676500 0.676500 0.6088501,368 R06AE07 CETIRIZINUM ZYRTEC 10 mg/ml PICATURI ORALE-SOL. 10mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE P-6L 1 22.99 22.990000 19.413000 17.4717001,369 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 CAPS. P-6L 50 13.81 0.276200 0.172500 0.1552501,370 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/PP X 10 CAPS. P-6L 20 5.25 0.262500 0.172500 0.1552501,371 R06AX17 KETOTIFENUM H - KETOTIFEN COMPR. 1mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.65 0.182500 0.172500 0.1552501,372 R06AX17 KETOTIFENUM KETOTIFEN COMPR. 1mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.45 0.172500 0.172500 0.1552501,373 R06AX17 KETOTIFENUM KETOTIFEN LAROPHARM 1 mg COMPR. 1mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 3.45 0.172500 0.172500 0.1552501,374 R06AX17 KETOTIFENUM KETOTIFEN LPH® 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC X 10 COMPR P6L 20 3.31 0.165500 0.165500 0.1489501,375 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 11.43 11.430000 11.430000 10.2870001,376 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 4.27 4.270000 4.270000 3.8429991,377 S01BC03 DICLOFENACUM DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml ROMPHARM COMPANY SRL ROMANIA FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L 1 10.69 10.690000 9.421250 8.4791251,378 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 11.23 11.230000 11.230000 10.1070001,379 S01BC03 DICLOFENACUM VOLTAREN OPHTHA CD PICATURI OFT.-SOL. 0,1% LABORATOIRES THEA FRANTA/GERMANIA CUTIE X 1 FLAC. PEJD X 5 ML PICATURI OFT.-SOL. + PICURATOR PEJD + CAPAC CU INEL DE SIGURANTA P-6L 1 14.30 14.300000 9.421250 8.4791251,380 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL PICATURI OFT.SUSP. 0,2g+0,5g/100ml FARMILA FARMACEUTICI MILANO SPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE P-RF 1 13.45 13.450000 7.064999 6.3584991,381 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL UNG. OFT. 0,2g+0,5g/100g FARMILA FARMACEUTICI ITALIA CUTIE X 1 TUB AL X 5 G P-RF 1 15.45 15.450000 7.064999 6.358499

NOTĂ:

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

Pagina 29 din 29

ANEXA 2

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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 NYCOMED GMBH GERMANIA CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 30 34.83 1.161000 0.676575 0.3382872 A02BC02 PANTOPRAZOLUM SELTRAZ 20 mg COMPR. FILM. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE P-6L 28 22.06 0.787857 0.676575 0.3382873 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 30 55.68 1.856000 1.353150 0.6765754 A02BC02 PANTOPRAZOLUM SELTRAZ 40 mg COMPR. FILM. GASTROREZ. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE P-6L 28 31.62 1.129285 1.129285 0.5646425 A02BC02 PANTOPRAZOLUM ZENCOPAN 20 mg COMPR. GASTROREZ. 20 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ. P6L 28 20.42 0.729285 0.676575 0.3382876 A02BC02 PANTOPRAZOLUM PANTEXEL 20 mg COMPR. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ P-6L 28 22.06 0.787857 0.676575 0.3382877 A02BC02 PANTOPRAZOLUM PACID 20 mg COMPR. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 10.69 0.356333 0.356333 0.1781668 A02BC02 PANTOPRAZOLUM PANTOSAL 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 21.91 0.782500 0.676575 0.3382879 A02BC02 PANTOPRAZOLUM NOLPAZA 20 mg COMPR. GASTROREZ. 20mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L 30 21.88 0.729333 0.676575 0.338287

10 A02BC02 PANTOPRAZOLUM AZATOL 20 mg COMPR. GASTROREZ. 20mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P-6L 28 22.57 0.806071 0.676575 0.33828711 A02BC02 PANTOPRAZOLUM PANTOPRAZOL TEVA 20 mg COMPR. GASTROREZ. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ. P6L 30 20.43 0.681000 0.676575 0.33828712 A02BC02 PANTOPRAZOLUM ZENCOPAN 40 mg COMPR. GASTROREZ. 40 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ. P6L 28 31.62 1.129285 1.129285 0.56464213 A02BC02 PANTOPRAZOLUM PANTEXEL 40 mg COMPR. GASTROREZ. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ P-6L 28 31.62 1.129285 1.129285 0.56464214 A02BC02 PANTOPRAZOLUM PACID 40 mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 19.57 0.652333 0.652333 0.32616615 A02BC02 PANTOPRAZOLUM PANTOSAL 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 31.39 1.121071 1.121071 0.56053516 A02BC02 PANTOPRAZOLUM NOLPAZA 40mg COMPR. GASTROREZ. 40mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L 30 32.77 1.092333 1.092333 0.54616617 A02BC02 PANTOPRAZOLUM AZATOL 40 mg COMPR. GASTROREZ. 40mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P-6L 28 33.80 1.207142 1.207142 0.60357118 A02BC02 PANTOPRAZOLUM PANTOPRAZOL TEVA 40 mg COMPR. GASTROREZ. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ. P6L 30 36.17 1.205666 1.205666 0.60283319 A02BC02 PANTOPRAZOLUM PANTOPRAZOL TERAPIA 40 mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 10 5.93 0.593000 0.593000 0.29650020 A02BC02 PANTOPRAZOLUM PANTOPRAZOL TERAPIA 40 mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 19.57 0.652333 0.652333 0.32616621 A02BC02 PANTOPRAZOLUM GESOFLUX 20 mg COMPR. GASTROREZISTENTE 20mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE P6L 30 22.28 0.742666 0.676575 0.33828722 A02BC02 PANTOPRAZOLUM GESOFLUX 40 mg COMPR. GASTROREZISTENTE 40mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE P6L 30 34.10 1.136666 1.136666 0.56833323 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA LIOF. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF 1 33.62 33.620000 20.649600 10.32480024 A02BC02 PANTOPRAZOLUM NOLPAZA 40 mg PULB. PT. SOL. INJ. 40mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. P-RF 1 19.31 19.310000 19.310000 9.65500025 A02BC02 PANTOPRAZOLUM PANTOPRAZOL ACTAVIS 40 mg PULB. PT. SOL. INJ. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML CONTINAND 40 MG PANTOPRAZOL P-RF 1 21.85 21.850000 20.649600 10.32480026 A02BC02 PANTOPRAZOLUM PANTOPRAZOL TEVA 40 mg PULB. PT. SOL. INJ. SAU PERF. 40 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. SAU PERF. S/P-RF 10 190.42 19.042000 19.042000 9.52100027 A02BC05 ESOMEPRAZOLUM EMANERA 20 mg CAPS. GASTROREZ. 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ. P-6L 14 26.47 1.890714 0.902099 0.45104928 A02BC05 ESOMEPRAZOLUM EMANERA 20 mg CAPS. GASTROREZ. 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ. P-6L 28 51.23 1.829642 0.902099 0.45104929 A02BC05 ESOMEPRAZOLUM HELIDES 20 mg CAPS. GASTROREZ. 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ. P-6L 28 51.23 1.829642 0.902099 0.45104930 A02BC05 ESOMEPRAZOLUM EMANERA 40 mg CAPS. GASTROREZ. 40mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ. P-6L 14 38.71 2.765000 1.804199 0.90209931 A02BC05 ESOMEPRAZOLUM EMANERA 40 mg CAPS. GASTROREZ. 40mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ. P-6L 28 73.54 2.626428 1.804199 0.90209932 A02BC05 ESOMEPRAZOLUM HELIDES 40 mg CAPS. GASTROREZ. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ. P-6L 28 73.54 2.626428 1.804199 0.90209933 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 14 39.41 2.815000 0.902099 0.45104934 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SANDOZ 20 mg COMPR. GASTROREZ. 20mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L 14 30.17 2.155000 0.902099 0.45104935 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TORRENT 20 mg COMPR. GASTROREZ. 20mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P6L 28 51.18 1.827857 0.902099 0.45104936 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TEVA 20 mg COMPR. GASTROREZ. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P6L 14 18.94 1.352857 0.902099 0.45104937 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg COMPR. GASTROREZ. 40mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ. P-6L 14 59.56 4.254285 1.804199 0.90209938 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SANDOZ 40 mg COMPR. GASTROREZ. 40mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L 14 44.12 3.151428 1.804199 0.90209939 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TORRENT 40 mg COMPR. GASTROREZ. 40mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P6L 28 73.48 2.624285 1.804199 0.90209940 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TEVA 40 mg COMPR. GASTROREZ. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P6L 14 26.58 1.898571 1.804199 0.90209941 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TERAPIA 20mg COMPR. GASTROREZISTENTE 20mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE P-6L 14 26.47 1.890714 0.902099 0.45104942 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TERAPIA 40mg COMPR. GASTROREZISTENTE 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE P-6L 14 38.71 2.765000 1.804199 0.90209943 A02BC05 ESOMEPRAZOLUM NEXIUM 10 mg GRAN. GASTROREZ. PT. SUSP.ORALA 10mg ASTRAZENECA AB SUEDIA CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA P-6L 28 174.25 6.223214 6.223214 3.11160744 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg PULB. PT. SOL. INJ./PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF. S/P-RF 10 297.47 29.747000 27.532793 13.766396

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM

DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE VALABILA INCEPAND CU 01 OCTOMBRIE 2012

Pagina 1 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

45 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SANDOZ 40 mg PULB. PT. SOL. INJ./PERF. 40mg SANDOZ S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF. PRF 10 193.35 19.335000 19.335000 9.66750046 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 6.19 0.309500 0.309500 0.15475047 A02BX02 SUCRALFATUM VENTER COMPR. 1g KRKA D.D. SLOVENIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 15.95 0.319000 0.314250 0.15712548 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 39.95 0.998750 0.314250 0.15712549 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 33.57 1.119000 1.119000 0.55950050 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 33.10 2.758333 2.646666 1.32333351 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF 36 91.26 2.535000 2.535000 1.26750052 A07AA11 RIFAXIMINUM NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml ALFA WASSERMANN SPA ITALIA CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML P-RF 1 19.11 19.110000 15.880014 7.94000753 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 100 444.55 4.445500 4.048486 2.02424354 A07EA06 BUDESONIDUM** BUDENOFALK UNO 9 mg GRANULE GASTROREZ. 9mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 30 PLICURI PET/AL/PEJD CU GRANULE GASTROREZ. PRF 30 419.11 13.970333 12.145471 6.07273555 A07EA06 BUDESONIDUM** BUDENOFALK 2 mg/doza SPUMA RECTALA 2mg/doza DR. FALK PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL P-RF 1 419.11 419.110000 383.830000 191.91500056 A07EA06 BUDESONIDUM** BUDENOFALK 2 mg/doza SPUMA RECTALA 2mg/doza DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU P-RF 2 744.14 372.070000 372.070000 186.03500057 A07XA04 RACECADOTRILUM HIDRASEC 100 mg CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 20 43.59 2.179500 1.596375 0.79818758 A07XA04 RACECADOTRILUM HIDRASEC 10 mg PULB. PT. SOL. ORALA 10mg LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G P-RF 16 41.04 2.565000 1.596375 0.79818759 A07XA04 RACECADOTRILUM HIDRASEC 30 mg PULB. PT. SOL. ORALA 30mg LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3 P-RF 30 41.04 1.368000 1.368000 0.68400060 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 21 92.03 4.382380 3.789970 1.89498561 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 84 301.77 3.592500 3.592500 1.79625062 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 33.62 0.672400 0.523333 0.26166663 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 37.26 1.242000 0.523333 0.26166664 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 31.40 1.046666 1.046666 0.52333365 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 55.07 1.835666 1.046666 0.52333366 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 100 213.06 2.130600 2.130600 1.06530067 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 30 68.60 2.286666 2.198791 1.09939568 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 60 130.17 2.169500 2.169500 1.08475069 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi N07XN03) COMPR. FILM. 600mg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L 30 96.76 3.225333 2.198791 1.09939570 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID 600T (vezi N07XN03) SOL. INJ. 25mg/ml MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 5 FIOLE X 24 ML SOL.INJ. S/P-RF 5 127.68 25.536000 25.536000 12.76800071 B01AB04 DALTEPARINUM**# FRAGMIN 10000 UI/0,4 ml SOL. INJ. 10000UI/0,4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF 5 125.97 25.194000 25.194000 12.59700072 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 10 266.83 26.683000 26.683000 13.34150073 B01AB04 DALTEPARINUM**# FRAGMIN 12500 UI/0,5 ml SOL. INJ. 12500 UI/0,5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF 5 170.87 34.174000 33.712187 16.85609374 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 5 206.87 41.374000 40.454624 20.22731275 B01AB04 DALTEPARINUM**# FRAGMIN 18000 UI/0,72 ml SOL. INJ. 18000 UI/0,72ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF 5 235.27 47.054000 47.054000 23.52700076 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 77.59 7.759000 6.742437 3.37121877 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 10 142.16 14.216000 13.484874 6.74243778 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 10 202.99 20.299000 20.227312 10.11365679 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 72.93 7.293000 6.742437 3.37121880 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 10 144.56 14.456000 13.484874 6.74243781 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 10 187.88 18.788000 18.788000 9.39400082 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 52.19 26.095000 26.095000 13.04750083 B01AB06 NADROPARINUM**# FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0,3ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ. S/P-RF 10 75.42 7.542000 6.742437 3.37121884 B01AB06 NADROPARINUM**# FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. S/P-RF 10 103.46 10.346000 8.989914 4.49495785 B01AB06 NADROPARINUM**# FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. S/P-RF 10 132.46 13.246000 13.246000 6.62300086 B01AB06 NADROPARINUM**# FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF 10 189.75 18.975000 17.979828 8.98991487 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 84.46 8.446000 6.751863 3.37593188 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 5 101.41 20.282000 16.200715 8.10035789 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000 U-AXa/ml LEO PHARMA A/S DANEMARCA CUTIE X 10 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF 10 129.10 12.910000 6.742437 3.37121890 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000 U-AXa/ml LEO PHARMA A/S DANEMARCA CUTIE X 10 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF 10 155.09 15.509000 8.668846 4.33442391 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 10 536.03 53.603000 38.528209 19.26410492 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 26.13 13.065000 6.742437 3.37121893 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 35.12 17.560000 8.668846 4.33442394 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 73.65 36.825000 19.264101 9.63205095 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 1,113.22 111.322000 77.056425 38.528212

Pagina 2 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

96 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 2 103.18 51.590000 26.969749 13.48487497 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 2 127.08 63.540000 34.675391 17.33769598 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 50 102.83 2.056600 2.056600 1.02830099 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 78.43 7.843000 7.843000 3.921500100 B01AC04 CLOPIDOGRELUM** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 780.80 26.026666 19.287127 9.643563101 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 1.420000102 B01AC04 CLOPIDOGRELUM** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 90.49 3.231785 3.231785 1.615892103 B01AC04 CLOPIDOGRELUM** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 122.34 4.369285 4.369285 2.184642104 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 83.81 2.793666 2.793666 1.396833105 B01AC04 CLOPIDOGRELUM** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 1.420000106 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF 90 242.40 2.693333 2.693333 1.346666107 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL MYLAN 75mg COMPR. FILM. 75mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF 28 79.52 2.840000 2.840000 1.420000108 B01AC04 CLOPIDOGRELUM** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 1.420000109 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 68.52 2.447142 2.447142 1.223571110 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 68.52 2.447142 2.447142 1.223571111 B01AC04 CLOPIDOGRELUM** PLAVOCORIN 75 mg COMPR. FILM. 75mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 89.49 3.196071 3.196071 1.598035112 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 79.49 2.838928 2.838928 1.419464113 B01AC04 CLOPIDOGRELUM** DEFROZYP 75 mg COMPR. FILM. 75mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.49 2.838928 2.838928 1.419464114 B01AC04 CLOPIDOGRELUM** TESSYRON 75 mg COMPR. FILM. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF 30 85.21 2.840333 2.840333 1.420166115 B01AC04 CLOPIDOGRELUM** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 68.48 2.445714 2.445714 1.222857116 B01AC04 CLOPIDOGRELUM** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF 28 68.48 2.445714 2.445714 1.222857117 B01AC04 CLOPIDOGRELUM** VATOUD 75 mg COMPR. FILM. 75mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 73.81 2.636071 2.636071 1.318035118 B01AC04 CLOPIDOGRELUM** LOFRADYK 75 mg COMPR. FILM. 75mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 68.22 2.436428 2.436428 1.218214119 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 79.49 2.838928 2.838928 1.419464120 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 85.18 2.839333 2.839333 1.419666121 B01AC04 CLOPIDOGRELUM** MOYTOR 75 mg COMPR. FILM. 75mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 1.420000122 B01AC04 CLOPIDOGRELUM** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 161.58 2.693000 2.693000 1.346500123 B01AC04 CLOPIDOGRELUM** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 242.38 2.693111 2.693111 1.346555124 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL TERAPIA 75 mg COMPR. FILM. 75mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF 30 85.21 2.840333 2.840333 1.420166125 B01AC04 CLOPIDOGRELUM** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 67.70 2.417857 2.417857 1.208928126 B01AC04 CLOPIDOGRELUM** DEPLATT 75 mg COMPR. FILM. 75mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 85.19 2.839666 2.839666 1.419833127 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL ACCORD 75 mg COMPR. FILM. 75mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF 30 85.21 2.840333 2.840333 1.420166128 B01AC18 TRIFLUSALUM AFLEN (R) CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 84.93 1.698600 1.698600 0.849300129 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 63.61 1.060166 1.060166 0.530083130 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 2,5mg/0,5ml 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 10 233.80 23.380000 22.176499 11.088249131 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 7,5mg/0,6ml 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 10 653.26 65.326000 65.326000 32.663000132 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 5 149.77 29.954000 29.954000 14.977000133 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 160.23 5.722500 3.272517 1.636258134 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 240.27 4.290535 3.272517 1.636258135 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 260.36 4.649285 4.649285 2.324642136 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 160.23 5.722500 4.908776 2.454388137 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 21.80 0.726666 0.726666 0.363333138 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,2 mg COMPR. FILM. 0,2mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 13.24 0.472857 0.472857 0.236428139 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0,2mg ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L 28 32.50 1.160714 0.871417 0.435708140 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 25.87 0.862333 0.862333 0.431166141 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 33.14 1.104666 1.104666 0.552333142 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,4 mg COMPR. FILM. 0,4mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 26.58 0.949285 0.949285 0.474642143 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0,4mg ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L 28 43.79 1.563928 1.563928 0.781964144 C02AC06 RILMENIDINUM TENAXUM COMPR. 1mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 41.62 1.387333 1.307128 0.653564145 C02AC06 RILMENIDINUM RILMENIDINA TEVA 1 mg COMPR. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (FOLIE AL CFF (FORMATA LA RECE)/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC) P6L 30 27.94 0.931333 0.931333 0.465666146 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 5.73 0.191000 0.147875 0.073937

Pagina 3 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

147 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 8.01 0.267000 0.267000 0.133500148 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 30 185.59 6.186333 3.866458 1.933229149 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 30 185.59 6.186333 6.186333 3.093166150 C04AE02 NICERGOLINUM NICERIUM (R) 15 CAPS. ELIB. MODIF. 15mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 27.89 0.929666 0.516374 0.258187151 C04AE02 NICERGOLINUM NICERIUM (R) 30 UNO CAPS. ELIB. MODIF. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 51.38 1.712666 1.032749 0.516374152 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 13.45 0.448333 0.344249 0.172124153 C04AE02 NICERGOLINUM GRALIN 10 mg COMPR. FILM. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 13.45 0.448333 0.344249 0.172124154 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 48.31 1.610333 1.032749 0.516374155 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 32.45 1.081666 1.032749 0.516374156 C04AE02 NICERGOLINUM GRALIN 30 mg COMPR. FILM. 30mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 32.45 1.081666 1.032749 0.516374157 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 6.76 0.225333 0.172124 0.086062158 C04AE02 NICERGOLINUM GRALIN 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 6.76 0.225333 0.172124 0.086062159 C04AE02 NICERGOLINUM NICERIUM (R) 10 DRAJ. 10mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ. P-6L 25 14.11 0.564400 0.344249 0.172124160 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 32.39 1.079666 1.032749 0.516374161 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 21.59 1.079500 1.032749 0.516374162 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 9.26 0.926000 0.926000 0.463000163 C04AX07 VINCAMINUM VINCAMINA DRAJ. 10mg BIOFARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ. P-6L 20 6.72 0.336000 0.315500 0.157750164 C04AXN1 GINKGO BILOBA** BILOBIL INTENS 120 mg (vezi N06DX02) CAPS. 120mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 60 65.18 1.086333 1.086333 0.543166165 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 20 9.58 0.479000 0.381791 0.190895166 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 60 27.50 0.458333 0.381791 0.190895167 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (vezi C04AXN1) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L 60 45.29 0.754833 0.754833 0.377416168 C04AXN1 GINKGO BILOBA** GINGIUM 120mg (vezi N06DX02) COMPR. FILM. 120mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 33.74 1.124666 1.124666 0.562333169 C04AXN1 GINKGO BILOBA** FLAVOTAN 120 mg (vezi N06DX02) COMPR. FILM. 120mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 33.71 1.123666 1.123666 0.561833170 C04AXN1 GINKGO BILOBA** FLAVOTAN 120 mg (vezi C04AXN1) COMPR. FILM. 120mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L 60 65.31 1.088500 1.088500 0.544250171 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (N06DX02) COMPR. FILM. 40mg IPSEN BIOTECH FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 23.17 0.772333 0.381791 0.190895172 C04AXN1 GINKGO BILOBA** GINGIUM 40mg (vezi N06DX02 ) COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 12.48 0.416000 0.381791 0.190895173 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 23.37 0.467400 0.381791 0.190895174 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 9.32 0.466000 0.381791 0.190895175 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 26.61 0.443500 0.381791 0.190895176 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 90 36.73 0.408111 0.381791 0.190895177 C04AXN1 GINKGO BILOBA** GINKO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 12.30 0.410000 0.381791 0.190895178 C04AXN1 GINKGO BILOBA** GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 60 23.51 0.391833 0.381791 0.190895179 C04AXN1 GINKGO BILOBA** GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L 60 23.51 0.391833 0.381791 0.190895180 C04AXN1 GINKGO BILOBA** FLAVOTAN 40 mg (C04AXN1) COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 13.73 0.457666 0.381791 0.190895181 C04AXN1 GINKGO BILOBA** FLAVOTAN 40 mg (C04AXN1) COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L 60 27.47 0.457833 0.381791 0.190895182 C04AXN1 GINKGO BILOBA** GINGIUM 80mg (vezi N06DX02) COMPR. FILM. 80mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 23.51 0.783666 0.763583 0.381791183 C04AXN1 GINKGO BILOBA** GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02) COMPR. FILM. 80mg BIOFARM S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 23.17 0.772333 0.763583 0.381791184 C04AXN1 GINKGO BILOBA** GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02) COMPR. FILM. 80mg BIOFARM S.A. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 44.84 0.747333 0.747333 0.373666185 C04AXN1 GINKGO BILOBA** FLAVOTAN 80 mg (vezi N06DX02) COMPR. FILM. 80mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 23.39 0.779666 0.763583 0.381791186 C04AXN1 GINKGO BILOBA** FLAVOTAN 80 mg (vezi C04AXN1) COMPR. FILM. 80mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 60 45.27 0.754500 0.754500 0.377250187 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (C04AXN1) 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 24.88 24.880000 24.880000 12.440000188 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 26.39 0.879666 0.879666 0.439833189 C07AB12 NEBIVOLOLUM NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 34.55 1.233928 0.887656 0.443828190 C07AB12 NEBIVOLOLUM NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.20 0.773333 0.773333 0.386666191 C07AB12 NEBIVOLOLUM X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF 30 27.09 0.903000 0.887656 0.443828192 C07AB12 NEBIVOLOLUM NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L 30 24.87 0.829000 0.829000 0.414500193 C07AB12 NEBIVOLOLUM NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L 28 22.80 0.814285 0.814285 0.407142194 C07AB12 NEBIVOLOLUM NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24.44 0.814666 0.814666 0.407333195 C07AB12 NEBIVOLOLUM NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS SRL CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24.87 0.829000 0.829000 0.414500196 C07AB12 NEBIVOLOLUM NEBICARD 5 mg COMPR. 5mg BIOFARM SP.ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 22.93 0.818928 0.818928 0.409464197 C07AB12 NEBIVOLOLUM NEBIVOLOL SANDOZ 5 mg COMPR. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L 28 13.84 0.494285 0.494285 0.247142

Pagina 4 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

198 C07AB12 NEBIVOLOLUM NEBIVOLOL TERAPIA 5mg COMPR. 5mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 22.65 0.808928 0.808928 0.404464199 C07AB12 NEBIVOLOLUM NEBIVOLOL TORRENT 5 mg COMPR. 5mg TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L 30 24.59 0.819666 0.819666 0.409833200 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 10 mg/6,25mg COMPR. FILM. 10 mg/6,25mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 29.46 0.982000 0.929166 0.464583201 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 2,5mg/6,25mg COMPR. FILM. 2,5mg/6,25mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 26.29 0.876333 0.876333 0.438166202 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 5mg/6,25mg COMPR. FILM. 5mg/6,25mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 29.46 0.982000 0.929166 0.464583203 C08CA09 LACIDIPINUM LACIPIL 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 12.80 0.914285 0.578399 0.289199204 C08CA13 LERCANIDIPINUM LERCANIDIPINA TEVA 10 mg COMPR. FILM. 10 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 21.09 0.703000 0.578399 0.289199205 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 63.97 2.284642 0.578399 0.289199206 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 16.58 0.592142 0.578399 0.289199207 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 17.77 0.592333 0.578399 0.289199208 C08CA13 LERCANIDIPINUM LERIDIP COMPR. FILM. 10mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L 60 40.07 0.667833 0.578399 0.289199209 C08CA13 LERCANIDIPINUM LERPIN 10 mg COMPR. FILM. 10mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 22.99 0.821071 0.578399 0.289199210 C08CA13 LERCANIDIPINUM KAPIDIN10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 17.77 0.592333 0.578399 0.289199211 C08CA13 LERCANIDIPINUM PEGFEL 10 mg COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L 28 21.76 0.777142 0.578399 0.289199212 C08CA13 LERCANIDIPINUM LERCANIDIPINA TEVA 20 mg COMPR. FILM. 20 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 32.91 1.097000 1.097000 0.548500213 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 71.97 2.570357 1.156798 0.578399214 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 26.44 0.944285 0.944285 0.472142215 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 28.34 0.944666 0.944666 0.472333216 C08CA13 LERCANIDIPINUM LERIDIP 20 COMPR. FILM. 20mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 64.75 1.079166 1.079166 0.539583217 C08CA13 LERCANIDIPINUM LERPIN 20 mg COMPR. FILM. 20mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 34.95 1.248214 1.156798 0.578399218 C08CA13 LERCANIDIPINUM PEGFEL 20 mg COMPR. FILM. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L 28 33.98 1.213571 1.156798 0.578399219 C09AA04 PERINDOPRILUM PRENESSA 2 mg COMPR. 2mg KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 13.44 0.448000 0.198659 0.099329220 C09AA04 PERINDOPRILUM PRICORON 4 mg COMPR. 4 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 24.95 0.831666 0.397319 0.198659221 C09AA04 PERINDOPRILUM COVEREX (R) 4 mg COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 29.01 0.967000 0.397319 0.198659222 C09AA04 PERINDOPRILUM PERINDOPRIL TEVA 4 mg COMPR. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR. P-6L 30 25.32 0.844000 0.397319 0.198659223 C09AA04 PERINDOPRILUM VIDOTIN 4 mg COMPR. 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 33.45 1.115000 0.397319 0.198659224 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 25.87 0.862333 0.397319 0.198659225 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 25.87 0.862333 0.397319 0.198659226 C09AA04 PERINDOPRILUM PRENESSA 4 mg COMPR. 4mg KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 26.87 0.895666 0.397319 0.198659227 C09AA04 PERINDOPRILUM PRINDEX 4 mg COMPR. 4mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 26.90 0.896666 0.397319 0.198659228 C09AA04 PERINDOPRILUM PRESTPRIL 4 mg COMPR. 4mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L 30 25.87 0.862333 0.397319 0.198659229 C09AA04 PERINDOPRILUM PRICORON 8 mg COMPR. 8 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 45.52 1.517333 0.794639 0.397319230 C09AA04 PERINDOPRILUM PERINDOPRIL TEVA 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR. P-6L 30 49.00 1.633333 0.794639 0.397319231 C09AA04 PERINDOPRILUM VIDOTIN 8 mg COMPR. 8mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 53.44 1.781333 0.794639 0.397319232 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 49.12 1.637333 0.794639 0.397319233 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 49.12 1.637333 0.794639 0.397319234 C09AA04 PERINDOPRILUM PRINDEX 8 mg COMPR. 8mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 54.01 1.800333 0.794639 0.397319235 C09AA04 PERINDOPRILUM PERYL 8 mg COMPR. 8mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 30.86 1.028666 0.794639 0.397319236 C09AA04 PERINDOPRILUM PRESTPRIL 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L 30 49.12 1.637333 0.794639 0.397319237 C09AA04 PERINDOPRILUM PRENESSA 8 mg COMPR. 8mg KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 49.45 1.648333 0.794639 0.397319238 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 63.61 2.120333 0.993299 0.496649239 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 41.11 1.370333 0.496649 0.248324240 C09AA07 BENAZEPRILUM CIBACEN (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 43.66 1.559285 0.529759 0.264879241 C09AA07 BENAZEPRILUM CIBACEN (R) 20 mg COMPR. FILM. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 57.30 2.046428 1.059519 0.529759242 C09AA07 BENAZEPRILUM CIBACEN (R) 5 mg COMPR. FILM. 5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 21.80 0.778571 0.264879 0.132439243 C09AA10 TRANDOLAPRILUM GOPTEN (R) 0,5 mg CAPS. 0,5mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 9.71 0.485500 0.099329 0.049664244 C09AA10 TRANDOLAPRILUM FEZZOR 0,5 mg CAPS. 0,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 7.94 0.283571 0.099329 0.049664245 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 1.003214 0.397319 0.198659246 C09AA10 TRANDOLAPRILUM TRANDOLAPRIL GALEX 2 mg CAPS. 2mg GALEX D.D SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L 28 18.26 0.652142 0.397319 0.198659247 C09AA10 TRANDOLAPRILUM FEZZOR 2 mg CAPS. 2mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 18.26 0.652142 0.397319 0.198659248 C09AA10 TRANDOLAPRILUM GOPTEN (R) 4 mg CAPS. 4mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 46.79 1.671071 0.794639 0.397319

Pagina 5 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

249 C09AA10 TRANDOLAPRILUM TRANDOLAPRIL GALEX 4 mg CAPS. 4mg GALEX D.D SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L 28 31.42 1.122142 0.794639 0.397319250 C09AA10 TRANDOLAPRILUM FEZZOR 4 mg CAPS. 4mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 31.42 1.122142 0.794639 0.397319251 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 44.47 1.588214 0.397319 0.198659252 C09AA15 ZOFENOPRILUM ZOMEN (R) 7,5 mg COMPR. FILM. 7,5mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 19.69 0.703214 0.099329 0.049664253 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRINDEX PLUS 2 mg/0,625 mg COMPR. 2 mg/0,625mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L 30 16.18 0.539333 0.539333 0.269666254 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 2mg/0,625 mg COMPR. 2mg/0,625mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 16.18 0.539333 0.539333 0.269666255 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) INDAPRIL 2 mg/0,625 mg COMPR. 2mg/0,625mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L 30 18.71 0.623666 0.623666 0.311833256 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRICORON COMBI 2 mg/0,625 mg COMPR. 2mg/0,625mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 16.18 0.539333 0.539333 0.269666257 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) DANURIT 2 mg/0,625 mg COMPR. 2mg/0,625mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L 30 16.18 0.539333 0.539333 0.269666258 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRINDEX PLUS 4 mg/1,25mg COMPR. 4 mg/1,25mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L 30 29.41 0.980333 0.970799 0.485399259 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) INDAPRIL 4 mg/1,25 mg COMPR. 4mg+1.25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L 30 31.19 1.039666 0.970799 0.485399260 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRICORON COMBI 4 mg/1,25 mg COMPR. 4mg+1.25mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 29.41 0.980333 0.970799 0.485399261 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 4mg/1,25 mg COMPR. 4mg/1,25mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 29.41 0.980333 0.970799 0.485399262 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) DANURIT 4 mg/1,25mg COMPR. 4mg/1,25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L 30 29.41 0.980333 0.970799 0.485399263 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 8 mg/2,5mg COMPR. 8mg/2,5mg PHARMA-REGIST UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 61.17 2.039000 0.970799 0.485399264 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLITERAX 10 mg/2,5mg COMPR. FILM. 10mg/2,5mg LES LAB. SERVIER FRANTA CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM. P-6L 30 75.76 2.525333 0.970799 0.485399265 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG 2,5mg/0,625mg COMPR. FILM. 2,5mg/0,625mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 57.17 1.905666 0.970799 0.485399266 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG FORTE 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 61.63 2.054333 0.970799 0.485399267 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRESTARIUM ARG PLUS 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 61.63 2.054333 0.970799 0.485399268 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 21.68 0.722666 0.722666 0.361333269 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE 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 31.57 1.052333 0.970799 0.485399270 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 20mg+10mg GALENICA S.A. GRECIA CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 30 96.52 3.217333 3.217333 1.608666271 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA 240 mg/2 mg COMPR. CU ELIB. MODIF. 240mg/2mg ABBOTT GMBH & CO.KG GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF. P6L 28 55.45 1.980357 1.887500 0.943750272 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA 240 mg/4 mg COMPR. CU ELIB. MODIF. 240mg/4mg ABBOTT GMBH & CO.KG GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF. P6L 28 72.69 2.596071 1.887500 0.943750273 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 52.85 1.887500 1.887500 0.943750274 C09CA03 VALSARTANUM VALSARTAN TEVA 160 mg CAPS. 160mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 32.59 1.163928 1.163928 0.581964275 C09CA03 VALSARTANUM VALSARTAN TEVA 80 mg CAPS. 80mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 20.26 0.723571 0.723571 0.361785276 C09CA03 VALSARTANUM CORETON 160 mg COMPR. FILM. 160mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 32.85 1.173214 1.173214 0.586607277 C09CA03 VALSARTANUM WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 66.00 2.357142 2.357142 1.178571278 C09CA03 VALSARTANUM WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 70.74 2.358000 2.358000 1.179000279 C09CA03 VALSARTANUM VALSARGAMMA 160 mg COMPR. FILM. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 33.91 1.130333 1.130333 0.565166280 C09CA03 VALSARTANUM DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 116.60 4.164285 2.549998 1.274999281 C09CA03 VALSARTANUM VALSARTAN TORRENT 160 mg COMPR. FILM. 160mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 65.71 2.346785 2.346785 1.173392282 C09CA03 VALSARTANUM VALSACOR 160 mg COMPR. FILM. 160mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 32.85 1.173214 1.173214 0.586607283 C09CA03 VALSARTANUM AVASSAN 160 mg COMPR. FILM. 160mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 66.00 2.357142 2.357142 1.178571284 C09CA03 VALSARTANUM DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM. P6L 28 71.91 2.568214 0.637499 0.318749285 C09CA03 VALSARTANUM AVASSAN 40 mg COMPR. FILM. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 42.63 1.522500 0.637499 0.318749286 C09CA03 VALSARTANUM CORETON 80 mg COMPR. FILM. 80mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 34.00 1.214285 1.214285 0.607142287 C09CA03 VALSARTANUM WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 47.37 1.691785 1.274999 0.637499288 C09CA03 VALSARTANUM WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 50.79 1.693000 1.274999 0.637499289 C09CA03 VALSARTANUM VALSARGAMMA 80 mg COMPR. FILM. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 23.25 0.775000 0.775000 0.387500290 C09CA03 VALSARTANUM DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L 28 91.88 3.281428 1.274999 0.637499291 C09CA03 VALSARTANUM VALSARTAN TORRENT 80 mg COMPR. FILM. 80mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47.00 1.678571 1.274999 0.637499292 C09CA03 VALSARTANUM VALSACOR 80 mg COMPR. FILM. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 28.84 1.030000 1.030000 0.515000293 C09CA03 VALSARTANUM AVASSAN 80 mg COMPR. FILM. 80mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47.40 1.692857 1.274999 0.637499294 C09CA03 VALSARTANUM DIOVAN 3 mg/ml SOL. ORALA 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1 P-6L 1 41.42 41.420000 7.649996 3.824998295 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 66.75 2.383928 1.274999 0.637499296 C09CA04 IRBESARTANUM IRBESARTAN WINTHROP 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 44.88 1.602857 1.274999 0.637499297 C09CA04 IRBESARTANUM IRBESARTAN TERAPIA 150 mg COMPR. FILM. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 54.57 1.948928 1.274999 0.637499298 C09CA04 IRBESARTANUM IRBESARTAN SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 33.50 1.196428 1.196428 0.598214299 C09CA04 IRBESARTANUM IRBEGAMMA 150 mg COMPR. FILM. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 38.29 1.276333 1.274999 0.637499

Pagina 6 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

300 C09CA04 IRBESARTANUM IRBEGAMMA 150 mg COMPR. FILM. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 121.22 1.212200 1.212200 0.606100301 C09CA04 IRBESARTANUM IRPRESTAN 150 mg COMPR. FILM. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 33.50 1.116666 1.116666 0.558333302 C09CA04 IRBESARTANUM IFIRMASTA 150 mg COMPR. FILM. 150mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L 28 37.35 1.333928 1.274999 0.637499303 C09CA04 IRBESARTANUM IRBESARTAN TEVA 150 mg COMPR. FILM. 150mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 33.50 1.196428 1.196428 0.598214304 C09CA04 IRBESARTANUM IRBESARTAN DR. REDDY'S 150 mg COMPR. FILM. 150mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 44.94 1.605000 1.274999 0.637499305 C09CA04 IRBESARTANUM DEPALONG 150 mg COMPR. FILM. 150mg MEDANA PHARMA S.A. POLONIA CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L 28 44.88 1.602857 1.274999 0.637499306 C09CA04 IRBESARTANUM ATOKKEN 150 mg COMPR. FILM. 150mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 44.88 1.602857 1.274999 0.637499307 C09CA04 IRBESARTANUM IRBESARTAN TEVA 300 mg COMPR. FILM. 300 mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 57.50 2.053571 2.053571 1.026785308 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 88.08 3.145714 2.549998 1.274999309 C09CA04 IRBESARTANUM IRBESARTAN WINTHROP 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 60.27 2.152500 2.152500 1.076250310 C09CA04 IRBESARTANUM IRBESARTAN TERAPIA 300 mg COMPR. FILM. 300mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 71.28 2.545714 2.545714 1.272857311 C09CA04 IRBESARTANUM IRBESARTAN SANDOZ 300 mg COMPR. FILM. 300mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 64.85 2.316071 2.316071 1.158035312 C09CA04 IRBESARTANUM IRBEGAMMA 300 mg COMPR. FILM. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 64.58 2.152666 2.152666 1.076333313 C09CA04 IRBESARTANUM IRBEGAMMA 300 mg COMPR. FILM. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 193.87 1.938700 1.938700 0.969350314 C09CA04 IRBESARTANUM IRPRESTAN 300 mg COMPR. FILM. 300mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 48.64 1.621333 1.621333 0.810666315 C09CA04 IRBESARTANUM IFIRMASTA 300mg COMPR. FILM. 300mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L 28 60.27 2.152500 2.152500 1.076250316 C09CA04 IRBESARTANUM IRBESARTAN DR. REDDY'S 300 mg COMPR. FILM. 300mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 60.27 2.152500 2.152500 1.076250317 C09CA04 IRBESARTANUM DEPALONG 300 mg COMPR. FILM. 300mg MEDANA PHARMA S.A. POLONIA CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L 28 60.27 2.152500 2.152500 1.076250318 C09CA04 IRBESARTANUM ATOKKEN 300 mg COMPR. FILM. 300mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 60.29 2.153214 2.153214 1.076607319 C09CA04 IRBESARTANUM IRBEGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 91.26 0.912600 0.637499 0.318749320 C09CA04 IRBESARTANUM ATOKKEN 75 mg COMPR. FILM. 75mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 40.39 1.442500 0.637499 0.318749321 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 66.74 2.383571 2.383571 1.191785322 C09CA06 CANDESARTANUM CILEXETIL TANDESAR 16 mg COMPR. 16mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 44.87 1.602500 1.602500 0.801250323 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR. 16mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36.14 1.204666 1.204666 0.602333324 C09CA06 CANDESARTANUM CILEXETIL HIPOSTYN 16 mg COMPR. 16mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 42.50 1.416666 1.416666 0.708333325 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN SANDOZ 16 mg COMPR. 16mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L 28 39.65 1.416071 1.416071 0.708035326 C09CA06 CANDESARTANUM CILEXETIL KARBIS 16 mg COMPR. 16mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 43.24 1.441333 1.441333 0.720666327 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN TORRENT 16 mg COMPR. 16mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 48.03 1.601000 1.601000 0.800500328 C09CA06 CANDESARTANUM CILEXETIL CLASTINOL 16 mg COMPR. 16mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 44.85 1.601785 1.601785 0.800892329 C09CA06 CANDESARTANUM CILEXETIL CANDEPOL 16 mg COMPR. 16mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 44.88 1.602857 1.602857 0.801428330 C09CA06 CANDESARTANUM CILEXETIL CANZENO 16mg COMPR. 16mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36.14 1.204666 1.204666 0.602333331 C09CA06 CANDESARTANUM CILEXETIL ATACAND 32 mg COMPR. 32mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L 28 117.40 4.192857 4.192857 2.096428332 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL ZENTIVA 32 mg COMPR. 32mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 45.81 1.527000 1.527000 0.763500333 C09CA06 CANDESARTANUM CILEXETIL HIPOSTYN 32 mg COMPR. 32mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 71.36 2.378666 2.378666 1.189333334 C09CA06 CANDESARTANUM CILEXETIL KARBIS 32 mg COMPR. 32mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 81.75 2.725000 2.725000 1.362500335 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN TORRENT 32 mg COMPR. 32mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 81.75 2.725000 2.725000 1.362500336 C09CA06 CANDESARTANUM CILEXETIL CLASTINOL 32 mg COMPR. 32mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 69.33 2.476071 2.476071 1.238035337 C09CA06 CANDESARTANUM CILEXETIL CANDEPOL 32 mg COMPR. 32mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 76.32 2.725714 2.725714 1.362857338 C09CA06 CANDESARTANUM CILEXETIL CANZENO 32mg COMPR. 32mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 45.81 1.527000 1.527000 0.763500339 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 56.10 2.003571 1.274999 0.637499340 C09CA06 CANDESARTANUM CILEXETIL TANDESAR 8 mg COMPR. 8mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 36.46 1.302142 1.274999 0.637499341 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL ZENTIVA 8 mg COMPR. 8mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 22.02 0.734000 0.734000 0.367000342 C09CA06 CANDESARTANUM CILEXETIL HIPOSTYN 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 24.13 0.804333 0.804333 0.402166343 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN SANDOZ 8 mg COMPR. 8mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L 28 33.45 1.194642 1.194642 0.597321344 C09CA06 CANDESARTANUM CILEXETIL KARBIS 8 mg COMPR. 8mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 33.01 1.100333 1.100333 0.550166345 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN TORRENT 8 mg COMPR. 8mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 39.07 1.302333 1.274999 0.637499346 C09CA06 CANDESARTANUM CILEXETIL CLASTINOL 8 mg COMPR. 8mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 36.46 1.302142 1.274999 0.637499347 C09CA06 CANDESARTANUM CILEXETIL CANDEPOL 8 mg COMPR. 8mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 36.46 1.302142 1.274999 0.637499348 C09CA06 CANDESARTANUM CILEXETIL CANZENO 8mg COMPR. 8mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 22.02 0.734000 0.734000 0.367000349 C09CA07 TELMISARTANUM TELMISARTAN ACTAVIS 40mg COMPR. 40 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 39.46 1.409285 1.274999 0.637499350 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 60.70 2.167857 1.274999 0.637499

Pagina 7 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

351 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 64.10 2.289285 1.274999 0.637499352 C09CA07 TELMISARTANUM TOLURA 40 mg COMPR. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L 28 39.46 1.409285 1.274999 0.637499353 C09CA07 TELMISARTANUM TEZEO 40 mg COMPR. 40mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 42.26 1.408666 1.274999 0.637499354 C09CA07 TELMISARTANUM TELMISARTAN ACTAVIS 80mg COMPR. 80 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 52.99 1.892500 1.892500 0.946250355 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 77.42 2.765000 2.549998 1.274999356 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 77.42 2.765000 2.549998 1.274999357 C09CA07 TELMISARTANUM TOLURA 80 mg COMPR. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L 28 52.99 1.892500 1.892500 0.946250358 C09CA07 TELMISARTANUM TEZEO 80 mg COMPR. 80mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 56.77 1.892333 1.892333 0.946166359 C09CA07 TELMISARTANUM TELMARK 20 mg COMPR. FILM. 20mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 32.36 1.078666 0.637499 0.318749360 C09CA07 TELMISARTANUM TELMARK 40 mg COMPR. FILM. 40mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 39.46 1.409285 1.274999 0.637499361 C09CA07 TELMISARTANUM TELMARK 40 mg COMPR. FILM. 40mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 42.27 1.409000 1.274999 0.637499362 C09CA07 TELMISARTANUM TANYDON 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 42.27 1.409000 1.274999 0.637499363 C09CA07 TELMISARTANUM TELMARK 80 mg COMPR. FILM. 80mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 52.99 1.892500 1.892500 0.946250364 C09CA07 TELMISARTANUM TELMARK 80 mg COMPR. FILM. 80mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 56.78 1.892666 1.892666 0.946333365 C09CA07 TELMISARTANUM TANYDON 80 mg COMPR. FILM. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 56.78 1.892666 1.892666 0.946333366 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 79.46 2.837857 1.829892 0.914946367 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) LOSARTAN HCT FARMAL 50mg/12,5mg COMPR. FILM. 50mg/12,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM. P-6L 28 30.06 1.073571 1.073571 0.536785368 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) LORISTA HL 100 mg/12,5 mg COMPR.FILM 100mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 29.31 1.046785 1.046785 0.523392369 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) LORISTA H COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 18.06 0.645000 0.645000 0.322500370 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg COMPR. FILM. 160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 122.45 4.373214 1.829892 0.914946371 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/25 mg COMPR. FILM. 160mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 136.15 4.862500 1.829892 0.914946372 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/12,5 mg COMPR. FILM. 320mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 132.23 4.722500 1.829892 0.914946373 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/25 mg COMPR. FILM. 320mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 150.44 5.372857 1.829892 0.914946374 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 80 mg/12,5 mg COMPR. FILM. 80mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 105.59 3.771071 1.829892 0.914946375 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. 150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 83.18 2.970714 1.829892 0.914946376 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. 300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 112.31 4.011071 1.829892 0.914946377 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg COMPR. FILM 150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L 28 56.93 2.033214 1.829892 0.914946378 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg COMPR. FILM 300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L 28 73.02 2.607857 1.829892 0.914946379 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRPREZIDE 150 mg/12,5 mg COMPR. FILM. 150 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 38.41 1.280333 1.280333 0.640166380 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,15 mg COMPR. FILM. 150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 56.93 2.033214 1.829892 0.914946381 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBEZYD COMBI 150 mg/12,5 mg COMPR. FILM. 150mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 56.93 2.033214 1.829892 0.914946382 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IFIRMACOMBI 150mg/12,5mg COMPR. FILM. 150mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 39.59 1.319666 1.319666 0.659833383 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg COMPR. FILM. 150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 56.93 2.033214 1.829892 0.914946384 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg COMPR. FILM. 150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. P6L 28 56.93 2.033214 1.829892 0.914946385 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRPREZIDE 300 mg/12,5 mg COMPR. FILM. 300 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 46.28 1.542666 1.542666 0.771333386 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,15 mg COMPR. FILM. 300 mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 73.02 2.607857 1.829892 0.914946387 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRPREZIDE 300 mg/25 mg COMPR. FILM. 300 mg/25 mg ACTAVIS GROUP PTC EHF. IRLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 56.93 1.897666 1.829892 0.914946388 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBEZYD COMBI 300 mg/12,5 mg COMPR. FILM. 300mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 73.02 2.607857 1.829892 0.914946389 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IFIRMACOMBI 300mg/12,5mg COMPR. FILM. 300mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 73.91 2.463666 1.829892 0.914946390 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg COMPR. FILM. 300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 73.00 2.607142 1.829892 0.914946391 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg COMPR. FILM. 300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. P6L 28 73.00 2.607142 1.829892 0.914946392 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 112.36 4.012857 1.829892 0.914946393 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBEZYD COMBI 300 mg/25 mg COMPR. FILM. 300mg/25mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 73.04 2.608571 1.829892 0.914946394 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IFIRMACOMBI 300mg/25mg COMPR. FILM. 300mg/25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 73.91 2.463666 1.829892 0.914946395 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg COMPR. FILM. 300mg/25mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 73.03 2.608214 1.829892 0.914946396 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg COMPR. FILM. 300mg/25mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. P6L 28 73.03 2.608214 1.829892 0.914946397 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/12,5mg COMPR. 80/12,5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 77.42 2.765000 1.829892 0.914946398 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/25mg COMPR. 80/25mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL) P-6L 28 104.85 3.744642 1.829892 0.914946399 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS 80mg/12,5mg COMPR. 80mg/12,5mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE) P-6L 28 79.57 2.841785 1.829892 0.914946400 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS 80mg/25mg COMPR. 80mg/25mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA) P-6L 28 104.85 3.744642 1.829892 0.914946401 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 252.74 4.513214 4.162053 2.081026

Pagina 8 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

402 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 28 128.66 4.595000 4.162053 2.081026403 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 252.74 4.513214 4.162053 2.081026404 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 28 128.66 4.595000 4.162053 2.081026405 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 56 214.81 3.835892 3.835892 1.917946406 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/PVDC ) P-6L 28 113.26 4.045000 4.045000 2.022500407 C10AA04 FLUVASTATINUM LESCOL 20 mg CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 15.98 0.570714 0.507584 0.253792408 C10AA04 FLUVASTATINUM LESCOL 40 mg CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 29.09 1.038928 1.015169 0.507584409 C10AA04 FLUVASTATINUM LESCOL XL 80 mg COMPR. ELIB. PREL. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL. P-6L 28 46.24 1.651428 1.651428 0.825714410 C10AA05 ATORVASTATINUM AMICOR 10 mg COMPR. FILM. 10 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L 30 18.38 0.612666 0.612666 0.306333411 C10AA05 ATORVASTATINUM TORVALIPIN 10 mg COMPR. FILM. 10 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L 30 16.75 0.558333 0.558333 0.279166412 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 41.50 1.383333 0.761377 0.380688413 C10AA05 ATORVASTATINUM TORVACARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 19.43 0.647666 0.647666 0.323833414 C10AA05 ATORVASTATINUM ATORIS 10 mg COMPR. FILM. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM. P-6L 30 19.43 0.647666 0.647666 0.323833415 C10AA05 ATORVASTATINUM GLETOR 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 21.14 0.704666 0.704666 0.352333416 C10AA05 ATORVASTATINUM ASCORD 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 21.05 0.701666 0.701666 0.350833417 C10AA05 ATORVASTATINUM ATORGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 16.75 0.558333 0.558333 0.279166418 C10AA05 ATORVASTATINUM ATORGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L 100 54.07 0.540700 0.540700 0.270350419 C10AA05 ATORVASTATINUM TULIP 10 mg COMPR. FILM. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 21.23 0.707666 0.707666 0.353833420 C10AA05 ATORVASTATINUM TULIP 10 mg COMPR. FILM. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L 90 55.45 0.616111 0.616111 0.308055421 C10AA05 ATORVASTATINUM ATILEN 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 19.83 0.708214 0.708214 0.354107422 C10AA05 ATORVASTATINUM TORVAZIN 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 18.77 0.625666 0.625666 0.312833423 C10AA05 ATORVASTATINUM XAMARA 10 mg COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 27.86 0.928666 0.761377 0.380688424 C10AA05 ATORVASTATINUM MODLIP 10 mg COMPR. FILM. 10mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP P6L 30 27.86 0.928666 0.761377 0.380688425 C10AA05 ATORVASTATINUM VOREDANIN 10 mg COMPR. FILM. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 19.43 0.647666 0.647666 0.323833426 C10AA05 ATORVASTATINUM AMICOR 20 mg COMPR. FILM. 20 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L 30 26.90 0.896666 0.896666 0.448333427 C10AA05 ATORVASTATINUM TORVALIPIN 20 mg COMPR. FILM. 20 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L 30 24.56 0.818666 0.818666 0.409333428 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 53.41 1.780333 1.522755 0.761377429 C10AA05 ATORVASTATINUM TORVACARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 29.46 0.982000 0.982000 0.491000430 C10AA05 ATORVASTATINUM ATORIS 20 mg COMPR. FILM. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM. P-6L 30 29.45 0.981666 0.981666 0.490833431 C10AA05 ATORVASTATINUM GLETOR 20 mg COMPR. FILM. 20mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 31.51 1.050333 1.050333 0.525166432 C10AA05 ATORVASTATINUM ASCORD 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 34.71 1.157000 1.157000 0.578500433 C10AA05 ATORVASTATINUM ATORGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 24.14 0.804666 0.804666 0.402333434 C10AA05 ATORVASTATINUM ATORGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L 100 73.89 0.738900 0.738900 0.369450435 C10AA05 ATORVASTATINUM TULIP 20 mg COMPR. FILM. 20mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 30.65 1.021666 1.021666 0.510833436 C10AA05 ATORVASTATINUM TULIP 20 mg COMPR. FILM. 20mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L 90 79.50 0.883333 0.883333 0.441666437 C10AA05 ATORVASTATINUM ATILEN 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 31.37 1.120357 1.120357 0.560178438 C10AA05 ATORVASTATINUM TORVAZIN 20 mg COMPR. FILM. 20mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 28.64 0.954666 0.954666 0.477333439 C10AA05 ATORVASTATINUM XAMARA 20 mg COMPR. FILM. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 34.71 1.157000 1.157000 0.578500440 C10AA05 ATORVASTATINUM MODLIP 20 mg COMPR. FILM. 20mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP P6L 30 34.71 1.157000 1.157000 0.578500441 C10AA05 ATORVASTATINUM VOREDANIN 20 mg COMPR. FILM. 20mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 29.45 0.981666 0.981666 0.490833442 C10AA05 ATORVASTATINUM AMICOR 40 mg COMPR. FILM. 40 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN AL/AL X 14 COMPR. FILM. P6L 14 28.58 2.041428 2.041428 1.020714443 C10AA05 ATORVASTATINUM TORVALIPIN 40 mg COMPR. FILM. 40 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L 30 50.55 1.685000 1.685000 0.842500444 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 45.27 3.233571 3.045510 1.522755445 C10AA05 ATORVASTATINUM TORVACARD 40 mg COMPR. FILM. 40mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 53.71 1.790333 1.790333 0.895166446 C10AA05 ATORVASTATINUM ATORIS 40 mg COMPR. FILM. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 14 COMPR.FILM. P-6L 14 25.86 1.847142 1.847142 0.923571447 C10AA05 ATORVASTATINUM ATORIS 40 mg COMPR. FILM. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM. P-6L 30 53.61 1.787000 1.787000 0.893500448 C10AA05 ATORVASTATINUM GLETOR 40 mg COMPR. FILM. 40mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 63.06 2.102000 2.102000 1.051000449 C10AA05 ATORVASTATINUM ASCORD 40 mg COMPR. FILM. 40mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 56.69 1.889666 1.889666 0.944833450 C10AA05 ATORVASTATINUM ATORGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 52.86 1.762000 1.762000 0.881000451 C10AA05 ATORVASTATINUM ATORGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L 100 159.32 1.593200 1.593200 0.796600452 C10AA05 ATORVASTATINUM TULIP 40 mg COMPR. FILM. 40mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 61.73 2.057666 2.057666 1.028833

Pagina 9 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

453 C10AA05 ATORVASTATINUM TULIP 40 mg COMPR. FILM. 40mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L 90 152.32 1.692444 1.692444 0.846222454 C10AA05 ATORVASTATINUM ATILEN 40 mg COMPR. FILM. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 58.84 2.101428 2.101428 1.050714455 C10AA05 ATORVASTATINUM TORVAZIN 40 mg COMPR. FILM. 40mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 52.68 1.756000 1.756000 0.878000456 C10AA05 ATORVASTATINUM XAMARA 40 mg COMPR. FILM. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 63.04 2.101333 2.101333 1.050666457 C10AA05 ATORVASTATINUM MODLIP 40 mg COMPR. FILM. 40mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP P6L 30 63.04 2.101333 2.101333 1.050666458 C10AA05 ATORVASTATINUM VOREDANIN 40 mg COMPR. FILM. 40mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 53.61 1.787000 1.787000 0.893500459 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 72.66 5.190000 5.190000 2.595000460 C10AA05 ATORVASTATINUM ASCORD 80 mg COMPR. FILM. 80mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 101.21 3.373666 3.373666 1.686833461 C10AA05 ATORVASTATINUM ATILEN 80 mg COMPR. FILM. 80mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 94.46 3.373571 3.373571 1.686785462 C10AA05 ATORVASTATINUM XAMARA 80 mg COMPR. FILM. 80mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 101.21 3.373666 3.373666 1.686833463 C10AA05 ATORVASTATINUM TORVACARD 80 mg COMPR. FILM. 80mg ZENTIVA, K.S. REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 101.71 3.390333 3.390333 1.695166464 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 105.02 3.750714 1.522755 0.761377465 C10AA07 ROSUVASTATINUM ROSUCARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 63.42 2.114000 1.522755 0.761377466 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 53.55 1.785000 1.522755 0.761377467 C10AA07 ROSUVASTATINUM ROXARDIO 10 mg COMPR. FILM. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 69.51 2.482500 1.522755 0.761377468 C10AA07 ROSUVASTATINUM ROSTAT 10 mg COMPR. FILM. 10mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 73.16 2.438666 1.522755 0.761377469 C10AA07 ROSUVASTATINUM ROSWERA 10 mg COMPR. FILM. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 53.56 1.785333 1.522755 0.761377470 C10AA07 ROSUVASTATINUM STARCREST 10 mg COMPR. FILM. 10mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM. P6L 30 59.03 1.967666 1.522755 0.761377471 C10AA07 ROSUVASTATINUM TINTAROS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. P6L 28 39.44 1.408571 1.408571 0.704285472 C10AA07 ROSUVASTATINUM SURVAL 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM. P6L 30 53.56 1.785333 1.522755 0.761377473 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 149.38 5.335000 3.045510 1.522755474 C10AA07 ROSUVASTATINUM ROSUCARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 99.58 3.319333 3.045510 1.522755475 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 92.42 3.080666 3.045510 1.522755476 C10AA07 ROSUVASTATINUM ROXARDIO 20 mg COMPR. FILM. 20mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 102.39 3.656785 3.045510 1.522755477 C10AA07 ROSUVASTATINUM ROSTAT 20 mg COMPR. FILM. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 109.71 3.657000 3.045510 1.522755478 C10AA07 ROSUVASTATINUM ROSWERA 20 mg COMPR. FILM. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 92.43 3.081000 3.045510 1.522755479 C10AA07 ROSUVASTATINUM STARCREST 20 mg COMPR. FILM. 20mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM. P6L 30 95.09 3.169666 3.045510 1.522755480 C10AA07 ROSUVASTATINUM TINTAROS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. P6L 28 52.95 1.891071 1.891071 0.945535481 C10AA07 ROSUVASTATINUM SURVAL 20 mg COMPR. FILM. 20mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM. P6L 30 92.43 3.081000 3.045510 1.522755482 C10AA07 ROSUVASTATINUM ROSUCARD 40 mg COMPR. FILM. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 109.71 3.657000 3.657000 1.828500483 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 40 mg COMPR. FILM. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 109.71 3.657000 3.657000 1.828500484 C10AA07 ROSUVASTATINUM ROSTAT 40 mg COMPR. FILM. 40mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 109.71 3.657000 3.657000 1.828500485 C10AA07 ROSUVASTATINUM ROSWERA 40 mg COMPR. FILM. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 109.71 3.657000 3.657000 1.828500486 C10AA07 ROSUVASTATINUM TINTAROS 40 mg COMPR. FILM. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. P6L 28 68.64 2.451428 2.451428 1.225714487 C10AA07 ROSUVASTATINUM SURVAL 40 mg COMPR. FILM. 40mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM. P6L 30 109.71 3.657000 3.657000 1.828500488 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 91.37 3.263214 0.761377 0.380688489 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 5 mg COMPR. FILM. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM. P-6L 30 50.53 1.684333 0.761377 0.380688490 C10AA07 ROSUVASTATINUM ROXARDIO 5 mg COMPR. FILM. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 62.54 2.233571 0.761377 0.380688491 C10AA07 ROSUVASTATINUM ROSTAT 5 mg COMPR. FILM. 5mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 64.78 2.159333 0.761377 0.380688492 C10AA07 ROSUVASTATINUM ROSWERA 5 mg COMPR. FILM. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 50.55 1.685000 0.761377 0.380688493 C10AA07 ROSUVASTATINUM STARCREST 5 mg COMPR. FILM. 5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM. P6L 30 50.53 1.684333 0.761377 0.380688494 C10AA07 ROSUVASTATINUM TINTAROS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. P6L 28 27.73 0.990357 0.761377 0.380688495 C10AA07 ROSUVASTATINUM SURVAL 5 mg COMPR. FILM. 5mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM. P6L 30 50.55 1.685000 0.761377 0.380688496 C10AB02 BEZAFIBRATUM REGADRIN (R) B DRAJ. 200mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 28.55 0.571000 0.571000 0.285500497 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 28 100.04 3.572857 3.572857 1.786428498 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 14 95.45 6.817857 6.552410 3.276205499 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 28 180.99 6.463928 6.463928 3.231964500 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 81.46 2.715333 1.927916 0.963958501 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/10 mg COMPR. FILM. 10mg/10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 55.75 1.858333 1.858333 0.929166502 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/5 mg COMPR. FILM. 10mg/5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 48.82 1.627333 1.627333 0.813666503 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/10 mg COMPR. FILM. 20mg/10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 71.26 2.375333 1.927916 0.963958

Pagina 10 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

504 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/5 mg COMPR. FILM. 20mg/5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 64.10 2.136666 1.927916 0.963958505 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 71.34 2.378000 1.927916 0.963958506 D01AA02 NATAMYCINUM PIMAFUCIN CREMA 20mg/g ASTELLAS EUROPE B.V. OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 12.48 12.480000 12.480000 6.240000507 D01BA02 TERBINAFINUM EXIFINE 125 mg COMPR. 125mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 27.04 1.931428 0.535500 0.267750508 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 87.90 6.278571 1.071000 0.535500509 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 234.95 7.831666 1.071000 0.535500510 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF 28 107.44 3.837142 1.071000 0.535500511 D01BA02 TERBINAFINUM TERBINAFINE 250 mg COMPR. 250mg ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 29.74 1.062142 1.062142 0.531071512 D01BA02 TERBINAFINUM TERBINAFINA SLAVIA 250mg COMPR. 250mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR. P-RF 14 18.21 1.300714 1.071000 0.535500513 D01BA02 TERBINAFINUM TERBINAFINA BIOGALENICA 250 mg COMPR. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-RF 28 31.99 1.142500 1.071000 0.535500514 D01BA02 TERBINAFINUM EXIFINE 250 mg COMPR. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 16.66 1.190000 1.071000 0.535500515 D01BA02 TERBINAFINUM TERBISIL 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. P-RF 28 108.77 3.884642 1.071000 0.535500516 D05AX02 CALCIPOTRIOLUM* DAIVONEX CREMA 50mcg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA P-6L 1 43.26 43.260000 43.260000 21.630000517 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* XAMIOL 50 micrograme/ 0,5 mg/g GEL 0,5 mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE CU 1 FLAC. PEID X 15 G GEL P-RF 1 81.72 81.720000 71.984999 35.992499518 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET 50 micrograme/0,5 mg/g GEL 50micrograme/0,5mg/g LEO PHARMA A/S DANEMARCA CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 30 G GEL PRF 1 108.59 108.590000 71.984999 35.992499519 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET (R) UNGUENT UNGUENT FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 62.25 62.250000 62.250000 31.125000520 D05BB02 ACITRETINUM** NEOTIGASON 10 mg CAPS. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 30 74.74 2.491333 2.491333 1.245666521 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 15.19 15.190000 15.190000 7.595000522 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 15.19 15.190000 15.190000 7.595000523 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA BORCAN X 500 G CREMA PRF 1 105.59 105.590000 105.590000 52.795000524 D06BB04 PODOPHYLLOTOXINUM* WARTEC 1,5 mg/g CREMA 1,5 mg/g GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 85.55 85.550000 45.803214 22.901607525 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 75.96 75.960000 75.960000 37.980000526 D06BB10 IMIQUIMODUM* ALDARA 5% CREMA 5% MEDA AB SUEDIA CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA P-RF 12 265.43 22.119166 22.119166 11.059583527 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 12.93 12.930000 12.407500 6.203750528 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 13.39 13.390000 12.407500 6.203750529 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 12.80 12.800000 12.407500 6.203750530 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 11.23 11.230000 11.230000 5.615000531 D07AC13 MOMETASONUM ELOCOM CREMA 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 15.69 15.690000 10.200000 5.100000532 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 18.78 18.780000 13.599999 6.799999533 D07AC13 MOMETASONUM ELOCOM UNGUENT 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 15.69 15.690000 10.200000 5.100000534 D07AC13 MOMETASONUM MOMERID 1 mg/g UNGUENT 1mg/g NEPENTES S.A. POLONIA CUTIE X 1 TUB AL X 15 G UNGUENT P-RF 1 10.20 10.200000 10.200000 5.100000535 D07AC13 MOMETASONUM MOMERID 1 mg/g UNGUENT 1mg/g NEPENTES S.A. POLONIA CUTIE X 1 TUB AL X 30 G UNGUENT P-RF 1 20.40 20.400000 20.400000 10.200000536 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 13.27 13.270000 13.270000 6.635000537 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN (R) MILK EMULSIE CUT. 0,1% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 20 G P-RF 1 19.61 19.610000 17.693333 8.846666538 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 13.27 13.270000 13.270000 6.635000539 D07AC17 FLUTICASONUM PROPIONAT CUTIVATE CREMA 0,05% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 10.31 10.310000 10.310000 5.155000540 D07AC17 FLUTICASONUM PROPIONAT CUTIVATE UNGUENT 0,005% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.31 10.310000 10.310000 5.155000541 D07AD01 CLOBETASOLUM* DERMOVATE 0,5 mg/g CREMA 0,5mg/g GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE CU 1 TUB AL X 25 G CREMA P-RF 1 12.08 12.080000 6.479999 3.239999542 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 5.21 5.210000 5.210000 2.605000543 D07AD01 CLOBETASOLUM* DERMOVATE UNGUENT 0,05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.91 8.910000 6.479999 3.239999544 D07AD01 CLOBETASOLUM* DERMIONE UNGUENT 0,05% OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 20 G P-RF 1 5.76 5.760000 5.183999 2.591999545 D07AD01 CLOBETASOLUM* DERMOVATE 0,5 mg/g UNGUENT 0,5mg/g GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE CU 1 TUB AL X 25 G UNGUENT P-RF 1 8.91 8.910000 6.479999 3.239999546 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 21.74 21.740000 21.740000 10.870000547 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 23.82 23.820000 23.820000 11.910000548 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT 1mg+5mg/gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 16.66 16.660000 15.915000 7.957500549 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT 1mg+5mg/gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 45 G P-RF 1 47.00 47.000000 47.000000 23.500000550 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 36.22 36.220000 36.220000 18.110000551 D10AX03 ACIDUM AZELAICUM SKINOREN CREMA 200mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 34.10 34.100000 34.100000 17.050000552 D10AX03 ACIDUM AZELAICUM SKINOREN 150mg/g GEL 150mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 30 G GEL P-RF 1 44.47 44.470000 36.692499 18.346249553 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 53.29 1.776333 1.071333 0.535666554 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 33.09 1.103000 1.071333 0.535666

Pagina 11 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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 D10BA01 ISOTRETINOINUM** SOTRET 10 mg CAPS. MOI 10mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 33.09 1.103000 1.071333 0.535666556 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 64.28 2.142666 2.142666 1.071333557 D10BA01 ISOTRETINOINUM** SOTRET 20 mg CAPS. MOI 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 64.28 2.142666 2.142666 1.071333558 G01AA02 NATAMYCINUM PIMAFUCIN (R) OVULE 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FOLIE X 3 OVULE P-RF 3 11.08 3.693333 3.693333 1.846666559 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 38.11 3.175833 2.404332 1.202166560 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 17.46 2.910000 2.404332 1.202166561 G01AA51 COMBINATII POLYGYNAX CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. MOI. VAG. P-RF 12 33.74 2.811666 2.404332 1.202166562 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 35.47 35.470000 35.470000 17.735000563 G01AF12 FENTICONAZOLUM LOMEXIN 1000 mg CAPS. MOI VAG. 1000mg RECORDATI SPA ITALIA CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI P-RF 2 51.21 25.605000 17.454807 8.727403564 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 20.09 20.090000 10.472884 5.236442565 G01AF12 FENTICONAZOLUM LOMEXIN CREMA VAGINALA CREMA VAG. 2% RECORDATI SPA ITALIA CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA P-RF 1 36.01 36.010000 27.229499 13.614749566 G01AF15 BUTOCONAZOLUM GYNOFORT 2% CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG. P-RF 1 40.29 40.290000 1.745480 0.872740567 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLODIN COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG. P-RF 10 15.01 1.501000 0.850500 0.425250568 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON® CREMA FARA CONCENTRATIE ALFA WASSERMANN SPA ITALIA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.63 9.630000 9.630000 4.815000569 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON CREMA VAG. FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA P-RF 1 12.87 12.870000 12.870000 6.435000570 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON OVULE FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 2 FOLII PVC-PE X 5 OVULE P-RF 10 11.17 1.117000 0.850500 0.425250571 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON SOL. VAGINALA FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE P-RF 5 21.99 4.398000 0.850500 0.425250572 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 43.59 21.795000 8.262750 4.131375573 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 123.74 15.467500 8.262750 4.131375574 G03AC03 LEVONORGESTRELUM***# MIRENA 20 mcg/24 h DISPOZITIV INTRAUTERIN 52mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR P-RF 1 513.53 513.530000 513.530000 256.765000575 G03CA04 ESTRIOLUM* OVESTIN CREMA VAG. 0.1% ORGANON NV OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR P-RF 1 14.76 14.760000 14.760000 7.380000576 G03CA04 ESTRIOLUM* OVESTIN OVULE 0,5mg ORGANON NV OLANDA CUTIE X 3 FOLII X 5 OVULE P-RF 15 20.62 1.374666 1.038599 0.519299577 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 12.08 1.208000 0.415439 0.207719578 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CREMA VAG. 1% LAB. THERAMEX MONACO CUTIE X 1 TUB X 15 G P-RF 1 13.87 13.870000 6.231597 3.115798579 G03DA04 PROGESTERONUM* UTROGESTAN (R) 100 mg CAPS. MOI 100mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI P-6L 30 30.00 1.000000 0.649666 0.324833580 G03DA04 PROGESTERONUM* AREFAM 100 mg CAPS. MOI 100mg LADEE PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L 30 19.49 0.649666 0.649666 0.324833581 G03DA04 PROGESTERONUM* AREFAM 100 mg CAPS. MOI 100mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L 30 19.49 0.649666 0.649666 0.324833582 G03DA04 PROGESTERONUM* UTROGESTAN (R) 200 mg CAPS. MOI 200mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI P-6L 14 30.00 2.142857 1.299332 0.649666583 G03DA04 PROGESTERONUM* AREFAM 200 mg CAPS. MOI 200mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI P-6L 30 37.74 1.258000 1.258000 0.629000584 G03DA04 PROGESTERONUM* PROGESTOGEL GEL 1% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L 1 18.00 18.000000 7.978500 3.989250585 G03DA04 PROGESTERONUM* MASTOPROFEN 1% GEL 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB DIN AL X 40 G P-6L 1 5.82 5.820000 5.820000 2.910000586 G03DB01 DYDROGESTERONUM* DUPHASTON 10 mg COMPR. FILM. 10mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF 20 14.38 0.719000 0.719000 0.359500587 G03DC03 LYNESTRENOLUM* ORGAMETRIL COMPR. 5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 9.12 0.304000 0.304000 0.152000588 G03DC05 TIBOLONUM** LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 72.82 2.600714 2.600714 1.300357589 G03FA14 COMBINATII** FEMOSTON CONTI 1 mg/ 5mg COMPR. FILM. 1mg/5mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. TIP CALENDAR AL/PVC X 28 COMPR. FILM. P-6L 28 28.91 1.032500 1.032500 0.516250590 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 28 28.91 1.032500 1.032500 0.516250591 G03FA17 COMBINATII** ANGELIQ COMPR. FILM. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P-RF 28 68.38 2.442142 1.032500 0.516250592 G03FB01 COMBINATII** CYCLO PROGINOVA (R) DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF 21 8.07 0.384285 0.384285 0.192142593 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 28 30.99 1.106785 0.670981 0.335490594 G03FB08 COMBINATII** FEMOSTON 2/10 COMPR. FILM. FARA CONCENTRATIE ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL P-RF 28 30.99 1.106785 0.670981 0.335490595 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 75 UI (5,5 mcg) PULB. + SOLV. PT. SOL. INJ. 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV. P-RF/R 1 137.81 137.810000 109.456500 54.728250596 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 300UI/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM. P-RF/R 1 527.76 527.760000 437.826000 218.913000597 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 450UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA P-RF/R 1 756.26 756.260000 656.739000 328.369500598 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 900UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA P-RF/R 1 1,441.72 1,441.720000 1,313.478000 656.739000599 G03GA06 FOLLITROPINUM BETA****# PUREGON 300UI/0,36 ml SOL. INJ. 300UI/0,36ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS + 6 ACE P-RF 1 517.31 517.310000 437.650869 218.825434600 G03GA06 FOLLITROPINUM BETA****# PUREGON 900UI/1,08 ml SOL. INJ. 900UI/1,08ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE P-RF 1 1,410.83 1,410.830000 1,312.952608 656.476304601 G03GA07 LUTROPINUM ALFA****# LUVERIS 75UI PULB+SOLV.PT.SOL.INJ 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R 1 146.72 146.720000 146.720000 73.360000602 G03GB02 CLOMIFENUM CLOSTILBEGYT COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF 10 14.31 1.431000 1.353000 0.676500603 G03GB02 CLOMIFENUM OVA - MIT COMPR. 50mg REMEDICA LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 13.27 1.327000 1.327000 0.663500604 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 124.97 4.463214 4.463214 2.231607605 G04BD04 OXYBUTYNINUM DRIPTANE ( R ) 5 mg COMPR. 5mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. P-6L 60 26.63 0.443833 0.443833 0.221916

Pagina 12 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

606 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 28 174.60 6.235714 2.816580 1.408290607 G04BD07 TOLTERODINUM**# UROFLOW 1 COMPR. FILM. 1mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 27.30 0.975000 0.704145 0.352072608 G04BD07 TOLTERODINUM**# TOLTERODINA ACCORD 2 mg COMPR. FILM. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 48.46 1.730714 1.408290 0.704145609 G04BD07 TOLTERODINUM**# UROFLOW 2 COMPR. FILM. 2mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 52.86 1.887857 1.408290 0.704145610 G04BD08 SOLIFENACINUM SUCCINATE**# ZEVESIN 10 mg COMPR. FILM. 10 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 147.62 4.920666 4.920666 2.460333611 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 30 227.12 7.570666 5.633160 2.816580612 G04BD08 SOLIFENACINUM SUCCINATE**# ZEVESIN 5 mg COMPR. FILM. 5 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM. P6L 30 106.65 3.555000 2.816580 1.408290613 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 30 183.34 6.111333 2.816580 1.408290614 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 28.95 1.447500 1.056217 0.528108615 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 58.69 1.173800 1.056217 0.528108616 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 38.11 1.270333 1.056217 0.528108617 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 63.52 2.117333 2.112435 1.056217618 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 46.94 2.347000 2.112435 1.056217619 G04CA01 ALFUZOSINUM ALFURAN MR 10 mg COMPR. ELIB. PREL. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL. P-6L 30 36.04 1.201333 1.201333 0.600666620 G04CA01 ALFUZOSINUM XATRAL SR 10 mg COMPR. ELIB. PREL. 10mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L 30 58.87 1.962333 1.962333 0.981166621 G04CA01 ALFUZOSINUM XATRAL LP 5 mg COMPR. FILM. ELIB. PREL. 5mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL. P-6L 28 33.76 1.205714 1.080198 0.540099622 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 36.34 1.211333 1.211333 0.605666623 G04CA02 TAMSULOSINUM FOKUSIN CAPS. ELIB. MODIF. 0,4mg ZENTIVA KS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 34.86 1.162000 1.162000 0.581000624 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 26.93 0.897666 0.897666 0.448833625 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 21.20 0.706666 0.706666 0.353333626 G04CA02 TAMSULOSINUM TAMSUNORM 0,4 mg CAPS. ELIB. PREL. 0,4mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-6L 30 22.96 0.765333 0.765333 0.382666627 G04CA02 TAMSULOSINUM TAMSULOSIN TEVA 400 µg COMPR. CU ELIB. PRELUNGITA 400 µg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. CU ELIB. PRELUNG. P6L 30 20.08 0.669333 0.669333 0.334666628 G04CA02 TAMSULOSINUM TANYZ 0,4 mg COMPR. ELIB. PREL. 0,4mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL. P6L 30 31.90 1.063333 1.063333 0.531666629 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 63.98 2.132666 1.620299 0.810149630 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 33.27 2.376428 1.175339 0.587669631 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 64.36 2.298571 1.175339 0.587669632 G04CB01 FINASTERIDUM* FINASTERIDE TEVA 5mg COMPR. FILM. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 35.18 1.172666 1.172666 0.586333633 G04CB01 FINASTERIDUM* FINANORM 5 mg COMPR. FILM. 5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 35.26 1.175333 1.175333 0.587666634 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 32.91 1.175357 1.175339 0.587669635 G04CB01 FINASTERIDUM* FINASTERIDA BIOGALENICA 5 mg COMPR. FILM. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 32.91 1.175357 1.175339 0.587669636 G04CB02 DUTASTERIDUM* AVODART 0,5 mg CAPS. MOI 0,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L 30 95.62 3.187333 3.187333 1.593666637 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 5.75 5.750000 5.750000 2.875000638 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 1 445.43 445.430000 394.187000 197.093500639 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 1 555.63 555.630000 525.582666 262.791333640 H01AC01 SOMATROPINUM***# NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN PHARMA FRANTA CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 991.21 991.210000 985.467500 492.733750641 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 1 484.12 484.120000 484.120000 242.060000642 H01AC01 SOMATROPINUM***# OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 765.73 765.730000 765.730000 382.865000643 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF 1 1,320.72 1,320.720000 985.467500 492.733750644 H01AC01 SOMATROPINUM***# NORDITROPIN FLEXPRO 10 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 10mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 1,726.64 1,726.640000 985.467500 492.733750645 H01AC01 SOMATROPINUM***# NORDITROPIN FLEXPRO 5 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 5mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 898.74 898.740000 492.733750 246.366875646 H01CC01 GANIRELIXUM***# ORGALUTRAN 0.25mg/0,5ml 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 1 176.88 176.880000 121.294606 60.647303647 H01CC02 CETRORELIXUM***# CETROTIDE 0,25 mg PULB+SOLV. PT. SOL. INJ. 0,25mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII P-RF 7 845.15 120.735714 120.735714 60.367857648 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 47.78 0.955600 0.955600 0.477800649 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.53 6.906000 6.906000 3.453000650 H02AB01 BETAMETHASONUM DIPROPHOS® SUSP. INJ. I.M. 7mg/ml MERCK SHARP & DOHME BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.53 6.906000 6.906000 3.453000651 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95.62 31.873333 31.873333 15.936666652 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35.71 11.903333 6.981149 3.490574653 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 16.87 0.168700 0.113639 0.056819654 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 21.00 0.420000 0.340920 0.170460655 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 25.52 0.510400 0.510400 0.255200656 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L/S 100 30.86 0.308600 0.170460 0.085230

Pagina 13 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

657 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 32.36 6.472000 6.472000 3.236000658 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.46 6.892000 3.735000 1.867500659 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 48.36 48.360000 38.823750 19.411875660 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 71.29 71.290000 71.290000 35.645000661 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 25.25 25.250000 15.522210 7.761105662 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 50 728.96 14.579200 14.579200 7.289600663 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 33.18 2.765000 2.765000 1.382500664 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 24.41 24.410000 22.692500 11.346250665 J01DD14 CEFTIBUTENUM CEDAX CAPS. 400mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 BLIST. X 1 CAPS. P-RF 5 70.49 14.098000 14.020199 7.010099666 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 43.69 43.690000 43.690000 21.845000667 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 9.86 0.616250 0.616250 0.308125668 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 27.87 2.787000 1.430568 0.715284669 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 25.50 4.250000 3.576424 1.788212670 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 37.99 6.331666 3.576424 1.788212671 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 25.36 4.226666 1.788210 0.894105672 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 48.80 8.133333 3.576424 1.788212673 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 29.08 4.846666 3.576424 1.788212674 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 29.08 4.846666 3.576424 1.788212675 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 38.17 12.723333 7.152849 3.576424676 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 48.80 16.266666 7.152849 3.576424677 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 25.65 8.550000 7.152849 3.576424678 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 29.21 9.736666 7.152849 3.576424679 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 29.21 9.736666 7.152849 3.576424680 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 25.65 8.550000 7.152849 3.576424681 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 25.64 8.546666 7.152849 3.576424682 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 44.61 14.870000 8.583422 4.291711683 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 44.61 14.870000 8.583422 4.291711684 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 63.52 63.520000 28.611405 14.305702685 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. 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 16.36 16.360000 16.360000 8.180000686 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 22.45 22.450000 15.151996 7.575998687 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 34.36 34.360000 30.303992 15.151996688 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 25.18 25.180000 22.728000 11.364000689 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 48.58 48.580000 45.456000 22.728000690 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 60.36 60.360000 56.820000 28.410000691 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 12.14 0.758750 0.736484 0.368242692 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 23.33 1.458125 1.458125 0.729062693 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 300 mg COMPR. FILM. 300mg MIP PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF 16 23.31 1.456875 1.456875 0.728437694 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 300 mg COMPR. FILM. 300mg MIP PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF 30 54.01 1.800333 1.472968 0.736484695 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF 16 52.16 3.260000 2.945937 1.472968696 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF 30 95.84 3.194666 2.945937 1.472968697 J01MA12 LEVOFLOXACINUM FLERADAY 250 mg COMPR. FILM. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 28.06 4.008571 2.379600 1.189800698 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 17.41 2.487142 2.379600 1.189800699 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 26.78 3.825714 2.379600 1.189800700 J01MA12 LEVOFLOXACINUM LEVOTOR 250 mg COMPR. FILM. 250mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 17.40 2.485714 2.379600 1.189800701 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACCORD 250 mg COMPR. FILM. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 17.40 2.485714 2.379600 1.189800702 J01MA12 LEVOFLOXACINUM FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 33.85 4.835714 4.759200 2.379600703 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 33.86 4.837142 4.759200 2.379600704 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 52.08 7.440000 4.759200 2.379600705 J01MA12 LEVOFLOXACINUM LEVOTOR 500 mg COMPR. FILM. 500mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 33.65 4.807142 4.759200 2.379600706 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 31.96 4.565714 4.565714 2.282857707 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM. PRF 7 31.96 4.565714 4.565714 2.282857

Pagina 14 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

708 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 33.40 4.771428 4.759200 2.379600709 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 80.90 16.180000 4.759200 2.379600710 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 80.90 16.180000 4.759200 2.379600711 J02AC02 ITRACONAZOLUM* ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 76.92 5.128000 5.128000 2.564000712 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 1.752000713 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 1.752000714 J02AC02 ITRACONAZOLUM* OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 1.752000715 J02AC02 ITRACONAZOLUM* SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 1.752000716 J02AC02 ITRACONAZOLUM* ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 1.752000717 J02AC02 ITRACONAZOLUM* MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 52.55 3.503333 3.503333 1.751666718 J05AB11 VALACYCLOVIRUM* VALTREX 500 mg COMPR. FILM. 500 mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 56.95 5.695000 4.907470 2.453735719 J05AB15 BRIVUDINUM*# BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 332.58 47.511428 47.511428 23.755714720 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 26.13 0.522600 0.522600 0.261300721 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA S/P-RF 1 994.94 994.940000 994.940000 497.470000722 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB S/P-RF 1 429.71 429.710000 378.914998 189.457499723 L02AE03 GOSERELINUM***# ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 436.52 436.520000 402.272492 201.136246724 L02AE04 TRIPTORELINUM***# DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0,1mg IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 134.62 19.231428 10.104391 5.052195725 L02AE04 TRIPTORELINUM***# DIPHERELINE PR 11,25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 11,25mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B S/P-RF 1 1,184.81 1,184.810000 1,136.745010 568.372505726 L02AE04 TRIPTORELINUM***# DIPHERELINE 3,75 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 3,75mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B S/P-RF 1 440.58 440.580000 440.580000 220.290000727 L02AE04 TRIPTORELINUM***# GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 827.20 29.542857 10.104391 5.052195728 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 80.90 0.809000 0.525924 0.262962729 M01AC01 PIROXICAMUM PIROXSAL 20 mg COMPR. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR. P-6L 20 2.63 0.131500 0.131500 0.065750730 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 30 29.01 0.967000 0.902700 0.451350731 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 10 17.58 1.758000 0.902700 0.451350732 M01AC01 PIROXICAMUM PIROXICAM LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.13 0.156500 0.156500 0.078250733 M01AC01 PIROXICAMUM PIROXICAM ARENA 20 MG COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.47 0.123500 0.123500 0.061750734 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 10 20.80 2.080000 0.902700 0.451350735 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 20 39.37 1.968500 0.902700 0.451350736 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 30 48.42 1.614000 0.902700 0.451350737 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 27.37 1.368500 0.902700 0.451350738 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 9.54 1.590000 1.590000 0.795000739 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 11.77 2.354000 2.354000 1.177000740 M01AC01 PIROXICAMUM PIROXICAM ATB 20 mg SUPOZ. 20 mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ. P6L 6 4.44 0.740000 0.740000 0.370000741 M01AC01 PIROXICAMUM PIROXICAM ATB 20 mg SUPOZ. 20 mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ. P6L 6 4.44 0.740000 0.740000 0.370000742 M01AC01 PIROXICAMUM PIROXICAM 20 mg SUPOZ. 20mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L 10 2.85 0.285000 0.285000 0.142500743 M01AC05 LORNOXICAMUM XEFO RAPID 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L 10 16.61 1.661000 0.601799 0.300899744 M01AC05 LORNOXICAMUM XEFO 8 mg/ 2 ml PULB. + SOLV. PT. SOL. INJ. 8mg/2ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV PRF 10 137.31 13.731000 1.412398 0.706199745 M01AE17 DEXKETOPROFENUM TADOR 25 mg COMPR. FILM. 25mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 14.05 1.405000 0.496874 0.248437746 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 30.51 6.102000 4.197999 2.098999747 M01AH01 CELECOXIBUM CELEBREX 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 63.57 2.119000 1.165874 0.582937748 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 33.03 3.303000 2.331749 1.165874749 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 94.10 3.136666 2.331749 1.165874750 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 35.09 5.012857 4.663499 2.331749751 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 128.69 4.596071 4.596071 2.298035752 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 67.83 4.845000 4.663499 2.331749753 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 67.83 4.845000 4.663499 2.331749754 M01AH05 ETORICOXIBUM ARCOXIA 30 mg COMPR. FILM. 30mg MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 28 86.14 3.076428 1.165874 0.582937755 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 55.68 3.977142 2.331749 1.165874756 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 105.76 3.777142 2.331749 1.165874757 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 55.68 3.977142 2.331749 1.165874758 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 59.15 4.225000 3.497624 1.748812

Pagina 15 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

759 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 30.54 4.362857 3.497624 1.748812760 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 59.15 4.225000 3.497624 1.748812761 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 112.36 4.012857 3.497624 1.748812762 M01AX05 GLUCOSAMINUM SLIDEFLEX 1178mg COMPR. FILM. 1178mg BLUE BIO PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPR. FILM. P-6L 30 41.65 1.388333 1.388333 0.694166763 M01AX05 GLUCOSAMINUM DONA (R) PULB. PT. SOL. ORALA 1500mg ROTTAPHARM SPA ITALIA CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L 20 43.20 2.160000 1.865870 0.932935764 M01AX17 NIMESULIDUM LEMESIL COMPR. 100mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.72 0.486000 0.486000 0.243000765 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 7.49 0.749000 0.745312 0.372656766 M01AX17 NIMESULIDUM NIMESULID 100 mg COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.87 0.487000 0.487000 0.243500767 M01AX17 NIMESULIDUM NIMESULID SLAVIA COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 7.24 0.724000 0.724000 0.362000768 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.20 0.410000 0.410000 0.205000769 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 4.78 0.478000 0.478000 0.239000770 M01AX17 NIMESULIDUM NIMESULID FARMEX 100 mg COMPR. 100mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF 10 7.20 0.720000 0.720000 0.360000771 M01AX17 NIMESULIDUM NISE 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.59 0.359000 0.359000 0.179500772 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 11.25 0.750000 0.745312 0.372656773 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 7.66 0.851111 0.745312 0.372656774 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 20.37 0.407400 0.374040 0.187020775 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 33.50 0.670000 0.670000 0.335000776 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 48.27 1.723928 1.546714 0.773357777 M05BA04 ACIDUM ALENDRONICUM* TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 48.27 12.067500 10.826998 5.413499778 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 37.13 18.565000 10.826998 5.413499779 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 48.27 12.067500 10.826998 5.413499780 M05BA04 ACIDUM ALENDRONICUM* RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 47.66 11.915000 10.826998 5.413499781 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 24.93 12.465000 10.826998 5.413499782 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L 4 24.71 6.177500 6.177500 3.088750783 M05BA04 ACIDUM ALENDRONICUM* INSTREL 70 mg COMPR. 70mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF 4 47.66 11.915000 10.826998 5.413499784 M05BA04 ACIDUM ALENDRONICUM* ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 12.82 6.410000 6.410000 3.205000785 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 131.92 10.993333 10.826998 5.413499786 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 24.78 12.390000 10.826998 5.413499787 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 47.97 11.992500 10.826998 5.413499788 M05BA06 ACIDUM IBANDRONICUM* ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 83.20 83.200000 46.401420 23.200710789 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 129.32 129.320000 46.401420 23.200710790 M05BA06 ACIDUM IBANDRONICUM* OSSICA 150 mg COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L 1 72.31 72.310000 46.401420 23.200710791 M05BA06 ACIDUM IBANDRONICUM* QUODIXOR 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P-6L 1 71.46 71.460000 46.401420 23.200710792 M05BA06 ACIDUM IBANDRONICUM* OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 69.91 69.910000 46.401420 23.200710793 M05BA06 ACIDUM IBANDRONICUM* ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L 1 52.90 52.900000 46.401420 23.200710794 M05BA06 ACIDUM IBANDRONICUM* OSSICA 3 mg SOL INJ. IN SERINGA PREUMPLUTA 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE P6L 1 239.77 239.770000 83.983500 41.991750795 M05BA06 ACIDUM IBANDRONICUM* OSAGRAND 3 mg/3 ml SOL. INJ. 3mg/3ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P6L 1 283.25 283.250000 251.950500 125.975250796 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 424.57 424.570000 251.950500 125.975250797 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT BLUEFISH 35 mg COMPR. FILM. 35 mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 35.79 8.947500 8.947500 4.473750798 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 56.69 14.172500 10.826998 5.413499799 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 72.55 18.137500 10.826998 5.413499800 M05BA07 ACIDUM RISEDRONICUM* JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L 4 72.55 18.137500 10.826998 5.413499801 M05BA07 ACIDUM RISEDRONICUM* LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 36.50 9.125000 9.125000 4.562500802 M05BA07 ACIDUM RISEDRONICUM* JUVERITAL 35 mg COMPR. FILM. 35mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L 4 72.55 18.137500 10.826998 5.413499803 M05BA07 ACIDUM RISEDRONICUM* OSTEORON 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 35.79 8.947500 8.947500 4.473750804 M05BA07 ACIDUM RISEDRONICUM* OSODENS 35 mg COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 72.55 18.137500 10.826998 5.413499805 M05BA07 ACIDUM RISEDRONICUM* ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 111.62 27.905000 10.826998 5.413499806 M05BA07 ACIDUM RISEDRONICUM* PEXALIT 35 mg COMPR. FILM. 35mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L 4 36.50 9.125000 9.125000 4.562500807 M05BA07 ACIDUM RISEDRONICUM* ACTONEL 75 mg COMPR. FILM. 75mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L 2 94.97 47.485000 23.200710 11.600355808 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 89.84 22.460000 10.826998 5.413499809 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 47.30 23.650000 10.826998 5.413499

Pagina 16 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

810 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 47.30 23.650000 10.826998 5.413499811 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 89.84 22.460000 10.826998 5.413499812 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 14 104.74 7.481428 6.547142 3.273571813 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 28 174.60 6.235714 6.235714 3.117857814 N02AA05 OXYCODONUM*# OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 116.83 2.086250 1.519651 0.759825815 N02AA05 OXYCODONUM*# OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 214.65 3.833035 3.039302 1.519651816 N02AA05 OXYCODONUM*# OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 395.50 7.062500 6.078615 3.039307817 N02AA05 OXYCODONUM*# OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 652.80 11.657142 11.657142 5.828571818 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 128.54 2.295357 1.504445 0.752222819 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 29.34 0.523928 0.523928 0.261964820 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 101.69 1.815892 1.128334 0.564167821 N02AX52 COMBINATII DORETA 37,5mg/325mg COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 7.89 0.789000 0.710100 0.355050822 N02AX52 COMBINATII DORETA 37,5mg/325mg COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF 20 15.58 0.779000 0.710100 0.355050823 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 34.76 1.158666 0.710100 0.355050824 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 12.14 1.214000 0.710100 0.355050825 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 23.96 1.198000 0.710100 0.355050826 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 34.76 1.158666 0.710100 0.355050827 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 12.14 1.214000 0.710100 0.355050828 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 57.78 1.155600 0.710100 0.355050829 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 57.78 1.155600 0.710100 0.355050830 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 23.96 1.198000 0.710100 0.355050831 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) PADOLTEN 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg S.C.TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 7.89 0.789000 0.710100 0.355050832 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) PADOLTEN 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg S.C.TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-RF 20 15.59 0.779500 0.710100 0.355050833 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) LINEROL 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 7.90 0.790000 0.710100 0.355050834 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) LINEROL 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-RF 20 15.59 0.779500 0.710100 0.355050835 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) LINEROL 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-RF 30 23.36 0.778666 0.710100 0.355050836 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 75 mg/650 mg COMPR. FILM. 75 mg/650 mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF 10 15.78 1.578000 0.710100 0.355050837 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 75 mg/650 mg COMPR. FILM. 75 mg/650 mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF 20 31.14 1.557000 0.710100 0.355050838 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 6.89 0.137800 0.067904 0.033952839 N03AE01 CLONAZEPAMUM RIVOTRIL 2 mg COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 6.56 0.218666 0.218666 0.109333840 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 76.16 5.440000 5.440000 2.720000841 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 288.91 5.159107 5.159107 2.579553842 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 422.67 7.547678 7.547678 3.773839843 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 114.28 8.162857 8.162857 4.081428844 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 53.71 3.836428 3.234383 1.617191845 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 193.52 3.455714 3.234383 1.617191846 N04AA02 BIPERIDENUM AKINETON 2 mg COMPR. 2mg DESMA GMBH GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L 50 10.57 0.211400 0.211400 0.105700847 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,088mg COMPR. 0,088mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 19.75 0.658333 0.139935 0.069967848 N04BC05 PRAMIPEXOLUM* MIPARKAN 0,18 mg COMPR. 0,18 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF 30 30.00 1.000000 0.286230 0.143115849 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 49.77 1.659000 0.286230 0.143115850 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 30.11 1.003666 0.286230 0.143115851 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TEVA 0,18mg COMPR. 0,18mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 33.41 1.113666 0.286230 0.143115852 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL SANDOZ 0,18 mg COMPR. 0,18mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R 30 33.42 1.114000 0.286230 0.143115853 N04BC05 PRAMIPEXOLUM* MEDOPEXOL 0,18 mg COMPR. 0,18mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 27.83 0.927666 0.286230 0.143115854 N04BC05 PRAMIPEXOLUM* GLEPARK 0,18 mg COMPR. 0,18mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 30.35 1.011666 0.286230 0.143115855 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL RANBAXY 0,18 mg COMPR. 0,18mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF 30 30.86 1.028666 0.286230 0.143115856 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL BLUEFISH 0,18 mg COMPR. 0,18mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 25.30 0.843333 0.286230 0.143115857 N04BC05 PRAMIPEXOLUM* MIGLASEN 0,18 mg COMPR. 0,18mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 30.35 1.011666 0.286230 0.143115858 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TORRENT 0,18 mg COMPR. 0,18mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF 30 33.50 1.116666 0.286230 0.143115859 N04BC05 PRAMIPEXOLUM* PRAXITAB 0,18mg COMPR. 0,18mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 25.30 0.843333 0.286230 0.143115860 N04BC05 PRAMIPEXOLUM* PRAMIPEXOLE ACCORD 0,35mg COMPR. 0,35mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF 30 48.92 1.630666 0.556560 0.278280

Pagina 17 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

861 N04BC05 PRAMIPEXOLUM* MIPARKAN 0,7 mg COMPR. 0,7 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF 30 107.26 3.575333 1.113120 0.556560862 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 30 167.86 5.595333 1.113120 0.556560863 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 107.65 3.588333 1.113120 0.556560864 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TEVA 0,7mg COMPR. 0,7mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 115.05 3.835000 1.113120 0.556560865 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL SANDOZ 0,7 mg COMPR. 0,7mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R 30 115.05 3.835000 1.113120 0.556560866 N04BC05 PRAMIPEXOLUM* MEDOPEXOL 0,7 mg COMPR. 0,7mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 99.54 3.318000 1.113120 0.556560867 N04BC05 PRAMIPEXOLUM* GLEPARK 0,7 mg COMPR. 0,7mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 108.52 3.617333 1.113120 0.556560868 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL RANBAXY 0,7 mg COMPR. 0,7mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF 30 106.21 3.540333 1.113120 0.556560869 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL BLUEFISH 0,7 mg COMPR. 0,7mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 90.45 3.015000 1.113120 0.556560870 N04BC05 PRAMIPEXOLUM* MIGLASEN 0,7 mg COMPR. 0,7mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 107.65 3.588333 1.113120 0.556560871 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TORRENT 0,7 mg COMPR. 0,7mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF 30 115.10 3.836666 1.113120 0.556560872 N04BC05 PRAMIPEXOLUM* PRAXITAB 0,7 mg COMPR. 0,7mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 90.45 3.015000 1.113120 0.556560873 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,26 mg COMPR. ELIB. PREL. 0,26mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 10 58.12 5.812000 0.413444 0.206722874 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,52 mg COMPR. ELIB. PREL. 0,52mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 314.07 10.469000 0.826889 0.413444875 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 1,05 mg COMPR. ELIB. PREL. 1,05mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 650.35 21.678333 1.669680 0.834840876 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 2,1 mg COMPR. ELIB. PREL. 2,1mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1,229.85 40.995000 3.339361 1.669680877 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 3,15 mg COMPR. ELIB. PREL. 3,15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1,809.33 60.311000 5.009041 2.504520878 N04BC08 PIRIBEDILUM** PRONORAN 50 mg DRAJ. ELIB. PREL. 50mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF 30 28.69 0.956333 0.956333 0.478166879 N05AL03 TIAPRIDUM TIAPRIDAL (R) 100 mg COMPR. 100mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.23 0.461500 0.461500 0.230750880 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 9.51 0.792500 0.792500 0.396250881 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 17.75 0.295833 0.295833 0.147916882 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 10.82 0.180333 0.156020 0.078010883 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 15.19 0.303800 0.273959 0.136979884 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 10.45 0.348333 0.348333 0.174166885 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 90.38 3.227857 1.132799 0.566399886 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 24.95 1.247500 1.247332 0.623666887 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF 30 18.71 0.623666 0.623666 0.311833888 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF 30 18.71 0.623666 0.623666 0.311833889 N06AX12 BUPROPIONUM**# ELONTRIL 150 mg COMPR. ELIB. MODIF. 150mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF. P-RF 30 63.54 2.118000 2.118000 1.059000890 N06AX14 TIANEPTINUM** LYXIT 12,5 mg COMPR. FILM. 12,5 mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 22.65 0.755000 0.730500 0.365250891 N06AX14 TIANEPTINUM** LYXIT 12,5 mg COMPR. FILM. 12,5 mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM. PRF 90 63.54 0.706000 0.706000 0.353000892 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 33.74 1.124666 0.730500 0.365250893 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 71.52 1.277142 1.104508 0.552254894 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 117.26 2.093928 2.093928 1.046964895 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 105.39 3.763928 3.336830 1.668415896 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 178.89 6.388928 6.388928 3.194464897 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 71.94 3.597000 3.597000 1.798500898 N06BX18 VINPOCETINUM VIMPOCETIN 5 mg CAPS. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS. P-6L 50 10.29 0.205800 0.205800 0.102900899 N06BX18 VINPOCETINUM CAVINTON(R) FORTE COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 14.45 0.481666 0.411600 0.205800900 N06BX18 VINPOCETINUM VICEBROL COMPR. 5mg BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.29 0.205800 0.205800 0.102900901 N06BX18 VINPOCETINUM CAVINTON(R) COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 15.82 0.316400 0.205800 0.102900902 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 9.18 0.459000 0.381791 0.190895903 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 26.61 0.443500 0.381791 0.190895904 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 90 36.73 0.408111 0.381791 0.190895905 N06DX02 GINKGO BILOBA** GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L 30 12.30 0.410000 0.381791 0.190895906 N07CA01 BETAHISTINUM BETAHISTINA DICLORHIDRAT ACCORD 16 mg COMPR. 16mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR. P6L 30 19.18 0.639333 0.383699 0.191849907 N07CA01 BETAHISTINUM VERTIMED 16 mg COMPR. 16mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L 30 19.17 0.639000 0.383699 0.191849908 N07CA01 BETAHISTINUM BETAHISTINA LPH 16 mg COMPR. 16mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 16.84 0.561333 0.383699 0.191849909 N07CA01 BETAHISTINUM EMPERIN 24 mg COMPR. 24 mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR. P6L 60 34.85 0.580833 0.575550 0.287775910 N07CA01 BETAHISTINUM BETAHISTINA LPH 24 mg COMPR. 24 mg LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 60 53.26 0.887666 0.575550 0.287775911 N07CA01 BETAHISTINUM BETAHISTIN MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 20 18.35 0.917500 0.575550 0.287775

Pagina 18 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

912 N07CA01 BETAHISTINUM BETAHISTIN MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 50 39.78 0.795600 0.575550 0.287775913 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P-6L 20 27.97 1.398500 0.575550 0.287775914 N07CA01 BETAHISTINUM VERTIMED 24 mg COMPR. 24mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L 30 19.81 0.660333 0.575550 0.287775915 N07CA01 BETAHISTINUM VERTIMED 24 mg COMPR. 24mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 60 COMPR. P6L 60 38.37 0.639500 0.575550 0.287775916 N07CA01 BETAHISTINUM VESTIBO 24 mg COMPR. 24mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 13.53 0.451000 0.451000 0.225500917 N07CA01 BETAHISTINUM MARBETA 24 mg COMPR. 24mg MEDREG S.R.O. REPUBLICA SLOVACA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 60 34.85 0.580833 0.575550 0.287775918 N07CA01 BETAHISTINUM EMPERIN 8 mg COMPR. 8 mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR. P6L 100 19.24 0.192400 0.191849 0.095924919 N07CA01 BETAHISTINUM MICROSER COMPR. 8mg PRODOTTI FORMENTI ITALIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26.66 0.533200 0.191849 0.095924920 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.23 0.274333 0.191849 0.095924921 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 19.26 0.192600 0.191849 0.095924922 N07CA01 BETAHISTINUM BETAHISTIN MCC 8 mg COMPR. 8mg MAGISTRA C&C SRL ROMANIA CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 30 9.58 0.319333 0.191849 0.095924923 N07CA01 BETAHISTINUM BETASERC 8 mg COMPR. 8mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 14.76 0.492000 0.191849 0.095924924 N07CA01 BETAHISTINUM BETASERC 8 mg COMPR. 8mg ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 29.63 0.296300 0.191849 0.095924925 N07CA01 BETAHISTINUM BETAHISTINA LPH 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.58 0.319333 0.191849 0.095924926 N07CA01 BETAHISTINUM BETAHISTINA DICLORHIDRAT ACCORD 8 mg COMPR. 8mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR. P6L 30 9.58 0.319333 0.191849 0.095924927 N07CA01 BETAHISTINUM VERTIMED 8 mg COMPR. 8mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L 30 7.15 0.238333 0.191849 0.095924928 N07CA01 BETAHISTINUM MARBETA 8 mg COMPR. 8mg MEDREG S.R.O. REPUBLICA SLOVACA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 100 19.26 0.192600 0.191849 0.095924929 N07CA01 BETAHISTINUM ACUVER 8 mg/doza SOL. ORALA 8mg/doza CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L 1 38.11 38.110000 14.388750 7.194375930 N07CA01 BETAHISTINUM ACUVER 8 mg/doza SOL. ORALA 8mg/doza CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA P-6L 1 70.00 70.000000 28.777500 14.388750931 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 32.23 0.644600 0.569431 0.284715932 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF 48 26.13 0.544375 0.544375 0.272187933 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L 30 96.76 3.225333 2.198791 1.099395934 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 1 FLAC. X 100 COMPR. FILM. P-6L 100 280.19 2.801900 2.198791 1.099395935 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN® SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML P-RF 5 124.46 24.892000 24.892000 12.446000936 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN® SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML P-RF 5 86.41 17.282000 14.863999 7.431999937 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN® SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML P-RF 10 39.22 3.922000 2.972800 1.486400938 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 33.44 0.557333 0.557333 0.278666939 R01AD05 BUDESONIDUM* RHINOCORT (R) AQUA SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE P-RF 1 25.42 25.420000 25.420000 12.710000940 R01AD08 FLUTICASONUM* FLIXONASE 0,05g/100g SPRAY NAZAL SUSP. 0,05g/100g GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 30.65 30.650000 30.650000 15.325000941 R01AD09 MOMETASONUM* NASONEX 50mcg/doza SPRAY NAZAL SUSP. 50mcg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON PP X 140 DOZE P-RF 1 47.31 47.310000 47.310000 23.655000942 R01AD09 MOMETASONUM* NASONEX SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON PP X 140 DOZE P-RF 1 47.31 47.310000 47.310000 23.655000943 R03AC04 FENOTEROLUM BEROTEC N - 100 mcg SOL. DE INHALAT PRESURIZATA 100mcg/doza BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L 1 16.66 16.660000 16.660000 8.330000944 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 40.29 40.290000 40.290000 20.145000945 R03AK06 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 1 117.43 117.430000 45.702450 22.851225946 R03AK06 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 1 157.36 157.360000 114.256125 57.128062947 R03AK06 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 1 223.87 223.870000 223.870000 111.935000948 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/125mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 164.30 164.300000 114.256125 57.128062949 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/250mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 233.63 233.630000 228.512250 114.256125950 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/50mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 122.59 122.590000 45.702450 22.851225951 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie PULB. DE INHAL. 160micrograme/4,5micrograme/in ASTRAZENECA AB SUEDIA CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL. P6L 1 120.12 120.120000 117.012500 58.506250952 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie PULB. DE INHAL. 320micrograme/9micrograme/inha ASTRAZENECA AB SUEDIA CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL. P6L 1 227.81 227.810000 227.810000 113.905000953 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie PULB. DE INHAL. 80micrograme/4,5micrograme/inh ASTRAZENECA AB SUEDIA CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL. P6L 1 95.11 95.110000 58.506250 29.253125954 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 100 mcg PULB. INHAL. 100mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 40.65 40.650000 31.258800 15.629400955 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 250 mcg PULB. INHAL. 250mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 84.46 84.460000 78.147000 39.073500956 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 500 mcg PULB. INHAL. 500mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 137.24 137.240000 137.240000 68.620000957 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA P-RF 1 44.60 44.600000 39.073500 19.536750958 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE (R) 50 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 50mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE P-RF 1 36.40 36.400000 31.258800 15.629400959 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE NEBULES 0,5 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 0,5mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 31.39 3.139000 1.041958 0.520979960 R03BA05 FLUTICASONUM PROPIONAT* FLIXOTIDE NEBULES 2 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 2mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 90.66 9.066000 4.167838 2.083919961 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L 1 57.33 57.330000 51.389999 25.694999962 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 140.00 140.000000 102.779999 51.389999

Pagina 19 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

963 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 200 µg PULB. INHAL. 200µg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L 1 57.33 57.330000 51.389999 25.694999964 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 400 mcg PULB. INHAL. 400mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 249.44 249.440000 205.559999 102.779999965 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 400 mcg PULB. INHAL. 400mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L 1 98.82 98.820000 98.820000 49.410000966 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 124.79 124.790000 124.790000 62.395000967 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 112.34 112.340000 74.881250 37.440625968 R03BB04 TIOTROPIUM* SPIRIVA 18 micrograme CAPS. CU PULB. INHAL. 18micrograme BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER PRF 30 164.34 5.478000 5.478000 2.739000969 R03BB04 TIOTROPIUM* SPIRIVA RESPIMAT 2,5 micrograme SOL. DE INHALAT 2,5micrograme BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 1 AMBALAJ UNIC CU UN INHALATOR RESPIMAT SI UN CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MED PRF 1 171.62 171.620000 166.160000 83.080000970 R03DA05 AMINOPHYLLINUM MIOFILIN 100 mg CAPS. 100mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 3.62 0.181000 0.181000 0.090500971 R03DA05 AMINOPHYLLINUM AMINOFILINA EEL COMPR. 100mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 6.78 0.135600 0.135600 0.067800972 R03DA05 AMINOPHYLLINUM AMINOFILINA ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-RF 40 6.95 0.173750 0.173750 0.086875973 R03DA05 AMINOPHYLLINUM AMINOFILINA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.72 0.386000 0.386000 0.193000974 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 11.82 2.364000 2.364000 1.182000975 R03DC03 MONTELUKASTUM* ASTHATOR 10 mg COMPR. 10 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 99.55 3.555357 2.198642 1.099321976 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 76.80 5.485714 2.198642 1.099321977 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 28 145.70 5.203571 2.198642 1.099321978 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF 28 82.04 2.930000 2.198642 1.099321979 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF 30 87.90 2.930000 2.198642 1.099321980 R03DC03 MONTELUKASTUM* SPIROKAST 10 mg COMPR. FILM. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM. P6L 28 63.22 2.257857 2.198642 1.099321981 R03DC03 MONTELUKASTUM* MONTELUKAST ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 65.41 2.180333 2.180333 1.090166982 R03DC03 MONTELUKASTUM* MONTEXAL 10 mg COMPR. FILM. 10mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 74.05 2.644642 2.198642 1.099321983 R03DC03 MONTELUKASTUM* MONKASTA 10 mg COMPR. FILM. 10mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM. P6L 28 63.22 2.257857 2.198642 1.099321984 R03DC03 MONTELUKASTUM* ASTMASAN 10 mg COMPR. FILM. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 77.66 2.773571 2.198642 1.099321985 R03DC03 MONTELUKASTUM* MONTELUKAST ALVOGEN 10 mg COMPR. FILM. 10mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 82.04 2.930000 2.198642 1.099321986 R03DC03 MONTELUKASTUM* STANGEN 10 mg COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM. P6L 28 63.22 2.257857 2.198642 1.099321987 R03DC03 MONTELUKASTUM* SOLOK 10 mg COMPR. FILM. 10mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 63.10 2.253571 2.198642 1.099321988 R03DC03 MONTELUKASTUM* MONART 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. P6L 28 52.55 1.876785 1.876785 0.938392989 R03DC03 MONTELUKASTUM* MONTELUKAST ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 52.55 1.876785 1.876785 0.938392990 R03DC03 MONTELUKASTUM* MONTELUKAST ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 56.29 1.876333 1.876333 0.938166991 R03DC03 MONTELUKASTUM* MONTELUKAST CHIESI 10 mg COMPR. FILM. 10mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 64.39 2.299642 2.198642 1.099321992 R03DC03 MONTELUKASTUM* VIZENDO 10mg COMPR. FILM. 10mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 49.04 1.751428 1.751428 0.875714993 R03DC03 MONTELUKASTUM* ASTHATOR 4 mg COMPR. MAST. 4 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L 28 107.38 3.835000 1.527428 0.763714994 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 157.51 5.625357 1.527428 0.763714995 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 83.04 5.931428 1.527428 0.763714996 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 4 mg COMPR. MAST. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF 28 42.84 1.530000 1.527428 0.763714997 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 4 mg COMPR. MAST. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF 30 45.90 1.530000 1.527428 0.763714998 R03DC03 MONTELUKASTUM* SPIROKAST 4 mg COMPR. MAST. 4mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST. P6L 28 42.84 1.530000 1.527428 0.763714999 R03DC03 MONTELUKASTUM* MONTELUKAST ACTAVIS 4 mg COMPR. MAST. 4mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L 30 45.87 1.529000 1.527428 0.7637141,000 R03DC03 MONTELUKASTUM* MONKASTA 4 mg COMPR. MAST. 4mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L 28 42.84 1.530000 1.527428 0.7637141,001 R03DC03 MONTELUKASTUM* MONTELUKAST ALVOGEN 4 mg COMPR. MAST. 4mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L 28 57.78 2.063571 1.527428 0.7637141,002 R03DC03 MONTELUKASTUM* STANGEN 4 mg COMPR. MAST. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L 28 42.84 1.530000 1.527428 0.7637141,003 R03DC03 MONTELUKASTUM* SOLOK 4 mg COMPR. MAST. 4mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PAPVC/AL X 28 COMPR. MAST. P6L 28 42.32 1.511428 1.511428 0.7557141,004 R03DC03 MONTELUKASTUM* MONART 4 mg COMPR. MAST. 4mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L 28 42.32 1.511428 1.511428 0.7557141,005 R03DC03 MONTELUKASTUM* MONTELUKAST CHIESI 4 mg COMPR. MAST. 4mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. MAST. P-6L 28 67.54 2.412142 1.527428 0.7637141,006 R03DC03 MONTELUKASTUM* ASTHATOR 5 mg COMPR. MAST. 5 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L 28 99.55 3.555357 1.909285 0.9546421,007 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 76.63 5.473571 1.909285 0.9546421,008 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 28 145.31 5.189642 1.909285 0.9546421,009 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 5 mg COMPR. MAST. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF 28 53.46 1.909285 1.909285 0.9546421,010 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 5 mg COMPR. MAST. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF 30 57.27 1.909000 1.909000 0.9545001,011 R03DC03 MONTELUKASTUM* SPIROKAST 5 mg COMPR. MAST. 5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST. P6L 28 53.46 1.909285 1.909285 0.9546421,012 R03DC03 MONTELUKASTUM* MONTEXAL 5 mg COMPR. MAST. 5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 73.75 2.633928 1.909285 0.9546421,013 R03DC03 MONTELUKASTUM* MONTELUKAST ACTAVIS 5 mg COMPR. MAST. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L 30 57.26 1.908666 1.908666 0.954333

Pagina 20 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,014 R03DC03 MONTELUKASTUM* MONKASTA 5 mg COMPR. MAST. 5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L 28 53.46 1.909285 1.909285 0.9546421,015 R03DC03 MONTELUKASTUM* MONTELUKAST ALVOGEN 5 mg COMPR. MAST. 5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L 28 57.78 2.063571 1.909285 0.9546421,016 R03DC03 MONTELUKASTUM* STANGEN 5 mg COMPR. MAST. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L 28 53.46 1.909285 1.909285 0.9546421,017 R03DC03 MONTELUKASTUM* SOLOK 5 mg COMPR. MAST. 5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA/PVC/AL X 28 COMPR. MAST. P6L 28 53.25 1.901785 1.901785 0.9508921,018 R03DC03 MONTELUKASTUM* MONART 5 mg COMPR. MAST. 5mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L 28 53.46 1.909285 1.909285 0.9546421,019 R03DC03 MONTELUKASTUM* MONTELUKAST CHIESI 5 mg COMPR. MAST. 5mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. MAST. P-6L 28 67.54 2.412142 1.909285 0.9546421,020 R03DC03 MONTELUKASTUM* VIZENDO 5mg COMPR. MAST. 5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L 28 36.43 1.301071 1.301071 0.6505351,021 R03DC03 MONTELUKASTUM* ASTMASAN 4 mg GRANULE 4mg SANDOZ S.R.L. ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE P6L 28 77.86 2.780714 1.527428 0.7637141,022 R03DC03 MONTELUKASTUM* SINGULAIR 4 mg GRANULE 4mg MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L 28 158.93 5.676071 1.527428 0.7637141,023 R03DX03 FENSPIRIDUM EURESPAL 80 mg COMPR. FILM. 80mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 28.09 0.936333 0.936333 0.4681661,024 R03DX03 FENSPIRIDUM EURESPAL 2 mg/ml SIROP 2mg/ml LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L 1 20.02 20.020000 20.019999 10.0099991,025 R05CB15 ERDOSTEINUM** ERDOMED 300 mg CAPS. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 10 15.81 1.581000 1.581000 0.7905001,026 R05CB15 ERDOSTEINUM** ERDOMED 225 mg GRAN. PT. SUSP. ORALA 225mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE P-6L 20 33.14 1.657000 1.303562 0.6517811,027 R05CB15 ERDOSTEINUM** ERDOMED 175 mg/5 ml PULB. PT. SUSP. ORALA 175mg/5ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA P-6L 1 24.95 24.950000 24.950000 12.4750001,028 R05DA09 DEXTROMETHORPHANUM TUSSIN FORTE COMPR. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.78 0.339000 0.339000 0.1695001,029 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0,1% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1 P-RF 1 8.46 8.460000 8.460000 4.2300001,030 R05DA09 DEXTROMETHORPHANUM HUMEX 0,133 g/100 ml SIROP 0,13% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA P-RF 1 10.82 10.820000 4.567332 2.2836661,031 R05DA09 DEXTROMETHORPHANUM ROFEDEX SIROP 15mg/5ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE P-RF 1 5.27 5.270000 5.270000 2.6350001,032 R05DA09 DEXTROMETHORPHANUM TUSSIN 6,5mg/5ml SIROP 6,5mg/5ml ROPHARMA S.A. ROMANIA CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML P-RF 1 7.87 7.870000 2.626216 1.3131081,033 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 8.61 8.610000 5.363550 2.6817751,034 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 8.61 8.610000 2.634999 1.3174991,035 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 16.92 1.692000 1.692000 0.8460001,036 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 42.17 1.405666 1.405666 0.7028331,037 R06AE09 LEVOCETIRIZINUM CEZERA 5 mg COMPR. FILM. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L 30 28.34 0.944666 0.944666 0.4723331,038 R06AE09 LEVOCETIRIZINUM LEVOCETIRIZINA SANDOZ 5 mg COMPR. FILM. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 10.99 1.099000 1.099000 0.5495001,039 R06AE09 LEVOCETIRIZINUM LEVOCETIRIZINA ACTAVIS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 10.99 1.099000 1.099000 0.5495001,040 R06AE09 LEVOCETIRIZINUM ZENARO 5 mg COMPR. FILM. 5mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM. P-6L 20 22.00 1.100000 1.100000 0.5500001,041 R06AE09 LEVOCETIRIZINUM XYZAL PIC. ORALE, SOL. 5mg/ml UCB PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR P-6L 1 36.23 36.230000 36.230000 18.1150001,042 R06AE09 LEVOCETIRIZINUM ZENARO 0,5 mg/ml SIROP 0,5mg/ml ZENTIVA, K.S. REPUBLICA SLOVACA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML SIROP + 1 LINGURITA DOZATOARE DE 5 ML GRADATA LA 2,5 ML S P6L 1 24.35 24.350000 24.350000 12.1750001,043 R06AX26 FEXOFENADINUM EWOFEX 120 mg COMPR. FILM. 120mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 11.96 1.196000 0.935166 0.4675831,044 R06AX26 FEXOFENADINUM TELFAST® 120 mg COMPR. FILM. 120mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L 10 13.31 1.331000 0.935166 0.4675831,045 R06AX26 FEXOFENADINUM EWOFEX 180 mg COMPR. FILM. 180mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 17.92 1.792000 1.402749 0.7013741,046 R06AX26 FEXOFENADINUM TELFAST® 180 mg COMPR. FILM. 180mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 19.38 1.938000 1.402749 0.7013741,047 R06AX27 DESLORATADINUM DYNID 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 25.42 0.847333 0.847333 0.4236661,048 R06AX27 DESLORATADINUM DESLORATADINE ACTAVIS COMPR. FILM. 5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 10 PRF 10 9.35 0.935000 0.935000 0.4675001,049 R06AX27 DESLORATADINUM DESLORATADINE ACTAVIS COMPR. FILM. 5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X30 PRF 30 28.06 0.935333 0.935166 0.4675831,050 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 30 54.55 1.818333 0.935166 0.4675831,051 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 10 21.77 2.177000 0.935166 0.4675831,052 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 7 17.46 2.494285 0.935166 0.4675831,053 R06AX27 DESLORATADINUM DASSELTA COMPR. FILM. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE PRF 30 25.45 0.848333 0.848333 0.4241661,054 R06AX27 DESLORATADINUM DESLORATADINAE RATIOPHARM COMPR. FILM. 5mg RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPRIMATE FILMATE PRF 30 35.44 1.181333 0.935166 0.4675831,055 R06AX27 DESLORATADINUM DESLORATADINA ALVOGEN 5 mg COMPR. FILM. 5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L 30 35.44 1.181333 0.935166 0.4675831,056 R06AX27 DESLORATADINUM DESLORATADINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. PCTFE-PVC/AL X 30 COMPR. FILM. P6L 30 25.45 0.848333 0.848333 0.4241661,057 R06AX27 DESLORATADINUM LORDESTIN 5 mg COMPR. FILM. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L 30 35.46 1.182000 0.935166 0.4675831,058 R06AX27 DESLORATADINUM AERIUS 2,5mg COMPR. ORODISPERSABILE 2,5mg SP EUROPE BELGIA CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL) P-RF 30 49.67 1.655666 0.467583 0.2337911,059 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. ORODISPERSABILE 5mg SP EUROPE BELGIA CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL) P-RF 30 42.82 1.427333 0.935166 0.4675831,060 R06AX27 DESLORATADINUM DESLORATADINA LABORMED 5 mg COMPR. ORODISPERSABILE 5mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/HARTIE-PET-AL X 10 COMPR. ORODISPERSABILE P6L 10 9.40 0.940000 0.935166 0.4675831,061 R06AX27 DESLORATADINUM DESLORATADINA LABORMED 5 mg COMPR. ORODISPERSABILE 5mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/HARTIE-PET-AL X 30 COMPR. ORODISPERSABILE P6L 30 25.01 0.833666 0.833666 0.4168331,062 R06AX27 DESLORATADINUM AERIUS 0,5mg/ml SOL. ORALA 0,5mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML P-RF 1 20.49 20.490000 13.309999 6.6549991,063 R06AX27 DESLORATADINUM DESLORATADINA ALVOGEN 0,5 mg/ml SOL. ORALA 0,5mg/ml ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR P6L 1 13.31 13.310000 13.309999 6.6549991,064 R06AX27 DESLORATADINUM DYNID 0,5 mg/ml SOL. ORALA 0,5mg/ml GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR P6L 1 13.31 13.310000 13.309999 6.654999

Pagina 21 din 22

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

APP Ambalaj Prescriptie

cant/ambal

aj

Pret amanun

tul 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

1,065 R06AX27 DESLORATADINUM AERIUS 0,5mg/ml SOL. ORALA 0,5mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON X 150 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5ML P-RF 1 25.93 25.930000 16.637500 8.3187501,066 R06AX27 DESLORATADINUM DYNID 0,5 mg/ml SOL. ORALA 0,5mg/ml GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 150 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR P6L 1 16.86 16.860000 16.637500 8.3187501,067 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 4.71 4.710000 4.710000 2.3550001,068 S01AA12 TOBRAMYCINUM TOBROM 3 mg/ml PIC. OFT., SOL 3mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL P-RF 1 4.08 4.080000 4.080000 2.0400001,069 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 11.31 11.310000 4.080000 2.0400001,070 S01AA12 TOBRAMYCINUM TOBREX 2 X PICATURI OFT.-SOL. 0,3% ALCON COUVREUR NV BELGIA CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML P-RF 1 20.80 20.800000 4.080000 2.0400001,071 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 8.64 8.640000 3.060000 1.5300001,072 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 14.18 14.180000 14.180000 7.0900001,073 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 28.94 1.929333 1.251059 0.6255291,074 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 32.50 32.500000 20.850997 10.4254981,075 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 14.45 14.450000 11.302500 5.6512501,076 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 15.38 15.380000 15.380000 7.6900001,077 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 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 10.12 10.120000 9.107999 4.5539991,078 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 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 5.55 5.550000 4.553999 2.2769991,079 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 8.55 8.550000 4.553999 2.2769991,080 S01BA06 BETAMETHASONUM OPHTAMESONE SOL. OFT. 0,1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.50 4.500000 4.500000 2.2500001,081 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 31.39 31.390000 11.920500 5.9602501,082 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 51.31 2.565500 0.715230 0.3576151,083 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 12.53 12.530000 11.920500 5.9602501,084 S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) DEXATOBROM 3 mg+1 mg/ml PIC. OFT. SUSP. 3mg+1mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR P-RF 1 10.00 10.000000 10.000000 5.0000001,085 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 15.39 15.390000 11.920500 5.9602501,086 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 13.07 13.070000 8.344350 4.1721751,087 S01GX09 OLOPATADINUM OPATANOL 1mg/ml PIC. OFT., SOL. 1mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 30.49 30.490000 30.490000 15.2450001,088 S01XA02 RETINOLUM OCULOTECT GEL OFT. 10mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT. P-6L 1 16.43 16.430000 16.430000 8.215000

NOTĂ:

- 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.

- 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 Sănătății;

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

Pagina 22 din 22

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

1 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.53 0.217666 0.217666 0.2176662 B01AA07 ACENOCUMAROLUM SINTROM 4 mg COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.76 0.338000 0.338000 0.3380003 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 2.79 0.111600 0.111600 0.1116004 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0,5mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 6.64 1.328000 1.328000 1.3280005 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 3.48 0.139200 0.139200 0.1392006 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.02 0.151000 0.136800 0.1368007 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.28 0.114000 0.114000 0.1140008 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.42 0.271000 0.136800 0.1368009 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 6.02 0.301000 0.136800 0.136800

10 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.04 0.152000 0.136800 0.13680011 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.02 0.301000 0.136800 0.13680012 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6.07 1.214000 1.214000 1.21400013 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28.51 0.950333 0.950333 0.95033314 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 16.07 0.321400 0.258000 0.25800015 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA LPH 25 mg CAPS. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L 60 19.46 0.324333 0.258000 0.25800016 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16.72 0.557333 0.557333 0.55733317 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16.24 0.541333 0.541333 0.54133318 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.30 0.215000 0.215000 0.21500019 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.79 0.215800 0.215800 0.21580020 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16.21 0.324200 0.258000 0.25800021 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.30 0.215000 0.215000 0.21500022 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13.74 0.687000 0.649599 0.64959923 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L 30 14.05 0.468333 0.237000 0.23700024 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.94 0.364666 0.237000 0.23700025 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 6.56 0.328000 0.237000 0.23700026 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.12 0.237333 0.237000 0.23700027 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 9.12 0.304000 0.237000 0.23700028 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100 19.75 0.197500 0.197500 0.19750029 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 13.00 0.260000 0.237000 0.23700030 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.49 0.316333 0.237000 0.23700031 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.12 0.504000 0.237000 0.23700032 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.38 0.369000 0.237000 0.23700033 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.01 0.233666 0.233666 0.23366634 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.09 0.404500 0.237000 0.23700035 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.09 0.404500 0.237000 0.23700036 C07AB02 METOPROLOLUM METOPROLOL TARTRAT INTAS 100 mg COMPR. 100mg INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L 30 8.09 0.269666 0.237000 0.23700037 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 1.90 0.095000 0.095000 0.09500038 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1.90 0.095000 0.095000 0.095000

ANEXA 3

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

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

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

VALABIL Ă ÎNCEPÂND CU 01 OCTOMBRIE 2012

DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARIL E ULTERIOARE

Pagina 1 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

39 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.095000 0.095000 0.09500040 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.095000 0.095000 0.09500041 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.27 0.175666 0.100800 0.10080042 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 3.51 0.175500 0.100800 0.10080043 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.158333 0.100800 0.10080044 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.27 0.175666 0.100800 0.10080045 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 8.40 0.084000 0.084000 0.08400046 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 7.09 0.141800 0.100800 0.10080047 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.27 0.175666 0.100800 0.10080048 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.06 0.235333 0.100800 0.10080049 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.45 0.172500 0.100800 0.10080050 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.27 0.175666 0.100800 0.10080051 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.51 0.175500 0.100800 0.10080052 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.51 0.175500 0.100800 0.10080053 C07AB02 METOPROLOLUM METOPROLOL TARTRAT INTAS 50 mg COMPR. 50mg INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L 30 5.27 0.175666 0.100800 0.10080054 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 11.12 0.556000 0.237000 0.23700055 C07AB02 METOPROLOLUM BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 25.70 0.856666 0.237000 0.23700056 C07AB02 METOPROLOLUM EMZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.70 0.556666 0.237000 0.23700057 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL. 190mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 21.20 0.757142 0.757142 0.75714258 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL. 47,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 9.51 0.339642 0.325599 0.32559959 C07AB02 METOPROLOLUM BETALOC (R) ZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 15.69 0.523000 0.100800 0.10080060 C07AB02 METOPROLOLUM EMZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 10.22 0.340666 0.100800 0.10080061 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL. 95mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 15.59 0.556785 0.543600 0.54360062 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 22.71 0.757000 0.757000 0.75700063 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 8.14 0.271333 0.271333 0.27133364 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 13.59 0.453000 0.453000 0.45300065 C07AB02 METOPROLOLUM BETALOC SOL. INJ. 5mg/5ml ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S 5 22.16 4.432000 4.432000 4.43200066 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 32.72 1.090666 0.593160 0.59316067 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 14.76 0.492000 0.492000 0.49200068 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22.31 0.743666 0.300120 0.30012069 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 34.55 1.233928 0.593142 0.59314270 C07AB12 NEBIVOLOLUM** NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.20 0.773333 0.593142 0.59314271 C07AB12 NEBIVOLOLUM** X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF 30 27.09 0.903000 0.593142 0.59314272 C07AB12 NEBIVOLOLUM** NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L 30 24.87 0.829000 0.593142 0.59314273 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L 28 22.80 0.814285 0.593142 0.59314274 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24.44 0.814666 0.593142 0.59314275 C07AB12 NEBIVOLOLUM** NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS SRL CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24.87 0.829000 0.593142 0.59314276 C07AB12 NEBIVOLOLUM** NEBICARD 5 mg COMPR. 5mg BIOFARM SP.ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 22.93 0.818928 0.593142 0.59314277 C07AB12 NEBIVOLOLUM** NEBIVOLOL SANDOZ 5 mg COMPR. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L 28 13.84 0.494285 0.494285 0.49428578 C07AB12 NEBIVOLOLUM** NEBIVOLOL TERAPIA 5mg COMPR. 5mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 22.65 0.808928 0.593142 0.59314279 C07AB12 NEBIVOLOLUM** NEBIVOLOL TORRENT 5 mg COMPR. 5mg TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L 30 24.59 0.819666 0.593142 0.59314280 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.74 0.291333 0.291333 0.29133381 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 29.94 1.069285 0.349599 0.34959982 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 12.48 0.445714 0.349599 0.34959983 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 13.30 0.443333 0.349599 0.34959984 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.36 0.445333 0.349599 0.34959985 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.72 0.336000 0.336000 0.33600086 C07AG02 CARVEDILOLUM GLADYCOR 12,5 mg COMPR. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 13.10 0.436666 0.349599 0.34959987 C07AG02 CARVEDILOLUM MIOCARVIL 12,5 mg COMPR. 12,5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 13.36 0.445333 0.349599 0.34959988 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 12.87 0.429000 0.349599 0.349599

Pagina 2 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

89 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,2 mg COMPR. 12,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.72 0.436000 0.349599 0.34959990 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 33.45 1.194642 0.367200 0.36720091 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 22.05 0.787500 0.367200 0.36720092 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 23.62 0.787333 0.367200 0.36720093 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.18 0.306000 0.306000 0.30600094 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.62 0.787333 0.367200 0.36720095 C07AG02 CARVEDILOLUM GLADYCOR 25 mg COMPR. 25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 23.00 0.766666 0.367200 0.36720096 C07AG02 CARVEDILOLUM MIOCARVIL 25 mg COMPR. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 23.62 0.787333 0.367200 0.36720097 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.57 0.652333 0.367200 0.36720098 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.72 0.786000 0.367200 0.36720099 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 16.46 0.587857 0.257599 0.257599100 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6,25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.44 0.230000 0.230000 0.230000101 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 6.89 0.229666 0.229666 0.229666102 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.89 0.229666 0.229666 0.229666103 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 6.89 0.229666 0.229666 0.229666104 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.56 0.228000 0.228000 0.228000105 C07AG02 CARVEDILOLUM GLADYCOR 6,25 mg COMPR. 6,25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.70 0.223333 0.223333 0.223333106 C07AG02 CARVEDILOLUM MIOCARVIL 6,25 mg COMPR. 6,25mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 6.89 0.229666 0.229666 0.229666107 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.44 0.214666 0.214666 0.214666108 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 13.93 0.464333 0.349599 0.349599109 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 24.30 0.810000 0.367200 0.367200110 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 9.06 0.302000 0.257599 0.257599111 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.41 0.113666 0.113666 0.113666112 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.10 0.136666 0.136666 0.136666113 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.02 0.151000 0.136800 0.136800114 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.28 0.114000 0.114000 0.114000115 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.42 0.114000 0.114000 0.114000116 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.42 0.114000 0.114000 0.114000117 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.64 0.154666 0.136800 0.136800118 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.28 0.114000 0.114000 0.114000119 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.67 0.133500 0.133500 0.133500120 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.67 0.222333 0.157200 0.157200121 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.87 0.193500 0.157200 0.157200122 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.67 0.133500 0.133500 0.133500123 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.50 0.150000 0.150000 0.150000124 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.93 0.131000 0.131000 0.131000125 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.39 0.219500 0.219500 0.219500126 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.39 0.219500 0.219500 0.219500127 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.96 0.198000 0.198000 0.198000128 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 4.39 0.219500 0.219500 0.219500129 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 4.39 0.219500 0.219500 0.219500130 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.39 0.219500 0.219500 0.219500131 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 4.39 0.219500 0.219500 0.219500132 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 6.59 0.219666 0.219666 0.219666133 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10.52 0.375714 0.237600 0.237600134 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7.30 0.365000 0.237600 0.237600135 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.87 0.229000 0.229000 0.229000136 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.25 0.225000 0.225000 0.225000137 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 22.02 0.220200 0.220200 0.220200138 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 11.28 0.564000 0.237600 0.237600

Pagina 3 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

139 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 4.10 0.205000 0.205000 0.205000140 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.94 0.397000 0.394320 0.394320141 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10.18 0.509000 0.394320 0.394320142 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 8.75 0.437500 0.394320 0.394320143 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7.94 0.397000 0.394320 0.394320144 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.12 0.356000 0.356000 0.356000145 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 11.62 0.387333 0.387333 0.387333146 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 17.12 0.611428 0.394320 0.394320147 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 11.11 0.555500 0.394320 0.394320148 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11.12 0.370666 0.370666 0.370666149 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 16.43 0.328600 0.328600 0.328600150 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 20 mg COMPR. 20mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 7.92 0.396000 0.394320 0.394320151 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.67 0.183500 0.183500 0.183500152 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.67 0.183500 0.183500 0.183500153 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.67 0.183500 0.183500 0.183500154 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 5.25 0.175000 0.175000 0.175000155 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 3.67 0.183500 0.183500 0.183500156 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.87 0.281071 0.210000 0.210000157 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 3.84 0.192000 0.192000 0.192000158 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3.93 0.196500 0.196500 0.196500159 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.58 0.186000 0.186000 0.186000160 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.65 0.182500 0.182500 0.182500161 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 5 mg COMPR. 5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 3.67 0.183500 0.183500 0.183500162 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 15.45 3.090000 3.090000 3.090000163 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.98 0.499333 0.344400 0.344400164 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.74 0.537000 0.344400 0.344400165 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.31 0.343666 0.343666 0.343666166 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.61 0.287000 0.287000 0.287000167 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.44 0.481333 0.344400 0.344400168 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12.87 0.429000 0.344400 0.344400169 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.27 0.313500 0.313500 0.313500170 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.72 0.324000 0.324000 0.324000171 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 15.47 0.552500 0.344400 0.344400172 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.75 0.312500 0.312500 0.312500173 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 23.11 0.770333 0.517200 0.517200174 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 15.65 0.782500 0.517200 0.517200175 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.05 0.501666 0.501666 0.501666176 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 12.93 0.431000 0.431000 0.431000177 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.44 0.722000 0.517200 0.517200178 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 23.37 0.779000 0.517200 0.517200179 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 7.43 0.743000 0.517200 0.517200180 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.48 0.782666 0.517200 0.517200181 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 22.90 0.817857 0.517200 0.517200182 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 13.81 1.381000 1.381000 1.381000183 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 39.31 1.310333 1.310333 1.310333184 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.64 0.254666 0.254666 0.254666185 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.15 0.238333 0.238333 0.238333186 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.50 0.216666 0.216666 0.216666187 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.67 0.289000 0.259999 0.259999188 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 7.37 0.245666 0.245666 0.245666

Pagina 4 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

189 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 9.28 0.331428 0.259999 0.259999190 C09AA05 RAMIPRILUM VIVOKAR 10 mg CAPS. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-6L 30 24.95 0.831666 0.630600 0.630600191 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 23.28 0.831428 0.630600 0.630600192 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 23.28 0.831428 0.630600 0.630600193 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 24.95 0.831666 0.630600 0.630600194 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 24.93 0.831000 0.630600 0.630600195 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 23.28 0.831428 0.630600 0.630600196 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 23.28 0.831428 0.630600 0.630600197 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 10.51 0.525500 0.525500 0.525500198 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 34.64 1.237142 0.630600 0.630600199 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 7.46 0.266428 0.266428 0.266428200 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 9.37 0.334642 0.319713 0.319713201 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 10.05 0.335000 0.319713 0.319713202 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.02 0.334000 0.319713 0.319713203 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9.37 0.334642 0.319713 0.319713204 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9.37 0.334642 0.319713 0.319713205 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.41 0.514642 0.319713 0.319713206 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 10.15 0.362500 0.362500 0.362500207 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10.17 0.363214 0.363214 0.363214208 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 10.83 0.361000 0.361000 0.361000209 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.85 0.361666 0.361666 0.361666210 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 10.17 0.363214 0.363214 0.363214211 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10.17 0.363214 0.363214 0.363214212 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 7.09 0.354500 0.354500 0.354500213 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 15.62 0.557857 0.425400 0.425400214 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 6.89 0.229666 0.229666 0.229666215 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 33.00 1.100000 0.630600 0.630600216 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 11.23 0.374333 0.319713 0.319713217 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 20.51 0.683666 0.425400 0.425400218 C09CA03 VALSARTANUM** VALSARTAN TEVA 160 mg CAPS. 160mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 32.59 1.163928 1.163928 1.163928219 C09CA03 VALSARTANUM** VALSARTAN TEVA 80 mg CAPS. 80mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 20.26 0.723571 0.723571 0.723571220 C09CA03 VALSARTANUM** CORETON 160 mg COMPR. FILM. 160mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 32.85 1.173214 1.173214 1.173214221 C09CA03 VALSARTANUM** WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 66.00 2.357142 1.356399 1.356399222 C09CA03 VALSARTANUM** WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 70.74 2.358000 1.356399 1.356399223 C09CA03 VALSARTANUM** VALSARGAMMA 160 mg COMPR. FILM. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 33.91 1.130333 1.130333 1.130333224 C09CA03 VALSARTANUM** DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 116.60 4.164285 1.356399 1.356399225 C09CA03 VALSARTANUM** VALSARTAN TORRENT 160 mg COMPR. FILM. 160mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 65.71 2.346785 1.356399 1.356399226 C09CA03 VALSARTANUM** VALSACOR 160 mg COMPR. FILM. 160mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 32.85 1.173214 1.173214 1.173214227 C09CA03 VALSARTANUM** AVASSAN 160 mg COMPR. FILM. 160mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 66.00 2.357142 1.356399 1.356399228 C09CA03 VALSARTANUM** DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM. P6L 28 71.91 2.568214 1.827000 1.827000229 C09CA03 VALSARTANUM** AVASSAN 40 mg COMPR. FILM. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 42.63 1.522500 1.522500 1.522500230 C09CA03 VALSARTANUM** CORETON 80 mg COMPR. FILM. 80mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 34.00 1.214285 0.868285 0.868285231 C09CA03 VALSARTANUM** WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 47.37 1.691785 0.868285 0.868285232 C09CA03 VALSARTANUM** WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 50.79 1.693000 0.868285 0.868285233 C09CA03 VALSARTANUM** VALSARGAMMA 80 mg COMPR. FILM. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 23.25 0.775000 0.775000 0.775000234 C09CA03 VALSARTANUM** DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L 28 91.88 3.281428 0.868285 0.868285235 C09CA03 VALSARTANUM** VALSARTAN TORRENT 80 mg COMPR. FILM. 80mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47.00 1.678571 0.868285 0.868285236 C09CA03 VALSARTANUM** VALSACOR 80 mg COMPR. FILM. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 28.84 1.030000 0.868285 0.868285237 C09CA03 VALSARTANUM** AVASSAN 80 mg COMPR. FILM. 80mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47.40 1.692857 0.868285 0.868285238 C09CA03 VALSARTANUM** DIOVAN 3 mg/ml SOL. ORALA 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1 P-6L 1 41.42 41.420000 41.420000 41.420000

Pagina 5 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

239 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 66.74 2.383571 1.445599 1.445599240 C09CA06 CANDESARTANUM CILEXETIL** TANDESAR 16 mg COMPR. 16mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 44.87 1.602500 1.445599 1.445599241 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR. 16mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36.14 1.204666 1.204666 1.204666242 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 16 mg COMPR. 16mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 42.50 1.416666 1.416666 1.416666243 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN SANDOZ 16 mg COMPR. 16mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L 28 39.65 1.416071 1.416071 1.416071244 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 16 mg COMPR. 16mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 43.24 1.441333 1.441333 1.441333245 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 16 mg COMPR. 16mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 48.03 1.601000 1.445599 1.445599246 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 16 mg COMPR. 16mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 44.85 1.601785 1.445599 1.445599247 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 16 mg COMPR. 16mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 44.88 1.602857 1.445599 1.445599248 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 16mg COMPR. 16mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36.14 1.204666 1.204666 1.204666249 C09CA06 CANDESARTANUM CILEXETIL** ATACAND 32 mg COMPR. 32mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L 28 117.40 4.192857 1.832400 1.832400250 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 32 mg COMPR. 32mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 45.81 1.527000 1.527000 1.527000251 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 32 mg COMPR. 32mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 71.36 2.378666 1.832400 1.832400252 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 32 mg COMPR. 32mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 81.75 2.725000 1.832400 1.832400253 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 32 mg COMPR. 32mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 81.75 2.725000 1.832400 1.832400254 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 32 mg COMPR. 32mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 69.33 2.476071 1.832400 1.832400255 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 32 mg COMPR. 32mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 76.32 2.725714 1.832400 1.832400256 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 32mg COMPR. 32mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 45.81 1.527000 1.527000 1.527000257 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 56.10 2.003571 0.880800 0.880800258 C09CA06 CANDESARTANUM CILEXETIL** TANDESAR 8 mg COMPR. 8mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 36.46 1.302142 0.880800 0.880800259 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 8 mg COMPR. 8mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 22.02 0.734000 0.734000 0.734000260 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 24.13 0.804333 0.804333 0.804333261 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN SANDOZ 8 mg COMPR. 8mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L 28 33.45 1.194642 0.880800 0.880800262 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 8 mg COMPR. 8mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 33.01 1.100333 0.880800 0.880800263 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 8 mg COMPR. 8mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 39.07 1.302333 0.880800 0.880800264 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 8 mg COMPR. 8mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 36.46 1.302142 0.880800 0.880800265 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 8 mg COMPR. 8mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 36.46 1.302142 0.880800 0.880800266 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 8mg COMPR. 8mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 22.02 0.734000 0.734000 0.734000

1 B01AA07 ACENOCUMAROLUM* TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.53 0.217666 0.217666 0.2176662 B01AA07 ACENOCUMAROLUM* SINTROM 4 mg COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.76 0.338000 0.338000 0.338000

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

1 B01AC04 CLOPIDOGRELUM*** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 780.80 26.026666 26.026666 26.0266662 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 2.8400003 B01AC04 CLOPIDOGRELUM*** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 90.49 3.231785 2.901428 2.9014284 B01AC04 CLOPIDOGRELUM*** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 122.34 4.369285 2.901428 2.9014285 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 83.81 2.793666 2.793666 2.7936666 B01AC04 CLOPIDOGRELUM*** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 2.8400007 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF 90 242.40 2.693333 2.693333 2.6933338 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL MYLAN 75mg COMPR. FILM. 75mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF 28 79.52 2.840000 2.840000 2.8400009 B01AC04 CLOPIDOGRELUM*** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 2.840000

10 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 68.52 2.447142 2.447142 2.447142

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

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

Pagina 6 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

11 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 68.52 2.447142 2.447142 2.44714212 B01AC04 CLOPIDOGRELUM*** PLAVOCORIN 75 mg COMPR. FILM. 75mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 89.49 3.196071 2.901428 2.90142813 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 79.49 2.838928 2.838928 2.83892814 B01AC04 CLOPIDOGRELUM*** DEFROZYP 75 mg COMPR. FILM. 75mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 79.49 2.838928 2.838928 2.83892815 B01AC04 CLOPIDOGRELUM*** TESSYRON 75 mg COMPR. FILM. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF 30 85.21 2.840333 2.840333 2.84033316 B01AC04 CLOPIDOGRELUM*** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 68.48 2.445714 2.445714 2.44571417 B01AC04 CLOPIDOGRELUM*** CLORODEN 75 mg COMPR. FILM. 75mg IWA CONSULTING APS DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF 28 68.48 2.445714 2.445714 2.44571418 B01AC04 CLOPIDOGRELUM*** VATOUD 75 mg COMPR. FILM. 75mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 73.81 2.636071 2.636071 2.63607119 B01AC04 CLOPIDOGRELUM*** LOFRADYK 75 mg COMPR. FILM. 75mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 68.22 2.436428 2.436428 2.43642820 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 79.49 2.838928 2.838928 2.83892821 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 85.18 2.839333 2.839333 2.83933322 B01AC04 CLOPIDOGRELUM*** MOYTOR 75 mg COMPR. FILM. 75mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM. P-RF 28 79.52 2.840000 2.840000 2.84000023 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 161.58 2.693000 2.693000 2.69300024 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 242.38 2.693111 2.693111 2.69311125 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TERAPIA 75 mg COMPR. FILM. 75mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF 30 85.21 2.840333 2.840333 2.84033326 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 67.70 2.417857 2.417857 2.41785727 B01AC04 CLOPIDOGRELUM*** DEPLATT 75 mg COMPR. FILM. 75mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 85.19 2.839666 2.839666 2.83966628 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL ACCORD 75 mg COMPR. FILM. 75mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF 30 85.21 2.840333 2.840333 2.840333

Tratamentul se iniţiază de către medicul în specialitatea cardiologie.

1 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 611.90 4.370714 4.370714 4.3707142 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 665.28 3.960000 3.960000 3.9600003 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 194.11 6.470333 6.470333 6.4703334 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 278.73 9.954642 7.764399 7.7643995 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA PHARMA B.V. 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R 60 386.16 6.436000 6.436000 6.4360006 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 557.58 9.293000 7.723200 7.7232007 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 386.16 12.872000 12.872000 12.8720008 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 1 160.92 160.920000 160.920000 160.9200009 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1,928.98 64.299333 64.299333 64.299333

10 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1,748.63 58.287666 58.287666 58.28766611 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1,938.42 64.614000 64.614000 64.61400012 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 326.02 326.020000 237.468000 237.46800013 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 514.01 514.010000 382.224000 382.22400014 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 197.89 197.890000 197.890000 197.89000015 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 318.52 318.520000 318.520000 318.52000016 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 494.26 98.852000 98.852000 98.85200017 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 261.45 261.450000 237.468000 237.46800018 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,129.37 225.874000 225.874000 225.87400019 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 426.08 426.080000 382.224000 382.22400020 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,843.52 368.704000 368.704000 368.70400021 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF 1 87.43 87.430000 87.430000 87.43000022 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF 1 183.22 183.220000 183.220000 183.22000023 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 1 490.77 490.770000 490.770000 490.77000024 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 1 772.57 772.570000 772.570000 772.57000025 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 820.00 820.000000 820.000000 820.00000026 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 969.85 969.850000 969.850000 969.850000

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

Pagina 7 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

27 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1,193.66 1,193.660000 1,193.660000 1,193.66000028 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 445.72 445.720000 445.720000 445.72000029 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 975.16 975.160000 975.160000 975.16000030 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 17.07 0.341400 0.341400 0.341400

1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 32.62 0.652400 0.652400 0.6524002 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 29.65 1.482500 1.482500 1.4825003 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 6.53 0.217666 0.217666 0.2176664 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.81 8.810000 8.810000 8.8100005 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 31.02 31.020000 31.020000 31.0200006 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95.62 31.873333 31.873333 31.8733337 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35.71 11.903333 11.903333 11.9033338 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 55.38 1.107600 1.107600 1.1076009 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 80.90 0.809000 0.809000 0.809000

10 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78.89 0.788900 0.788900 0.788900

Tratamentul se 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 100 124.28 1.242800 1.242800 1.2428002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 71.49 1.429800 1.429800 1.4298003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 68.77 1.375400 1.375400 1.3754004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 54.19 0.903166 0.903166 0.9031665 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 35.88 1.794000 1.794000 1.7940006 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 136.52 2.730400 2.730400 2.7304007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 268.17 2.681700 2.681700 2.6817008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 97.49 97.490000 97.490000 97.490000

7. CIROZA HEPATICA - G7

1 A06AD11 LACTULOSUM* DUPHALAC (R) LICHID ORAL 66,7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 10.37 10.370000 10.370000 10.3700002 A06AD11 LACTULOSUM* DUPHALAC (R) LICHID ORAL 66,7% ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 10.37 10.370000 10.370000 10.3700003 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 10.42 10.420000 10.420000 10.4200004 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3.47 3.470000 3.470000 3.4700005 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 17.23 17.230000 17.230000 17.2300006 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 33.34 33.340000 33.340000 33.340000

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 PR IMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOG II CU COLESTAZA - G6

Tratamentul se initiază de către medicul în specialitatea gastroenterologie

Pagina 8 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

7 A06AD11 LACTULOSUM* LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 7.09 7.090000 7.090000 7.0900008 A06AD11 LACTULOSUM* LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 3.57 3.570000 3.570000 3.5700009 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 33.10 2.758333 2.758333 2.758333

10 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF 36 91.26 2.535000 2.535000 2.53500011 A07AA11 RIFAXIMINUM* NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml ALFA WASSERMANN SPA ITALIA CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML P-RF 1 19.11 19.110000 19.110000 19.11000012 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.02 0.151000 0.136800 0.13680013 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.28 0.114000 0.114000 0.11400014 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.42 0.271000 0.136800 0.13680015 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 6.02 0.301000 0.136800 0.13680016 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.04 0.152000 0.136800 0.13680017 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.02 0.301000 0.136800 0.13680018 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6.07 1.214000 1.214000 1.21400019 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28.51 0.950333 0.950333 0.95033320 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 16.07 0.321400 0.258000 0.25800021 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA LPH 25 mg CAPS. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L 60 19.46 0.324333 0.258000 0.25800022 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16.72 0.557333 0.557333 0.55733323 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16.24 0.541333 0.541333 0.54133324 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.30 0.215000 0.215000 0.21500025 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.79 0.215800 0.215800 0.21580026 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16.21 0.324200 0.258000 0.25800027 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.30 0.215000 0.215000 0.21500028 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13.74 0.687000 0.649599 0.64959929 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95.62 31.873333 31.873333 31.87333330 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35.71 11.903333 11.903333 11.90333331 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 611.90 4.370714 4.370714 4.37071432 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 665.28 3.960000 3.960000 3.96000033 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 194.11 6.470333 6.470333 6.47033334 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 278.73 9.954642 7.764399 7.76439935 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA PHARMA B.V. 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R 60 386.16 6.436000 6.436000 6.43600036 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 557.58 9.293000 7.723200 7.72320037 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 386.16 12.872000 12.872000 12.87200038 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 1 160.92 160.920000 160.920000 160.92000039 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1,928.98 64.299333 64.299333 64.29933340 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1,748.63 58.287666 58.287666 58.28766641 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1,938.42 64.614000 64.614000 64.61400042 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 326.02 326.020000 237.468000 237.46800043 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 514.01 514.010000 382.224000 382.22400044 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 197.89 197.890000 197.890000 197.89000045 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 318.52 318.520000 318.520000 318.52000046 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 494.26 98.852000 98.852000 98.85200047 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 261.45 261.450000 237.468000 237.46800048 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,129.37 225.874000 225.874000 225.87400049 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 426.08 426.080000 382.224000 382.22400050 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,843.52 368.704000 368.704000 368.70400051 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF 1 87.43 87.430000 87.430000 87.43000052 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF 1 183.22 183.220000 183.220000 183.22000053 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 1 490.77 490.770000 490.770000 490.77000054 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 1 772.57 772.570000 772.570000 772.57000055 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 820.00 820.000000 820.000000 820.00000056 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 969.85 969.850000 969.850000 969.850000

Pagina 9 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

57 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1,193.66 1,193.660000 1,193.660000 1,193.66000058 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 445.72 445.720000 445.720000 445.72000059 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 975.16 975.160000 975.160000 975.16000060 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 17.07 0.341400 0.341400 0.341400

Tratamentul se 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 19.04 1.904000 1.904000 1.9040002 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 33.31 3.331000 3.331000 3.3310003 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 43.75 8.750000 8.750000 8.7500004 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 23.79 4.758000 4.758000 4.7580005 A04AA01 ONDANSETRONUM** EMESET 8 mg/4 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF 5 43.73 8.746000 8.746000 8.7460006 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF 5 23.79 4.758000 4.758000 4.7580007 A04AA02 GRANISETRONUM** KYTRIL (R) 1 mg COMPR. FILM. 1mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 287.59 28.759000 17.835600 17.8356008 A04AA02 GRANISETRONUM** GRANISETRON ACTAVIS 1 mg COMPR. FILM. 1mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 148.63 14.863000 14.863000 14.8630009 A04AA02 GRANISETRONUM** GRANEGIS 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 148.63 14.863000 14.863000 14.863000

10 A04AA02 GRANISETRONUM** GRANORED 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 178.35 17.835000 17.835000 17.83500011 A04AA02 GRANISETRONUM** GRANORED 2 mg COMPR. FILM. 2mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 271.77 27.177000 27.177000 27.17700012 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. S/P-RF 10 135.28 13.528000 13.528000 13.52800013 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF 5 199.30 39.860000 39.860000 39.86000014 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF 10 394.03 39.403000 39.403000 39.40300015 A04AA02 GRANISETRONUM** GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ. S 5 71.52 14.304000 14.304000 14.30400016 A04AA02 GRANISETRONUM** GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ. 3mg/3ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ. S 5 199.86 39.972000 39.972000 39.97200017 A04AA02 GRANISETRONUM** KYTRIL SOL. INJ. 3mg/3ml ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ. S 1 66.02 66.020000 47.283600 47.28360018 A04AA05 PALONOSETRONUM** ALOXI 500mcg CAPS. MOI 500mcg HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE PRF 1 403.43 403.430000 403.430000 403.43000019 A04AA05 PALONOSETRONUM** ALOXI SOL. INJ. 250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF 1 381.18 381.180000 381.180000 381.18000020 B03XA01 EPOETINUM ALFA*** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,728.54 288.090000 288.090000 288.09000021 B03XA01 EPOETINUM ALFA*** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 218.42 36.403333 36.403333 36.40333322 B03XA01 EPOETINUM ALFA*** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 425.83 70.971666 70.971666 70.97166623 B03XA01 EPOETINUM ALFA*** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 788.23 788.230000 788.230000 788.23000024 B03XA01 EPOETINUM ALFA*** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 603.73 100.621666 100.621666 100.62166625 B03XA01 EPOETINUM ALFA*** EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1,353.47 1,353.470000 1,193.316000 1,193.31600026 B03XA01 EPOETINUM ALFA*** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 994.43 994.430000 994.430000 994.43000027 B03XA01 EPOETINUM ALFA*** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 781.57 130.261666 130.261666 130.26166628 B03XA01 EPOETINUM ALFA*** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 959.37 159.895000 159.895000 159.89500029 B03XA01 EPOETINUM BETA*** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,346.60 391.100000 391.100000 391.10000030 B03XA01 EPOETINUM BETA*** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526.27 87.711666 87.711666 87.71166631 B03XA01 EPOETINUM BETA*** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,174.53 1,174.530000 1,174.530000 1,174.53000032 B03XA01 EPOETINUM BETA*** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 981.05 163.508333 163.508333 163.50833333 B03XA01 EPOETINUM BETA*** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,208.30 201.383333 201.383333 201.38333334 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 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 143.93 23.988333 23.988333 23.98833335 B03XA02 DARBEPOETINUM ALFA*** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3,173.01 793.252500 793.252500 793.25250036 B03XA02 DARBEPOETINUM ALFA*** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 391.56 97.890000 97.890000 97.89000037 B03XA02 DARBEPOETINUM ALFA*** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,708.35 1,177.087500 1,177.087500 1,177.08750038 B03XA02 DARBEPOETINUM ALFA*** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 702.64 175.660000 175.660000 175.66000039 B03XA02 DARBEPOETINUM ALFA*** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2,208.61 2,208.610000 2,208.610000 2,208.610000

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

Pagina 10 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

40 B03XA02 DARBEPOETINUM ALFA*** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,009.47 252.367500 252.367500 252.36750041 B03XA02 DARBEPOETINUM ALFA*** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,318.95 329.737500 329.737500 329.73750042 B03XA02 DARBEPOETINUM ALFA*** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,633.81 3,633.810000 3,633.810000 3,633.81000043 B03XA02 DARBEPOETINUM ALFA*** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,626.76 406.690000 406.690000 406.69000044 B03XA02 DARBEPOETINUM ALFA*** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,937.17 484.292500 484.292500 484.29250045 B03XA02 DARBEPOETINUM ALFA*** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,555.95 638.987500 638.987500 638.98750046 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 162.33 3.246600 3.246600 3.24660047 H02AB02 DEXAMETHASONUM DEXAMED COMPR. 0,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF 100 18.38 0.183800 0.183800 0.18380048 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 10 8.32 0.832000 0.832000 0.83200049 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 25 20.42 0.816800 0.816800 0.81680050 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 100 73.64 0.736400 0.736400 0.73640051 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 10 13.87 1.387000 1.106160 1.10616052 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 25 33.18 1.327200 1.106160 1.10616053 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL.INJ. PRF 100 124.62 1.246200 1.106160 1.10616054 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 123.66 1.236600 1.106160 1.10616055 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 6.98 1.396000 1.106160 1.10616056 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 92.18 0.921800 0.921800 0.92180057 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 10.39 1.039000 1.039000 1.03900058 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 76.92 5.128000 4.203999 4.20399959 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 3.50400060 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 3.50400061 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 3.50400062 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 3.50400063 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 52.56 3.504000 3.504000 3.50400064 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 52.55 3.503333 3.503333 3.50333365 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,917.72 139.918571 139.918571 139.91857166 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 1,032.33 36.868928 36.868928 36.86892867 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 537.45 537.450000 537.450000 537.45000068 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 P-RF 1 2,439.99 2,439.990000 2,439.990000 2,439.99000069 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 2,750.28 2,750.280000 2,750.280000 2,750.28000070 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,750.28 2,750.280000 2,750.280000 2,750.28000071 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 1,348.76 1,348.760000 1,348.760000 1,348.76000072 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 1,738.70 1,738.700000 1,738.700000 1,738.70000073 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0,5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS. P-RF 42 875.92 20.855238 19.865760 19.86576074 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 1,655.48 16.554800 16.554800 16.55480075 L04AD01 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 50 471.31 9.426200 9.426200 9.42620076 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 137.32 2.746400 2.259120 2.25912077 L04AD01 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 94.13 1.882600 1.882600 1.88260078 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 292.16 5.843200 4.557600 4.55760079 L04AD01 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 50 189.90 3.798000 3.798000 3.79800080 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 46.96 0.838571 0.838571 0.83857181 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 67.34 1.202500 1.202500 1.20250082 N02AA01 MORPHYNUM MST CONTINUS 100 mg COMPR. FILM. ELIB. MODIF. 100mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 248.14 4.135666 3.401599 3.40159983 N02AA01 MORPHYNUM MST CONTINUS 10 mg COMPR. FILM. ELIB. MODIF. 10mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 46.12 0.768666 0.768666 0.76866684 N02AA01 MORPHYNUM MST CONTINUS 200 mg COMPR. FILM. ELIB. MODIF. 200mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD. P-TS 60 422.55 7.042500 7.042500 7.04250085 N02AA01 MORPHYNUM MST CONTINUS 30 mg COMPR. FILM. ELIB. MODIF. 30mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 76.46 1.274333 1.082400 1.08240086 N02AA01 MORPHYNUM MST CONTINUS 60 mg COMPR. FILM. ELIB. MODIF. 60mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 154.65 2.577500 2.232399 2.23239987 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 85.04 2.834666 2.834666 2.83466688 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 27.06 0.902000 0.902000 0.90200089 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 55.81 1.860333 1.860333 1.860333

Pagina 11 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

90 N02AA01 MORPHYNUM MORFINA 20 mg/ml SOL. INJ. 20mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML P-TS 5 8.29 1.658000 1.658000 1.65800091 N02AA05 OXYCODONUM OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 116.83 2.086250 2.086250 2.08625092 N02AA05 OXYCODONUM OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 214.65 3.833035 3.833035 3.83303593 N02AA05 OXYCODONUM OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 395.50 7.062500 7.062500 7.06250094 N02AA05 OXYCODONUM OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS 56 652.80 11.657142 11.657142 11.65714295 N02AA08 DIHYDROCODEINUM DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 128.54 2.295357 2.295357 2.29535796 N02AA08 DIHYDROCODEINUM DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 29.34 0.523928 0.523928 0.52392897 N02AA08 DIHYDROCODEINUM DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 101.69 1.815892 1.815892 1.81589298 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 7.80 1.560000 1.560000 1.56000099 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 100 mcg/h PLASTURE TRANSDERMIC 100mcg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC P-TS 5 191.24 38.248000 38.248000 38.248000100 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 190.93 38.186000 38.186000 38.186000101 N02AB03 FENTANYLUM** ALGOGESIC 100 micrograme/ora PLASTURE TRANSDERMIC 100micrograme/ora ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 191.24 38.248000 38.248000 38.248000102 N02AB03 FENTANYLUM** DOLFORIN 100 µg/ORA PLASTURE TRANSDERMIC 100µg/ora GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 191.24 38.248000 38.248000 38.248000103 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 25 mcg/h PLASTURE TRANSDERMIC 25mcg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC P-TS 5 71.80 14.360000 14.360000 14.360000104 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 25micrograme/h PLASTURE TRANSDERMIC 25micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 69.07 13.814000 13.814000 13.814000105 N02AB03 FENTANYLUM** ALGOGESIC 25 micrograme/ora PLASTURE TRANSDERMIC 25micrograme/ora ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 71.13 14.226000 14.226000 14.226000106 N02AB03 FENTANYLUM** DOLFORIN 25 µg/ORA PLASTURE TRANSDERMIC 25µg/ora GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 69.71 13.942000 13.942000 13.942000107 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 50 mcg/h PLASTURE TRANSDERMIC 50mcg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC P-TS 5 120.78 24.156000 24.156000 24.156000108 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 50micrograme/h PLASTURE TRANSDERMIC 50micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 120.72 24.144000 24.144000 24.144000109 N02AB03 FENTANYLUM** ALGOGESIC 50 micrograme/ora PLASTURE TRANSDERMIC 50micrograme/ora ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 120.78 24.156000 24.156000 24.156000110 N02AB03 FENTANYLUM** DOLFORIN 50 µg/ORA PLASTURE TRANSDERMIC 50µg/ora GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 120.78 24.156000 24.156000 24.156000111 N02AB03 FENTANYLUM** FENTANYL TTS SANDOZ 75 mcg/h PLASTURE TRANSDERMIC 75mcg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC P-TS 5 154.58 30.916000 30.916000 30.916000112 N02AB03 FENTANYLUM** ALGOGESIC 75 micrograme/ora PLASTURE TRANSDERMIC 75micrograme/ora ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 154.58 30.916000 30.916000 30.916000113 N02AB03 FENTANYLUM** DOLFORIN 75 µg/ORA PLASTURE TRANSDERMIC 75µg/ora GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 154.58 30.916000 30.916000 30.916000114 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.82 0.291000 0.291000 0.291000115 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.82 0.291000 0.291000 0.291000116 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 11.53 0.384333 0.349200 0.349200117 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.85 0.385000 0.349200 0.349200118 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.85 0.385000 0.349200 0.349200119 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.67 0.383500 0.349200 0.349200120 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 3.85 0.385000 0.349200 0.349200121 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.67 0.383500 0.349200 0.349200122 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.82 0.382000 0.349200 0.349200123 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.00 0.450000 0.349200 0.349200124 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 17.38 1.738000 0.755599 0.755599125 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 47.39 1.579666 0.755599 0.755599126 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 26.09 2.609000 1.342800 1.342800127 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 48.58 2.429000 1.342800 1.342800128 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 68.71 2.290333 1.342800 1.342800129 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 78.13 2.604333 2.127999 2.127999130 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.67 0.383500 0.349200 0.349200131 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.67 0.383500 0.349200 0.349200132 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.67 0.383500 0.349200 0.349200133 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 6.30 0.630000 0.630000 0.630000134 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 18.91 0.630333 0.630333 0.630333135 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 32.56 0.651200 0.651200 0.651200136 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 6.30 0.630000 0.630000 0.630000137 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 18.89 0.629666 0.629666 0.629666138 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 33.57 1.119000 1.119000 1.119000139 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 21.05 2.105000 1.342800 1.342800

Pagina 12 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

140 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 27.50 2.750000 2.127999 2.127999141 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 10.65 0.355000 0.349200 0.349200142 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 9.69 0.969000 0.755599 0.755599143 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 22.03 2.203000 1.342800 1.342800144 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 41.57 1.385666 1.342800 1.342800145 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 28.18 2.818000 2.127999 2.127999146 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 53.20 1.773333 1.773333 1.773333147 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 5.04 5.040000 5.040000 5.040000148 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 9.83 1.966000 1.614720 1.614720149 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 134.56 1.345600 1.345600 1.345600150 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 12.28 2.456000 1.614720 1.614720151 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.93 0.986000 0.986000 0.986000152 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.90 0.980000 0.980000 0.980000153 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 13.10 2.620000 1.614720 1.614720154 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.67 1.534000 1.534000 1.534000155 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 5.58 1.116000 1.116000 1.116000156 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 24.41 0.488200 0.488200 0.488200157 N07BC02 METHADONUM METADON BIOEEL 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 15.72 0.314400 0.314400 0.314400158 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.01 0.200333 0.177600 0.177600159 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 5.13 0.205200 0.177600 0.177600160 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.02 0.151000 0.151000 0.151000161 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.02 0.151000 0.151000 0.151000162 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.19 0.159500 0.159500 0.159500163 R05DA04 CODEINUM CODEINA FOSFAT MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.65 0.182500 0.177600 0.177600164 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.96 0.148000 0.148000 0.148000165 V03AC01 DEFEROXAMINUM**3) 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 10 135.07 13.507000 13.507000 13.507000166 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 28 787.57 28.127500 28.127500 28.127500167 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 1,631.03 58.251071 58.251071 58.251071168 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 2,937.68 104.917142 104.917142 104.917142

Tratamentul se iniţiază de către medicul în 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 4.39 0.175600 0.136800 0.1368002 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100mg SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. P-RF 10 1.14 0.114000 0.114000 0.1140003 N03AA02 PHENOBARBITALUM FENOBARBITAL ARENA 100mg COMPR. 100mg SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. P-RF 10 1.14 0.114000 0.114000 0.1140004 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 10.96 2.192000 2.192000 2.1920005 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.77 0.138500 0.138500 0.1385006 N03AB02 PHENYTOINUM PHENHYDAN 250 mg/5 ml SOL. INJ. 250mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 67.73 13.546000 13.546000 13.5460007 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 6.89 0.137800 0.137800 0.1378008 N03AE01 CLONAZEPAMUM RIVOTRIL 2 mg COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 6.56 0.218666 0.218666 0.2186669 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 17.38 0.347600 0.265200 0.265200

10 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.31 0.226200 0.226200 0.22620011 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.31 0.226200 0.226200 0.22620012 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 11.31 0.226200 0.226200 0.22620013 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.221000 0.22100014 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.50 0.225000 0.225000 0.22500015 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 11.31 0.226200 0.226200 0.22620016 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.96 0.248000 0.248000 0.248000

9. EPILEPSIE - G11

Pagina 13 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

17 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 4.51 0.225500 0.225500 0.22550018 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26.26 0.525200 0.525200 0.52520019 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 400 mg COMPR. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.51 0.525500 0.525500 0.52550020 N03AF01 CARBAMAZEPINUM TIMONIL RETARD 150 mg COMPR. CU ELIB. PRELUNGITA 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIB. PRELUNGITA PR/P6L 50 15.16 0.303200 0.303200 0.30320021 N03AF01 CARBAMAZEPINUM TIMONIL RETARD 300 mg COMPR. CU ELIBERARE PRELUNGITA 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA PR/P6L 50 20.62 0.412400 0.412400 0.41240022 N03AF01 CARBAMAZEPINUM TIMONIL RETARD 600 mg COMPR. CU ELIBERARE PRELUNGITA 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA PR/P6L 50 36.53 0.730600 0.730600 0.73060023 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 20.68 0.413600 0.413600 0.41360024 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 36.59 0.731800 0.731800 0.73180025 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 19.17 0.383400 0.265200 0.26520026 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 25.35 0.845000 0.630240 0.63024027 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 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 27.10 0.542000 0.542000 0.54200028 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 12.43 0.248600 0.248600 0.24860029 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 22.51 22.510000 22.510000 22.51000030 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 64.73 1.294600 1.294600 1.29460031 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 50 118.30 2.366000 2.366000 2.36600032 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 21.96 0.439200 0.243120 0.24312033 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 36.76 0.735200 0.399360 0.39936034 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 20.26 0.202600 0.202600 0.20260035 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 33.28 0.332800 0.332800 0.33280036 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 51.12 0.511200 0.511200 0.51120037 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L 30 16.06 0.535333 0.535333 0.53533338 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 34.76 0.347600 0.347600 0.34760039 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 29.14 0.291400 0.243120 0.24312040 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 10.72 0.268000 0.268000 0.26800041 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 37.58 0.375800 0.375800 0.37580042 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 39.99 0.799800 0.799800 0.79980043 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 4 127.06 31.765000 31.765000 31.76500044 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 94.92 1.898400 1.898400 1.89840045 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 59.48 1.189600 0.613440 0.61344046 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 36.26 36.260000 36.260000 36.26000047 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 23.13 23.130000 23.130000 23.13000048 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 26.66 0.952142 0.952142 0.95214249 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 28.86 0.962000 0.962000 0.96200050 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 28.86 0.962000 0.962000 0.96200051 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 28.86 0.962000 0.962000 0.96200052 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 28.84 0.961333 0.961333 0.96133353 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 40.13 1.433214 1.116642 1.11664254 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 100 mg COMPR. 100mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 52.11 0.930535 0.930535 0.93053555 N03AX09 LAMOTRIGINUM** LAMOTRIGINE TORRENT 100 mg COMPR. 100mg TORRENT PHARMA S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 28.24 0.941333 0.941333 0.94133356 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 60.33 2.011000 2.011000 2.01100057 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 200 mg COMPR. 200mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 99.51 1.776964 1.776964 1.77696458 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 6.66 0.237857 0.152799 0.15279959 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.26 0.242000 0.152799 0.15279960 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 10.40 0.371428 0.152799 0.15279961 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.41 0.480333 0.480333 0.48033362 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 13.33 0.476071 0.476071 0.47607163 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.41 0.480333 0.480333 0.48033364 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 14.41 0.480333 0.480333 0.48033365 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 14.42 0.480666 0.480666 0.48066666 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 20.69 0.738928 0.571285 0.571285

Pagina 14 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

67 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 50 mg COMPR. 50mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 26.89 0.480178 0.480178 0.48017868 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 28.84 0.961333 0.961333 0.96133369 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 3.82 0.127333 0.127333 0.12733370 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 16.95 0.565000 0.565000 0.56500071 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 28 125.11 4.468214 2.675799 2.67579972 N03AX11 TOPIRAMATUM** TOPRAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 165.90 2.765000 2.675799 2.67579973 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 90.25 3.008333 2.675799 2.67579974 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 100 mg COMPR. FILM. 100mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 159.80 2.663333 2.663333 2.66333375 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 84.23 3.008214 2.675799 2.67579976 N03AX11 TOPIRAMATUM** TOPILEX 100 mg COMPR. FILM. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 87.49 2.916333 2.675799 2.67579977 N03AX11 TOPIRAMATUM** LUSITRAX 100mg COMPR. FILM. 100mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF 30 87.45 2.915000 2.675799 2.67579978 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 84.23 3.008214 2.675799 2.67579979 N03AX11 TOPIRAMATUM** TORLEPTA 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 80.21 2.673666 2.673666 2.67366680 N03AX11 TOPIRAMATUM** TOPIRAMAT BLUEFISH 100 mg COMPR. FILM. 100mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 142.68 2.378000 2.378000 2.37800081 N03AX11 TOPIRAMATUM** TOPIRAMAT BLUEFISH 100 mg COMPR. FILM. 100mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P-RF 60 142.68 2.378000 2.378000 2.37800082 N03AX11 TOPIRAMATUM** ETOPRO 100 mg COMPR. FILM. 100mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-6L 60 134.01 2.233500 2.233500 2.23350083 N03AX11 TOPIRAMATUM** TOPIRAMAT EGIS 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UK CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 133.79 2.229833 2.229833 2.22983384 N03AX11 TOPIRAMATUM** NEXTOP 100 mg COMPR. FILM. 100mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 87.16 2.905333 2.675799 2.67579985 N03AX11 TOPIRAMATUM** TOPRAN 200 mg COMPR. FILM. 200mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 310.81 5.180166 5.180166 5.18016686 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 200 mg COMPR. FILM. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 159.08 5.302666 5.302666 5.30266687 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 148.47 5.302500 5.302500 5.30250088 N03AX11 TOPIRAMATUM** NEXTOP 200 mg COMPR. FILM. 200mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 155.05 5.168333 5.168333 5.16833389 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 40.62 1.450714 0.963799 0.96379990 N03AX11 TOPIRAMATUM** TOPRAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 53.96 0.899333 0.899333 0.89933391 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 25 mg COMPR. FILM. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 29.21 0.973666 0.963799 0.96379992 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 25 mg COMPR. FILM. 25mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 55.59 0.926500 0.926500 0.92650093 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 27.29 0.974642 0.963799 0.96379994 N03AX11 TOPIRAMATUM** TOPILEX 25 mg COMPR. FILM. 25mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 27.81 0.927000 0.927000 0.92700095 N03AX11 TOPIRAMATUM** LUSITRAX 25 mg COMPR. FILM. 25mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF 30 27.87 0.929000 0.929000 0.92900096 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 27.29 0.974642 0.963799 0.96379997 N03AX11 TOPIRAMATUM** TORLEPTA 25 mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 26.67 0.889000 0.889000 0.88900098 N03AX11 TOPIRAMATUM** TOPIRAMAT BLUEFISH 25 mg COMPR. FILM. 25mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 51.29 0.854833 0.854833 0.85483399 N03AX11 TOPIRAMATUM** TOPIRAMAT EGIS 25 mg COMPR. FILM. 25mg EGIS PHARMACEUTICALS P.L.C. UK CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 48.19 0.803166 0.803166 0.803166100 N03AX11 TOPIRAMATUM** NEXTOP 25 mg COMPR. FILM. 25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 27.57 0.919000 0.919000 0.919000101 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 73.20 2.614285 1.495999 1.495999102 N03AX11 TOPIRAMATUM** TOPRAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 97.27 1.621166 1.495999 1.495999103 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 53.67 1.789000 1.495999 1.495999104 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 50 mg COMPR. FILM. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 89.22 1.487000 1.487000 1.487000105 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 50.09 1.788928 1.495999 1.495999106 N03AX11 TOPIRAMATUM** TOPILEX 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 51.21 1.707000 1.495999 1.495999107 N03AX11 TOPIRAMATUM** LUSITRAX 50 mg COMPR. FILM. 50mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF 30 51.21 1.707000 1.495999 1.495999108 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 50.09 1.788928 1.495999 1.495999109 N03AX11 TOPIRAMATUM** TORLEPTA 50 mg COMPR. FILM. 50mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 47.85 1.595000 1.495999 1.495999110 N03AX11 TOPIRAMATUM** TOPIRAMAT BLUEFISH 50 mg COMPR. FILM. 50mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 84.54 1.409000 1.409000 1.409000111 N03AX11 TOPIRAMATUM** TOPIRAMAT BLUEFISH 50 mg COMPR. FILM. 50mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P-RF 60 84.54 1.409000 1.409000 1.409000112 N03AX11 TOPIRAMATUM** TOPIRAMAT EGIS 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. UK CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 74.80 1.246666 1.246666 1.246666113 N03AX11 TOPIRAMATUM** NEXTOP 50 mg COMPR. FILM. 50mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 50.82 1.694000 1.495999 1.495999114 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 60.61 0.606100 0.606100 0.606100115 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 31.05 0.621000 0.621000 0.621000116 N03AX12 GABAPENTINUM*** GRIMODIN 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 33.34 0.555666 0.555666 0.555666

Pagina 15 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

117 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 70.89 1.417800 1.272399 1.272399118 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 133.56 1.335600 1.272399 1.272399119 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 65.96 1.319200 1.272399 1.272399120 N03AX12 GABAPENTINUM*** GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 133.09 1.330900 1.272399 1.272399121 N03AX12 GABAPENTINUM*** GRIMODIN 300 mg CAPS. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 63.62 1.060333 1.060333 1.060333122 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 94.53 1.890600 1.719199 1.719199123 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 175.18 1.751800 1.719199 1.719199124 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 72.72 1.454400 1.454400 1.454400125 N03AX12 GABAPENTINUM*** GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 169.16 1.691600 1.691600 1.691600126 N03AX12 GABAPENTINUM*** GRIMODIN 400 mg CAPS. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 85.96 1.432666 1.432666 1.432666127 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 65.21 2.173666 2.173666 2.173666128 N03AX12 GABAPENTINUM*** GABAGAMMA 600 mg COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 195.74 1.957400 1.957400 1.957400129 N03AX12 GABAPENTINUM*** GRIMODIN 600 mg COMPR. FILM. 600mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 123.68 2.061333 2.061333 2.061333130 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 30 104.24 3.474666 3.474666 3.474666131 N03AX12 GABAPENTINUM*** GABAGAMMA 800 mg COMPR. FILM. 800mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 329.52 3.295200 3.295200 3.295200132 N03AX12 GABAPENTINUM*** GRIMODIN 800 mg COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 197.38 3.289666 3.289666 3.289666133 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TORRENT 1000 mg COMPR. FILM. 1000 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 222.17 7.405666 4.022400 4.022400134 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TERAPIA 1000 mg COMPR. FILM. 1000 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMP.FILM. PRF 30 200.01 6.667000 4.022400 4.022400135 N03AX14 LEVETIRACETAMUM** KEPPRA 1000 mg COMPR. FILM. 1000mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF 30 166.48 5.549333 4.022400 4.022400136 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM ACCORD 1000mg COMPR. FILM. 1000mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF 30 222.85 7.428333 4.022400 4.022400137 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM ACTAVIS 1000mg COMPR. FILM. 1000mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF 30 101.18 3.372666 3.372666 3.372666138 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM PHARMASWISS 1000 mg COMPR. FILM. 1000mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF 30 183.44 6.114666 4.022400 4.022400139 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TEVA 1000mg COMPR. FILM. 1000mg TEVA PHARMA OLANDA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF 30 222.99 7.433000 4.022400 4.022400140 N03AX14 LEVETIRACETAMUM** TRUND 1000 mg COMPR. FILM. 1000mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 60 241.34 4.022333 4.022333 4.022333141 N03AX14 LEVETIRACETAMUM** EPILETAM 1000 mg COMPR. FILM. 1000mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 30 131.53 4.384333 4.022400 4.022400142 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM DR. REDDY'S 1000 mg COMPR. FILM. 1000mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 100.56 3.352000 3.352000 3.352000143 N03AX14 LEVETIRACETAMUM** LERETAN 1000 mg COMPR. FILM. 1000mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 120.67 4.022333 4.022333 4.022333144 N03AX14 LEVETIRACETAMUM** MYAKELL 1000 mg COMPR. FILM. 1000mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 30 120.67 4.022333 4.022333 4.022333145 N03AX14 LEVETIRACETAMUM** NORMEG 1000 mg COMPR. FILM. 1000mg ZENTIVA, K.S. REPUBLICA SLOVACA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF 30 217.55 7.251666 4.022400 4.022400146 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TEVA 250 mg COMPR. FILM. 250 mg TEVA PHARMA OLANDA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF 30 62.36 2.078666 1.850799 1.850799147 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TORRENT 250 mg COMPR. FILM. 250 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 61.87 2.062333 1.850799 1.850799148 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TERAPIA 250 mg COMPR. FILM. 250 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.FILM. PRF 30 62.37 2.079000 1.850799 1.850799149 N03AX14 LEVETIRACETAMUM** KEPPRA 250 mg COMPR. FILM. 250mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 46.27 1.542333 1.542333 1.542333150 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM ACTAVIS 250mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF 30 48.46 1.615333 1.615333 1.615333151 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM ACCORD 250mg COMPR. FILM. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF 30 61.87 2.062333 1.850799 1.850799152 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM PHARMASWISS 250 mg COMPR. FILM. 250mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF 30 60.36 2.012000 1.850799 1.850799153 N03AX14 LEVETIRACETAMUM** TRUND 250 mg COMPR. FILM. 250mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 60 118.46 1.974333 1.850799 1.850799154 N03AX14 LEVETIRACETAMUM** EPILETAM 250 mg COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 30 52.05 1.735000 1.735000 1.735000155 N03AX14 LEVETIRACETAMUM** MYAKELL 250 mg COMPR. FILM. 250mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 30 62.36 2.078666 1.850799 1.850799156 N03AX14 LEVETIRACETAMUM** NORMEG 250 mg COMPR. FILM. 250mg ZENTIVA, K.S. REPUBLICA SLOVACA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF 30 62.36 2.078666 1.850799 1.850799157 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TORRENT 500 mg COMPR. FILM. 500 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 116.79 3.893000 1.989199 1.989199158 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TERAPIA 500 mg COMPR. FILM. 500 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.FILM. PRF 30 105.46 3.515333 1.989199 1.989199159 N03AX14 LEVETIRACETAMUM** KEPPRA 500 mg COMPR. FILM. 500mg UCB PHARMA LTD BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 87.23 2.907666 1.989199 1.989199160 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM ACCORD 500mg COMPR. FILM. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF 30 117.50 3.916666 1.989199 1.989199161 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM ACTAVIS 500mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF 30 49.73 1.657666 1.657666 1.657666162 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM PHARMASWISS 500 mg COMPR. FILM. 500mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF 30 100.30 3.343333 1.989199 1.989199163 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMA OLANDA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF 30 117.57 3.919000 1.989199 1.989199164 N03AX14 LEVETIRACETAMUM** TRUND 500 mg COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 60 120.14 2.002333 1.989199 1.989199165 N03AX14 LEVETIRACETAMUM** EPILETAM 500 mg COMPR. FILM. 500mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 30 65.48 2.182666 1.989199 1.989199166 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 50.06 1.668666 1.668666 1.668666

Pagina 16 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

167 N03AX14 LEVETIRACETAMUM** LERETAN 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 60.08 2.002666 1.989199 1.989199168 N03AX14 LEVETIRACETAMUM** MYAKELL 500 mg COMPR. FILM. 500mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 30 60.06 2.002000 1.989199 1.989199169 N03AX14 LEVETIRACETAMUM** NORMEG 500 mg COMPR. FILM. 500mg ZENTIVA, K.S. REPUBLICA SLOVACA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF 30 117.57 3.919000 1.989199 1.989199170 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TORRENT 750 mg COMPR. FILM. 750 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 163.07 5.435666 5.435666 5.435666171 N03AX14 LEVETIRACETAMUM** MYAKELL 750 mg COMPR. FILM. 750mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 30 167.66 5.588666 5.588666 5.588666172 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM DESITIN 1000 mg GRANULE ACOPERITE, IN PLIC UNIDOZA 1000mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE PRF 30 120.67 4.022333 4.022333 4.022333173 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM DESITIN 250 mg GRANULE ACOPERITE, IN PLIC UNIDOZA 250mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE PRF 30 55.53 1.851000 1.850799 1.850799174 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM DESITIN 500 mg GRANULE ACOPERITE, IN PLIC UNIDOZA 500mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE PRF 30 59.67 1.989000 1.989000 1.989000175 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM ACTAVIS GROUP 100mg/ml SOL. ORALA 100 mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU UN FLACON DIN STICLA BRUNA A 300ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, CU PRF 1 147.72 147.720000 147.720000 147.720000176 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 1 166.48 166.480000 148.188000 148.188000177 N03AX14 LEVETIRACETAMUM** TRUND 100 mg/ml SOL. ORALA 100mg/ml GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD PRF 1 147.72 147.720000 147.720000 147.720000178 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM RATIOPHARM 100mg/ml SOL. ORALA 100mg/ml RATIOPHARM GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPI PRF 1 123.49 123.490000 123.490000 123.490000179 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 76.16 5.440000 5.440000 5.440000180 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 288.91 5.159107 5.159107 5.159107181 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 422.67 7.547678 7.547678 7.547678182 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 114.28 8.162857 8.162857 8.162857183 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 53.71 3.836428 3.836428 3.836428184 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 193.52 3.455714 3.455714 3.455714

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 19.49 0.389800 0.389800 0.3898002 N04AA02 BIPERIDENUM AKINETON 2 mg COMPR. 2mg DESMA GMBH GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L 50 10.57 0.211400 0.211400 0.2114003 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 58.87 0.588700 0.588700 0.5887004 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR (R) 250 COMPR. 200mg+50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 48.36 1.612000 0.629199 0.6291995 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 24.21 0.807000 0.629199 0.6291996 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 200mg/50mg COMPR. 200mg/50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON PEID X 30 COMPR. P-6L 30 15.73 0.524333 0.524333 0.5243337 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** ZIMOX COMPR. 250mg+25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 19.21 0.640333 0.640333 0.6403338 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** CREDANIL 25/250 COMPR. 250mg+25mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 19.31 0.965500 0.744600 0.7446009 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 62.05 0.620500 0.620500 0.620500

10 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** ISICOM 250 mg/25 mg COMPR. 250mg/25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L 100 74.57 0.745700 0.744600 0.74460011 N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA GEL INT. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC S/P-RF 7 3,424.76 489.251428 489.251428 489.25142812 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 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 100 414.46 4.144600 4.144600 4.14460013 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 125 mg/31,25 mg/200 mg COMPR. FILM. 125mg/31,25mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L 100 414.46 4.144600 4.144600 4.14460014 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 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 100 414.46 4.144600 4.144600 4.14460015 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 200 mg/50 mg/200 mg COMPR. FILM. 200mg/50mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 544.89 5.448900 5.448900 5.44890016 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 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 100 414.46 4.144600 4.144600 4.14460017 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 75 mg/18,75 mg/200 mg COMPR. FILM. 75mg/18,5mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L 100 414.46 4.144600 4.144600 4.14460018 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 17.07 0.341400 0.341400 0.34140019 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 21.16 0.529000 0.529000 0.52900020 N04BC04 ROPINIROLUM** ROPINIROL TEVA 2 mg COMPR. CU ELIB. PREL. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF 30 42.74 1.424666 1.424666 1.42466621 N04BC04 ROPINIROLUM** ROPINIROL TEVA 4 mg COMPR. CU ELIB. PREL. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF 30 81.12 2.704000 2.704000 2.70400022 N04BC04 ROPINIROLUM** ROPINIROL TEVA 8 mg COMPR. CU ELIB. PREL. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF 30 153.89 5.129666 5.129666 5.12966623 N04BC04 ROPINIROLUM** ROLPRYNA EP 2 mg COMPR. CU ELIBERARE PRELUNGITA 2 mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL. PRF 28 39.89 1.424642 1.424642 1.42464224 N04BC04 ROPINIROLUM** ROLPRYNA EP 4 mg COMPR. CU ELIBERARE PRELUNGITA 4 mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL. PRF 28 75.71 2.703928 2.703928 2.70392825 N04BC04 ROPINIROLUM** ROLPRYNA EP 8 mg COMPR. CU ELIBERARE PRELUNGITA 8 mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL. PRF 28 143.63 5.129642 5.129642 5.129642

Tratamentul se initiază de către medicul în specialitatea neurologie

Pagina 17 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

26 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 2 mg COMPR. ELIB. PREL. 2mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL. PRF 28 39.81 1.421785 1.421785 1.42178527 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 4 mg COMPR. ELIB. PREL. 4mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL. PRF 28 75.62 2.700714 2.700714 2.70071428 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 8 mg COMPR. ELIB. PREL. 8mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL. PRF 28 143.55 5.126785 5.126785 5.12678529 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 0,25 mg COMPR. FILM. 0,25mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 6.32 0.300952 0.300952 0.30095230 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 1 mg COMPR. FILM. 1mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 23.00 1.095238 1.095238 1.09523831 N04BC04 ROPINIROLUM** ALETA 1mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 32.87 1.095666 1.095666 1.09566632 N04BC04 ROPINIROLUM** ROPINIROL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF 21 23.02 1.096190 1.096190 1.09619033 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 2 mg COMPR. FILM. 2mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 30.92 1.472380 1.472380 1.47238034 N04BC04 ROPINIROLUM** ALETA 2mg COMPR. FILM. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 42.74 1.424666 1.424666 1.42466635 N04BC04 ROPINIROLUM** ROPINIROL TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF 21 35.77 1.703333 1.703333 1.70333336 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 76.80 3.657142 3.657142 3.65714237 N04BC04 ROPINIROLUM** ALETA 5mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 109.74 3.658000 3.658000 3.65800038 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 2 mg COMPR. FILM. ELIB. PREL. 2mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF 28 61.36 2.191428 1.706142 1.70614239 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 4 mg COMPR. FILM. ELIB. PREL. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL, P-RF 28 116.48 4.160000 3.240856 3.24085640 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 8 mg COMPR. FILM. ELIB. PREL. 8mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF 28 220.96 7.891428 6.152142 6.15214241 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,088mg COMPR. 0,088mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 19.75 0.658333 0.658333 0.65833342 N04BC05 PRAMIPEXOLUM** MIPARKAN 0,18 mg COMPR. 0,18 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF 30 30.00 1.000000 1.000000 1.00000043 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 49.77 1.659000 1.011999 1.01199944 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 30.11 1.003666 1.003666 1.00366645 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TEVA 0,18mg COMPR. 0,18mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 33.41 1.113666 1.011999 1.01199946 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL SANDOZ 0,18 mg COMPR. 0,18mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R 30 33.42 1.114000 1.011999 1.01199947 N04BC05 PRAMIPEXOLUM** MEDOPEXOL 0,18 mg COMPR. 0,18mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 27.83 0.927666 0.927666 0.92766648 N04BC05 PRAMIPEXOLUM** GLEPARK 0,18 mg COMPR. 0,18mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 30.35 1.011666 1.011666 1.01166649 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL RANBAXY 0,18 mg COMPR. 0,18mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF 30 30.86 1.028666 1.011999 1.01199950 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL BLUEFISH 0,18 mg COMPR. 0,18mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 25.30 0.843333 0.843333 0.84333351 N04BC05 PRAMIPEXOLUM** MIGLASEN 0,18 mg COMPR. 0,18mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 30.35 1.011666 1.011666 1.01166652 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TORRENT 0,18 mg COMPR. 0,18mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF 30 33.50 1.116666 1.011999 1.01199953 N04BC05 PRAMIPEXOLUM** PRAXITAB 0,18mg COMPR. 0,18mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 25.30 0.843333 0.843333 0.84333354 N04BC05 PRAMIPEXOLUM** PRAMIPEXOLE ACCORD 0,35mg COMPR. 0,35mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF 30 48.92 1.630666 1.630666 1.63066655 N04BC05 PRAMIPEXOLUM** MIPARKAN 0,7 mg COMPR. 0,7 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF 30 107.26 3.575333 3.575333 3.57533356 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 30 167.86 5.595333 3.618000 3.61800057 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 107.65 3.588333 3.588333 3.58833358 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TEVA 0,7mg COMPR. 0,7mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 115.05 3.835000 3.618000 3.61800059 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL SANDOZ 0,7 mg COMPR. 0,7mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R 30 115.05 3.835000 3.618000 3.61800060 N04BC05 PRAMIPEXOLUM** MEDOPEXOL 0,7 mg COMPR. 0,7mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 99.54 3.318000 3.318000 3.31800061 N04BC05 PRAMIPEXOLUM** GLEPARK 0,7 mg COMPR. 0,7mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 108.52 3.617333 3.617333 3.61733362 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL RANBAXY 0,7 mg COMPR. 0,7mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF 30 106.21 3.540333 3.540333 3.54033363 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL BLUEFISH 0,7 mg COMPR. 0,7mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 90.45 3.015000 3.015000 3.01500064 N04BC05 PRAMIPEXOLUM** MIGLASEN 0,7 mg COMPR. 0,7mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 107.65 3.588333 3.588333 3.58833365 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TORRENT 0,7 mg COMPR. 0,7mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF 30 115.10 3.836666 3.618000 3.61800066 N04BC05 PRAMIPEXOLUM** PRAXITAB 0,7 mg COMPR. 0,7mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 90.45 3.015000 3.015000 3.01500067 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,26 mg COMPR. ELIB. PREL. 0,26mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 10 58.12 5.812000 5.812000 5.81200068 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,52 mg COMPR. ELIB. PREL. 0,52mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 314.07 10.469000 10.469000 10.46900069 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 1,05 mg COMPR. ELIB. PREL. 1,05mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 650.35 21.678333 21.678333 21.67833370 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 2,1 mg COMPR. ELIB. PREL. 2,1mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1,229.85 40.995000 40.995000 40.99500071 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 3,15 mg COMPR. ELIB. PREL. 3,15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1,809.33 60.311000 60.311000 60.31100072 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 367.49 13.124642 13.124642 13.12464273 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 98.15 14.021428 14.021428 14.02142874 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 101.65 14.521428 14.521428 14.52142875 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 382.31 13.653928 13.653928 13.653928

Pagina 18 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

76 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 477.57 17.056071 17.056071 17.05607177 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 127.57 18.224285 18.224285 18.22428578 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 571.41 20.407500 20.407500 20.40750079 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 154.18 22.025714 22.025714 22.02571480 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L 50 36.31 0.726200 0.726200 0.72620081 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100 70.37 0.703700 0.703700 0.70370082 N04BD01 SELEGILINUM JUMEX 5 mg COMPR. 5mg CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 41.74 0.834800 0.834800 0.83480083 N04BD02 RASAGILINUM*** AZILECT 1mg COMPR. 1mg TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF 30 523.59 17.453000 17.453000 17.45300084 N04BX02 ENTACAPONUM*** COMTAN 200mg 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 100 391.65 3.916500 3.916500 3.91650085 N04BX02 ENTACAPONUM*** COMTAN 200mg 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 30 125.26 4.175333 4.175333 4.17533386 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 106.79 2.135800 2.135800 2.13580087 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 33.65 0.673000 0.673000 0.673000

Tratamentul se initiaza de catre medicul in specialitatea neurologie

1 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.65 0.132500 0.098799 0.0987992 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.62 0.087333 0.087333 0.0873333 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.47 0.082333 0.082333 0.0823334 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.71 0.123666 0.098799 0.0987995 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 2.57 0.128500 0.098799 0.0987996 L01BA01 METHOTREXATUM4) 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 1 400.81 400.810000 400.810000 400.8100007 L01BA01 METHOTREXATUM4) 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 5 241.07 48.214000 48.214000 48.2140008 L01BA01 METHOTREXATUM4) 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 89.66 89.660000 89.660000 89.6600009 L01BA01 METHOTREXATUM4) METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 23.82 2.382000 2.382000 2.382000

10 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 78.67 78.670000 78.670000 78.67000011 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ PR 1 59.64 59.640000 59.640000 59.64000012 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 122.50 122.500000 122.500000 122.50000013 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 110.09 110.090000 110.090000 110.09000014 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 124.21 124.210000 124.210000 124.21000015 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 78.67 78.670000 78.670000 78.67000016 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 74.80 74.800000 71.568000 71.56800017 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 109.54 109.540000 109.540000 109.54000018 L04AX01 AZATHIOPRINUM IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 55.38 1.107600 1.107600 1.10760019 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 80.90 0.809000 0.809000 0.80900020 L04AX01 AZATHIOPRINUM IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78.89 0.788900 0.788900 0.78890021 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 13.73 0.686500 0.686500 0.68650022 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 16.56 0.828000 0.828000 0.828000

Tratamentul 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 32.62 0.652400 0.652400 0.6524002 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 29.65 1.482500 1.482500 1.482500

11. MIASTENIA GRAVIS - G13

Pagina 19 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

3 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 6.53 0.217666 0.217666 0.2176664 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.81 8.810000 8.810000 8.8100005 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 31.02 31.020000 31.020000 31.0200006 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.65 0.132500 0.098799 0.0987997 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.62 0.087333 0.087333 0.0873338 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.47 0.082333 0.082333 0.0823339 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.71 0.123666 0.098799 0.098799

10 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 2.57 0.128500 0.098799 0.09879911 L01BA01 METHOTREXATUM4) 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 1 400.81 400.810000 400.810000 400.81000012 L01BA01 METHOTREXATUM4) 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 5 241.07 48.214000 48.214000 48.21400013 L01BA01 METHOTREXATUM4) 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 89.66 89.660000 89.660000 89.66000014 L01BA01 METHOTREXATUM4) METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 23.82 2.382000 2.382000 2.38200015 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 78.67 78.670000 78.670000 78.67000016 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ PR 1 59.64 59.640000 59.640000 59.64000017 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 122.50 122.500000 122.500000 122.50000018 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 110.09 110.090000 110.090000 110.09000019 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 124.21 124.210000 124.210000 124.21000020 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 78.67 78.670000 78.670000 78.67000021 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 74.80 74.800000 71.568000 71.56800022 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 109.54 109.540000 109.540000 109.54000023 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 1 643.62 643.620000 643.620000 643.62000024 L04AX01 AZATHIOPRINUM IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 55.38 1.107600 1.107600 1.10760025 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 80.90 0.809000 0.809000 0.80900026 L04AX01 AZATHIOPRINUM IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78.89 0.788900 0.788900 0.788900

Tratamentul se 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 21.96 0.439200 0.243120 0.2431202 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 36.76 0.735200 0.399360 0.3993603 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 20.26 0.202600 0.202600 0.2026004 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 33.28 0.332800 0.332800 0.3328005 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 51.12 0.511200 0.511200 0.5112006 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L 30 16.06 0.535333 0.535333 0.5353337 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 34.76 0.347600 0.347600 0.3476008 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 29.14 0.291400 0.243120 0.2431209 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 10.72 0.268000 0.268000 0.268000

10 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 37.58 0.375800 0.375800 0.37580011 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 39.99 0.799800 0.799800 0.79980012 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 4 127.06 31.765000 31.765000 31.76500013 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 94.92 1.898400 1.898400 1.89840014 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 59.48 1.189600 0.613440 0.61344015 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 36.26 36.260000 36.260000 36.26000016 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 23.13 23.130000 23.130000 23.13000017 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 26.66 0.952142 0.952142 0.952142

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 SCHIZOTI PALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBU RARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15

Pagina 20 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

18 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 28.86 0.962000 0.962000 0.96200019 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 28.86 0.962000 0.962000 0.96200020 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 28.86 0.962000 0.962000 0.96200021 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 28.84 0.961333 0.961333 0.96133322 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 40.13 1.433214 1.116642 1.11664223 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 100 mg COMPR. 100mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 52.11 0.930535 0.930535 0.93053524 N03AX09 LAMOTRIGINUM** LAMOTRIGINE TORRENT 100 mg COMPR. 100mg TORRENT PHARMA S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 28.24 0.941333 0.941333 0.94133325 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 60.33 2.011000 2.011000 2.01100026 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 200 mg COMPR. 200mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 99.51 1.776964 1.776964 1.77696427 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 6.66 0.237857 0.152799 0.15279928 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.26 0.242000 0.152799 0.15279929 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 10.40 0.371428 0.152799 0.15279930 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.41 0.480333 0.480333 0.48033331 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 13.33 0.476071 0.476071 0.47607132 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.41 0.480333 0.480333 0.48033333 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 14.41 0.480333 0.480333 0.48033334 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 14.42 0.480666 0.480666 0.48066635 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 20.69 0.738928 0.571285 0.57128536 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 50 mg COMPR. 50mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 26.89 0.480178 0.480178 0.48017837 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 28.84 0.961333 0.961333 0.96133338 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 3.82 0.127333 0.127333 0.12733339 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 16.95 0.565000 0.565000 0.56500040 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 19.49 0.389800 0.389800 0.38980041 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.24 0.162000 0.162000 0.16200042 N05AD01 HALOPERIDOLUM HALOPERIDOL 1 mg COMPR. 1mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.72 0.257333 0.257333 0.25733343 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg COMPR. 2mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.80 0.360000 0.360000 0.36000044 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 17.94 0.717600 0.717600 0.71760045 N05AD01 HALOPERIDOLUM HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL. 2 mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF 1 4.31 4.310000 4.310000 4.31000046 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 6.66 6.660000 6.660000 6.66000047 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 44.52 8.904000 8.904000 8.90400048 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 5 12.48 2.496000 2.496000 2.49600049 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 28 484.77 17.313214 17.313214 17.31321450 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 30 127.86 4.262000 4.262000 4.26200051 N05AE04 ZIPRASIDONUM** ZELDOX (R) 40 mg CAPS. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 416.90 7.444642 5.823799 5.82379952 N05AE04 ZIPRASIDONUM** ZYPSILA 40 mg CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 60 291.19 4.853166 4.853166 4.85316653 N05AE04 ZIPRASIDONUM** ZIXADOX 40 mg CAPS. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS. P-RF 56 277.12 4.948571 4.948571 4.94857154 N05AE04 ZIPRASIDONUM** ZELDOX (R) 60 mg CAPS. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 542.18 9.681785 7.167799 7.16779955 N05AE04 ZIPRASIDONUM** ZYPSILA 60 mg CAPS. 60mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 60 358.39 5.973166 5.973166 5.97316656 N05AE04 ZIPRASIDONUM** ZELDOX (R) 80 mg CAPS. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 583.10 10.412500 7.729399 7.72939957 N05AE04 ZIPRASIDONUM** ZYPSILA 80 mg CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 60 386.47 6.441166 6.441166 6.44116658 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 64.19 64.190000 64.190000 64.19000059 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 71.81 7.181000 7.181000 7.18100060 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 23.13 0.462600 0.462600 0.46260061 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 25 mg COMPR. FILM. 25mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 33.57 0.671400 0.671400 0.67140062 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 32.70 32.700000 32.700000 32.70000063 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) DEPOT SOL. INJ. 200mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE X 1 ML P-RF 10 157.82 15.782000 15.782000 15.78200064 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL ACUPHASE (R) SOL. INJ. 50mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 5 FIOLE X 1 ML P-RF 5 46.49 9.298000 9.298000 9.29800065 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 106.79 2.135800 2.135800 2.13580066 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 33.65 0.673000 0.673000 0.67300067 N05AH03 OLANZAPINUM** ZALASTA 10mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF 28 134.53 4.804642 4.804642 4.804642

Pagina 21 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

68 N05AH03 OLANZAPINUM** OLAZAX 10 mg COMPR. 10mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. P-RF 28 139.69 4.988928 4.912285 4.91228569 N05AH03 OLANZAPINUM** ZALASTA 5mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF 28 71.47 2.552500 2.552500 2.55250070 N05AH03 OLANZAPINUM** OLAZAX 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. P-RF 28 73.21 2.614642 2.586856 2.58685671 N05AH03 OLANZAPINUM** ZYPREXA 10 mg COMPR. FILM. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 208.23 7.436785 4.912285 4.91228572 N05AH03 OLANZAPINUM** OLANZAPINA ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 135.34 4.833571 4.833571 4.83357173 N05AH03 OLANZAPINUM** LAPOZAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 135.35 4.833928 4.833928 4.83392874 N05AH03 OLANZAPINUM** LAPOZAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 145.02 4.834000 4.834000 4.83400075 N05AH03 OLANZAPINUM** OLANZAPINA ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 124.89 4.163000 4.163000 4.16300076 N05AH03 OLANZAPINUM** BLOONIS 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 135.09 4.824642 4.824642 4.82464277 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 10 mg COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF 35 169.19 4.834000 4.834000 4.83400078 N05AH03 OLANZAPINUM** EGOLANZA 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 135.34 4.833571 4.833571 4.83357179 N05AH03 OLANZAPINUM** NYKOB 10 mg COMPR. FILM. 10mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 114.62 4.093571 4.093571 4.09357180 N05AH03 OLANZAPINUM** OLANZAPINA LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 133.72 4.775714 4.775714 4.77571481 N05AH03 OLANZAPINUM** OLANZAPINA LILLY 10 mg COMPR. FILM. 10mg ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF 28 134.56 4.805714 4.805714 4.80571482 N05AH03 OLANZAPINUM** OLANZAPINE GSK 10 mg COMPR. FILM. 10mg GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 135.35 4.833928 4.833928 4.83392883 N05AH03 OLANZAPINUM** OLANZAPINA ACCORD 15 mg COMPR. FILM. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 203.00 7.250000 7.250000 7.25000084 N05AH03 OLANZAPINUM** LAPOZAN 15 mg COMPR. FILM. 15mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 197.35 7.048214 7.048214 7.04821485 N05AH03 OLANZAPINUM** EGOLANZA 15 mg COMPR. FILM. 15mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 205.18 7.327857 7.327857 7.32785786 N05AH03 OLANZAPINUM** NYKOB 15 mg COMPR. FILM. 15mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 171.62 6.129285 6.129285 6.12928587 N05AH03 OLANZAPINUM** OLANZAPINA LPH 15 mg COMPR. FILM. 15mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 196.62 7.022142 7.022142 7.02214288 N05AH03 OLANZAPINUM** OLANZAPINA ACCORD 2,5 mg COMPR. FILM. 2,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37.58 1.342142 1.342142 1.34214289 N05AH03 OLANZAPINUM** OLANZAPINA ACCORD 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 270.68 9.667142 9.667142 9.66714290 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 20 mg COMPR. FILM. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF 35 835.65 23.875714 9.807000 9.80700091 N05AH03 OLANZAPINUM** EGOLANZA 20 mg COMPR. FILM. 20mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 274.48 9.802857 9.802857 9.80285792 N05AH03 OLANZAPINUM** NYKOB 20 mg COMPR. FILM. 20mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 228.83 8.172500 8.172500 8.17250093 N05AH03 OLANZAPINUM** OLANZAPINA LPH 20 mg COMPR. FILM. 20mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 262.17 9.363214 9.363214 9.36321494 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 28 109.79 3.921071 2.586856 2.58685695 N05AH03 OLANZAPINUM** OLANZAPINA ACCORD 5 mg COMPR. FILM. 5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 71.36 2.548571 2.548571 2.54857196 N05AH03 OLANZAPINUM** LAPOZAN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 71.36 2.548571 2.548571 2.54857197 N05AH03 OLANZAPINUM** LAPOZAN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 76.46 2.548666 2.548666 2.54866698 N05AH03 OLANZAPINUM** OLANZAPINA ACTAVIS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 65.84 2.194666 2.194666 2.19466699 N05AH03 OLANZAPINUM** BLOONIS 5 mg COMPR. FILM. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 71.15 2.541071 2.541071 2.541071100 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 5 mg COMPR. FILM. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF 35 89.20 2.548571 2.548571 2.548571101 N05AH03 OLANZAPINUM** EGOLANZA 5 mg COMPR. FILM. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 71.36 2.548571 2.548571 2.548571102 N05AH03 OLANZAPINUM** NYKOB 5 mg COMPR. FILM. 5mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 60.36 2.155714 2.155714 2.155714103 N05AH03 OLANZAPINUM** OLANZAPINA LPH 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 68.89 2.460357 2.460357 2.460357104 N05AH03 OLANZAPINUM** OLANZAPINA LILLY 5 mg COMPR. FILM. 5mg ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF 28 70.95 2.533928 2.533928 2.533928105 N05AH03 OLANZAPINUM** OLANZAPINE GSK 5 mg COMPR. FILM. 5mg GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 71.36 2.548571 2.548571 2.548571106 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 7,5 mg COMPR. FILM. 7,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF 35 296.13 8.460857 8.460857 8.460857107 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 10 mg COMPR. ORODISPERSABILE 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 466.24 16.651428 4.912285 4.912285108 N05AH03 OLANZAPINUM** ZALASTA 10mg COMPR. ORODISPERSABILE 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL) P-RF 28 134.53 4.804642 4.804642 4.804642109 N05AH03 OLANZAPINUM** OLANZAPINE TEVA 10mg COMPR. ORODISPERSABILE 10mg TEVA PHARMA BV OLANDA CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF 30 142.72 4.757333 4.757333 4.757333110 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 10 mg COMPR. ORODISPERSABILE 10mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P-RF 28 134.53 4.804642 4.804642 4.804642111 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 10 mg COMPR. ORODISPERSABILE 10mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 139.69 4.988928 4.912285 4.912285112 N05AH03 OLANZAPINUM** LAPOZAN 10 mg COMPR. ORODISPERSABILE 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF 30 148.62 4.954000 4.912285 4.912285113 N05AH03 OLANZAPINUM** LAPOZAN 10 mg COMPR. ORODISPERSABILE 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE P-RF 50 247.69 4.953800 4.912285 4.912285114 N05AH03 OLANZAPINUM** BLOONIS 10 mg COMPR. ORODISPERSABILE 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 135.09 4.824642 4.824642 4.824642115 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 10 mg COMPR. ORODISPERSABILE 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE P-RF 35 171.82 4.909142 4.909142 4.909142116 N05AH03 OLANZAPINUM** NYKOB 10 mg COMPR. ORODISPERSABILE 10mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 114.62 4.093571 4.093571 4.093571117 N05AH03 OLANZAPINUM** OLANZAPINA ACTAVIS 10 mg COMPR. ORODISPERSABILE 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 120.72 4.311428 4.311428 4.311428

Pagina 22 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

118 N05AH03 OLANZAPINUM** IRROPIA 10 mg COMPR. ORODISPERSABILE 10mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE PRF 28 134.25 4.794642 4.794642 4.794642119 N05AH03 OLANZAPINUM** OLANZAPINA LILLY 10 mg COMPR. ORODISPERSABILE 10mg ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE PRF 28 136.15 4.862500 4.862500 4.862500120 N05AH03 OLANZAPINUM** OLANZAPINA TORRENT 10 mg COMPR. ORODISPERSABILE 10mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 245.20 8.757142 4.912285 4.912285121 N05AH03 OLANZAPINUM** OLANZAPINE GSK 10 mg COMPR. ORODISPERSABILE 10mg GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE P-RF 28 316.62 11.307857 4.912285 4.912285122 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 15 mg COMPR. ORODISPERSABILE 15mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 616.92 22.032857 7.355142 7.355142123 N05AH03 OLANZAPINUM** ZALASTA 15mg COMPR. ORODISPERSABILE 15mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL) P-RF 28 203.82 7.279285 7.279285 7.279285124 N05AH03 OLANZAPINUM** OLANZAPINE TEVA 15mg COMPR. ORODISPERSABILE 15mg TEVA PHARMA BV OLANDA CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF 30 214.08 7.136000 7.136000 7.136000125 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 15 mg COMPR. ORODISPERSABILE 15mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P-RF 28 203.82 7.279285 7.279285 7.279285126 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 15 mg COMPR. ORODISPERSABILE 15mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 205.88 7.352857 7.352857 7.352857127 N05AH03 OLANZAPINUM** BLOONIS 15 mg COMPR. ORODISPERSABILE 15mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 205.93 7.354642 7.354642 7.354642128 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 15 mg COMPR. ORODISPERSABILE 15mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE P-RF 35 257.36 7.353142 7.353142 7.353142129 N05AH03 OLANZAPINUM** NYKOB 15 mg COMPR. ORODISPERSABILE 15mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 171.62 6.129285 6.129285 6.129285130 N05AH03 OLANZAPINUM** OLANZAPINA ACTAVIS 15 mg COMPR. ORODISPERSABILE 15mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 171.71 6.132500 6.132500 6.132500131 N05AH03 OLANZAPINUM** IRROPIA 15 mg COMPR. ORODISPERSABILE 15mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE PRF 28 201.86 7.209285 7.209285 7.209285132 N05AH03 OLANZAPINUM** OLANZAPINA LILLY 15 mg COMPR. ORODISPERSABILE 15mg ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE PRF 28 205.86 7.352142 7.352142 7.352142133 N05AH03 OLANZAPINUM** OLANZAPINA TORRENT 15 mg COMPR. ORODISPERSABILE 15mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 359.46 12.837857 7.355142 7.355142134 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 20 mg COMPR. ORODISPERSABILE 20mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 1,013.57 36.198928 9.807000 9.807000135 N05AH03 OLANZAPINUM** ZALASTA 20mg COMPR. ORODISPERSABILE 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL) P-RF 28 271.77 9.706071 9.706071 9.706071136 N05AH03 OLANZAPINUM** OLANZAPINE TEVA 20mg COMPR. ORODISPERSABILE 20mg TEVA PHARMA BV OLANDA CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF 30 285.43 9.514333 9.514333 9.514333137 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 20 mg COMPR. ORODISPERSABILE 20mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P-RF 28 271.77 9.706071 9.706071 9.706071138 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 20 mg COMPR. ORODISPERSABILE 20mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 274.46 9.802142 9.802142 9.802142139 N05AH03 OLANZAPINUM** BLOONIS 20 mg COMPR. ORODISPERSABILE 20mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 274.59 9.806785 9.806785 9.806785140 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 20 mg COMPR. ORODISPERSABILE 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE P-RF 35 342.90 9.797142 9.797142 9.797142141 N05AH03 OLANZAPINUM** NYKOB 20 mg COMPR. ORODISPERSABILE 20mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 228.83 8.172500 8.172500 8.172500142 N05AH03 OLANZAPINUM** OLANZAPINA ACTAVIS 20 mg COMPR. ORODISPERSABILE 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 228.96 8.177142 8.177142 8.177142143 N05AH03 OLANZAPINUM** IRROPIA 20 mg COMPR. ORODISPERSABILE 20mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE PRF 28 269.05 9.608928 9.608928 9.608928144 N05AH03 OLANZAPINUM** OLANZAPINA LILLY 20 mg COMPR. ORODISPERSABILE 20mg ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE PRF 28 274.48 9.802857 9.802857 9.802857145 N05AH03 OLANZAPINUM** OLANZAPINA TORRENT 20 mg COMPR. ORODISPERSABILE 20mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 472.92 16.890000 9.807000 9.807000146 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 5 mg COMPR. ORODISPERSABILE 5mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 243.53 8.697500 2.586856 2.586856147 N05AH03 OLANZAPINUM** ZALASTA 5mg COMPR. ORODISPERSABILE 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL) P-RF 28 71.47 2.552500 2.552500 2.552500148 N05AH03 OLANZAPINUM** OLANZAPINE TEVA 5mg COMPR. ORODISPERSABILE 5mg TEVA PHARMA BV OLANDA CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF 30 75.25 2.508333 2.508333 2.508333149 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 5 mg COMPR. ORODISPERSABILE 5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P-RF 28 73.57 2.627500 2.586856 2.586856150 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 5 mg COMPR. ORODISPERSABILE 5mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 73.21 2.614642 2.586856 2.586856151 N05AH03 OLANZAPINUM** LAPOZAN 5 mg COMPR. ORODISPERSABILE 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF 30 78.30 2.610000 2.586856 2.586856152 N05AH03 OLANZAPINUM** OLANZAPINA DR. REDDY'S 5 mg COMPR. ORODISPERSABILE 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE P-RF 35 90.49 2.585428 2.585428 2.585428153 N05AH03 OLANZAPINUM** NYKOB 5 mg COMPR. ORODISPERSABILE 5mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 60.36 2.155714 2.155714 2.155714154 N05AH03 OLANZAPINUM** OLANZAPINA ACTAVIS 5 mg COMPR. ORODISPERSABILE 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 63.57 2.270357 2.270357 2.270357155 N05AH03 OLANZAPINUM** IRROPIA 5 mg COMPR. ORODISPERSABILE 5mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE PRF 28 70.95 2.533928 2.533928 2.533928156 N05AH03 OLANZAPINUM** OLANZAPINA LILLY 5 mg COMPR. ORODISPERSABILE 5mg ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE PRF 28 71.80 2.564285 2.564285 2.564285157 N05AH03 OLANZAPINUM** OLANZAPINA TORRENT 5 mg COMPR. ORODISPERSABILE 5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 126.00 4.500000 2.586856 2.586856158 N05AH03 OLANZAPINUM** OLANZAPINE GSK 5 mg COMPR. ORODISPERSABILE 5mg GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE P-RF 28 158.29 5.653214 2.586856 2.586856159 N05AH03 OLANZAPINUM** ZAPILUX 10 mg FILM ORODISPERSABIL 10mg SANDOZ S.R.L. ROMANIA CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE P-RF 28 316.62 11.307857 4.912285 4.912285160 N05AH03 OLANZAPINUM** ZAPILUX 15 mg FILM ORODISPERSABIL 15mg SANDOZ S.R.L. ROMANIA CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE P-RF 28 425.80 15.207142 7.355142 7.355142161 N05AH03 OLANZAPINUM** ZAPILUX 20 mg FILM ORODISPERSABIL 20mg SANDOZ S.R.L. ROMANIA CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE P-RF 28 683.62 24.415000 9.807000 9.807000162 N05AH03 OLANZAPINUM** ZAPILUX 5 mg FILM ORODISPERSABIL 5mg SANDOZ S.R.L. ROMANIA CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE P-RF 28 158.29 5.653214 2.586856 2.586856163 N05AH03 OLANZAPINUM** ZYPADHERA 210mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 210mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 893.61 893.610000 893.610000 893.610000164 N05AH03 OLANZAPINUM** ZYPADHERA 300mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 300mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 1,379.83 1,379.830000 1,379.830000 1,379.830000165 N05AH03 OLANZAPINUM** ZYPADHERA 405mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 405mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 1,716.38 1,716.380000 1,716.380000 1,716.380000166 N05AH03 OLANZAPINUM** ZYPREXA 10 mg PULB. PT. SOL. INJ. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF 1 19.95 19.950000 19.950000 19.950000167 N05AH04 QUETIAPINUM** SEROQUEL XR 150 mg COMPR. ELIB. PREL. 150mg ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE CU 6 BLIST. PVC-PCTFE/AL X 10 COMPR. ELIB. PREL. P-RF 60 444.50 7.408333 7.408333 7.408333

Pagina 23 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

168 N05AH04 QUETIAPINUM** KETILEPT 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-RF 60 73.82 1.230333 1.230333 1.230333169 N05AH04 QUETIAPINUM** QUETIAPINE TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-ACLAR/AL X 60 COMPR. FILM. P-RF/S 60 66.38 1.106333 1.106333 1.106333170 N05AH04 QUETIAPINUM** SETININ 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 79.30 1.321666 1.299999 1.299999171 N05AH04 QUETIAPINUM** HEDONIN 100 mg COMPR. FILM. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF 60 79.63 1.327166 1.299999 1.299999172 N05AH04 QUETIAPINUM** KVENTIAX 100 mg COMPR. FILM. 100mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 69.71 1.161833 1.161833 1.161833173 N05AH04 QUETIAPINUM** QUETROP 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 60 84.46 1.407666 1.299999 1.299999174 N05AH04 QUETIAPINUM** QUETIAPINE ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF 60 83.49 1.391500 1.299999 1.299999175 N05AH04 QUETIAPINUM** QUETIAPINA POLPHARMA 100 mg COMPR. FILM. 100mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 87.35 1.455833 1.299999 1.299999176 N05AH04 QUETIAPINUM** QUERSUS 100 mg COMPR. FILM. 100mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 65.00 1.083333 1.083333 1.083333177 N05AH04 QUETIAPINUM** SETININ 150 mg COMPR. FILM. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 105.47 1.757833 1.757833 1.757833178 N05AH04 QUETIAPINUM** QUETIAPINE ACCORD 150 mg COMPR. FILM. 150mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF 60 105.47 1.757833 1.757833 1.757833179 N05AH04 QUETIAPINUM** KETILEPT 200 mg COMPR. FILM. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-RF 60 114.86 1.914333 1.882399 1.882399180 N05AH04 QUETIAPINUM** SETININ 200 mg COMPR. FILM. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 105.47 1.757833 1.757833 1.757833181 N05AH04 QUETIAPINUM** HEDONIN 200 mg COMPR. FILM. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF 60 118.36 1.972666 1.882399 1.882399182 N05AH04 QUETIAPINUM** KVENTIAX 200 mg COMPR. FILM. 200mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 98.66 1.644333 1.644333 1.644333183 N05AH04 QUETIAPINUM** QUETROP 200 mg COMPR. FILM. 200mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 60 108.59 1.809833 1.809833 1.809833184 N05AH04 QUETIAPINUM** QUETIAPINE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF 60 128.64 2.144000 1.882399 1.882399185 N05AH04 QUETIAPINUM** QUETIAPINA POLPHARMA 200 mg COMPR. FILM. 200mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 185.81 3.096833 1.882399 1.882399186 N05AH04 QUETIAPINUM** QUERSUS 200 mg COMPR. FILM. 200mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 94.12 1.568666 1.568666 1.568666187 N05AH04 QUETIAPINUM** HEDONIN 25 mg COMPR. FILM. 25mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-RF 30 17.00 0.566666 0.566666 0.566666188 N05AH04 QUETIAPINUM** QUETIAPINE ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF 60 43.97 0.732833 0.567600 0.567600189 N05AH04 QUETIAPINUM** QUETIAPINA POLPHARMA 25 mg COMPR. FILM. 25mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-RF 30 14.19 0.473000 0.473000 0.473000190 N05AH04 QUETIAPINUM** KETILEPT 300 mg COMPR. FILM. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-RF 60 183.06 3.051000 2.476200 2.476200191 N05AH04 QUETIAPINUM** SETININ 300 mg COMPR. FILM. 300mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 131.47 2.191166 2.191166 2.191166192 N05AH04 QUETIAPINUM** KVENTIAX 300 mg COMPR. FILM. 300mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 123.81 2.063500 2.063500 2.063500193 N05AH04 QUETIAPINUM** QUETROP 300 mg COMPR. FILM. 300mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 60 156.27 2.604500 2.476200 2.476200194 N05AH04 QUETIAPINUM** QUETIAPINE ACCORD 300 mg COMPR. FILM. 300mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF 60 159.59 2.659833 2.476200 2.476200195 N05AH04 QUETIAPINUM** QUETIAPINA POLPHARMA 300 mg COMPR. FILM. 300mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 294.10 4.901666 2.476200 2.476200196 N05AH04 QUETIAPINUM** QUERSUS 300 mg COMPR. FILM. 300mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 163.04 2.717333 2.476200 2.476200197 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 60 444.50 7.408333 7.408333 7.408333198 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 60 576.10 9.601666 9.601666 9.601666199 N05AH04 QUETIAPINUM** SEROQUEL XR 400 mg COMPR. FILM. ELIB. PREL. 400mg ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PCTFE/AL X 10 COMPR. CU ELIB. PREL. P-RF 60 743.17 12.386166 12.386166 12.386166200 N05AH04 QUETIAPINUM** SEROQUEL XR 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF 60 232.04 3.867333 3.867333 3.867333201 N05AL01 SULPIRIDUM EGLONYL (R) 50 mg CAPS. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 10.77 0.359000 0.359000 0.359000202 N05AL01 SULPIRIDUM EGLONYL (R) 200 mg COMPR. 200mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 1 BLIST. X 12 COMPR. P-RF 12 10.52 0.876666 0.876666 0.876666203 N05AL05 AMISULPRIDUM** AMISULPRIDA LPH 100 mg COMPR. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 30 56.56 1.885333 1.885333 1.885333204 N05AL05 AMISULPRIDUM** AMISAN 200 mg COMPR. 200mg PRO. MED. CS PRAHA AS REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-RF 30 85.93 2.864333 2.864333 2.864333205 N05AL05 AMISULPRIDUM** AMISULPRIDA LPH 200 mg COMPR. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 30 85.93 2.864333 2.864333 2.864333206 N05AL05 AMISULPRIDUM** MIDORA 200 mg COMPR. 200mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF 30 85.59 2.853000 2.853000 2.853000207 N05AL05 AMISULPRIDUM** SOLIAN 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 127.65 4.255000 3.423600 3.423600208 N05AL05 AMISULPRIDUM** SOLIAN 400 mg COMPR. FILM. 400mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 128.44 4.281333 4.281333 4.281333209 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 51.35 0.855833 0.417600 0.417600210 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 8.34 0.417000 0.417000 0.417000211 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 24.62 0.410333 0.410333 0.410333212 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 8.78 0.439000 0.417600 0.417600213 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 1 mg COMPR. FILM. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 60 23.54 0.392333 0.392333 0.392333214 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 10.31 0.515500 0.417600 0.417600215 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 15.45 0.515000 0.417600 0.417600216 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 1 mg COMPR. FILM. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 23.94 0.478800 0.417600 0.417600217 N05AX08 RISPERIDONUM** RONYDAL 1 mg COMPR. FILM. 1mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 24.02 0.400333 0.400333 0.400333

Pagina 24 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

218 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA KS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 23.64 0.472800 0.417600 0.417600219 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 1 mg COMPR. FILM. 1mg TORRENT PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF 20 6.96 0.348000 0.348000 0.348000220 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg ZENTIVA KS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 45.73 0.914600 0.895599 0.895599221 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 60 101.34 1.689000 0.895599 0.895599222 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 16.07 0.803500 0.803500 0.803500223 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 46.70 0.778333 0.778333 0.778333224 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 17.15 0.857500 0.857500 0.857500225 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 17.49 0.874500 0.874500 0.874500226 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 2 mg COMPR. FILM. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 44.78 0.746333 0.746333 0.746333227 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 21.73 1.086500 0.895599 0.895599228 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 32.56 1.085333 0.895599 0.895599229 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 2 mg COMPR. FILM. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 44.47 0.889400 0.889400 0.889400230 N05AX08 RISPERIDONUM** RONYDAL 2 mg COMPR. FILM. 2mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 53.40 0.890000 0.890000 0.890000231 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 2 mg COMPR. FILM. 2mg TORRENT PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF 20 16.21 0.810500 0.810500 0.810500232 N05AX08 RISPERIDONUM** RISPERIDONA MEDOCHEMIE 2 mg COMPR. FILM. 2mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. PRF 20 17.60 0.880000 0.880000 0.880000233 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 34.62 1.154000 1.154000 1.154000234 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 27.18 1.359000 1.359000 1.359000235 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 75.48 1.258000 1.258000 1.258000236 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 27.44 1.372000 1.372000 1.372000237 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 29.61 1.480500 1.384800 1.384800238 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 3 mg COMPR. FILM. 3mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 69.74 1.162333 1.162333 1.162333239 N05AX08 RISPERIDONUM** SPRING 3 mg COMPR. FILM. 3mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 51.62 1.720666 1.384800 1.384800240 N05AX08 RISPERIDONUM** RONYDAL 3 mg COMPR. FILM. 3mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 82.53 1.375500 1.375500 1.375500241 N05AX08 RISPERIDONUM** XENOMA 3 mg COMPR. FILM. 3mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 74.79 1.246500 1.246500 1.246500242 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA KS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 66.32 1.326400 1.326400 1.326400243 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 3 mg COMPR. FILM. 3mg TORRENT PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF 20 27.50 1.375000 1.375000 1.375000244 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg ZENTIVA KS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 86.87 1.737400 1.737400 1.737400245 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 47.61 1.587000 1.587000 1.587000246 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 60 100.81 1.680166 1.680166 1.680166247 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 35.38 1.769000 1.769000 1.769000248 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 37.41 1.870500 1.870500 1.870500249 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 36.59 1.829500 1.829500 1.829500250 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 46.97 2.348500 1.904400 1.904400251 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 68.05 2.268333 1.904400 1.904400252 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 128.35 2.139166 1.904400 1.904400253 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 4 mg COMPR. FILM. 4mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 93.52 1.870400 1.870400 1.870400254 N05AX08 RISPERIDONUM** RONYDAL 4 mg COMPR. FILM. 4mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 110.91 1.848500 1.848500 1.848500255 N05AX08 RISPERIDONUM** RISPERIDONE TORRENT 4 mg COMPR. FILM. 4mg TORRENT PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF 20 33.34 1.667000 1.667000 1.667000256 N05AX08 RISPERIDONUM** RISPERIDONA MEDOCHEMIE 4 mg COMPR. FILM. 4mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. PRF 20 41.04 2.052000 1.904400 1.904400257 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 12.34 0.411333 0.411333 0.411333258 N05AX08 RISPERIDONUM** ESSENS OD 1 mg COMPR. ORODISPERSABILE 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 12.56 0.418666 0.417600 0.417600259 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 26.86 0.895333 0.895333 0.895333260 N05AX08 RISPERIDONUM** ESSENS OD 2 mg COMPR. ORODISPERSABILE 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 26.86 0.895333 0.895333 0.895333261 N05AX08 RISPERIDONUM** ESSENS OD 3 mg COMPR. ORODISPERSABILE 3mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 41.56 1.385333 1.384800 1.384800262 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 25mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA S/P-RF 1 424.25 424.250000 424.250000 424.250000263 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA 25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 25mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ . CU ELIB. PREL., O SERINGA PRE-UM PLUTA DIN STICLA INCOLORA CU 2 M L SOLVENT, UN DISPOZITIV ALARIS™ SM ARTSITE +2 ACE PENTRU INJ ECTARE I.M . ÎN M USCHIUL DELTOID SI IN M USCHIUL GLUTEAL S/P-RF 1 424.25 424.250000 424.250000 424.250000264 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 37,5 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 37,5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA S/P-RF 1 597.43 597.430000 597.430000 597.430000265 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA 37,5 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 37,5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ . CU ELIB. PREL., O SERINGA PRE-UM PLUTA DIN STICLA INCOLORA CU 2 M L SOLVENT, UN DISPOZITIV ALARIS™ SM ARTSITE +2 ACE PENTRU INJ ECTARE I.M . ÎN M USCHIUL DELTOID SI IN M USCHIUL GLUTEAL S/P-RF 1 597.43 597.430000 597.430000 597.430000266 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 50 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 50mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA S/P-RF 1 719.03 719.030000 719.030000 719.030000267 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA 50 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 50mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ . CU ELIB. PREL., O SERINGA PRE-UM PLUTA DIN STICLA INCOLORA CU 2 M L SOLVENT, UN DISPOZITIV ALARIS™ SM ARTSITE +2 ACE PENTRU INJ ECTARE I.M . ÎN M USCHIUL DELTOID SI IN M USCHIUL GLUTEAL S/P-RF 1 719.03 719.030000 719.030000 719.030000

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

268 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 52.14 52.140000 52.140000 52.140000269 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 1 156.63 156.630000 156.630000 156.630000270 N05AX12 ARIPIPRAZOLUM** ABILIFY 10mg COMPR. 10mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF 28 483.22 17.257857 17.257857 17.257857271 N05AX12 ARIPIPRAZOLUM** ABILIFY 15mg COMPR. 15mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF 28 483.22 17.257857 17.257857 17.257857272 N05AX12 ARIPIPRAZOLUM** ABILIFY 7,5mg/ml SOL. INJ. 7,5mg/ml OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1FLAC. X 1,3ML SOL.INJ P-RF 1 21.00 21.000000 21.000000 21.000000273 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 7.40 0.264285 0.264285 0.264285274 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 7.12 0.237333 0.237333 0.237333275 N06AB04 CITALOPRAMUM** DALSAN 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 7.40 0.264285 0.264285 0.264285276 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 10.72 0.382857 0.382857 0.382857277 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 39.54 1.318000 0.459428 0.459428278 N06AB04 CITALOPRAMUM** DALSAN 20 mg COMPR. FILM. 20mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 10.72 0.382857 0.382857 0.382857279 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 33.59 1.199642 1.199642 1.199642280 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 32.37 1.079000 1.079000 1.079000281 N06AB04 CITALOPRAMUM** DALSAN 40 mg COMPR. FILM. 40mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF 28 33.59 1.199642 1.199642 1.199642282 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 90.38 3.227857 3.227857 3.227857283 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 24.95 1.247500 1.247500 1.247500284 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF 30 18.71 0.623666 0.623666 0.623666285 N06AX05 TRAZODONUM** TRITTICO AC 75 mg COMPR. ELIB. PREL. 75mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF 30 18.71 0.623666 0.623666 0.623666286 N06AX14 TIANEPTINUM** LYXIT 12,5 mg COMPR. FILM. 12,5 mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 22.65 0.755000 0.755000 0.755000287 N06AX14 TIANEPTINUM** LYXIT 12,5 mg COMPR. FILM. 12,5 mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM. PRF 90 63.54 0.706000 0.706000 0.706000288 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 33.74 1.124666 0.847200 0.847200289 N06AX16 VENLAFAXINUM** IVRYX 150mg CAPS. ELIB. PREL. 150 mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 70.43 2.515357 1.499160 1.499160290 N06AX16 VENLAFAXINUM** EFECTIN EP 150 mg CAPS. ELIB. PREL. 150 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 58.69 2.096071 1.499160 1.499160291 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL. PRF 30 40.87 1.362333 1.362333 1.362333292 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 58.69 2.096071 1.499160 1.499160293 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 38.14 1.362142 1.362142 1.362142294 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 75.31 2.510333 1.499160 1.499160295 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 40.87 1.362333 1.362333 1.362333296 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 90.38 3.012666 1.499160 1.499160297 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 124.93 1.249300 1.249300 1.249300298 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 38.14 1.362142 1.362142 1.362142299 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL. 150mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 40.71 1.357000 1.357000 1.357000300 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 24.38 0.812666 0.495213 0.495213301 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 65.80 0.658000 0.495213 0.495213302 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 24.04 0.801333 0.495213 0.495213303 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 36.85 1.316071 0.941160 0.941160304 N06AX16 VENLAFAXINUM** EFECTIN EP 75 mg CAPS. ELIB. PREL. 75 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 35.58 1.270714 0.941160 0.941160305 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 35.58 1.270714 0.941160 0.941160306 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 23.88 0.852857 0.852857 0.852857307 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 32.91 1.097000 0.941160 0.941160308 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 25.59 0.853000 0.853000 0.853000309 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 39.50 1.316666 0.941160 0.941160310 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 25.61 0.853666 0.853666 0.853666311 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 78.43 0.784300 0.784300 0.784300312 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 23.90 0.853571 0.853571 0.853571313 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 25.42 0.847333 0.847333 0.847333314 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 23.11 0.412678 0.412678 0.412678315 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 32.20 1.073333 0.495213 0.495213316 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 37,5 mg COMPR. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 24.04 0.801333 0.495213 0.495213317 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 38.50 1.283333 0.979999 0.979999

Pagina 26 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

318 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 24.50 0.816666 0.816666 0.816666319 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 40.87 1.362333 0.941160 0.941160320 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 40.87 1.362333 0.941160 0.941160321 N06AX16 VENLAFAXINUM** VENLAFAXINA ARENA 75 mg COMPR. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 25.42 0.847333 0.847333 0.847333322 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 38.14 1.271333 1.271333 1.271333323 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 23.90 0.796666 0.796666 0.796666324 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 38.11 0.680535 0.495213 0.495213325 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 46.25 0.825892 0.825892 0.825892326 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 71.52 1.277142 1.277142 1.277142327 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 117.26 2.093928 2.093928 2.093928328 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 105.39 3.763928 3.763928 3.763928329 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 178.89 6.388928 6.388928 6.388928

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

1 N06DA02 DONEPEZILUM*** YASNAL 10 mg COMPR. FILM. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM. P-RF 28 90.63 3.236785 3.236785 3.2367852 N06DA02 DONEPEZILUM*** ZILDON 10mg COMPR. FILM. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 171.82 6.136428 3.884142 3.8841423 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 116.41 3.880333 3.880333 3.8803334 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 116.41 3.880333 3.880333 3.8803335 N06DA02 DONEPEZILUM*** TUADIN 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 116.41 3.880333 3.880333 3.8803336 N06DA02 DONEPEZILUM*** PRIDIA 10 mg COMPR. FILM. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 108.74 3.883571 3.883571 3.8835717 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 108.76 3.884285 3.884142 3.8841428 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. P-RF 56 206.27 3.683392 3.683392 3.6833929 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 108.76 3.884285 3.884142 3.884142

10 N06DA02 DONEPEZILUM*** ALZEPIL 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P-RF 56 206.27 3.683392 3.683392 3.68339211 N06DA02 DONEPEZILUM*** DONECEPT 10 MG COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 90.63 3.236785 3.236785 3.23678512 N06DA02 DONEPEZILUM*** COGITON 10 mg COMPR. FILM. 10mg BMF PHARM S.R.L. ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 COMPR. FILM. P-RF 28 134.46 4.802142 3.884142 3.88414213 N06DA02 DONEPEZILUM*** COGNEZIL 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 28 108.74 3.883571 3.883571 3.88357114 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 231.98 7.732666 3.884142 3.88414215 N06DA02 DONEPEZILUM*** DONEPEZIL ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 170.94 6.105000 3.884142 3.88414216 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 99.54 3.555000 3.555000 3.55500017 N06DA02 DONEPEZILUM*** DONEPEZIL BLUEFISH 10 mg COMPR. FILM. 10mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 150.35 5.369642 3.884142 3.88414218 N06DA02 DONEPEZILUM*** DONEPEZIL TORRENT 10 mg COMPR. FILM. 10mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 245.94 8.198000 3.884142 3.88414219 N06DA02 DONEPEZILUM*** XALINAT 10 mg COMPR. FILM. 10mg GALENICA S.A. GRECIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 173.24 6.187142 3.884142 3.88414220 N06DA02 DONEPEZILUM*** YASNAL 5 mg COMPR. FILM. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM. P-RF 28 84.97 3.034642 2.229856 2.22985621 N06DA02 DONEPEZILUM*** ZILDON 5 mg COMPR. FILM. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 145.89 5.210357 2.229856 2.22985622 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 65.83 2.194333 2.194333 2.19433323 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 65.83 2.194333 2.194333 2.19433324 N06DA02 DONEPEZILUM*** TUADIN 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 66.59 2.219666 2.219666 2.21966625 N06DA02 DONEPEZILUM*** PRIDIA 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 62.40 2.228571 2.228571 2.22857126 N06DA02 DONEPEZILUM*** ALZEPIL 5 mg COMPR. FILM. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 106.21 3.793214 2.229856 2.22985627 N06DA02 DONEPEZILUM*** ALZEPIL 5 mg COMPR. FILM. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 106.21 3.793214 2.229856 2.22985628 N06DA02 DONEPEZILUM*** ALZEPIL 5 mg COMPR. FILM. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P-RF 56 201.43 3.596964 2.229856 2.22985629 N06DA02 DONEPEZILUM*** DONECEPT 5 MG COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 61.88 2.210000 2.210000 2.21000030 N06DA02 DONEPEZILUM*** COGITON 5 mg COMPR. FILM. 5mg BMF PHARM S.R.L. ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 COMPR. FILM. P-RF 28 118.91 4.246785 2.229856 2.22985631 N06DA02 DONEPEZILUM*** COGNEZIL 5 mg COMPR. FILM. 5mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 28 62.43 2.229642 2.229642 2.229642

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

Pagina 27 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

32 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 5 mg COMPR. FILM. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 175.19 5.839666 2.229856 2.22985633 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 57.17 2.041785 2.041785 2.04178534 N06DA02 DONEPEZILUM*** DONEPEZIL ACCORD 5 mg COMPR. FILM. 5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 143.02 5.107857 2.229856 2.22985635 N06DA02 DONEPEZILUM*** DONEPEZIL TORRENT 5 mg COMPR. FILM. 5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 208.62 6.954000 2.229856 2.22985636 N06DA02 DONEPEZILUM*** DONEPEZIL BLUEFISH 5 mg COMPR. FILM. 5mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 52.03 1.858214 1.858214 1.85821437 N06DA02 DONEPEZILUM*** XALINAT 5 mg COMPR. FILM. 5mg GALENICA S.A. GRECIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 150.15 5.362500 2.229856 2.22985638 N06DA02 DONEPEZILUM*** YASNAL 10 mg COMPR. ORODISPERSABILE 10 mg KRKA D.D. SLOVENIA CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP. PRF 28 90.63 3.236785 3.236785 3.23678539 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 28 379.17 13.541785 3.884142 3.88414240 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 10 mg COMPR. ORODISPERSABILE 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP. P-RF 28 143.78 5.135000 3.884142 3.88414241 N06DA02 DONEPEZILUM*** COGNEZIL 10 mg COMPR. ORODISPERSABILE 10mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE P-RF 28 108.74 3.883571 3.883571 3.88357142 N06DA02 DONEPEZILUM*** DONECTIL 10 mg COMPR. ORODISPERSABILE 10mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF 30 128.38 4.279333 3.884142 3.88414243 N06DA02 DONEPEZILUM*** DARIZOL 10 mg COMPR. ORODISPERSABILE 10mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE PRF 28 108.74 3.883571 3.883571 3.88357144 N06DA02 DONEPEZILUM*** YASNAL 5 mg COMPR. ORODISPERSABILE 5 mg KRKA D.D. SLOVENIA CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL "PEEL-OPEN" A CATE 28 COMPR. ORODISP. PRF 28 84.97 3.034642 2.229856 2.22985645 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 28 305.48 10.910000 2.229856 2.22985646 N06DA02 DONEPEZILUM*** DONEPEZIL TEVA 5 mg COMPR. ORODISPERSABILE 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP. P-RF 28 130.00 4.642857 2.229856 2.22985647 N06DA02 DONEPEZILUM*** COGNEZIL 5 mg COMPR. ORODISPERSABILE 5mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE P-RF 28 62.43 2.229642 2.229642 2.22964248 N06DA02 DONEPEZILUM*** DONECTIL 5 mg COMPR. ORODISPERSABILE 5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF 30 116.07 3.869000 2.229856 2.22985649 N06DA02 DONEPEZILUM*** DARIZOL 5 mg COMPR. ORODISPERSABILE 5mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE PRF 28 62.42 2.229285 2.229285 2.22928550 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 1,5mg CAPS. 1,5mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 194.50 3.473214 1.368856 1.36885651 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA RATIOPHARM 1,5 mg CAPS. 1,5mg RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R 56 79.35 1.416964 1.368856 1.36885652 N06DA03 RIVASTIGMINUM*** EVERTAS 1,5 mg CAPS. 1,5mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R 30 41.08 1.369333 1.368856 1.36885653 N06DA03 RIVASTIGMINUM*** RIVASTIGMINE SANDOZ1,5mg CAPS. 1,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS. P-RF/R 56 70.74 1.263214 1.263214 1.26321454 N06DA03 RIVASTIGMINUM*** RIDAXIN 1,5 mg CAPS. 1,5mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 63.91 1.141250 1.141250 1.14125055 N06DA03 RIVASTIGMINUM*** RISTIDIC 1,5 mg CAPS. 1,5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R 56 70.74 1.263214 1.263214 1.26321456 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA ACTAVIS 1,5 mg CAPS. 1,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR 56 63.88 1.140714 1.140714 1.14071457 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TORRENT 1,5 mg CAPS. 1,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R 56 72.39 1.292678 1.292678 1.29267858 N06DA03 RIVASTIGMINUM*** NIMVASTID 1.5mg CAPS. 1.5mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE P-RF/R 28 37.89 1.353214 1.353214 1.35321459 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 3mg CAPS. 3mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 215.96 3.856428 2.787000 2.78700060 N06DA03 RIVASTIGMINUM*** NIMVASTID 3mg CAPS. 3mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE P-RF/R 28 78.01 2.786071 2.786071 2.78607161 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA RATIOPHARM 3 mg CAPS. 3mg RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R 56 150.48 2.687142 2.687142 2.68714262 N06DA03 RIVASTIGMINUM*** RIVASTIGMINE SANDOZ 3mg CAPS. 3mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS. P-RF/R 56 133.98 2.392500 2.392500 2.39250063 N06DA03 RIVASTIGMINUM*** RIDAXIN 3 mg CAPS. 3mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 130.32 2.327142 2.327142 2.32714264 N06DA03 RIVASTIGMINUM*** RISTIDIC 3 mg CAPS. 3mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R 56 133.98 2.392500 2.392500 2.39250065 N06DA03 RIVASTIGMINUM*** EVERTAS 3 mg CAPS. 3mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R 30 83.75 2.791666 2.787000 2.78700066 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA ACTAVIS 3 mg CAPS. 3mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR 56 130.06 2.322500 2.322500 2.32250067 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TORRENT 3 mg CAPS. 3mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R 56 143.02 2.553928 2.553928 2.55392868 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 4,5mg CAPS. 4,5mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 323.93 5.784464 3.217500 3.21750069 N06DA03 RIVASTIGMINUM*** EVERTAS 4,5 mg CAPS. 4,5mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R 30 96.65 3.221666 3.217500 3.21750070 N06DA03 RIVASTIGMINUM*** RIDAXIN 4,5 mg CAPS. 4,5mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 150.36 2.685000 2.685000 2.68500071 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA ACTAVIS 4,5 mg CAPS. 4,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR 56 150.15 2.681250 2.681250 2.68125072 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 6mg CAPS. 6mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 407.51 7.276964 3.639642 3.63964273 N06DA03 RIVASTIGMINUM*** EVERTAS 6 mg CAPS. 6mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R 30 109.54 3.651333 3.639642 3.63964274 N06DA03 RIVASTIGMINUM*** RIDAXIN 6 mg CAPS. 6mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 170.40 3.042857 3.042857 3.04285775 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA ACTAVIS 6 mg CAPS. 6mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR 56 169.85 3.033035 3.033035 3.03303576 N06DA03 RIVASTIGMINUM*** NIMVASTID 1.5 mg COMPR. ORODISPERSABILE 1.5mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 37.89 1.353214 1.353214 1.35321477 N06DA03 RIVASTIGMINUM*** NIMVASTID 3mg COMPR. ORODISPERSABILE 3mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 78.01 2.786071 2.786071 2.78607178 N06DA03 RIVASTIGMINUM*** NIMVASTID 4.5 mg COMPR. ORODISPERSABILE 4.5mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 89.80 3.207142 3.207142 3.20714279 N06DA03 RIVASTIGMINUM*** NIMVASTID 6mg COMPR. ORODISPERSABILE 6mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 101.04 3.608571 3.608571 3.60857180 N06DA03 RIVASTIGMINUM*** EXELON 4,6mg/24h PLASTURE TRANSDERMIC 4,6mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 390.58 13.019333 13.019333 13.01933381 N06DA03 RIVASTIGMINUM*** EXELON 9,5mg/24h PLASTURE TRANSDERMIC 9,5mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 390.58 13.019333 13.019333 13.019333

Pagina 28 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

82 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 2 mg/ml SOL. ORALA 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE P-RF/R 1 420.26 420.260000 420.260000 420.26000083 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 28 374.39 13.371071 5.442000 5.44200084 N06DA04 GALANTAMINUM*** GALSYA 16 mg CAPS. ELIB. PREL. 16mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL. PRF 30 136.05 4.535000 4.535000 4.53500085 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 28 417.57 14.913214 6.445999 6.44599986 N06DA04 GALANTAMINUM*** GALSYA 24 mg CAPS. ELIB. PREL. 24mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL. PRF 30 161.15 5.371666 5.371666 5.37166687 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 28 201.08 7.181428 3.625200 3.62520088 N06DA04 GALANTAMINUM*** GALSYA 8 mg CAPS. ELIB. PREL. 8mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL. PRF 30 90.63 3.021000 3.021000 3.02100089 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 1 254.22 254.220000 254.220000 254.22000090 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R 56 417.38 7.453214 7.453214 7.45321491 N06DX01 MEMANTINUM*** EBIXA 5mg/doza PICATURI ORALE - SOL. 5mg/doza H LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON DIN STICLA BRUNA CU POMPA DOZATOARE X 50 ML SOLUTIE P-RF/R 1 352.22 352.220000 352.220000 352.220000

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 32.62 0.652400 0.652400 0.6524002 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 29.65 1.482500 1.482500 1.4825003 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 6.53 0.217666 0.217666 0.2176664 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 26.13 0.522600 0.522600 0.5226005 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 15.89 15.890000 15.890000 15.8900006 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 55.38 1.107600 1.107600 1.1076007 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 80.90 0.809000 0.809000 0.8090008 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78.89 0.788900 0.788900 0.7889009 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 33.44 0.557333 0.557333 0.557333

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

1 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 28.24 0.564800 0.375000 0.3750002 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 31.25 0.312500 0.312500 0.3125003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.53 6.906000 6.906000 6.9060004 H02AB01 BETAMETHASONUM DIPROPHOS® SUSP. INJ. I.M. 7mg/ml MERCK SHARP & DOHME BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.53 6.906000 6.906000 6.9060005 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 32.62 0.652400 0.652400 0.6524006 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 29.65 1.482500 1.482500 1.4825007 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 6.53 0.217666 0.217666 0.2176668 L01BA01 METHOTREXATUM4) 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 1 400.81 400.810000 400.810000 400.8100009 L01BA01 METHOTREXATUM4) 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 5 241.07 48.214000 48.214000 48.214000

10 L01BA01 METHOTREXATUM4) 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 89.66 89.660000 89.660000 89.66000011 L01BA01 METHOTREXATUM4) METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 23.82 2.382000 2.382000 2.38200012 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 78.67 78.670000 78.670000 78.67000013 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ PR 1 59.64 59.640000 59.640000 59.64000014 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 122.50 122.500000 122.500000 122.50000015 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 110.09 110.090000 110.090000 110.09000016 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 124.21 124.210000 124.210000 124.21000017 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 78.67 78.670000 78.670000 78.670000

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

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

Pagina 29 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

18 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 74.80 74.800000 71.568000 71.56800019 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 109.54 109.540000 109.540000 109.54000020 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA SANDOZ 10 mg COMPR. FILM. 10 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP CU DESICANT X 30 COMPR. FILM. PR 30 182.03 6.067666 5.349600 5.34960021 L04AA13 LEFLUNOMIDUM** ARAVA 10mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 280.03 9.334333 5.349600 5.34960022 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA RATIOPHARM 10 MG COMPR. FILM. 10mg RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 160.47 5.349000 5.349000 5.34900023 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDE WINTHROP 10mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 160.47 5.349000 5.349000 5.34900024 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA MEDAC 10 mg COMPR. FILM. 10mg MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR. FILM. PR 30 133.74 4.458000 4.458000 4.45800025 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA SANDOZ 20 mg COMPR. FILM. 20 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP DESICANT X 30 COMPR. FILM. PR 30 190.22 6.340666 6.340666 6.34066626 L04AA13 LEFLUNOMIDUM** ARAVA 20mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 292.65 9.755000 7.608799 7.60879927 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA RATIOPHARM 20 MG COMPR. FILM. 20mg RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF 30 190.22 6.340666 6.340666 6.34066628 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDE WINTHROP 20mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 190.22 6.340666 6.340666 6.34066629 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA MEDAC 20 mg COMPR. FILM. 20mg MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR.FILM PR 30 190.22 6.340666 6.340666 6.34066630 L04AD01 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 50 471.31 9.426200 9.426200 9.42620031 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 137.32 2.746400 2.259120 2.25912032 L04AD01 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 94.13 1.882600 1.882600 1.88260033 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 292.16 5.843200 4.557600 4.55760034 L04AD01 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 50 189.90 3.798000 3.798000 3.79800035 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 55.38 1.107600 1.107600 1.10760036 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 80.90 0.809000 0.809000 0.80900037 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78.89 0.788900 0.788900 0.78890038 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 47.70 2.385000 2.385000 2.38500039 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 20.49 0.683000 0.471600 0.47160040 M01AB05 DICLOFENACUM TRATUL 50 CAPS. MOI GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ. P-6L 30 6.39 0.213000 0.136200 0.13620041 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 3.93 0.393000 0.393000 0.39300042 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 6.56 0.656000 0.492600 0.49260043 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.55 0.427500 0.427500 0.42750044 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 8.21 0.410500 0.410500 0.41050045 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 5.72 0.190666 0.190666 0.19066646 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 6.56 0.328000 0.136200 0.13620047 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 4.25 0.212500 0.136200 0.13620048 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.04 0.152000 0.136200 0.13620049 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 2.27 0.113500 0.113500 0.11350050 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 2.34 0.234000 0.136200 0.13620051 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.72 0.190666 0.190666 0.19066652 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.54 0.127000 0.127000 0.12700053 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.65 0.132500 0.132500 0.13250054 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ. P-6L 30 3.98 0.132666 0.132666 0.13266655 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 9.40 1.880000 0.972000 0.97200056 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 6.10 1.220000 0.972000 0.97200057 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 14.24 2.848000 0.972000 0.97200058 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 6.10 1.220000 0.972000 0.97200059 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 6.10 1.220000 0.972000 0.97200060 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 6.10 1.220000 0.972000 0.97200061 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 12.22 1.222000 0.972000 0.97200062 M01AB05 DICLOFENACUM REFEN 75 mg SOL. INJ./PERF. 25mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF 5 4.05 0.810000 0.810000 0.81000063 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 3.94 0.656666 0.612000 0.61200064 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.47 1.094000 0.612000 0.61200065 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 6.95 0.695000 0.612000 0.61200066 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 5.10 0.510000 0.510000 0.51000067 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.45 0.945000 0.945000 0.945000

Pagina 30 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

68 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 33.44 0.557333 0.557333 0.557333

1 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 28.24 0.564800 0.375000 0.3750002 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 31.25 0.312500 0.312500 0.3125003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.53 6.906000 6.906000 6.9060004 H02AB01 BETAMETHASONUM DIPROPHOS® SUSP. INJ. I.M. 7mg/ml MERCK SHARP & DOHME BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 34.53 6.906000 6.906000 6.9060005 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 47.70 2.385000 2.385000 2.3850006 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 20.49 0.683000 0.471600 0.4716007 M01AB05 DICLOFENACUM TRATUL 50 CAPS. MOI GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ. P-6L 30 6.39 0.213000 0.136200 0.1362008 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 3.93 0.393000 0.393000 0.3930009 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 6.56 0.656000 0.492600 0.492600

10 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.55 0.427500 0.427500 0.42750011 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 8.21 0.410500 0.410500 0.41050012 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 5.72 0.190666 0.190666 0.19066613 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 6.56 0.328000 0.136200 0.13620014 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 4.25 0.212500 0.136200 0.13620015 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.04 0.152000 0.136200 0.13620016 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 2.27 0.113500 0.113500 0.11350017 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 2.34 0.234000 0.136200 0.13620018 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.72 0.190666 0.190666 0.19066619 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.54 0.127000 0.127000 0.12700020 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.65 0.132500 0.132500 0.13250021 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ. P-6L 30 3.98 0.132666 0.132666 0.13266622 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 9.40 1.880000 0.972000 0.97200023 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 6.10 1.220000 0.972000 0.97200024 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 14.24 2.848000 0.972000 0.97200025 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 6.10 1.220000 0.972000 0.97200026 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 6.10 1.220000 0.972000 0.97200027 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 6.10 1.220000 0.972000 0.97200028 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 12.22 1.222000 0.972000 0.97200029 M01AB05 DICLOFENACUM REFEN 75 mg SOL. INJ./PERF. 25mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF 5 4.05 0.810000 0.810000 0.81000030 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 3.94 0.656666 0.612000 0.61200031 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.47 1.094000 0.612000 0.61200032 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 6.95 0.695000 0.612000 0.61200033 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 5.10 0.510000 0.510000 0.51000034 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.45 0.945000 0.945000 0.945000

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

17. SPONDILITA ANKILOZANTA - G 19

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

Pagina 31 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

1 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 43.59 21.795000 18.561000 18.5610002 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 123.74 15.467500 15.467500 15.4675003 H01AX01 PEGVISOMANTUM**** SOMAVERT 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 8,603.01 286.767000 286.767000 286.7670004 H01AX01 PEGVISOMANTUM**** SOMAVERT 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 17,135.17 571.172333 571.172333 571.1723335 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 128.50 4.283333 4.283333 4.2833336 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg FERRING GMBH GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 120.65 4.021666 4.021666 4.0216667 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 185.47 6.182333 6.182333 6.1823338 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 98.08 3.269333 3.269333 3.2693339 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 3,829.62 3,829.620000 3,829.620000 3,829.620000

10 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 2,400.54 2,400.540000 2,400.540000 2,400.54000011 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 5,288.92 5,288.920000 5,288.920000 5,288.92000012 H01CB02 OCTREOTIDUM**** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 152.62 30.524000 30.524000 30.52400013 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 1 1,573.19 1,573.190000 1,573.190000 1,573.19000014 H01CB03 LANREOTIDUM**** SOMATULINE AUTOGEL 120 mg SOL. INJ. CU ELIB. PREL. 120mg IPSEN PHARMA FRANTA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC S/P-RF 1 5,089.12 5,089.120000 5,089.120000 5,089.12000015 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 47.78 0.955600 0.955600 0.95560016 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95.62 31.873333 31.873333 31.87333317 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35.71 11.903333 11.903333 11.90333318 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.65 0.132500 0.098799 0.09879919 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.62 0.087333 0.087333 0.08733320 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.47 0.082333 0.082333 0.08233321 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.71 0.123666 0.098799 0.09879922 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 2.57 0.128500 0.098799 0.09879923 H02AB09 HYDROCORTISONUM HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. PRF 25 12.20 0.488000 0.488000 0.48800024 H02AB09 HYDROCORTISONUM HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. P-RF 1 3.91 3.910000 3.910000 3.91000025 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 3.91 3.910000 3.910000 3.91000026 H02AB09 HYDROCORTISONUM HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. P-RF 1 11.91 11.910000 11.910000 11.91000027 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 21.33 4.266000 4.266000 4.26600028 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 12.48 0.124800 0.124800 0.12480029 H03AA01 LEVOTHYROXINUM EUTHYROX 100mcg COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 11.69 0.116900 0.116900 0.11690030 H03AA01 LEVOTHYROXINUM EUTHYROX 200mcg COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 24.14 0.241400 0.241400 0.24140031 H03AA01 LEVOTHYROXINUM EUTHYROX 25mcg COMPR. 25mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 9.51 0.095100 0.095100 0.09510032 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 8.40 0.084000 0.084000 0.08400033 H03AA01 LEVOTHYROXINUM EUTHYROX 50mcg COMPR. 50mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.27 0.082700 0.082700 0.08270034 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 12.33 0.123300 0.123300 0.12330035 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 12.33 0.123300 0.123300 0.12330036 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 19.23 0.192300 0.192300 0.19230037 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 19.23 0.192300 0.192300 0.19230038 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 21.16 0.529000 0.529000 0.529000

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

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

Pagina 32 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

1 M01CC01 PENICILLAMINUM**4) CUPRENIL COMPR. FILM. 250mg CN UNIFARM ROMANIA CUTIE X 30 CPR.FILM. P-RF 30 44.78 1.492666 1.492666 1.492666

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

1 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 468.00 16.714285 16.714285 16.7142852 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF 28 931.18 33.256428 33.256428 33.2564283 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 902.02 180.404000 180.404000 180.4040004 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 474.83 94.966000 94.966000 94.9660005 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 5 149.77 29.954000 29.954000 29.9540006 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,728.54 288.090000 288.090000 288.0900007 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 218.42 36.403333 36.403333 36.4033338 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 425.83 70.971666 70.971666 70.9716669 B03XA01 EPOETINUM ALFA** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 788.23 788.230000 788.230000 788.230000

10 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 603.73 100.621666 100.621666 100.62166611 B03XA01 EPOETINUM ALFA** EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1,353.47 1,353.470000 1,193.316000 1,193.31600012 B03XA01 EPOETINUM ALFA** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 994.43 994.430000 994.430000 994.43000013 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 781.57 130.261666 130.261666 130.26166614 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 959.37 159.895000 159.895000 159.89500015 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,346.60 391.100000 391.100000 391.10000016 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526.27 87.711666 87.711666 87.71166617 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,174.53 1,174.530000 1,174.530000 1,174.53000018 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 981.05 163.508333 163.508333 163.50833319 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,208.30 201.383333 201.383333 201.38333320 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 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 143.93 23.988333 23.988333 23.98833321 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3,173.01 793.252500 793.252500 793.25250022 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 391.56 97.890000 97.890000 97.89000023 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,708.35 1,177.087500 1,177.087500 1,177.08750024 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 702.64 175.660000 175.660000 175.66000025 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2,208.61 2,208.610000 2,208.610000 2,208.61000026 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,009.47 252.367500 252.367500 252.36750027 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,318.95 329.737500 329.737500 329.73750028 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,633.81 3,633.810000 3,633.810000 3,633.81000029 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,626.76 406.690000 406.690000 406.69000030 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,937.17 484.292500 484.292500 484.29250031 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,555.95 638.987500 638.987500 638.98750032 C09CA04 IRBESARTANUM** APROVEL 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 66.75 2.383928 1.339999 1.33999933 C09CA04 IRBESARTANUM** IRBESARTAN WINTHROP 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 44.88 1.602857 1.339999 1.33999934 C09CA04 IRBESARTANUM** IRBESARTAN TERAPIA 150 mg COMPR. FILM. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 54.57 1.948928 1.339999 1.33999935 C09CA04 IRBESARTANUM** IRBESARTAN SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 33.50 1.196428 1.196428 1.19642836 C09CA04 IRBESARTANUM** IRBEGAMMA 150 mg COMPR. FILM. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 38.29 1.276333 1.276333 1.27633337 C09CA04 IRBESARTANUM** IRBEGAMMA 150 mg COMPR. FILM. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 121.22 1.212200 1.212200 1.21220038 C09CA04 IRBESARTANUM** IRPRESTAN 150 mg COMPR. FILM. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 33.50 1.116666 1.116666 1.11666639 C09CA04 IRBESARTANUM** IFIRMASTA 150 mg COMPR. FILM. 150mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L 28 37.35 1.333928 1.333928 1.33392840 C09CA04 IRBESARTANUM** IRBESARTAN TEVA 150 mg COMPR. FILM. 150mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 33.50 1.196428 1.196428 1.196428

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

19. BOALA WILSON - G23

Pagina 33 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

41 C09CA04 IRBESARTANUM** IRBESARTAN DR. REDDY'S 150 mg COMPR. FILM. 150mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 44.94 1.605000 1.339999 1.33999942 C09CA04 IRBESARTANUM** DEPALONG 150 mg COMPR. FILM. 150mg MEDANA PHARMA S.A. POLONIA CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L 28 44.88 1.602857 1.339999 1.33999943 C09CA04 IRBESARTANUM** ATOKKEN 150 mg COMPR. FILM. 150mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 44.88 1.602857 1.339999 1.33999944 C09CA04 IRBESARTANUM** IRBESARTAN TEVA 300 mg COMPR. FILM. 300 mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 57.50 2.053571 1.945599 1.94559945 C09CA04 IRBESARTANUM** APROVEL 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 88.08 3.145714 1.945599 1.94559946 C09CA04 IRBESARTANUM** IRBESARTAN WINTHROP 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 60.27 2.152500 1.945599 1.94559947 C09CA04 IRBESARTANUM** IRBESARTAN TERAPIA 300 mg COMPR. FILM. 300mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 71.28 2.545714 1.945599 1.94559948 C09CA04 IRBESARTANUM** IRBESARTAN SANDOZ 300 mg COMPR. FILM. 300mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 64.85 2.316071 1.945599 1.94559949 C09CA04 IRBESARTANUM** IRBEGAMMA 300 mg COMPR. FILM. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 64.58 2.152666 1.945599 1.94559950 C09CA04 IRBESARTANUM** IRBEGAMMA 300 mg COMPR. FILM. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 193.87 1.938700 1.938700 1.93870051 C09CA04 IRBESARTANUM** IRPRESTAN 300 mg COMPR. FILM. 300mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 48.64 1.621333 1.621333 1.62133352 C09CA04 IRBESARTANUM** IFIRMASTA 300mg COMPR. FILM. 300mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L 28 60.27 2.152500 1.945599 1.94559953 C09CA04 IRBESARTANUM** IRBESARTAN DR. REDDY'S 300 mg COMPR. FILM. 300mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 60.27 2.152500 1.945599 1.94559954 C09CA04 IRBESARTANUM** DEPALONG 300 mg COMPR. FILM. 300mg MEDANA PHARMA S.A. POLONIA CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L 28 60.27 2.152500 1.945599 1.94559955 C09CA04 IRBESARTANUM** ATOKKEN 300 mg COMPR. FILM. 300mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 60.29 2.153214 1.945599 1.94559956 C09CA04 IRBESARTANUM** IRBEGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 91.26 0.912600 0.912600 0.91260057 C09CA04 IRBESARTANUM** ATOKKEN 75 mg COMPR. FILM. 75mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 40.39 1.442500 1.095120 1.09512058 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.65 0.132500 0.098799 0.09879959 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.62 0.087333 0.087333 0.08733360 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.47 0.082333 0.082333 0.08233361 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.71 0.123666 0.098799 0.09879962 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 2.57 0.128500 0.098799 0.09879963 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 26.13 0.522600 0.522600 0.52260064 L04AD01 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 50 471.31 9.426200 9.426200 9.42620065 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 137.32 2.746400 2.259120 2.25912066 L04AD01 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 94.13 1.882600 1.882600 1.88260067 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 292.16 5.843200 4.557600 4.55760068 L04AD01 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 50 189.90 3.798000 3.798000 3.79800069 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 55.38 1.107600 1.107600 1.10760070 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 80.90 0.809000 0.809000 0.80900071 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78.89 0.788900 0.788900 0.78890072 V06DDN1 COMBINATII (AMINOACIZI)** KETOSTERIL COMPR. FILM. FARA CONCENTRATIE FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. P-RF 100 233.98 2.339800 2.339800 2.339800

1 S01EC03 DORZOLAMIDUM DORZOPT 20 mg/ml PIC. OFT., SOL 20mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL P-RF 1 27.37 27.370000 27.370000 27.3700002 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 40.75 40.750000 32.844000 32.8440003 S01EC04 BRINZOLAMIDUM AZOPT 10mg/ml PICATURI OFT.-SUSP. 10mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML P-6L 1 50.95 50.950000 50.950000 50.9500004 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 15.39 15.390000 15.390000 15.3900005 S01ED01 TIMOLOLUM TIMOLOL ROMPHARM 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 3.11 3.110000 3.110000 3.1100006 S01ED01 TIMOLOLUM TIMOLOL ROMPHARM 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 4.98 4.980000 4.980000 4.9800007 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 10.12 10.120000 5.976000 5.9760008 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 3.13 3.130000 3.130000 3.1300009 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 5.41 5.410000 5.410000 5.410000

10 S01ED02 BETAXOLOLUM BETAX PIC. OFT.-SOL. 5mg/ml ROMPHARM SRL ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 5.32 5.320000 5.320000 5.320000

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

Pagina 34 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

11 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 15.32 15.320000 6.384000 6.38400012 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 15.32 15.320000 15.320000 15.32000013 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 13.59 13.590000 13.590000 13.59000014 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 33.74 33.740000 33.740000 33.74000015 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 15.95 15.950000 15.950000 15.95000016 S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM) GANFORT PIC. OFT.,SOL. 300mcg/ml+5mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF 1 81.85 81.850000 81.850000 81.85000017 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 69.75 69.750000 69.750000 69.75000018 S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALOPTIC COMBI 50 micrograme/ml + 5 mg/ml PIC. OFTALMICE SOL. 50micrograme/ml+5mg/ml PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL. P6L 1 56.71 56.710000 56.710000 56.71000019 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 82.84 82.840000 68.052000 68.05200020 S01ED51 COMBINATII (TAVOPROSTUM+TIMOLOLUM) DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL. 40mcg/ml + 5mg/ml ALCON LABORATORIES (UK) LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE P-RF 1 88.49 88.490000 88.490000 88.49000021 S01EE01 LATANOPROSTUM XALAPROST 50 micrograme/ml PIC. OFT., SOL 50micrograme/ml ICN POLFA RZESZOW S.A. POLONIA CUTIE CU 1 FLAC. PEJD CU PICURATOR PEJD X 2,5 ML PIC. OFT., SOL. P-6L 1 50.73 50.730000 32.448000 32.44800022 S01EE01 LATANOPROSTUM LATANOPROST NTC 50 micrograme/ml PIC. OFT., SOL 50micrograme/ml NTC S.R.L. ITALIA CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL. P6L 1 27.04 27.040000 27.040000 27.04000023 S01EE01 LATANOPROSTUM UNILAT 50 micrograme/ml PIC. OFT., SOL. 50micrograme/ml UNIMED PHARMA SPOL. S.R.O. REPUBLICA SLOVACA CUTIE CU 1 FLAC. PICURATOR PE X 2,5 ML PIC. OFT., SOL. P-6L 1 51.53 51.530000 32.448000 32.44800024 S01EE01 LATANOPROSTUM GLAUTAN 0,05 mg/ml PIC. OFT.,SOL. 0,05mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE CU 1 FLAC. PEJD CU CAPACITATEA DE 5 ML+PICURATOR DIN PEJD, CU CAPAC DE SIGURANTA DIN PEJD X 2, P6L 1 51.47 51.470000 32.448000 32.44800025 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 75.25 75.250000 32.448000 32.44800026 S01EE01 LATANOPROSTUM XALOPTIC PICATURI OFT.-SOL. 0,005% PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE X 1 FLACON PICURATOR PEJD X 2,5 ML PIC. OFT. SOL. P-6L 1 46.18 46.180000 32.448000 32.44800027 S01EE03 BIMATOPROSTUM LUMIGAN 0,1mg/ml PIC. OFT.,SOL. 0,1mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF 1 76.07 76.070000 76.070000 76.07000028 S01EE03 BIMATOPROSTUM LUMIGAN 0,3mg/ml 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 68.27 68.270000 68.270000 68.27000029 S01EE04 TRAVOPROSTUM TRAVATAN 40mcg/ml PICATURI OFT.SOL. 40mcg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 72.03 72.030000 72.030000 72.030000

Tratamentul se iniţiază de către medicul în specialitatea oftalmologie.

1 H02AB02 DEXAMETHASONUM DEXAMED COMPR. 0,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF 100 18.38 0.183800 0.183800 0.1838002 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 10 8.32 0.832000 0.832000 0.8320003 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 25 20.42 0.816800 0.816800 0.8168004 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 100 73.64 0.736400 0.736400 0.7364005 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 10 13.87 1.387000 1.106160 1.1061606 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 25 33.18 1.327200 1.106160 1.1061607 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL.INJ. PRF 100 124.62 1.246200 1.106160 1.1061608 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 123.66 1.236600 1.106160 1.1061609 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 6.98 1.396000 1.106160 1.106160

10 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 92.18 0.921800 0.921800 0.92180011 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 10.39 1.039000 1.039000 1.03900012 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 32.62 0.652400 0.652400 0.65240013 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 29.65 1.482500 1.482500 1.48250014 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 6.53 0.217666 0.217666 0.21766615 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.81 8.810000 8.810000 8.81000016 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 31.02 31.020000 31.020000 31.02000017 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.65 0.132500 0.098799 0.09879918 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.62 0.087333 0.087333 0.08733319 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.47 0.082333 0.082333 0.08233320 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.71 0.123666 0.098799 0.09879921 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 2.57 0.128500 0.098799 0.09879922 J04BA02 DAPSONUM4) DISULONE COMPR. 100mg CN UNIFARM ROMANIA CUTIE X 100 COMPR. P-RF 100 32.97 0.329700 0.329700 0.32970023 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 26.13 0.522600 0.522600 0.52260024 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 15.89 15.890000 15.890000 15.89000025 L01BA01 METHOTREXATUM4) 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 1 400.81 400.810000 400.810000 400.810000

22. PEMFIGUS - G 27

Pagina 35 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

26 L01BA01 METHOTREXATUM4) 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 5 241.07 48.214000 48.214000 48.21400027 L01BA01 METHOTREXATUM4) 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 89.66 89.660000 89.660000 89.66000028 L01BA01 METHOTREXATUM4) METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 23.82 2.382000 2.382000 2.38200029 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 78.67 78.670000 78.670000 78.67000030 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ PR 1 59.64 59.640000 59.640000 59.64000031 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 122.50 122.500000 122.500000 122.50000032 L01BA01 METHOTREXATUM4) METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 110.09 110.090000 110.090000 110.09000033 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 124.21 124.210000 124.210000 124.21000034 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 78.67 78.670000 78.670000 78.67000035 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 74.80 74.800000 71.568000 71.56800036 L01BA01 METHOTREXATUM4) METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 109.54 109.540000 109.540000 109.54000037 L04AD01 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 50 471.31 9.426200 9.426200 9.42620038 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 137.32 2.746400 2.259120 2.25912039 L04AD01 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 94.13 1.882600 1.882600 1.88260040 L04AD01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 292.16 5.843200 4.557600 4.55760041 L04AD01 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 50 189.90 3.798000 3.798000 3.79800042 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 55.38 1.107600 1.107600 1.10760043 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 80.90 0.809000 0.809000 0.80900044 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 78.89 0.788900 0.788900 0.788900

Tratamentul se iniţiază de către medicul în specialitatea dermatologie.

1 A16AB02 IMIGLUCERASUM**** CEREZYME 200U PULB. PT.CONC. PT.SOL. PERF. 200U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 3,492.21 3,492.210000 3,492.210000 3,492.2100002 A16AB02 IMIGLUCERASUM**** CEREZYME 400U PULB. PT.CONC. PT.SOL. PERF. 400U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 6,907.43 6,907.430000 6,907.430000 6,907.430000

1 J01AA02 DOXYCYCLINUM DOXICICLINA ATB 100 mg CAPS. 100 mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 3.59 0.359000 0.359000 0.3590002 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.00 0.350000 0.350000 0.3500003 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.59 0.359000 0.359000 0.3590004 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.61 0.361000 0.361000 0.3610005 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 9.58 0.958000 0.420000 0.4200006 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.99 0.149500 0.149500 0.1495007 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 6.47 0.323500 0.179400 0.1794008 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 1 000 000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S 100 271.77 2.717700 2.717700 2.7177009 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 3.11 3.110000 3.110000 3.110000

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 3.11 3.110000 3.110000 3.11000011 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S 100 271.77 2.717700 2.717700 2.71770012 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 400 000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S 100 183.44 1.834400 1.834400 1.83440013 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 2.11 2.110000 2.110000 2.11000014 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 3.47 0.289166 0.289166 0.28916615 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 6.10 0.508333 0.508333 0.508333

23. BOALA GAUCHER - G 29

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

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

Pagina 36 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

16 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 2.62 0.218333 0.218333 0.21833317 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 9.51 9.510000 9.510000 9.51000018 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI PULB. PT. SUSP. INJ. 1200000UI ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. P-RF 1 3.62 3.620000 3.620000 3.62000019 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI PULB. PT. SUSP. INJ. 1200000UI ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. S/P-RF 100 315.25 3.152500 3.152500 3.15250020 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 21.56 2.156000 2.156000 2.15600021 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 34.77 3.477000 3.477000 3.47700022 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.09 0.354500 0.354500 0.35450023 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.60 0.480000 0.425400 0.42540024 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.44 0.422000 0.422000 0.42200025 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 11.46 11.460000 11.460000 11.46000026 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 25.50 4.250000 4.250000 4.25000027 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 37.99 6.331666 5.100000 5.10000028 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 25.36 4.226666 4.226666 4.22666629 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 48.80 8.133333 5.100000 5.10000030 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 29.08 4.846666 4.846666 4.84666631 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 29.08 4.846666 4.846666 4.84666632 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 38.17 12.723333 10.255999 10.25599933 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 48.80 16.266666 10.255999 10.25599934 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 25.65 8.550000 8.550000 8.55000035 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 29.21 9.736666 9.736666 9.73666636 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 29.21 9.736666 9.736666 9.73666637 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 25.65 8.550000 8.550000 8.55000038 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 25.64 8.546666 8.546666 8.54666639 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 44.61 14.870000 14.870000 14.87000040 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 44.61 14.870000 14.870000 14.87000041 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 63.52 63.520000 63.520000 63.52000042 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 5 161.75 32.350000 32.350000 32.35000043 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. 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 16.36 16.360000 16.360000 16.36000044 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 22.45 22.450000 22.450000 22.45000045 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 34.36 34.360000 34.360000 34.36000046 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 25.18 25.180000 17.844000 17.84400047 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 48.58 48.580000 48.580000 48.58000048 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 60.36 60.360000 60.360000 60.36000049 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 37.31 3.731000 3.731000 3.73100050 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 65.61 3.280500 3.280500 3.28050051 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 6.83 0.683000 0.571200 0.57120052 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 6.83 0.683000 0.571200 0.57120053 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 6.83 0.683000 0.571200 0.57120054 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 6.83 0.683000 0.571200 0.57120055 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 12.30 0.615000 0.571200 0.57120056 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 7.87 0.787000 0.571200 0.57120057 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 6.93 0.693000 0.571200 0.57120058 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.56 0.656000 0.571200 0.57120059 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.30 0.615000 0.571200 0.57120060 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.76 0.476000 0.476000 0.47600061 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 13.22 1.322000 0.778800 0.77880062 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 13.22 1.322000 0.778800 0.77880063 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 13.22 1.322000 0.778800 0.77880064 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 13.22 1.322000 0.778800 0.77880065 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 15.12 1.512000 0.778800 0.778800

Pagina 37 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

66 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 8.78 0.878000 0.778800 0.77880067 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.22 1.322000 0.778800 0.77880068 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.23 0.923000 0.778800 0.77880069 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 16.43 0.821500 0.778800 0.77880070 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.49 0.649000 0.649000 0.64900071 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 38.50 3.850000 3.850000 3.85000072 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 37.31 3.731000 3.731000 3.73100073 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 84.70 12.100000 12.100000 12.10000074 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 27.63 9.210000 0.778800 0.77880075 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 136.56 2.731200 2.731200 2.73120076 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 16.79 3.358000 3.277440 3.27744077 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF 5 16.79 3.358000 3.277440 3.27744078 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 4.79 4.790000 3.277440 3.27744079 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 9.58 9.580000 9.580000 9.58000080 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 162.58 16.258000 10.498800 10.49880081 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 87.49 8.749000 8.749000 8.74900082 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 157.33 15.733000 15.733000 15.73300083 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 19.31 19.310000 18.879600 18.879600

Tratamentul se iniţiază de către medicul în specialitatea dermatologie şi obstetrică-ginecologie (pentru gonoree şi infecţia cu Chlamidia).

1 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg JANSSEN BIOLOGICS B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 6,662.76 2,220.920000 2,220.920000 2,220.9200002 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,784.50 2,392.250000 2,392.250000 2,392.2500003 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,749.13 2,374.565000 2,374.565000 2,374.565000

IMUNOSUPRESOARE SELECTIVE - G3125. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a

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

Pagina 38 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

1 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 2,459.64 1,229.820000 1,229.820000 1,229.8200002 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 6,043.00 6,043.000000 6,043.000000 6,043.0000003 L04AB01 ETANERCEPTUM**** ENBREL 10mg de uz pediatric PULB+SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX PR 4 826.13 206.532500 206.532500 206.5325004 L04AB01 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 4,565.66 1,141.415000 1,141.415000 1,141.4150005 L04AB01 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 2,275.20 568.800000 568.800000 568.8000006 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,270.01 567.502500 567.502500 567.5025007 L04AB01 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 2,270.01 567.502500 567.502500 567.5025008 L04AB01 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 4,469.17 1,117.292500 1,117.292500 1,117.2925009 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,469.17 1,117.292500 1,117.292500 1,117.292500

10 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg JANSSEN BIOLOGICS B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 6,662.76 2,220.920000 2,220.920000 2,220.92000011 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,784.50 2,392.250000 2,392.250000 2,392.25000012 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,749.13 2,374.565000 2,374.565000 2,374.565000

1 L04AB01 ETANERCEPTUM**** ENBREL 10mg de uz pediatric PULB+SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX PR 4 826.13 206.532500 206.532500 206.5325002 L04AB01 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 4,565.66 1,141.415000 1,141.415000 1,141.4150003 L04AB01 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 2,275.20 568.800000 568.800000 568.8000004 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,270.01 567.502500 567.502500 567.5025005 L04AB01 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 2,270.01 567.502500 567.502500 567.5025006 L04AB01 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 4,469.17 1,117.292500 1,117.292500 1,117.2925007 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,469.17 1,117.292500 1,117.292500 1,117.2925008 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg JANSSEN BIOLOGICS B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 6,662.76 2,220.920000 2,220.920000 2,220.9200009 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,784.50 2,392.250000 2,392.250000 2,392.250000

10 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,749.13 2,374.565000 2,374.565000 2,374.565000

1 L04AB01 ETANERCEPTUM**** ENBREL 10mg de uz pediatric PULB+SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX PR 4 826.13 206.532500 206.532500 206.5325002 L04AB01 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 4,565.66 1,141.415000 1,141.415000 1,141.4150003 L04AB01 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 2,275.20 568.800000 568.800000 568.8000004 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,270.01 567.502500 567.502500 567.5025005 L04AB01 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 2,270.01 567.502500 567.502500 567.5025006 L04AB01 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 4,469.17 1,117.292500 1,117.292500 1,117.2925007 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,469.17 1,117.292500 1,117.292500 1,117.2925008 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg JANSSEN BIOLOGICS B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 6,662.76 2,220.920000 2,220.920000 2,220.9200009 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,784.50 2,392.250000 2,392.250000 2,392.250000

10 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,749.13 2,374.565000 2,374.565000 2,374.565000

26. POLIARTITRITA REUMATOIDA - G31b

Tratamentul se prescrie si se 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)

27. ARTROPATIA PSORIAZICA - G31c

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

28. SPONDILITA ANKILOZANTA - G 31d

Pagina 39 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

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

Pagina 40 din 41

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

DET. APP AMBALAJ Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

1 L04AB01 ETANERCEPTUM**** ENBREL 10mg de uz pediatric PULB+SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX PR 4 826.13 206.532500 206.532500 206.5325002 L04AB01 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 4,565.66 1,141.415000 1,141.415000 1,141.4150003 L04AB01 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 2,275.20 568.800000 568.800000 568.8000004 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,270.01 567.502500 567.502500 567.5025005 L04AB01 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 2,270.01 567.502500 567.502500 567.5025006 L04AB01 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 4,469.17 1,117.292500 1,117.292500 1,117.2925007 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,469.17 1,117.292500 1,117.292500 1,117.292500

1 L04AB01 ETANERCEPTUM**** ENBREL 10mg de uz pediatric PULB+SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX PR 4 826.13 206.532500 206.532500 206.5325002 L04AB01 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 4,565.66 1,141.415000 1,141.415000 1,141.4150003 L04AB01 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 2,275.20 568.800000 568.800000 568.8000004 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,270.01 567.502500 567.502500 567.5025005 L04AB01 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 2,270.01 567.502500 567.502500 567.5025006 L04AB01 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 4,469.17 1,117.292500 1,117.292500 1,117.2925007 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,469.17 1,117.292500 1,117.292500 1,117.2925008 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg JANSSEN BIOLOGICS B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 6,662.76 2,220.920000 2,220.920000 2,220.9200009 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,784.50 2,392.250000 2,392.250000 2,392.250000

10 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,749.13 2,374.565000 2,374.565000 2,374.565000

NOTA:

29. ARTRITA JUVENILA - G 31e

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

30. PSORIAZIS CRONIC SEVER - G 31f

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

- 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 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;

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

NOTĂ: Medicamentele din această sublistă se eliberează 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 MS si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent; - Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MS; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

Pagina 41 din 41

ANEXA 4

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERS OANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXP UNERE

1 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 24.49 2.040833 2.040833 33.10 2.758333 2.7583332 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF 36 72.18 2.005000 2.005000 91.26 2.535000 2.5350003 A07AA11 RIFAXIMINUM NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml ALFA WASSERMANN SPA ITALIA CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML P-RF 1 14.14 14.140000 14.140000 19.11 19.110000 19.1100004 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.05 5.050000 5.050000 6.83 6.830000 6.8300005 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 6.34 6.340000 6.340000 8.57 8.570000 8.5700006 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 7.04 7.040000 7.040000 9.51 9.510000 9.5100007 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 4.73 4.730000 4.730000 6.39 6.390000 6.3900008 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 15.58 15.580000 4.416000 21.06 21.060000 5.9760009 D06BB03 ACICLOVIRUM ACICLOVIR 50mg/g CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 3.68 3.680000 3.680000 4.98 4.980000 4.980000

10 D06BB03 ACICLOVIRUM ACICLOVIR 50mg/g CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 5.62 5.620000 4.176000 7.60 7.600000 5.64000011 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G P-RF 1 3.10 3.100000 3.100000 4.19 4.190000 4.19000012 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 4.98 4.980000 4.176000 6.73 6.730000 5.64000013 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF 1 4.97 4.970000 4.176000 6.72 6.720000 5.64000014 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 5.42 5.420000 4.176000 7.33 7.330000 5.64000015 D06BB03 ACICLOVIRUM ACICLOVIR TERAPIA 50 mg/g CREMA 50mg/g TERAPIA S.A. ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 4.97 4.970000 4.176000 6.72 6.720000 5.64000016 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 3.48 3.480000 3.480000 4.70 4.700000 4.70000017 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 4.41 0.735000 0.735000 5.96 0.993333 0.99333318 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 4.23 1.410000 1.410000 5.72 1.906666 1.90666619 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 14.33 14.330000 12.372000 19.37 19.370000 16.71600020 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 10.31 10.310000 10.310000 13.93 13.930000 13.93000021 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 6.66 0.444000 0.444000 9.00 0.600000 0.60000022 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 13.32 2.664000 2.664000 18.00 3.600000 3.60000023 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1,000 242.55 0.242550 0.242550 296.11 0.296110 0.29611024 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.59 0.279500 0.279500 7.55 0.377500 0.35533225 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1,000 257.71 0.257710 0.257710 314.61 0.314610 0.31461026 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.98 0.249000 0.249000 6.73 0.336500 0.33650027 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.25 0.262500 0.262500 7.10 0.355000 0.35500028 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.70 0.285000 0.285000 7.70 0.385000 0.35533229 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.58 0.458000 0.355512 6.19 0.619000 0.43401630 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. X 10 CAPS. P-RF/S 1,000 296.26 0.296260 0.296260 361.68 0.361680 0.36168031 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.10 0.510000 0.355512 6.89 0.689000 0.43401632 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.21 0.521000 0.355512 7.04 0.704000 0.43401633 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S 500 195.09 0.390180 0.355512 238.17 0.476340 0.43401634 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.26 0.413000 0.355512 11.17 0.558500 0.43401635 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 2.46 2.460000 2.460000 3.33 3.330000 3.33000036 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF/S 100 237.08 2.370800 2.370800 289.43 2.894300 2.89430037 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 100 376.06 3.760600 3.760600 448.06 4.480600 4.48060038 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 3.94 3.940000 3.940000 5.33 5.330000 5.33000039 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 18.68 18.680000 15.210480 25.25 25.250000 17.49504040 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 50 633.77 12.675400 12.675400 728.96 14.579200 14.57920041 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL. P-RF 28 34.28 1.224285 1.224285 44.84 1.601428 1.60142842 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 29.92 2.137142 1.203428 39.13 2.795000 1.62600043 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 31.12 2.222857 1.203428 40.71 2.907857 1.62600044 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 500 mg/125mg COMPR. FILM. 500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 24.47 0.873928 0.686570 33.07 1.181071 0.92828545 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500/125 mg COMPR. FILM. 500/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 8.01 0.572142 0.572142 10.83 0.773571 0.77357146 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO P-RF 14 11.33 0.809285 0.686570 15.32 1.094285 0.92828547 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 20.76 1.482857 0.686570 28.06 2.004285 0.92828548 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO P-RF 14 19.50 1.392857 1.203428 26.35 1.882142 1.62600049 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 14.04 1.002857 1.002857 18.97 1.355000 1.35500050 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 18.55 1.325000 1.203428 25.07 1.790714 1.62600051 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 12.23 0.873571 0.686570 16.53 1.180714 0.92828552 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 5.10 5.100000 5.100000 6.89 6.890000 6.70092053 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 100 477.30 4.773000 4.773000 558.41 5.584100 5.58410054 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 50 246.03 4.920600 4.920600 300.35 6.007000 6.00700055 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 11.02 11.020000 10.380000 14.90 14.900000 14.02800056 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 8.65 8.650000 8.650000 11.69 11.690000 11.69000057 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 16.36 16.360000 16.360000 22.11 22.110000 22.11000058 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 9.57 9.570000 9.570000 12.93 12.930000 12.93000059 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 4.78 4.780000 4.780000 6.46 6.460000 6.46000060 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 14.72 14.720000 11.484000 19.89 19.890000 15.516000

VALABIL Ă ÎNCEPÂND CU 01 OCTOMBRIE 2012

SECŢIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPE NSARE 100% din pret de decontare - conform denumiri lor comune interna ţionale corespunz ătoare medicamentelor de care beneficiaza asiguratii inclus i in programele nationale de s ănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc

DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARIL E ULTERIOARE SI ORDINUL MS NR. 1275/2011 CU MODIFIC ARILE SI COMPLETARILE ULTERIOARE

Pagina 1 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

61 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7.36 7.360000 5.736000 9.95 9.950000 7.75200062 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA P-RF 1 7.36 7.360000 5.736000 9.95 9.950000 7.75200063 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 600 mg/42,9mg/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 26.22 26.220000 26.220000 34.30 34.300000 34.30000064 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 250 mg/ 62,5 mg/5 ml PULB. PT.SUSP. ORALA 250 mg/ 62,5 mg/5 ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE P-RF 1 16.80 16.800000 16.800000 22.71 22.710000 22.71000065 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 17.77 17.770000 17.770000 24.02 24.020000 24.02000066 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 401.14 33.428333 23.533200 475.39 39.615833 28.72920067 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 692.90 57.741666 46.081000 793.41 66.117500 54.04300068 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 265.41 22.117500 22.117500 324.01 27.000833 27.00083369 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920070 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920071 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 265.28 22.106666 22.106666 323.86 26.988333 26.98833372 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920073 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 386.57 38.657000 23.533200 459.51 45.951000 28.72920074 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920075 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.32 20.320000 20.320000 27.47 27.470000 27.47000076 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.83 19.966000 19.966000 126.23 25.246000 25.24600077 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 196.11 19.611000 19.611000 239.41 23.941000 23.94100078 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.65 40.650000 23.533200 53.17 53.170000 28.72920079 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.11 39.222000 23.533200 239.41 47.882000 28.72920080 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000081 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 197.45 39.490000 39.490000 241.05 48.210000 48.21000082 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 389.01 38.901000 38.901000 462.17 46.217000 46.21700083 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000084 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.94 40.940000 40.940000 53.55 53.550000 53.55000085 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000086 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000087 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583388 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583389 J01DD04 CEFTRIAXONUM CEFTRIAXONA ACTAVIS 1 g PULB. PT. SOL. INJ. 1 g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ. PR 5 46.17 9.234000 7.224000 60.39 12.078000 9.76800090 J01DD04 CEFTRIAXONUM OFRAMAX 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF. S 50 456.00 9.120000 7.224000 535.19 10.703800 9.76800091 J01DD04 CEFTRIAXONUM SEFTRION 1 g PULB. PT. SOL. INJ./PERF. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 10.31 10.310000 7.224000 13.94 13.940000 9.76800092 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 133.84 13.384000 7.224000 163.39 16.339000 9.76800093 J01DD04 CEFTRIAXONUM CEFTRIAXONA ACTAVIS 2 g PULB. PT. SOL. INJ./PERF. 2 g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ./P PR 5 90.67 18.134000 15.528000 114.64 22.928000 20.98800094 J01DD04 CEFTRIAXONUM OFRAMAX 250 mg PULB. PT. SOL. INJ./PERF. 250mg TERAPIA SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF. S 50 246.03 4.920600 4.920600 300.35 6.007000 6.00700095 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. S 100 505.00 5.050000 5.050000 588.60 5.886000 5.88600096 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 5.48 5.480000 5.480000 7.41 7.410000 7.06320097 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF 50 262.42 5.248400 5.248400 320.36 6.407200 6.40720098 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. S/P-RF 10 54.63 5.463000 5.463000 69.07 6.907000 6.90700099 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 10 210.87 21.087000 15.528000 257.43 25.743000 20.988000

100 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 228.45 22.845000 15.528000 278.89 27.889000 20.988000101 J01DD04 CEFTRIAXONUM SEFTRION 500 mg PULB. PT. SOL. INJ./PERF. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 7.74 7.740000 7.740000 10.46 10.460000 10.460000102 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 8.75 8.750000 8.750000 11.82 11.820000 10.824240103 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 50 412.34 8.246800 8.246800 487.60 9.752000 9.752000104 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 100 792.54 7.925400 7.925400 902.02 9.020200 9.020200105 J01DD04 CEFTRIAXONUM ROCEPHIN (R) PULB. PT. SOL. PERF. 2g ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ. S/P-RF 1 44.01 44.010000 15.528000 57.56 57.560000 20.988000106 J01DD04 CEFTRIAXONUM SEFTRION 2 g PULB. PT. SOL. PERF. 2g EIPICO MED SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF 1 12.94 12.940000 12.940000 17.49 17.490000 17.490000107 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.m. PULB.+SOLV. PT. SOL. INJ. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO P-RF 1 6.02 6.020000 6.020000 8.14 8.140000 8.140000108 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.v. PULB.+SOLV. PT. SOL. INJ./PERF. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA S/P-RF 1 6.02 6.020000 6.020000 8.14 8.140000 8.140000109 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 15.95 1.595000 1.595000 21.56 2.156000 2.156000110 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 26.58 2.658000 2.658000 34.77 3.477000 3.477000111 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 154.50 15.450000 8.448000 188.61 18.861000 11.412000112 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 20.07 20.070000 13.932000 27.12 27.120000 18.828000113 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 257.49 25.749000 13.932000 314.35 31.435000 18.828000114 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 3.88 3.880000 3.880000 5.24 5.240000 5.240000115 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 11.61 11.610000 11.610000 15.69 15.690000 15.690000116 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 7.04 7.040000 7.040000 9.51 9.510000 9.510000117 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 10 180.16 18.016000 18.016000 219.94 21.994000 21.994000118 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 50 848.93 16.978600 16.978600 963.48 19.269600 19.269600119 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S 100 1,667.86 16.678600 16.678600 1,856.12 18.561200 18.561200120 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 1 18.67 18.670000 18.670000 25.24 25.240000 22.273440121 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 59.93 59.930000 59.930000 75.78 75.780000 75.780000122 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 1 104.25 104.250000 104.250000 127.27 127.270000 127.270000123 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF. S 10 1,030.68 103.068000 64.903200 1,161.59 116.159000 75.322800124 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF. S 10 539.60 53.960000 36.430800 626.31 62.631000 44.287200125 J01DH02 MEROPENEMUM LODITER 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 72.84 72.840000 64.903200 92.10 92.100000 75.322800126 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 72.84 72.840000 64.903200 92.10 92.100000 75.322800127 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 680.43 68.043000 64.903200 779.82 77.982000 75.322800128 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF. 1g HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 10 540.86 54.086000 54.086000 627.69 62.769000 62.769000129 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF. 1g HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 1 57.22 57.220000 57.220000 72.35 72.350000 72.350000130 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 500 mg PULB. PT. SOL. INJ./PERF. 500mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 1 31.46 31.460000 31.460000 41.15 41.150000 41.150000131 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 500 mg PULB. PT. SOL. INJ./PERF. 500mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 10 303.59 30.359000 30.359000 369.06 36.906000 36.906000132 J01DH02 MEROPENEMUM LODITER 500 mg PULB. PT. SOL. INJ./PERF. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 37.77 37.770000 36.430800 49.40 49.400000 44.287200133 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 37.77 37.770000 36.430800 49.40 49.400000 44.287200134 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 361.25 36.125000 36.125000 431.91 43.191000 43.191000135 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 292.52 29.252000 29.252000 357.11 35.711000 35.711000

Pagina 2 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

136 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 146.26 29.252000 29.252000 178.55 35.710000 35.710000137 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 146.26 29.252000 29.252000 178.55 35.710000 35.710000138 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 292.52 29.252000 29.252000 357.11 35.711000 35.711000139 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 296.98 29.698000 29.698000 362.55 36.255000 36.255000140 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF. PR 5 146.26 29.252000 29.252000 178.55 35.710000 35.710000141 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,068.64 42.745600 35.102400 1,202.97 48.118800 42.852000142 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 445.46 44.546000 35.102400 523.70 52.370000 42.852000143 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.71 0.285500 0.183600 7.72 0.386000 0.247800144 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 3.06 0.153000 0.153000 4.13 0.206500 0.206500145 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 5.21 0.260500 0.183600 7.04 0.352000 0.247800146 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.71 0.285500 0.183600 7.72 0.386000 0.247800147 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 6.07 6.070000 6.070000 8.20 8.200000 8.200000148 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 3.52 3.520000 3.520000 4.76 4.760000 4.760000149 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 7.30 0.456250 0.456250 9.86 0.616250 0.616250150 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 20.62 2.062000 2.062000 27.87 2.787000 2.787000151 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 11.28 1.128000 1.128000 15.24 1.524000 1.524000152 J01FA09 CLARITHROMYCINUM CLAXIRIT 500 mg COMPR. CU ELIB. PREL. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF 7 23.71 3.387142 1.988400 32.05 4.578571 2.601000153 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 17.01 0.850500 0.850500 22.99 1.149500 1.149500154 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 12.35 0.882142 0.882142 16.69 1.192142 1.192142155 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 21.14 1.510000 0.930000 28.57 2.040714 1.257428156 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 12.35 0.882142 0.882142 16.69 1.192142 1.192142157 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.85 0.775000 0.775000 14.67 1.047857 1.047857158 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 23.85 1.703571 0.930000 32.23 2.302142 1.257428159 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 33.14 1.657000 1.657000 43.35 2.167500 2.167500160 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.73 1.695000 1.695000 32.08 2.291428 2.291428161 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 24.13 1.723571 1.723571 32.62 2.330000 2.330000162 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 24.13 1.723571 1.723571 32.62 2.330000 2.330000163 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 33.91 1.695500 1.695500 44.36 2.218000 2.218000164 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 29.01 2.072142 1.988400 37.95 2.710714 2.601000165 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 26.92 3.845714 1.988400 35.21 5.030000 2.601000166 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 27.85 5.570000 1.988400 36.43 7.286000 2.601000167 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 20.78 2.968571 1.988400 28.09 4.012857 2.601000168 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 19.39 19.390000 16.812000 26.21 26.210000 22.728000169 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 29.92 29.920000 28.056000 39.14 39.140000 37.920000170 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 18.11 18.110000 16.812000 24.48 24.480000 22.728000171 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 17.24 17.240000 16.812000 23.30 23.300000 22.728000172 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 23.38 23.380000 23.380000 31.60 31.600000 31.600000173 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 14.01 14.010000 14.010000 18.94 18.940000 18.940000174 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 47.03 47.030000 46.872000 61.52 61.520000 61.308000175 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 34.29 34.290000 28.128000 44.85 44.850000 38.016000176 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 39.06 39.060000 39.060000 51.09 51.090000 51.090000177 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 23.44 23.440000 23.440000 31.68 31.680000 31.680000178 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 41.12 41.120000 41.120000 53.78 53.780000 53.780000179 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 18.87 3.145000 3.145000 25.50 4.250000 4.250000180 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 29.04 4.840000 3.774000 37.99 6.331666 5.100000181 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 18.76 3.126666 3.126666 25.36 4.226666 4.226666182 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 37.31 6.218333 3.774000 48.80 8.133333 5.100000183 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 21.52 3.586666 3.586666 29.08 4.846666 4.846666184 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 21.52 3.586666 3.586666 29.08 4.846666 4.846666185 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 21.61 7.203333 7.203333 29.21 9.736666 9.736666186 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 21.61 7.203333 7.203333 29.21 9.736666 9.736666187 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 18.98 6.326666 6.326666 25.65 8.550000 8.550000188 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 18.97 6.323333 6.323333 25.64 8.546666 8.546666189 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 37.31 12.436666 7.588000 48.80 16.266666 10.255999190 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 29.18 9.726666 7.588000 38.17 12.723333 10.255999191 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 18.98 6.326666 6.326666 25.65 8.550000 8.550000192 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 34.11 11.370000 11.370000 44.61 14.870000 14.870000193 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 34.11 11.370000 11.370000 44.61 14.870000 14.870000194 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 48.56 48.560000 48.560000 63.52 63.520000 63.520000195 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 5 132.49 26.498000 26.498000 161.75 32.350000 32.350000196 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. 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 12.10 12.100000 12.100000 16.36 16.360000 16.360000197 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 16.61 16.610000 16.610000 22.45 22.450000 22.450000198 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 26.27 26.270000 26.270000 34.36 34.360000 34.360000199 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 18.63 18.630000 13.644000 25.18 25.180000 17.844000200 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 37.14 37.140000 37.140000 48.58 48.580000 48.580000201 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 46.15 46.150000 46.150000 60.36 60.360000 60.360000202 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 5.28 0.528000 0.528000 7.13 0.713000 0.713000203 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 31.71 0.634200 0.600000 41.48 0.829600 0.811200204 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 7.09 0.709000 0.600000 9.58 0.958000 0.811200205 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 5.00 0.500000 0.500000 6.76 0.676000 0.676000206 J01GB06 AMIKACINUM BIODACYNA SOL. INJ. 1g/4ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ. P-RF 1 9.47 9.470000 9.470000 12.80 12.800000 12.800000207 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 5.15 5.150000 5.150000 6.96 6.960000 6.960000208 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.81 1.481000 1.008000 20.02 2.002000 1.363200209 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.40 0.840000 0.840000 11.36 1.136000 1.136000210 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 51.89 2.594500 2.594500 65.61 3.280500 3.280500

Pagina 3 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

211 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.52 2.852000 2.852000 37.31 3.731000 3.731000212 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 5.13 0.513000 0.422400 6.93 0.693000 0.571200213 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 5.05 0.505000 0.422400 6.83 0.683000 0.571200214 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.85 0.485000 0.422400 6.56 0.656000 0.571200215 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 5.05 0.505000 0.422400 6.83 0.683000 0.571200216 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 5.05 0.505000 0.422400 6.83 0.683000 0.571200217 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 5.05 0.505000 0.422400 6.83 0.683000 0.571200218 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.52 0.352000 0.352000 4.76 0.476000 0.476000219 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.10 0.455000 0.422400 12.30 0.615000 0.571200220 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 9.10 0.455000 0.422400 12.30 0.615000 0.571200221 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 5.82 0.582000 0.422400 7.87 0.787000 0.571200222 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 6.50 0.650000 0.576000 8.78 0.878000 0.778800223 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.78 0.978000 0.576000 13.22 1.322000 0.778800224 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.80 0.480000 0.480000 6.49 0.649000 0.649000225 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 9.78 0.978000 0.576000 13.22 1.322000 0.778800226 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.83 0.683000 0.576000 9.23 0.923000 0.778800227 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.16 0.608000 0.576000 16.43 0.821500 0.778800228 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 9.78 0.978000 0.576000 13.22 1.322000 0.778800229 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 9.78 0.978000 0.576000 13.22 1.322000 0.778800230 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 9.78 0.978000 0.576000 13.22 1.322000 0.778800231 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 11.19 1.119000 0.576000 15.12 1.512000 0.778800232 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 29.43 2.943000 2.943000 38.50 3.850000 3.850000233 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.52 2.852000 2.852000 37.31 3.731000 3.731000234 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 66.99 9.570000 9.570000 84.70 12.100000 12.100000235 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 20.44 6.813333 0.576000 27.63 9.210000 0.778800236 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF 5 12.42 2.484000 2.484000 16.79 3.358000 3.277440237 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 111.86 2.237200 2.237200 136.56 2.731200 2.731200238 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 12.42 2.484000 2.484000 16.79 3.358000 3.277440239 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 3.54 3.540000 2.684640 4.79 4.790000 3.277440240 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 7.09 7.090000 7.090000 9.58 9.580000 9.580000241 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 128.87 12.887000 12.887000 157.33 15.733000 15.733000242 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 69.19 6.919000 6.919000 87.49 8.749000 8.749000243 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 133.17 13.317000 8.302800 162.58 16.258000 10.498800244 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 14.29 14.290000 14.290000 19.31 19.310000 18.879600245 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 20.61 2.061000 2.061000 27.86 2.786000 2.786000246 J01MA06 NORFLOXACINUM NOR QUIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S 20 13.02 0.651000 0.488570 17.60 0.880000 0.660000247 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.58 0.458000 0.458000 6.19 0.619000 0.619000248 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 13.02 0.651000 0.488570 17.60 0.880000 0.660000249 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 5.70 0.407142 0.407142 7.70 0.550000 0.550000250 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 13.02 0.651000 0.488570 17.60 0.880000 0.660000251 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 11.64 0.582000 0.488570 15.73 0.786500 0.660000252 J01MA12 LEVOFLOXACINUM FLERADAY 250 mg COMPR. FILM. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 20.76 2.965714 2.206285 28.06 4.008571 2.982857253 J01MA12 LEVOFLOXACINUM LEVOTOR 250 mg COMPR. FILM. 250mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 12.87 1.838571 1.838571 17.40 2.485714 2.485714254 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 19.81 2.830000 2.206285 26.78 3.825714 2.982857255 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 12.88 1.840000 1.840000 17.41 2.487142 2.487142256 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACCORD 250 mg COMPR. FILM. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 12.87 1.838571 1.838571 17.40 2.485714 2.485714257 J01MA12 LEVOFLOXACINUM FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 25.88 3.697142 3.697142 33.85 4.835714 4.835714258 J01MA12 LEVOFLOXACINUM LEVOTOR 500 mg COMPR. FILM. 500mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 25.73 3.675714 3.675714 33.65 4.807142 4.807142259 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 39.82 5.688571 4.054285 52.08 7.440000 5.478857260 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 23.65 3.378571 3.378571 31.96 4.565714 4.565714261 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM. PRF 7 23.65 3.378571 3.378571 31.96 4.565714 4.565714262 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 25.89 3.698571 3.698571 33.86 4.837142 4.837142263 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 25.54 3.648571 3.648571 33.40 4.771428 4.771428264 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA) S 1 37.79 37.790000 37.790000 49.43 49.430000 46.752000265 J01MA12 LEVOFLOXACINUM EVOLOX 5 mg/ml SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S 1 37.79 37.790000 37.790000 49.43 49.430000 46.752000266 J01MA12 LEVOFLOXACINUM EVOLOX 5 mg/ml SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 74.25 74.250000 74.250000 93.88 93.880000 90.102240267 J01MA12 LEVOFLOXACINUM TAVANIC I.V. 500 mg SOL. PERF. 5mg/ml TERAPIA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. P-RF/S 1 112.19 112.190000 80.982720 136.96 136.960000 90.102240268 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 25 1,687.14 67.485600 67.485600 1,877.13 75.085200 75.085200269 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA) S 25 858.58 34.343200 34.343200 974.00 38.960000 38.960000270 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 1 74.25 74.250000 74.250000 93.88 93.880000 90.102240271 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. S 1 37.71 37.710000 37.710000 49.33 49.330000 46.752000272 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. S 1 74.10 74.100000 74.100000 93.69 93.690000 90.102240273 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 63.98 12.796000 12.796000 80.90 16.180000 16.180000274 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 63.98 12.796000 12.796000 80.90 16.180000 16.180000275 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER PHARMA AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 594.69 118.938000 118.938000 686.36 137.272000 137.272000276 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 594.69 118.938000 118.938000 686.36 137.272000 137.272000277 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 48.56 48.560000 48.560000 63.52 63.520000 63.520000278 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 24.28 24.280000 24.280000 32.82 32.820000 32.820000279 J01XA01 VANCOMYCINUM VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF. 1000mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 456.00 45.600000 45.600000 535.19 53.519000 53.519000280 J01XA01 VANCOMYCINUM VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF. 500mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 234.30 23.430000 23.430000 286.03 28.603000 28.603000281 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P PR 1 48.39 48.390000 48.390000 63.30 63.300000 63.300000282 J01XA01 VANCOMYCINUM VANCOMICINA ACTAVIS 1000mg PULB. PT.CONC. PT.SOL. PERF. 1000mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA P-PR 1 48.45 48.450000 48.450000 63.37 63.370000 63.370000283 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.SOL. PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P PR 1 24.17 24.170000 24.170000 32.67 32.670000 32.670000284 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 56.90 56.900000 54.720000 71.94 71.940000 64.222800285 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 118.16 118.160000 118.160000 144.25 144.250000 144.250000

Pagina 4 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

286 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 10 173.48 17.348000 17.348000 211.79 21.179000 21.179000287 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 150 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 150 2,394.53 15.963533 15.963533 2,648.19 17.654600 17.654600288 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 1,606.36 16.063600 16.063600 1,789.09 17.890900 17.890900289 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 50 818.19 16.363800 16.363800 929.98 18.599600 18.599600290 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.71 0.190333 0.190333 7.72 0.257333 0.257333291 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 6.21 0.310500 0.228400 8.40 0.420000 0.308800292 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 6.74 6.740000 6.740000 9.11 9.110000 9.110000293 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 79.29 6.607500 6.607500 100.25 8.354166 8.354166294 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 77.74 6.478333 6.478333 98.29 8.190833 8.190833295 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 6.59 6.590000 6.590000 8.91 8.910000 8.910000296 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 36.98 3.698000 3.698000 48.37 4.837000 4.837000297 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 228.10 11.405000 4.437600 278.47 13.923500 5.804400298 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 37.40 3.740000 3.740000 48.92 4.892000 4.892000299 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 5.88 5.880000 5.880000 7.95 7.950000 7.950000300 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.571000301 J01XX08 LINEZOLIDUM ZYVOXID (R) 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 1 879.36 879.360000 879.360000 996.65 996.650000 996.650000302 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.571000303 J02AA01 AMPHOTERICINUM B4) ABELCET 5mg/ml CONC. PT. SUSPENSIE INJ. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLACOANE X 20ML CONCENTRAT PENTRU SUSPENSIE INJECTABILA P-RF 10 3,701.00 370.100000 370.100000 4,072.25 407.225000 407.225000304 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 9.34 0.934000 0.609600 12.62 1.262000 0.824400305 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.78 0.678000 0.609600 9.17 0.917000 0.824400306 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 15.15 1.515000 0.609600 20.48 2.048000 0.824400307 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 5.94 0.594000 0.594000 8.03 0.803000 0.803000308 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.08 0.508000 0.508000 6.87 0.687000 0.687000309 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.37 4.085625 3.996000 82.66 5.166250 5.166250310 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 6.98 3.490000 3.490000 9.43 4.715000 4.715000311 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 23.31 3.330000 3.330000 31.51 4.501428 4.501428312 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.95 4.737500 3.996000 25.61 6.402500 5.401714313 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.65 6.916071 3.996000 236.41 8.443214 5.401714314 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.15 4.735714 3.996000 43.36 6.194285 5.401714315 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.27 9.270000 5.856000 12.53 12.530000 7.908000316 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.88 4.880000 4.880000 6.59 6.590000 6.590000317 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.65 16.650000 5.856000 22.51 22.510000 7.908000318 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.79 10.790000 5.856000 14.58 14.580000 7.908000319 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.16 7.160000 5.856000 9.68 9.680000 7.908000320 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.24 12.060000 5.856000 63.10 15.775000 7.908000321 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 4.88 4.880000 4.880000 6.59 6.590000 6.590000322 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.908000323 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 18.56 18.560000 5.856000 25.08 25.080000 7.908000324 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.95 13.950000 5.856000 18.86 18.860000 7.908000325 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.07 6.070000 5.856000 8.20 8.200000 7.908000326 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.35 7.350000 5.856000 9.94 9.940000 7.908000327 J02AC01 FLUCONAZOLUM FLUCONAZOL ACTAVIS 150 mg CAPS. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF 1 7.44 7.440000 5.856000 10.06 10.060000 7.908000328 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.908000329 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 9.57 9.570000 5.856000 12.94 12.940000 7.908000330 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.68 6.680000 5.856000 9.03 9.030000 7.908000331 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 30.10 4.300000 4.300000 39.37 5.624285 5.624285332 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.701714333 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 12.35 1.764285 1.764285 16.69 2.384285 2.384285334 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.701714335 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.09 1.761250 1.761250 19.04 2.380000 2.380000336 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.66 1.665714 1.665714 15.76 2.251428 2.251428337 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.88 1.888000 1.888000 25.52 2.552000 2.552000338 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.49 2.070000 1.998857 19.58 2.797142 2.701714339 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 43.23 6.175714 1.998857 56.54 8.077142 2.701714340 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.91 3.130000 1.998857 29.61 4.230000 2.701714341 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 32.06 4.580000 1.998857 41.93 5.990000 2.701714342 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.19 6.741428 1.998857 61.72 8.817142 2.701714343 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.95 1.707142 1.707142 16.15 2.307142 2.307142344 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.15 2.021428 1.998857 19.12 2.731428 2.701714345 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 50 mg CAPS. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 16.69 2.384285 1.998857 22.56 3.222857 2.701714346 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 43.23 43.230000 43.230000 56.54 56.540000 56.540000347 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 20 631.41 31.570500 31.570500 726.39 36.319500 36.319500348 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 362.55 18.127500 18.127500 433.33 21.666500 21.666500349 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 454.59 45.459000 37.524480 533.65 53.365000 42.732960350 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 796.39 39.819500 37.524480 906.22 45.311000 42.732960351 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 770.66 77.066000 77.066000 878.17 87.817000 87.817000352 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.63 40.630000 37.524480 53.14 53.140000 42.732960353 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 1 42.66 42.660000 37.524480 55.80 55.800000 42.732960354 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S 1 137.44 137.440000 91.405200 167.79 167.790000 104.210400355 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.90 18.290000 18.290000 223.28 22.328000 22.328000356 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10 761.71 76.171000 76.171000 868.42 86.842000 86.842000357 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 18.84 18.840000 18.840000 25.47 25.470000 25.033440358 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 10 181.93 18.193000 18.193000 222.10 22.210000 22.210000359 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 20 360.77 18.038500 18.038500 431.39 21.569500 21.569500360 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 133.17 133.170000 91.405200 162.58 162.580000 104.210400

Pagina 5 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

361 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.99 30.990000 21.286560 40.53 40.530000 25.033440362 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 25 443.47 17.738800 17.738800 521.53 20.861200 20.861200363 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 34.28 34.280000 34.280000 44.84 44.840000 42.732960364 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 10 330.71 33.071000 33.071000 398.62 39.862000 39.862000365 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 35.03 35.030000 35.030000 45.82 45.820000 42.732960366 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 25 781.76 31.270400 31.270400 890.27 35.610800 35.610800367 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 81.95 81.950000 81.950000 103.62 103.620000 103.620000368 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000369 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 60.84 4.056000 3.214399 76.92 5.128000 4.204000370 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000371 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000372 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000373 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000374 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.55 3.503333 3.503333375 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.918571376 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.868928377 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.450000378 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000379 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 2,488.19 2,488.190000 2,488.190000 2,750.28 2,750.280000 2,750.280000380 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,488.19 2,488.190000 2,488.190000 2,750.28 2,750.280000 2,750.280000381 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 1,202.39 1,202.390000 1,202.390000 1,348.76 1,348.760000 1,348.760000382 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 1,560.14 1,560.140000 1,560.140000 1,738.70 1,738.700000 1,738.700000383 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S 1 1,458.70 1,458.700000 1,458.700000 1,628.13 1,628.130000 1,628.130000384 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. S 1,500 108.12 0.072080 0.072080 131.99 0.087993 0.087993385 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1,500 108.12 0.072080 0.072080 131.99 0.087993 0.087993386 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1,500 270.36 0.180240 0.180240 330.05 0.220033 0.220033387 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1,500 270.36 0.180240 0.180240 330.05 0.220033 0.220033388 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1,500 434.58 0.289720 0.289720 511.84 0.341226 0.341226389 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 6.75 0.337500 0.337500 9.12 0.456000 0.409471390 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1,500 252.90 0.168600 0.168600 308.74 0.205826 0.205826391 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1,500 395.15 0.263433 0.263433 468.86 0.312573 0.312573392 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1,000 438.43 0.438430 0.438430 516.04 0.516040 0.516040393 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.780000394 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.97 0.748500 0.577200 20.23 1.011500 0.780000395 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.780000396 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1,000 704.14 0.704140 0.577200 805.66 0.805660 0.780000397 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.41 1.441000 1.441000 19.48 1.948000 1.948000398 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.62 0.481000 0.481000 13.00 0.650000 0.650000399 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.16 0.608000 0.577200 16.44 0.822000 0.780000400 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.75 0.637500 0.577200 17.23 0.861500 0.780000401 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 10.22 0.511000 0.511000 13.81 0.690500 0.690500402 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.69 0.634500 0.577200 17.15 0.857500 0.780000403 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 14.23 1.423000 1.423000 19.23 1.923000 1.923000404 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 5 231.79 46.358000 46.358000 282.97 56.594000 56.594000405 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 2,210.48 15.789142 15.789142 2,447.58 17.482714 17.482714406 J05AB04 RIBAVIRINUM COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 2,406.37 14.323630 14.323630 2,661.10 15.839880 15.839880407 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 92.79 92.790000 92.790000 117.33 117.330000 117.330000408 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 43.54 4.354000 4.354000 56.95 5.695000 5.695000409 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.982166410 J05AB15 BRIVUDINUM BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 272.43 38.918571 38.918571 332.58 47.511428 47.511428411 J05AE01 SAQUINAVIRUM INVIRASE 200mg CAPS. 200mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 270 CAPS. P-RF/R 270 1,020.66 3.780222 3.780222 1,150.67 4.261740 4.261740412 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 1,013.90 8.449166 8.449166 1,143.30 9.527500 9.527500413 J05AE02 INDINAVIRUM CRIXIVAN 200mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 360 CAPS. P-RF/R 360 167.56 0.465444 0.465444 204.56 0.568222 0.568222414 J05AE02 INDINAVIRUM CRIXIVAN 400mg CAPS. 400mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC DIN PEID. X 180 CAPS. P-RF/R 180 167.56 0.930888 0.930888 204.56 1.136444 1.136444415 J05AE03 RITONAVIRUM** NORVIR 100 mg COMPR. FILM. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R 30 196.38 6.546000 6.546000 239.74 7.991333 7.991333416 J05AE03 RITONAVIRUM** NORVIR 100 mg COMPR. FILM. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 FLAC. PEID X 30 COMPR.FILM. P-RF/R 90 565.59 6.284333 6.284333 654.64 7.273777 7.273777417 J05AE03 RITONAVIRUM** NORVIR 100 mg COMPR. FILM. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR.FILM. P-RF/R 60 387.06 6.451000 6.451000 460.05 7.667500 7.667500418 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 1,020.66 3.780222 3.780222 1,150.67 4.261740 4.261740419 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 1,564.58 13.038166 13.038166 1,743.54 14.529500 14.529500420 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 1,487.86 297.572000 297.572000 1,659.92 331.984000 331.984000421 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 1,219.58 20.326333 20.326333 1,367.49 22.791500 22.791500422 J05AE07 FOSAMPRENAVIRUM** TELZIR 50mg/ml SUSP. ORALA 50mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII + P-RF/R 1 384.56 384.560000 384.560000 457.32 457.320000 457.320000423 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) P-RF/R 60 1,579.88 26.331333 26.331333 1,760.22 29.337000 29.337000424 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 CAPS. P-RF/R 30 1,691.40 56.380000 56.380000 1,881.78 62.726000 62.726000425 J05AE09 TIPRANAVIRUM** APTIVUS 250mg CAPS. MOI 250mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI P-RF/R 120 2,969.40 24.745000 24.745000 3,274.80 27.290000 27.290000426 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 2,768.37 23.069750 23.069750 3,055.68 25.464000 25.464000427 J05AE10 DARUNAVIRUM** PREZISTA 400mg COMPR. FILM. 400mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 2,015.15 33.585833 33.585833 2,234.67 37.244500 37.244500428 J05AE10 DARUNAVIRUM** PREZISTA 600mg COMPR. FILM. 600mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 2,841.59 47.359833 47.359833 3,135.49 52.258166 52.258166429 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. S/P-RF 100 354.20 3.542000 3.542000 424.23 4.242300 4.242300430 J05AF01 ZIDOVUDINUM RETROVIR (R) 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 84.40 84.400000 84.400000 106.72 106.720000 106.720000431 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 30 421.93 14.064333 14.064333 498.05 16.601666 16.601666432 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 30 657.08 21.902666 21.902666 754.37 25.145666 25.145666433 J05AF04 STAVUDINUM ZERIT 30 mg CAPS. 30mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 487.42 8.703928 8.703928 569.44 10.168571 10.168571434 J05AF04 STAVUDINUM ZERIT 40 mg CAPS. 40mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 502.69 8.976607 8.976607 586.08 10.465714 10.465714435 J05AF05 LAMIVUDINUM LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 159.00 5.300000 5.300000 194.11 6.470333 6.470333

Pagina 6 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

436 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 28 228.32 8.154285 6.360000 278.73 9.954642 7.764400437 J05AF05 LAMIVUDINUM LAMIVUDINE TEVA PHARMA B.V. 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R 60 319.27 5.321166 5.321166 386.16 6.436000 6.436000438 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 476.54 7.942333 6.385399 557.58 9.293000 7.723200439 J05AF05 LAMIVUDINUM LAMIVUDINE TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 319.27 10.642333 10.642333 386.16 12.872000 12.872000440 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 1 131.82 131.820000 131.820000 160.92 160.920000 160.920000441 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. P-RF/R 60 787.53 13.125500 13.125500 896.56 14.942666 14.942666442 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 1 209.91 209.910000 209.910000 256.26 256.260000 256.260000443 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 1,097.01 36.567000 36.567000 1,233.89 41.129666 41.129666444 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 CAPS. P-RF/R 30 656.22 21.874000 21.874000 753.43 25.114333 25.114333445 J05AG01 NEVIRAPINUM NEVIRAPINA 200mg COMPR. 200mg TEVA PHARMA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP. P-RF/R 60 416.84 6.947333 6.947333 492.51 8.208500 8.208500446 J05AG01 NEVIRAPINUM VIRAMUNE 200mg COMPR. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. X 10 COMPR. P-RF/R 60 625.14 10.419000 8.336800 719.55 11.992500 9.850200447 J05AG01 NEVIRAPINUM VIRAMUNE 100mg COMPR. ELIB. PREL. 100mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA PR 90 731.60 8.128888 8.128888 835.60 9.284444 9.284444448 J05AG01 NEVIRAPINUM VIRAMUNE 400mg COMPR. ELIB. PREL. 400mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU UN FLACON DIN PEID X 30 COMPR. CU ELIB. PRELUNGITA PR 30 966.78 32.226000 32.226000 1,091.94 36.398000 36.398000449 J05AG01 NEVIRAPINUM VIRAMUNE 50mg COMPR. ELIB. PREL. 50mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE CU UN FLACON DIN PEID X 180 COMPR. CU ELIB. PRELUNGITA PR 180 731.60 4.064444 4.064444 835.60 4.642222 4.642222450 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG 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 1 186.84 186.840000 186.840000 228.10 228.100000 228.100000451 J05AG03 EFAVIRENZUM STOCRIN 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R 30 12.04 0.401333 0.401333 16.27 0.542333 0.542333452 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R 30 67.45 2.248333 2.248333 85.28 2.842666 2.842666453 J05AG04 ETRAVIRINUM INTELENCE COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR. P-RF/R 120 1,947.00 16.225000 16.225000 2,160.38 18.003166 18.003166454 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150 mg/300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE P-RF 60 677.93 11.298833 11.298833 777.10 12.951666 12.951666455 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 1,026.84 17.114000 13.558600 1,157.41 19.290166 15.541999456 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 1,328.77 44.292333 44.292333 1,486.51 49.550333 49.550333457 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 1,675.67 27.927833 27.927833 1,864.63 31.077166 31.077166458 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. OPACE DIN PVC/ACLAR) P-RF/R 60 1,675.67 27.927833 27.927833 1,864.63 31.077166 31.077166459 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 T P-RF/R 60 6,090.78 101.513000 101.513000 6,677.11 111.285166 111.285166460 J05AX08 RALTEGRAVIRUM ISENTRESS 400mg COMPR. FILM. 400 mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE P-RF/R 60 3,480.67 58.011166 58.011166 3,832.08 63.868000 63.868000461 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) P-RF/R 60 3,352.86 55.881000 55.881000 3,692.77 61.546166 61.546166462 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) P-RF/R 60 3,352.86 55.881000 55.881000 3,692.77 61.546166 61.546166463 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 451.00 451.000000 451.000000 529.74 529.740000 529.740000464 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 872.00 872.000000 872.000000 988.63 988.630000 988.630000465 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 3,072.10 3,072.100000 3,072.100000 3,386.74 3,386.740000 3,386.740000466 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S 1 6,114.44 6,114.440000 6,114.440000 6,702.89 6,702.890000 6,702.890000467 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. S 1 663.61 663.610000 663.610000 761.48 761.480000 761.480000468 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S 1 1,550.55 1,550.550000 1,550.550000 1,728.25 1,728.250000 1,728.250000469 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S 1 3,473.78 3,473.780000 3,473.780000 3,824.57 3,824.570000 3,824.570000470 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S 1 1,751.89 1,751.890000 1,751.890000 1,947.71 1,947.710000 1,947.710000471 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S 1 460.47 460.470000 460.470000 540.07 540.070000 540.070000472 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 889.76 889.760000 889.760000 1,007.99 1,007.990000 1,007.990000473 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,749.51 1,749.510000 1,749.510000 1,945.12 1,945.120000 1,945.120000474 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,469.04 3,469.040000 3,469.040000 3,819.40 3,819.400000 3,819.400000475 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 459.88 459.880000 459.880000 539.42 539.420000 539.420000476 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,459.41 7,459.410000 7,459.410000 8,168.91 8,168.910000 8,168.910000477 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S 1 890.95 890.950000 890.950000 1,009.28 1,009.280000 1,009.280000478 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 188.56 188.560000 188.560000 230.20 230.200000 230.200000479 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 2,050.80 2,050.800000 2,050.800000 2,273.52 2,273.520000 2,273.520000480 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 222.29 222.290000 222.290000 271.37 271.370000 271.370000481 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 535.20 535.200000 535.200000 621.52 621.520000 621.520000482 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 914.10 914.100000 914.100000 1,034.52 1,034.520000 1,034.520000483 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,798.20 1,798.200000 1,798.200000 1,998.19 1,998.190000 1,998.190000484 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 472.05 472.050000 472.050000 552.68 552.680000 552.680000485 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.02 99.020000 99.020000 125.20 125.200000 125.200000486 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 1,166.70 1,166.700000 1,166.700000 1,309.85 1,309.850000 1,309.850000487 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 640.45 640.450000 640.450000 736.24 736.240000 736.240000488 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 2,261.30 2,261.300000 2,261.300000 2,502.97 2,502.970000 2,502.970000489 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 1,040.40 1,040.400000 1,040.400000 1,172.19 1,172.190000 1,172.190000490 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. P-RF 1 3,499.13 3,499.130000 3,499.130000 3,852.21 3,852.210000 3,852.210000491 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. P-RF 1 2,119.02 2,119.020000 2,119.020000 2,347.88 2,347.880000 2,347.880000492 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 1 267.05 267.050000 194.520000 326.02 326.020000 237.468000493 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 1 436.57 436.570000 313.092000 514.01 514.010000 382.224000494 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 162.10 162.100000 162.100000 197.89 197.890000 197.890000495 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.91 260.910000 260.910000 318.52 318.520000 318.520000496 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 418.45 83.690000 83.690000 494.26 98.852000 98.852000497 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 214.16 214.160000 194.520000 261.45 261.450000 237.468000498 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,001.12 200.224000 194.520000 1,129.37 225.874000 225.874000499 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.90 355.900000 313.092000 426.08 426.080000 382.224000500 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,656.30 331.260000 313.092000 1,843.52 368.704000 368.704000501 P01BC02 MEFLOQUINUM4 ELOQUINE 250 mg COMPR. 250mg CN UNIFARM ROMANIA CUTIE X 10 BLIST. X 10 COMPR. X 100 140.58 1.405800 1.405800 171.62 1.716200 1.716200502 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 10.49 10.490000 10.490000 14.18 14.180000 14.180000503 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 21.41 1.427333 1.427333 28.94 1.929333 1.929333504 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 24.05 24.050000 12.588000 32.50 32.500000 17.016000505 S01BA01 DEXAMETHASONUM OZURDEX IMPLANT 700 micrograme ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE CU1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGITĂ CONŢINÂND DEXAMETAZONĂ 700 MICR P-RF 1 4,694.69 4,694.690000 4,694.690000 5,155.37 5,155.370000 5,155.370000506 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 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 4.11 4.110000 4.110000 5.55 5.550000 5.550000507 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 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 7.49 7.490000 7.490000 10.12 10.120000 10.120000508 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 6.33 6.330000 4.932000 8.55 8.550000 6.660000509 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 3.52 3.520000 3.520000 4.76 4.760000 4.760000

Pagina 7 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

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

1 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 6.74 0.337000 0.337000 9.11 0.455500 0.4555002 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 6.74 0.337000 0.337000 9.11 0.455500 0.4555003 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 6.74 0.337000 0.337000 9.11 0.455500 0.4555004 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 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 7.65 1.530000 1.530000 10.34 2.068000 2.0680005 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 7.65 1.530000 1.530000 10.34 2.068000 2.0680006 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 5.16 1.032000 1.032000 6.98 1.396000 1.3960007 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 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 5.16 1.032000 1.032000 6.98 1.396000 1.3960008 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.96 0.098000 0.053316 2.65 0.132500 0.0697449 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1,000 44.43 0.044430 0.044430 58.12 0.058120 0.058120

10 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.94 0.064666 0.053316 2.62 0.087333 0.06974411 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.83 0.061000 0.053316 2.47 0.082333 0.06974412 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.74 0.091333 0.053316 3.71 0.123666 0.06974413 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.90 0.095000 0.053316 2.57 0.128500 0.06974414 J01FA09 CLARITHROMYCINUM CLAXIRIT 500 mg COMPR. CU ELIB. PREL. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF 7 23.71 3.387142 1.988400 32.05 4.578571 2.60100015 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 17.01 0.850500 0.850500 22.99 1.149500 1.14950016 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 12.35 0.882142 0.882142 16.69 1.192142 1.19214217 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 21.14 1.510000 0.930000 28.57 2.040714 1.25742818 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 12.35 0.882142 0.882142 16.69 1.192142 1.19214219 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.85 0.775000 0.775000 14.67 1.047857 1.04785720 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 23.85 1.703571 0.930000 32.23 2.302142 1.25742821 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 33.14 1.657000 1.657000 43.35 2.167500 2.16750022 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.73 1.695000 1.695000 32.08 2.291428 2.29142823 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 24.13 1.723571 1.723571 32.62 2.330000 2.33000024 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 24.13 1.723571 1.723571 32.62 2.330000 2.33000025 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 33.91 1.695500 1.695500 44.36 2.218000 2.21800026 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 29.01 2.072142 1.988400 37.95 2.710714 2.60100027 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 26.92 3.845714 1.988400 35.21 5.030000 2.60100028 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 27.85 5.570000 1.988400 36.43 7.286000 2.60100029 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 20.78 2.968571 1.988400 28.09 4.012857 2.60100030 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 19.39 19.390000 16.812000 26.21 26.210000 22.72800031 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 29.92 29.920000 28.056000 39.14 39.140000 37.92000032 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 18.11 18.110000 16.812000 24.48 24.480000 22.72800033 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 17.24 17.240000 16.812000 23.30 23.300000 22.72800034 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 23.38 23.380000 23.380000 31.60 31.600000 31.60000035 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 14.01 14.010000 14.010000 18.94 18.940000 18.94000036 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 47.03 47.030000 46.872000 61.52 61.520000 61.30800037 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 34.29 34.290000 28.128000 44.85 44.850000 38.01600038 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 39.06 39.060000 39.060000 51.09 51.090000 51.09000039 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 23.44 23.440000 23.440000 31.68 31.680000 31.68000040 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 41.12 41.120000 41.120000 53.78 53.780000 53.78000041 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 50 139.72 2.794400 2.794400 170.57 3.411400 3.41140042 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 10 29.14 2.914000 2.914000 38.11 3.811000 3.81100043 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 100 277.91 2.779100 2.779100 339.27 3.392700 3.39270044 J01GA01 STREPTOMYCINUM STREPTOMICINA SULFAT BP PULB. PT. SOL. INJ. 1g ANTIBIOTICE S.A. ROMANIA CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G PRF 50 139.72 2.794400 2.794400 170.57 3.411400 3.41140045 J01GB04 KANAMYCINUM PAN - KANAMYCINE PULB. PT. SOL. INJ. 1g LAB. PANPHARMA FRANTA CUTIE X 50 FLAC. X 1 G P-RF/S 50 81.11 1.622200 1.622200 102.56 2.051200 2.05120046 J01GB06 AMIKACINUM BIODACYNA SOL. INJ. 1g/4ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ. P-RF 1 9.47 9.470000 9.470000 12.80 12.800000 12.80000047 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 5.15 5.150000 5.150000 6.96 6.960000 6.96000048 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.81 1.481000 1.008000 20.02 2.002000 1.36320049 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.40 0.840000 0.840000 11.36 1.136000 1.13600050 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 51.89 2.594500 2.594500 65.61 3.280500 3.28050051 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.52 2.852000 2.852000 37.31 3.731000 3.73100052 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 5.13 0.513000 0.422400 6.93 0.693000 0.57120053 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 5.05 0.505000 0.422400 6.83 0.683000 0.57120054 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.85 0.485000 0.422400 6.56 0.656000 0.57120055 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 5.05 0.505000 0.422400 6.83 0.683000 0.57120056 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 5.05 0.505000 0.422400 6.83 0.683000 0.57120057 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 5.05 0.505000 0.422400 6.83 0.683000 0.57120058 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.52 0.352000 0.352000 4.76 0.476000 0.47600059 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.10 0.455000 0.422400 12.30 0.615000 0.57120060 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 9.10 0.455000 0.422400 12.30 0.615000 0.57120061 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 5.82 0.582000 0.422400 7.87 0.787000 0.57120062 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 6.50 0.650000 0.576000 8.78 0.878000 0.77880063 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.78 0.978000 0.576000 13.22 1.322000 0.77880064 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.80 0.480000 0.480000 6.49 0.649000 0.64900065 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 9.78 0.978000 0.576000 13.22 1.322000 0.77880066 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.83 0.683000 0.576000 9.23 0.923000 0.77880067 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 12.16 0.608000 0.576000 16.43 0.821500 0.77880068 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 9.78 0.978000 0.576000 13.22 1.322000 0.77880069 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 9.78 0.978000 0.576000 13.22 1.322000 0.77880070 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 9.78 0.978000 0.576000 13.22 1.322000 0.778800

Pagina 8 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

71 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 11.19 1.119000 0.576000 15.12 1.512000 0.77880072 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 29.43 2.943000 2.943000 38.50 3.850000 3.85000073 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 28.52 2.852000 2.852000 37.31 3.731000 3.73100074 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 66.99 9.570000 9.570000 84.70 12.100000 12.10000075 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 20.44 6.813333 0.576000 27.63 9.210000 0.77880076 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF 5 12.42 2.484000 2.484000 16.79 3.358000 3.27744077 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 111.86 2.237200 2.237200 136.56 2.731200 2.73120078 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 12.42 2.484000 2.484000 16.79 3.358000 3.27744079 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 3.54 3.540000 2.684640 4.79 4.790000 3.27744080 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 7.09 7.090000 7.090000 9.58 9.580000 9.58000081 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 128.87 12.887000 12.887000 157.33 15.733000 15.73300082 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 69.19 6.919000 6.919000 87.49 8.749000 8.74900083 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 133.17 13.317000 8.302800 162.58 16.258000 10.49880084 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 14.29 14.290000 14.290000 19.31 19.310000 18.87960085 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 63.98 12.796000 12.796000 80.90 16.180000 16.18000086 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 63.98 12.796000 12.796000 80.90 16.180000 16.18000087 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER PHARMA AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 594.69 118.938000 118.938000 686.36 137.272000 137.27200088 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 594.69 118.938000 118.938000 686.36 137.272000 137.27200089 J04AB01 CICLOSERINUM HELPOCERIN CAPS. 250mg HELP PHARMACEUTICALS LTD. GRECIA CUTIE X 5 BLIST. X 10 CAPS. S/P-RF 50 190.37 3.807400 3.807400 232.40 4.648000 4.64800090 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 50 219.50 4.390000 4.390000 267.96 5.359200 5.35920091 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 100 425.06 4.250600 4.250600 501.47 5.014700 5.01470092 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1,000 163.52 0.163520 0.163520 199.62 0.199620 0.19962093 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. S/P-RF 20 4.16 0.208000 0.196224 5.62 0.281000 0.23954494 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S 1,000 436.71 0.436710 0.436710 514.17 0.514170 0.51417095 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. S/P-RF 10 4.80 0.480000 0.480000 6.49 0.649000 0.61700496 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. S 1,500 108.12 0.072080 0.072080 131.99 0.087993 0.08799397 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1,500 108.12 0.072080 0.072080 131.99 0.087993 0.08799398 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1,500 270.36 0.180240 0.180240 330.05 0.220033 0.22003399 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1,500 270.36 0.180240 0.180240 330.05 0.220033 0.220033

100 J04AD01 PROTIONAMIDUM PETEHA COMPR. 250 mg S.C. PHARMA S.A. ROMANIA CUTIE X 100 COMPR. S/P-RF 100 98.56 0.985600 0.985600 124.62 1.246200 1.246200101 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1,500 434.58 0.289720 0.289720 511.84 0.341226 0.341226102 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 6.75 0.337500 0.337500 9.12 0.456000 0.409471103 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1,500 252.90 0.168600 0.168600 308.74 0.205826 0.205826104 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1,500 395.15 0.263433 0.263433 468.86 0.312573 0.312573105 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1,000 438.43 0.438430 0.438430 516.04 0.516040 0.516040

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILEC) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLIL OR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI

1 J05AH01 ZANAMIVIRUM RELENZA 5 mg PULB. UNIDOZA DE INHALAT 5mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER P-RF 5 59.59 11.918000 11.918000 75.34 15.068000 15.0680002 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 37.94 3.794000 3.794000 49.62 4.962000 4.9620003 J05AH02 OSELTAMIVIRUM TAMIFLU 45mg CAPS. 45mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 67.34 6.734000 6.734000 85.15 8.515000 8.5150004 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF 10 60.15 6.015000 6.015000 76.06 7.606000 7.6060005 J05AH02 OSELTAMIVIRUM TAMIFLU 12 mg/ml PULB. PT. SUSP. ORALA 12mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE P-RF 1 60.15 60.150000 60.150000 76.06 76.060000 76.060000

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 132.97 2.659400 2.659400 162.33 3.246600 3.2466002 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 19.33 0.386600 0.386600 26.13 0.522600 0.5226003 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 11.76 11.760000 11.760000 15.89 15.890000 15.8900004 L01AA02 CHLORAMBUCILUM LEUKERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 5.25 0.210000 0.210000 7.09 0.283600 0.2836005 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 6.90 0.276000 0.276000 9.32 0.372800 0.3728006 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 92.66 92.660000 92.660000 117.16 117.160000 117.1600007 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 11.61 0.464400 0.464400 15.69 0.627600 0.6276008 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SANDOZ 100 mg CAPS. 100 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 1,053.87 210.774000 210.774000 1,186.87 237.374000 237.3740009 L01AX03 TEMOZOLOMIDUM** TEMOMEDAC 100 mg CAPS. 100 mg MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA FLACON DIN STICLĂ BRUNĂ, CU CAPAC ALB CU FILET DIN POLIPROPILENĂ, SECURIZAT PENTRU COPII, CU SIGI P-RF 5 1,053.87 210.774000 210.774000 1,186.87 237.374000 237.374000

10 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE TEVA 100 mg CAPS. 100mg TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 1,053.87 210.774000 210.774000 1,186.87 237.374000 237.37400011 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SUN 100 mg CAPS. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE PRF 5 1,014.50 202.900000 202.900000 1,143.96 228.792000 228.79200012 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE HOSPIRA 100mg CAPS. 100mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR 5 981.14 196.228000 196.228000 1,107.59 221.518000 221.51800013 L01AX03 TEMOZOLOMIDUM** TEMODAL 100 mg CAPS. 100mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 1,605.17 321.034000 235.473600 1,787.79 357.558000 265.82160014 L01AX03 TEMOZOLOMIDUM** TEMODAL 100 mg CAPS. 100mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 1,544.59 308.918000 235.473600 1,721.76 344.352000 265.82160015 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SUN 140 mg CAPS. 140mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE PRF 5 1,648.19 329.638000 329.638000 1,834.68 366.936000 366.93600016 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE HOSPIRA 140mg CAPS. 140mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR 5 1,439.82 287.964000 287.964000 1,607.56 321.512000 321.51200017 L01AX03 TEMOZOLOMIDUM** TEMODAL 140mg CAPS. 140mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 2,519.53 503.906000 345.556800 2,784.44 556.888000 385.81440018 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE HOSPIRA 180mg CAPS. 180mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR 5 1,898.52 379.704000 379.704000 2,107.54 421.508000 421.50800019 L01AX03 TEMOZOLOMIDUM** TEMODAL 180 mg CAPS. 180mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 3,211.93 642.386000 455.644800 3,539.16 707.832000 505.80960020 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SANDOZ 20 mg CAPS. 20 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 229.67 45.934000 40.329600 280.38 56.076000 49.23360021 L01AX03 TEMOZOLOMIDUM** TEMODAL 20 mg CAPS. 20mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 351.21 70.242000 40.329600 420.97 84.194000 49.23360022 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE TEVA 20 mg CAPS. 20mg TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 229.67 45.934000 40.329600 280.38 56.076000 49.23360023 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SUN 20 mg CAPS. 20mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE PRF 5 200.35 40.070000 40.070000 244.59 48.918000 48.91800024 L01AX03 TEMOZOLOMIDUM** TEMOMEDAC 20 mg CAPS. 20mg MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA FLACON DIN STICLĂ BRUNĂ, CU CAPAC ALB CU FILET DIN POLIPROPILENĂ, SECURIZAT PENTRU COPII, CU SIGI P-RF 5 229.67 45.934000 40.329600 280.38 56.076000 49.23360025 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE HOSPIRA 20 mg CAPS. 20mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR 5 168.04 33.608000 33.608000 205.14 41.028000 41.028000

Pagina 9 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

26 L01AX03 TEMOZOLOMIDUM** TEMODAL 20 mg CAPS. 20mg SP EUROPE BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 338.84 67.768000 40.329600 407.49 81.498000 49.23360027 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SANDOZ 250 mg CAPS. 250 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 2,539.46 507.892000 507.892000 2,806.17 561.234000 561.23400028 L01AX03 TEMOZOLOMIDUM** TEMOMEDAC 250 mg CAPS. 250 mg MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA FLACON DIN STICLĂ BRUNĂ, CU CAPAC ALB CU FILET DIN POLIPROPILENĂ, SECURIZAT PENTRU COPII, CU SIGI P-RF 5 2,539.46 507.892000 507.892000 2,806.17 561.234000 561.23400029 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE TEVA 250 mg CAPS. 250mg TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 2,539.46 507.892000 507.892000 2,806.17 561.234000 561.23400030 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE SUN 250 mg CAPS. 250mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE PRF 5 2,539.46 507.892000 507.892000 2,806.17 561.234000 561.23400031 L01AX03 TEMOZOLOMIDUM** TEMODAL 250 mg CAPS. 250mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 3,890.71 778.142000 609.470400 4,279.03 855.806000 673.48080032 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE HOSPIRA 250mg CAPS. 250mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR 5 2,539.46 507.892000 507.892000 2,806.17 561.234000 561.23400033 L01AX03 TEMOZOLOMIDUM** TEMODAL 5 mg CAPS. 5mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 91.66 18.332000 10.454400 115.90 23.180000 13.67520034 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDE HOSPIRA 5mg CAPS. 5mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR 5 43.56 8.712000 8.712000 56.98 11.396000 11.39600035 L01AX03 TEMOZOLOMIDUM** TEMODAL 2,5mg/ml PULB. PT. SOL. PERF. 2,5mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. P-RF/R 1 1,219.56 1,219.560000 1,219.560000 1,367.47 1,367.470000 1,367.47000036 L01AX04 DACARBAZINUM DACARBAZIN TEVA 200mg PULB. PT. SOL. INJ. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 10 FLACOANE X 200MG PULB. PT SOL INJ. PR 10 309.43 30.943000 30.943000 375.43 37.543000 37.54300037 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 70.91 70.910000 70.910000 89.66 89.660000 89.66000038 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 1 332.72 332.720000 332.720000 400.81 400.810000 400.81000039 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 5 197.47 39.494000 39.494000 241.07 48.214000 48.21400040 L01BA01 METHOTREXATUM EMTHEXATE PF SOL INJ. 25mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FIOLA X 2ML PR 1 53.61 53.610000 53.610000 67.79 67.790000 67.79000041 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 17.62 1.762000 1.762000 23.82 2.382000 2.38200042 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ PR 1 45.60 45.600000 45.600000 59.64 59.640000 59.64000043 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 62.22 62.220000 62.220000 78.67 78.670000 78.67000044 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 87.07 87.070000 87.070000 110.09 110.090000 110.09000045 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 100.34 100.340000 100.340000 122.50 122.500000 122.50000046 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 86.63 86.630000 86.630000 109.54 109.540000 109.54000047 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 101.74 101.740000 101.740000 124.21 124.210000 124.21000048 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 59.16 59.160000 54.720000 74.80 74.800000 71.56800049 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 62.22 62.220000 62.220000 78.67 78.670000 78.67000050 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 5,045.07 5,045.070000 5,045.070000 5,537.28 5,537.280000 5,537.28000051 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 35.56 1.422400 1.422400 46.51 1.860400 1.86040052 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 76.25 3.050000 3.050000 96.41 3.856400 3.85640053 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML S 1 1,435.80 1,435.800000 1,435.800000 1,603.17 1,603.170000 1,603.17000054 L01BB05 FLUDARABINUM**** FLUDARA ORAL 10 mg COMPR. FILM. 10mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 1,494.08 74.704000 74.704000 1,666.70 83.335000 83.33500055 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S 5 1,252.62 250.524000 250.524000 1,403.51 280.702000 280.70200056 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 340.13 340.130000 300.628800 408.89 408.890000 336.84240057 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 97.56 9.756000 9.756000 123.36 12.336000 12.33600058 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 4.62 4.620000 4.620000 6.24 6.240000 6.24000059 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 76.34 76.340000 76.340000 96.52 96.520000 96.52000060 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 45.22 45.220000 45.220000 59.15 59.150000 59.15000061 L01BC01 CYTARABINUM DEPOCYTE 50mg SUSP. INJ. 50mg PACIRA LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML) S 1 6,970.59 6,970.590000 6,970.590000 7,636.10 7,636.100000 7,636.10000062 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 90.11 90.110000 90.110000 113.94 113.940000 113.94000063 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 7.09 7.090000 7.090000 9.58 9.580000 9.58000064 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 3.50 3.500000 3.500000 4.73 4.730000 4.73000065 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 14.14 14.140000 14.140000 19.11 19.110000 19.11000066 L01BC02 FLUOROURACILUM FLURACEDYL 5% SOL. INJ. 50mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FIOLA X 5ML PR 1 5.82 5.820000 4.200000 7.87 7.870000 5.67600067 L01BC02 FLUOROURACILUM FLURACEDYL 5% SOL. INJ. 50mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FIOLA X 10ML PR 1 11.53 11.530000 8.508000 15.59 15.590000 11.49600068 L01BC02 FLUOROURACILUM FLURACEDYL 5% SOL. INJ. 50mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FIOLA X 20ML PR 1 19.87 19.870000 16.968000 26.86 26.860000 22.93200069 L01BC02 FLUOROURACILUM EFUDIX UNGUENT 50 mg/g ICN HUNGARY CO. LTD. UNGARIA CUTIE X 1 TUB X 20 G UNGUENT S/P-RF 1 92.03 92.030000 92.030000 116.36 116.360000 116.36000070 L01BC05 GEMCITABINUM** GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA S 1 185.77 185.770000 185.770000 226.79 226.790000 226.79000071 L01BC05 GEMCITABINUM** GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 MG GEMCITABINA S 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000072 L01BC05 GEMCITABINUM** GEMSOL 40 mg/ml CONC. PT. SOL. PERF. 40 mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACON STICLA INCOLORA SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL. PERF. X 2000 MG PR 1 367.76 367.760000 367.760000 439.01 439.010000 439.01000073 L01BC05 GEMCITABINUM** GEMSOL 40 mg/ml CONC. PT. SOL. PERF. 40 mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST. ,,ONCO-SAFE" A 5 ML CONC .SOL. PERF. X 200 MG PR 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000074 L01BC05 GEMCITABINUM** GEMSOL 40 mg/ml CONC. PT. SOL. PERF. 40 mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACOANE STICLA INCOLORA SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL. PERF. X 1000 MG PR 1 185.77 185.770000 185.770000 226.79 226.790000 226.79000075 L01BC05 GEMCITABINUM** GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA PR 1 518.45 518.450000 441.312000 603.26 603.260000 526.81200076 L01BC05 GEMCITABINUM** GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA PR 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000077 L01BC05 GEMCITABINUM** GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA PR 1 185.77 185.770000 185.770000 226.79 226.790000 226.79000078 L01BC05 GEMCITABINUM** GEMZAR 1000 mg PULB. PT. SOL. PERF. 1000 mg LILLY FRANCE SAS FRANTA CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S 1 285.80 285.800000 217.632000 348.91 348.910000 265.68000079 L01BC05 GEMCITABINUM** NALLIAN1000 mg PULB. PT. SOL. PERF. 1000 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA S 1 185.77 185.770000 185.770000 226.79 226.790000 226.79000080 L01BC05 GEMCITABINUM** DERCIN 1000 mg PULB. PT. SOL. PERF. 1000 mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF. S 1 185.76 185.760000 185.760000 226.77 226.770000 226.77000081 L01BC05 GEMCITABINUM** GEMCITABINA ATB 1000 mg PULB. PT. SOL. PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT. SOL. PERF. PR 1 185.77 185.770000 185.770000 226.79 226.790000 226.79000082 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 1000 mg PULB. PT. SOL. PERF. 1000mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF. S 1 185.77 185.770000 185.770000 226.79 226.790000 226.79000083 L01BC05 GEMCITABINUM** DAPLAX 1 g PULB. PT. SOL. PERF. 1g DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA S 1 185.76 185.760000 185.760000 226.77 226.770000 226.77000084 L01BC05 GEMCITABINUM** GEMCITIN 1 g PULB. PT. SOL. PERF. 1g ICN POLFA RZESZOW S.A. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S 1 276.61 276.610000 217.632000 337.68 337.680000 265.68000085 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 2000 mg PULB. PT. SOL. PERF. 2000mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2000 MG PULB. PT. SOL. PERF. S 1 367.77 367.770000 367.770000 439.02 439.020000 439.02000086 L01BC05 GEMCITABINUM** GEMZAR (R) 200 mg PULB. PT. SOL. PERF. 200mg LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S 1 62.79 62.790000 49.848000 79.39 79.390000 65.20800087 L01BC05 GEMCITABINUM** GEMCITABINA ATB 200 mg PULB. PT. SOL. PERF. 200mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT. SOL. PERF. PR 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000088 L01BC05 GEMCITABINUM** DERCIN 200 mg PULB. PT. SOL. PERF. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF. S 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000089 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 200 mg PULB. PT. SOL. PERF. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF. S 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000090 L01BC05 GEMCITABINUM** DAPLAX 200 mg PULB. PT. SOL. PERF. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA S 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000091 L01BC05 GEMCITABINUM** NALLIAN 200 mg PULB. PT. SOL. PERF. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA S 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000092 L01BC05 GEMCITABINUM** GEMCITIN 200 mg PULB. PT. SOL. PERF. 200mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S 1 56.22 56.220000 49.848000 71.09 71.090000 65.20800093 L01BC05 GEMCITABINUM** GEMCITABINE MEDAC 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA S 1 431.18 431.180000 217.632000 508.14 508.140000 265.68000094 L01BC05 GEMCITABINUM** GEMCITABINE MEDAC 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CONTINAND 1500 MG GEMCITABINA S 1 631.97 631.970000 335.400000 727.00 727.000000 409.45200095 L01BC05 GEMCITABINUM** GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA S 1 41.54 41.540000 41.540000 54.34 54.340000 54.34000096 L01BC05 GEMCITABINUM** GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S 1 185.77 185.770000 185.770000 226.79 226.790000 226.79000097 L01BC05 GEMCITABINUM** GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA S 1 367.76 367.760000 367.760000 439.01 439.010000 439.01000098 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA S 1 368.80 368.800000 368.800000 440.14 440.140000 440.14000099 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1500MG GEMCITABINA S 1 279.50 279.500000 279.500000 341.21 341.210000 341.210000

100 L01BC05 GEMCITABINUM** GEMCITABINE MEDAC 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA S 1 94.72 94.720000 49.848000 119.76 119.760000 65.208000

Pagina 10 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

101 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA S 1 41.54 41.540000 41.540000 54.34 54.340000 54.340000102 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S 1 181.36 181.360000 181.360000 221.40 221.400000 221.400000103 L01BC05 GEMCITABINUM** GEMCITABINE MYLAN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MYLAN S.A.S. FRANTA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA S 1 62.79 62.790000 49.848000 79.39 79.390000 65.208000104 L01BC05 GEMCITABINUM** GEMCITABINE MYLAN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml MYLAN S.A.S. FRANTA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA S 1 285.80 285.800000 217.632000 348.91 348.910000 265.680000105 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 60 240.10 4.001666 4.001666 293.12 4.885333 4.885333106 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 1,478.14 12.317833 12.317833 1,649.33 13.744416 13.744416107 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 120 1,970.65 16.422083 16.422083 2,186.16 18.218000 18.218000108 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 36 612.17 17.004722 17.004722 705.42 19.595000 19.595000109 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 20.66 20.660000 20.660000 27.92 27.920000 27.920000110 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 195.08 195.080000 195.080000 238.15 238.150000 238.150000111 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 292.59 292.590000 292.590000 357.19 357.190000 357.190000112 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 1 352.01 352.010000 230.950800 421.84 421.840000 256.315200113 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 72.14 72.140000 57.096000 91.21 91.210000 66.812400114 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 1 72.15 72.150000 57.096000 91.23 91.230000 66.812400115 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 10 475.80 47.580000 47.580000 556.77 55.677000 55.677000116 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 1 448.89 448.890000 230.950800 527.44 527.440000 256.315200117 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 72.15 72.150000 57.096000 91.23 91.230000 66.812400118 L01CA04 VINORELBINUM TELBINE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 1 72.14 72.140000 57.096000 91.21 91.210000 66.812400119 L01CA04 VINORELBINUM TELBINE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 352.01 352.010000 230.950800 421.84 421.840000 256.315200120 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 50mg/5ml CONC. PT. SOL. PERF. 50mg/5ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 351.98 351.980000 230.950800 421.81 421.810000 256.315200121 L01CA04 VINORELBINUM VINORELBINE POLPHARMA 50mg/5ml CONC. PT. SOL. PERF. 50mg/5ml PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 10 1,924.59 192.459000 192.459000 2,135.96 213.596000 213.596000122 L01CA04 VINORELBINUM NAVELBINE (R) SOL. INJ. 10mg/ml LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML S 10 1,020.92 102.092000 57.096000 1,150.95 115.095000 66.812400123 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF 10 311.36 31.136000 31.136000 377.53 37.753000 37.753000124 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF 20 308.57 15.428500 15.428500 374.49 18.724500 18.724500125 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 39.04 39.040000 38.352000 51.07 51.070000 50.172000126 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 32.83 32.830000 32.830000 42.94 42.940000 42.940000127 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 31.96 31.960000 31.960000 41.81 41.810000 41.810000128 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 61.07 61.070000 61.070000 77.22 77.220000 77.220000129 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S 1 448.50 448.500000 448.500000 527.02 527.020000 527.020000130 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S 5 2,122.51 424.502000 424.502000 2,351.69 470.338000 470.338000131 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 1,100.68 1,100.680000 1,100.680000 1,237.89 1,237.890000 1,237.890000132 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 1 356.99 356.990000 356.990000 427.27 427.270000 427.270000133 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 1 114.95 114.950000 114.950000 140.33 140.330000 132.744000134 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S 5 1,574.25 314.850000 314.850000 1,754.09 350.818000 350.818000135 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 106.15 106.150000 106.150000 129.59 129.590000 129.590000136 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 5 503.92 100.784000 100.784000 587.42 117.484000 117.484000137 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S 1 338.86 338.860000 338.860000 407.51 407.510000 407.510000138 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF. S 1 114.92 114.920000 114.920000 140.30 140.300000 132.744000139 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 5 4,934.31 986.862000 986.862000 5,416.56 1,083.312000 1,083.312000140 L01CD01 PACLITAXELUM** PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL S 1 1,100.51 1,100.510000 1,100.510000 1,237.71 1,237.710000 1,237.710000141 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 1 832.08 832.080000 509.402400 945.12 945.120000 564.405600142 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 1,010.86 1,010.860000 1,010.860000 1,139.99 1,139.990000 1,139.990000143 L01CD01 PACLITAXELUM** PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL S 1 114.66 114.660000 114.660000 139.98 139.980000 132.744000144 L01CD01 PACLITAXELUM** PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL S 1 356.77 356.770000 356.770000 427.03 427.030000 427.030000145 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 1,010.91 1,010.910000 1,010.910000 1,140.04 1,140.040000 1,140.040000146 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 1 114.95 114.950000 114.950000 140.33 140.330000 132.744000147 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 1 356.99 356.990000 356.990000 427.27 427.270000 427.270000148 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 1,100.68 1,100.680000 1,100.680000 1,237.89 1,237.890000 1,237.890000149 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF. S 1 356.96 356.960000 356.960000 427.24 427.240000 427.240000150 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 MG CONC. PT. SOL. PERF. S 1 559.30 559.300000 509.402400 647.79 647.790000 564.405600151 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 10 979.86 97.986000 97.986000 1,106.20 110.620000 110.620000152 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 1,265.52 316.380000 316.380000 1,417.57 354.392500 354.392500153 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 1 909.41 909.410000 909.410000 1,029.41 1,029.410000 1,029.410000154 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 1 559.41 559.410000 509.402400 647.91 647.910000 564.405600155 L01CD01 PACLITAXELUM** PACLITAXEL ARCHIE SAMUEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF. S 1 1,100.65 1,100.650000 1,100.650000 1,237.86 1,237.860000 1,237.860000156 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 1 545.21 545.210000 309.876000 632.43 632.430000 378.300000157 L01CD02 DOCETAXELUM** DOCETAXEL TEVA 20mg/0,5ml CONC. + SOLV. PT. SOL. PERF. 20mg/0,5ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV. S 1 364.84 364.840000 309.876000 435.83 435.830000 378.300000158 L01CD02 DOCETAXELUM** DOCETAXEL ACTAVIS 20 mg/0,5 ml CONC. + SOLV. PT. SOL. PERF. 20mg/0,5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL. S 1 364.79 364.790000 309.876000 435.77 435.770000 378.300000159 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 2,090.86 2,090.860000 1,099.680000 2,317.19 2,317.190000 1,244.436000160 L01CD02 DOCETAXELUM** DOCETAXEL ACTAVIS 80 mg/2 ml CONC. + SOLV. PT. SOL. PERF. 80mg/2ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE S 1 1,369.45 1,369.450000 1,099.680000 1,530.85 1,530.850000 1,244.436000161 L01CD02 DOCETAXELUM** DOCETAXEL TEVA 80mg/2ml CONC. + SOLV. PT. SOL. PERF. 80mg/2ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV. S 1 1,369.55 1,369.550000 1,099.680000 1,530.96 1,530.960000 1,244.436000162 L01CD02 DOCETAXELUM** DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO P-RF/R 1 1,542.65 1,542.650000 1,542.650000 1,719.64 1,719.640000 1,719.640000163 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LTD MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF. S/P-RF 1 261.93 261.930000 261.930000 319.77 319.770000 319.770000164 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LTD MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF. S/P-RF 1 924.37 924.370000 924.370000 1,045.72 1,045.720000 1,045.720000165 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LTD MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16 ML CONC. PT. SOL. PERF. S/P-RF 1 1,706.08 1,706.080000 1,706.080000 1,897.78 1,897.780000 1,897.780000166 L01CD02 DOCETAXELUM** DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF. P-RF/R 1 261.95 261.950000 261.950000 319.79 319.790000 319.790000167 L01CD02 DOCETAXELUM** DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF. P-RF/R 1 924.39 924.390000 924.390000 1,045.74 1,045.740000 1,045.740000168 L01CD02 DOCETAXELUM** TAXOTERE 160 mg/8ml CONC. PT. SOL. PERF. 160 mg/8 ml AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X 160MG S 1 2,608.58 2,608.580000 1,851.180000 2,881.51 2,881.510000 2,063.568000169 L01CD02 DOCETAXELUM** TAXOTERE 20 mg/1ml CONC. PT. SOL. PERF. 20mg/1ml AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF. S 1 396.36 396.360000 309.876000 470.18 470.180000 378.300000170 L01CD02 DOCETAXELUM** DOCIRENA 20 mg/1 ml CONC. PT. SOL. PERF. 20mg/1ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 1 ML CONC. PT. SOL. PERF. PR 1 258.23 258.230000 258.230000 315.25 315.250000 315.250000171 L01CD02 DOCETAXELUM** DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX PR 1 261.95 261.950000 261.950000 319.79 319.790000 319.790000172 L01CD02 DOCETAXELUM** DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX PR 1 924.39 924.390000 924.390000 1,045.74 1,045.740000 1,045.740000173 L01CD02 DOCETAXELUM** DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA PR 1 2,373.51 2,373.510000 2,373.510000 2,625.28 2,625.280000 2,625.280000174 L01CD02 DOCETAXELUM** TAXOTERE 80 mg/4ml CONC. PT. SOL. PERF. 80mg/4ml AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF. S 1 1,405.98 1,405.980000 1,099.680000 1,570.67 1,570.670000 1,244.436000175 L01CD02 DOCETAXELUM** DOCIRENA 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 4 ML CONC. PT. SOL. PERF. PR 1 916.40 916.400000 916.400000 1,037.03 1,037.030000 1,037.030000

Pagina 11 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

176 L01CD02 DOCETAXELUM** TAXEGIS 20 mg CONC. SI SOLV. PT. SOL. PERF. 20mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU 0,5 ML CONC. PT. S PR 1 364.88 364.880000 309.876000 435.87 435.870000 378.300000177 L01CD02 DOCETAXELUM** TAXEGIS 80 mg CONC. SI SOLV. PT. SOL. PERF. 80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO PR 1 1,369.55 1,369.550000 1,099.680000 1,530.96 1,530.960000 1,244.436000178 L01DA01 DACTINOMICINUM4 COSMEGEN LYOVAC 0,5 mg SOL. INJ. 0,5mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 3 ML SOL. INJ X 1 108.74 108.740000 108.740000 132.75 132.750000 132.750000179 L01DB01 DOXORUBICINUM DHARUXO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 27.42 27.420000 27.420000 35.86 35.860000 35.860000180 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML S 1 3,567.70 3,567.700000 2,455.548000 3,926.95 3,926.950000 2,699.442000181 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA PR 1 28.22 28.220000 28.220000 36.91 36.910000 36.910000182 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA PR 1 89.23 89.230000 89.230000 112.82 112.820000 112.820000183 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA PR 1 225.68 225.680000 225.680000 275.51 275.510000 275.510000184 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 1 110.17 110.170000 107.076000 134.49 134.490000 134.490000185 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 28.22 28.220000 28.220000 36.91 36.910000 36.910000186 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. CARE CONTINE 10 MG DOXORUBICINA PR 1 27.18 27.180000 27.180000 35.55 35.550000 35.550000187 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1,445.08 1,445.080000 1,445.080000 1,613.29 1,613.290000 1,613.290000188 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOXORUBICINA PR 1 62.33 62.330000 62.330000 78.81 78.810000 78.810000189 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 25 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG DOXORUBICINA PR 1 105.66 105.660000 105.660000 128.99 128.990000 128.990000190 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 50 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG DOXORUBICINA PR 1 208.14 208.140000 208.140000 254.10 254.100000 254.100000191 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 75 ML CONC. PT. SOL. PERF. CARE CONTINE 150 MG DOXORUBICINA PR 1 261.57 261.570000 261.570000 319.32 319.320000 319.320000192 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 100 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG DOXORUBICINA PR 1 269.92 269.920000 269.920000 329.52 329.520000 329.520000193 L01DB01 DOXORUBICINUM DHARUXO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF. PR 1 66.23 66.230000 66.230000 83.74 83.740000 83.740000194 L01DB01 DOXORUBICINUM DHARUXO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 101.03 101.030000 101.030000 123.34 123.340000 123.340000195 L01DB01 DOXORUBICINUM DOXORUBICINA TEVA 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE DOXORUBICINA S 1 63.03 63.030000 63.030000 79.70 79.700000 79.700000196 L01DB01 DOXORUBICINUM DOXORUBICINA TEVA 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 50 MG CLORHIDRAT DE DOXORUBICINA S 1 89.23 89.230000 89.230000 112.82 112.820000 112.820000197 L01DB01 DOXORUBICINUM MYOCET 50mg PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF 50mg CEPHALON EUROPE FRANTA CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.) S 2 4,092.58 2,046.290000 2,046.290000 4,499.07 2,249.535000 2,249.535000198 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 X 50 MG CLORHIDRAT DE DOXORUBICINA S 1 105.66 105.660000 105.660000 128.99 128.990000 128.990000199 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 DOXORUBICIN S 1 27.18 27.180000 27.180000 35.55 35.550000 35.550000200 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 66.46 66.460000 66.460000 84.03 84.030000 84.030000201 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 89.23 89.230000 89.230000 112.82 112.820000 112.820000202 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 48.67 48.670000 45.636000 63.66 63.660000 59.688000203 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 1 454.46 454.460000 260.400000 533.51 533.510000 317.892000204 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 1 231.77 231.770000 165.624000 282.94 282.940000 202.188000205 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 59.72 59.720000 45.636000 75.51 75.510000 59.688000206 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 42.74 42.740000 42.740000 55.90 55.900000 55.900000207 L01DB03 EPIRUBICINUM FARMORUBICIN (R) 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 1 261.82 261.820000 165.624000 319.63 319.630000 202.188000208 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 1 233.65 233.650000 165.624000 285.24 285.240000 202.188000209 L01DB03 EPIRUBICINUM EPIRUBICINA KABI 2 mg/ml SOL. INJ./PERF. 2 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG PR 1 138.02 138.020000 138.020000 168.49 168.490000 168.490000210 L01DB03 EPIRUBICINUM EPIRUBICINA KABI 2 mg/ml SOL. INJ./PERF. 2 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ./PERF. X 200 MG PR 1 396.30 396.300000 396.300000 470.12 470.120000 470.120000211 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML) S 1 38.03 38.030000 38.030000 49.74 49.740000 49.740000212 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) S 1 81.95 81.950000 81.950000 103.62 103.620000 103.620000213 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) S 1 197.39 197.390000 165.624000 240.97 240.970000 202.188000214 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) S 1 217.00 217.000000 217.000000 264.91 264.910000 264.910000215 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML) S 1 397.31 397.310000 397.310000 471.22 471.220000 471.220000216 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ. S 1 204.65 204.650000 165.624000 249.84 249.840000 202.188000217 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA S 1 39.99 39.990000 39.990000 52.31 52.310000 52.310000218 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA S 1 80.83 80.830000 80.830000 102.20 102.200000 102.200000219 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA S 1 198.48 198.480000 165.624000 242.30 242.300000 202.188000220 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA S 1 450.99 450.990000 260.400000 529.73 529.730000 317.892000221 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA S 1 771.75 771.750000 475.560000 879.36 879.360000 564.144000222 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ. S 1 42.50 42.500000 42.500000 55.59 55.590000 55.590000223 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ. S 1 83.38 83.380000 83.380000 105.42 105.420000 105.420000224 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ. S 1 588.06 588.060000 588.060000 679.14 679.140000 679.140000225 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ. S 1 773.38 773.380000 475.560000 881.13 881.130000 564.144000226 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 203.33 203.330000 203.330000 248.22 248.220000 248.220000227 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 143.35 143.350000 143.350000 175.00 175.000000 175.000000228 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 1 555.48 555.480000 555.480000 643.62 643.620000 643.620000229 L01DC01 BLEOMYCINUM SULFAS BLEOMYCIN 15000 UI PULB. PT. SOL. INJ. 15000 UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 000UI PULB INJ. PR 1 105.44 105.440000 105.440000 128.72 128.720000 128.720000230 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 9.17 9.170000 9.170000 12.39 12.390000 12.390000231 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 24.41 24.410000 24.410000 32.99 32.990000 32.990000232 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 7.75 7.750000 7.750000 10.48 10.480000 10.480000233 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 7.75 7.750000 7.750000 10.48 10.480000 10.480000234 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 19.18 19.180000 19.180000 25.92 25.920000 25.920000235 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 24.41 24.410000 24.410000 32.99 32.990000 32.990000236 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 22.06 22.060000 22.060000 29.81 29.810000 29.810000237 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 31.57 31.570000 29.292000 41.30 41.300000 39.588000238 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 62.52 62.520000 56.940000 79.05 79.050000 74.472000239 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 1 132.81 132.810000 132.810000 162.14 162.140000 162.140000240 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 50.00 50.000000 50.000000 63.22 63.220000 63.220000241 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 18.05 18.050000 18.050000 24.39 24.390000 24.390000242 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 1 178.07 178.070000 159.372000 217.39 217.390000 194.568000243 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 21.86 21.860000 21.660000 29.55 29.550000 29.268000244 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 47.45 47.450000 47.450000 62.06 62.060000 62.060000245 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 1 133.04 133.040000 133.040000 162.41 162.410000 162.410000246 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml CONC. PT. SOL. PERF. 5 mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 10 ML CONC. PT. SOL. PERF PR 1 264.15 264.150000 264.150000 322.48 322.480000 322.480000247 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml CONC. PT. SOL. PERF. 5 mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 20 ML CONC. PT. SOL. PERF PR 1 523.31 523.310000 523.310000 608.56 608.560000 608.560000248 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml CONC. PT. SOL. PERF. 5 mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 40 ML CONC. PT. SOL. PERF PR 1 1,396.48 1,396.480000 1,239.252000 1,560.32 1,560.320000 1,396.560000249 L01XA03 OXALIPLATINUM OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF. S 1 322.25 322.250000 316.980000 389.40 389.400000 386.976000250 L01XA03 OXALIPLATINUM OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF. S 1 615.78 615.780000 615.780000 709.35 709.350000 709.350000

Pagina 12 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

251 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF. S 1 2,132.32 2,132.320000 1,239.252000 2,362.38 2,362.380000 1,396.560000252 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA S 1 322.25 322.250000 316.980000 389.40 389.400000 386.976000253 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA S 1 615.78 615.780000 615.780000 709.35 709.350000 709.350000254 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF. S 1 480.70 480.700000 316.980000 562.11 562.110000 386.976000255 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG OXALIPLATINA PR 1 322.26 322.260000 316.980000 389.41 389.410000 386.976000256 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG OXALIPLATINA PR 1 615.78 615.780000 615.780000 709.35 709.350000 709.350000257 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF. S 1 931.20 931.200000 627.972000 1,053.16 1,053.160000 730.272000258 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. C PR 1 293.86 293.860000 293.860000 358.74 358.740000 358.740000259 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. C PR 1 564.27 564.270000 564.270000 653.20 653.200000 653.200000260 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG OXALIPLATINA PR 1 1,396.51 1,396.510000 1,239.252000 1,560.35 1,560.350000 1,396.560000261 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. C PR 1 1,032.71 1,032.710000 1,032.710000 1,163.80 1,163.800000 1,163.800000262 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. PR 1 1,032.71 1,032.710000 1,032.710000 1,163.80 1,163.800000 1,163.800000263 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 1 615.78 615.780000 615.780000 709.35 709.350000 709.350000264 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 1 322.26 322.260000 316.980000 389.41 389.410000 386.976000265 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml PULB. PT. SOL. INJ. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 50 ML X 100 MG OXALIPLATINA S 1 572.27 572.270000 572.270000 661.92 661.920000 661.920000266 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml PULB. PT. SOL. INJ. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 30 ML X 50 MG OXALIPLATINA S 1 297.71 297.710000 297.710000 363.44 363.440000 363.440000267 L01XA03 OXALIPLATINUM OXALIPLATIN MEDICO UNO 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA S 1 517.78 517.780000 316.980000 602.53 602.530000 386.976000268 L01XA03 OXALIPLATINUM REZIDOL 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 322.21 322.210000 316.980000 389.36 389.360000 386.976000269 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA S 1 615.78 615.780000 615.780000 709.35 709.350000 709.350000270 L01XA03 OXALIPLATINUM OXALIPLATIN MEDICO UNO 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA S 1 1,005.54 1,005.540000 627.972000 1,134.19 1,134.190000 730.272000271 L01XA03 OXALIPLATINUM OXALIPLATIN PHARMASWISS 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 322.25 322.250000 316.980000 389.40 389.400000 386.976000272 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI S 1 457.29 457.290000 316.980000 536.60 536.600000 386.976000273 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 322.25 322.250000 316.980000 389.40 389.400000 386.976000274 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT S 1 1,609.04 1,609.040000 1,609.040000 1,792.01 1,792.010000 1,792.010000275 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT S 1 871.57 871.570000 627.972000 988.16 988.160000 730.272000276 L01XA03 OXALIPLATINUM REZIDOL 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA S 1 615.76 615.760000 615.760000 709.33 709.330000 709.330000277 L01XA03 OXALIPLATINUM OXALIPLATIN PHARMASWISS 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA S 1 615.78 615.780000 615.780000 709.35 709.350000 709.350000278 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 2,221.55 1,110.775000 1,110.775000 2,459.64 1,229.820000 1,229.820000279 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 5,509.03 5,509.030000 5,509.030000 6,043.00 6,043.000000 6,043.000000280 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 2,621.74 2,621.740000 2,621.740000 2,895.85 2,895.850000 2,895.850000281 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 4,923.23 1,641.076666 1,641.076666 5,404.48 1,801.493333 1,801.493333282 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 4,923.64 1,641.213333 1,641.213333 5,404.92 1,801.640000 1,801.640000283 L01XC06 CETUXIMABUM**** ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. S 1 871.19 871.190000 871.190000 987.75 987.750000 987.750000284 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 CONC. PT. SOL. PERF. S 1 1,332.54 1,332.540000 1,332.540000 1,490.62 1,490.620000 1,490.620000285 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 CONC. PT. SOL. PERF. S 1 5,246.58 5,246.580000 5,246.580000 5,756.93 5,756.930000 5,756.930000286 L01XE01 IMATINIBUM**** GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. P-RF/R 120 9,032.83 75.273583 75.273583 9,883.95 82.366250 82.366250287 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 6,304.73 210.157666 210.157666 6,910.31 230.343666 230.343666288 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 8,391.10 279.703333 279.703333 9,184.46 306.148666 306.148666289 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 1,911.34 63.711333 63.711333 2,121.51 70.717000 70.717000290 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 5,042.42 168.080666 168.080666 5,534.39 184.479666 184.479666291 L01XE04 SUNITINIBUM**** SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 10,054.84 335.161333 335.161333 10,997.94 366.598000 366.598000292 L01XE04 SUNITINIBUM**** SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 20,079.69 669.323000 669.323000 21,925.04 730.834666 730.834666293 L01XE05 SORAFENIBUM**** NEXAVAR 200 mg COMPR. FILM. 200mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM. P-RF/R 112 14,588.00 130.250000 130.250000 15,939.09 142.313303 142.313303294 L01XE06 DASATINIBUM**** SPRYCEL 100mg COMPR. FILM. 100 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-RF/R 30 16,311.93 543.731000 543.731000 17,818.18 593.939333 593.939333295 L01XE06 DASATINIBUM**** SPRYCEL 20mg COMPR. FILM. 20 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 7,697.81 128.296833 128.296833 8,428.77 140.479500 140.479500296 L01XE06 DASATINIBUM**** SPRYCEL 50mg COMPR. FILM. 50 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 15,365.65 256.094166 256.094166 16,786.73 279.778833 279.778833297 L01XE06 DASATINIBUM**** SPRYCEL 70mg COMPR. FILM. 70 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 15,365.65 256.094166 256.094166 16,786.73 279.778833 279.778833298 L01XE09 TEMSIROLIMUSUM TORISEL 25mg/ml CONC. + SOLV. PT. SOL. PERF. 25mg/ml WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT S 1 3,737.17 3,737.170000 3,737.170000 4,111.67 4,111.670000 4,111.670000299 L01XX02 ASPARAGINAZUM ASPARAGINASE 10000 MEDAC LIOF. PT. SOL. INJ./PERF. 10000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF. S 1 314.90 314.900000 314.900000 381.39 381.390000 381.390000300 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 1,461.36 292.272000 292.272000 1,631.03 326.206000 326.206000301 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 1,222.80 244.560000 244.560000 1,371.00 274.200000 274.200000302 L01XX02 ASPARAGINAZUM ASPARAGINASE 5000 MEDAC LIOF. PT. SOL. INJ./PERF. 5000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF. S 1 262.42 262.420000 262.420000 320.36 320.360000 320.360000303 L01XX05 HYDROXYCARBAMIDUM HYDREA CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF 100 65.72 0.657200 0.657200 83.10 0.831000 0.831000304 L01XX11 ESTRAMUSTINUM ESTRACYT CAPS. 140mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 100 CAPS. P-RF 100 345.51 3.455100 3.455100 414.76 4.147600 4.147600305 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 1,582.86 158.286000 158.286000 1,763.47 176.347000 176.347000306 L01XX17 TOPOTECAMUM TOPOTECAN TEVA 1 mg/1ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML P-RF/R 1 170.26 170.260000 170.260000 207.85 207.850000 207.850000307 L01XX17 TOPOTECAMUM TOPOTECAN EBEWE 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONC. PT. SOL. PERF. PR 1 649.10 649.100000 649.100000 745.67 745.670000 745.670000308 L01XX17 TOPOTECAMUM TOPOTECAN TEVA 4 mg/4ml CONC. PT. SOL. PERF. 4mg/4ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML P-RF/R 1 649.09 649.090000 649.090000 745.66 745.660000 745.660000309 L01XX17 TOPOTECAMUM POTACTASOL 4mg PULB. PT. CONC. PT. SOL. PERF. 1 mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA PR 1 649.10 649.100000 649.100000 745.67 745.670000 745.670000310 L01XX17 TOPOTECAMUM TOPOTECAN ATB 1 mg PULB. PT. CONC. PT. SOL. PERF. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML X 1 MG TOPOTECAN PR 1 170.26 170.260000 170.260000 207.85 207.850000 207.850000311 L01XX17 TOPOTECAMUM TOPOTECAN KABI 4 mg PULB. PT. CONC. PT. SOL. PERF. 4 mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO PR 1 647.24 647.240000 647.240000 743.64 743.640000 743.640000312 L01XX17 TOPOTECAMUM TOPOTECAN KABI 4 mg PULB. PT. CONC. PT. SOL. PERF. 4 mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO PR 5 3,116.22 623.244000 623.244000 3,434.83 686.966000 686.966000313 L01XX17 TOPOTECAMUM TOPOTECAN ATB 4 mg PULB. PT. CONC. PT. SOL. PERF. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML X 4 MG TOPOTECAN PR 1 649.09 649.090000 649.090000 745.66 745.660000 745.660000314 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 4 mg PULB. PT. CONC. PT. SOL. PERF. 4mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. CONC. PT. SOL. PERF. S 1 647.70 647.700000 647.700000 744.14 744.140000 744.140000315 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 1 982.46 982.460000 747.892800 1,109.03 1,109.030000 824.359200316 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF. PR 1 119.02 119.020000 119.020000 145.30 145.300000 145.300000317 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF. PR 1 312.84 312.840000 312.840000 379.15 379.150000 379.150000318 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF. PR 1 507.64 507.640000 507.640000 591.48 591.480000 591.480000319 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF. PR 1 936.01 936.010000 936.010000 1,058.40 1,058.400000 1,058.400000320 L01XX19 IRINOTECANUM IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF. S 1 167.11 167.110000 142.824000 204.01 204.010000 174.360000321 L01XX19 IRINOTECANUM IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 5 ML CONC. PR. SOL. PERF. S 1 426.18 426.180000 358.452000 502.69 502.690000 437.592000322 L01XX19 IRINOTECANUM LUDIRADOL 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 6 ML X 100 MG IRINOTECAN PR 1 355.85 355.850000 355.850000 426.03 426.030000 426.030000323 L01XX19 IRINOTECANUM IRINOTECAN POLPHARMA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 2 ML CONC. PT. SOL. PERF. S 1 119.47 119.470000 119.470000 145.85 145.850000 145.850000324 L01XX19 IRINOTECANUM TEKAZOL 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN S 1 125.76 125.760000 125.760000 153.53 153.530000 153.530000325 L01XX19 IRINOTECANUM IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. S 1 152.48 152.480000 142.824000 186.15 186.150000 174.360000

Pagina 13 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

326 L01XX19 IRINOTECANUM IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. S 1 374.64 374.640000 358.452000 446.51 446.510000 437.592000327 L01XX19 IRINOTECANUM IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. S 1 1,753.18 1,753.180000 1,123.212000 1,949.12 1,949.120000 1,270.080000328 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S 1 1,295.74 1,295.740000 609.168000 1,450.51 1,450.510000 709.776000329 L01XX19 IRINOTECANUM IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT S 1 167.11 167.110000 142.824000 204.01 204.010000 174.360000330 L01XX19 IRINOTECANUM IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT S 1 426.18 426.180000 358.452000 502.69 502.690000 437.592000331 L01XX19 IRINOTECANUM IRINOTECAN POLPHARMA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF. S 1 298.71 298.710000 298.710000 364.66 364.660000 364.660000332 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 1 163.74 163.740000 142.824000 199.89 199.890000 174.360000333 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 1 402.16 402.160000 358.452000 476.50 476.500000 437.592000334 L01XX19 IRINOTECANUM IRINOTECAN EBEWE 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 5 ML CONC. S 1 416.85 416.850000 358.452000 492.52 492.520000 437.592000335 L01XX19 IRINOTECANUM IRINOTECAN EBEWE 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15 ML CONC S 1 1,345.75 1,345.750000 609.168000 1,505.02 1,505.020000 709.776000336 L01XX19 IRINOTECANUM IRINOTECAN ALVOGEN 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ALVOGEN ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML CARE CONTINE 100 MG IRINOTECAN S 1 326.85 326.850000 326.850000 394.42 394.420000 394.420000337 L01XX19 IRINOTECANUM IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 15 ML CONC. PR. SOL. PERF. S 1 1,394.57 1,394.570000 609.168000 1,558.23 1,558.230000 709.776000338 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF. S 1 639.39 639.390000 358.452000 735.09 735.090000 437.592000339 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF. S 1 2,129.33 2,129.330000 609.168000 2,359.12 2,359.120000 709.776000340 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ. S 1 2,010.90 2,010.900000 1,123.212000 2,230.03 2,230.030000 1,270.080000341 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 1 639.50 639.500000 358.452000 735.21 735.210000 437.592000342 L01XX19 IRINOTECANUM TEKAZOL 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN S 1 314.42 314.420000 314.420000 380.87 380.870000 380.870000343 L01XX19 IRINOTECANUM IRINOTECAN ATB 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML X 5 ML CONC. PT. SOL. PERF. INCHIS CU DOP D PR 1 426.10 426.100000 358.452000 502.60 502.600000 437.592000344 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R 100 2,567.46 25.674600 25.674600 2,836.68 28.366800 28.366800345 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 P-RF/R 1 4,587.17 4,587.170000 4,587.170000 5,038.17 5,038.170000 5,038.170000346 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 97.75 3.258333 3.258333 123.59 4.119666 4.119666347 L02AE02 LEUPRORELINUM** ELIGARD 22,5 mg LIOF. SI SOLV. PT. SOL. INJ. 22,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE S 1 1,020.28 1,020.280000 1,020.280000 1,150.26 1,150.260000 1,150.260000348 L02AE02 LEUPRORELINUM** ELIGARD 7,5 mg LIOF. SI SOLV. PT. SOL. INJ. 7,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE S 1 369.22 369.220000 369.220000 440.60 440.600000 440.600000349 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA S/P-RF 1 877.79 877.790000 877.790000 994.94 994.940000 994.940000350 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB S/P-RF 1 359.23 359.230000 359.230000 429.71 429.710000 429.710000351 L02AE02 LEUPRORELINUM** ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ 45mg ASTELLAS PHARMA EUROPE BV OLANDA O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B) S 1 2,030.80 2,030.800000 2,030.800000 2,251.73 2,251.730000 2,251.730000352 L02AE03 GOSERELINUM** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT S 1 1,040.75 1,040.750000 1,040.750000 1,172.57 1,172.570000 1,172.570000353 L02AE03 GOSERELINUM** ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 365.48 365.480000 365.480000 436.52 436.520000 436.520000354 L02AE04 TRIPTORELINUM** DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0,1mg IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 110.27 15.752857 15.752857 134.62 19.231428 19.231428355 L02AE04 TRIPTORELINUM** DIPHERELINE PR 11,25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 11,25mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B S/P-RF 1 1,051.98 1,051.980000 1,051.980000 1,184.81 1,184.810000 1,184.810000356 L02AE04 TRIPTORELINUM** DIPHERELINE 3,75 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 3,75mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B S/P-RF 1 369.20 369.200000 369.200000 440.58 440.580000 440.580000357 L02AE04 TRIPTORELINUM** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 723.90 25.853571 18.903428 827.20 29.542857 23.077714358 L02AE04 TRIPTORELINUM** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 7 190.84 27.262857 18.903428 232.98 33.282857 23.077714359 L02BA01 TAMOXIFENUM TAMOXIFEN 10 TEVA COMPR. 10mg PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF/S 100 16.12 0.161200 0.161200 21.79 0.217900 0.217900360 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF/S 100 39.78 0.397800 0.193440 52.03 0.520300 0.261480361 L02BA03 FULVESTRANTUM** FASLODEX 250mg/5ml SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC P-RF 1 1,551.89 1,551.890000 1,551.890000 1,729.71 1,729.710000 1,729.710000362 L02BB01 FLUTAMIDUM FLUTASIN 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR. P-RF 30 30.83 1.027666 1.027666 40.32 1.344000 1.344000363 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 113.97 1.139700 1.139700 139.14 1.391400 1.391400364 L02BB01 FLUTAMIDUM FLUTAMIDE CSC 250 mg COMPR. FILM. 250mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM. P-RF 30 33.52 1.117333 1.117333 43.84 1.461333 1.461333365 L02BB03 BICALUTAMIDUM BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg ALVOGEN ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM P6L 28 381.97 13.641785 13.641785 454.50 16.232142 16.232142366 L02BB03 BICALUTAMIDUM BICALUTAMIDA SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU BLISTERE PVC-ACLAR/AL X 30 COMPR. FILM. P-6L 30 415.88 13.862666 13.862666 491.46 16.382000 16.382000367 L02BB03 BICALUTAMIDUM BICALUTAMID TERAPIA 150 mg COMPR. FILM. 150mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 356.54 12.733571 12.733571 426.78 15.242142 15.242142368 L02BB03 BICALUTAMIDUM YONISTIB 150 mg COMPR. FILM. 150mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 394.41 14.086071 14.086071 468.06 16.716428 16.716428369 L02BB03 BICALUTAMIDUM BICALUTAMIDA KABI 150 mg COMPR. FILM. 150mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 355.82 12.707857 12.707857 425.99 15.213928 15.213928370 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 590.67 21.095357 15.249428 681.98 24.356428 18.256714371 L02BB03 BICALUTAMIDUM BICALUTAMIDA KABI 50 mg COMPR. FILM. 50 mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM. P6L 14 71.40 5.100000 5.100000 90.28 6.448571 6.448571372 L02BB03 BICALUTAMIDUM BICALUTAMIDA KABI 50 mg COMPR. FILM. 50 mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM. P6L 28 140.25 5.008928 5.008928 171.22 6.115000 6.115000373 L02BB03 BICALUTAMIDUM BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50 mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P6L 28 168.59 6.021071 5.983999 205.82 7.350714 7.305199374 L02BB03 BICALUTAMIDUM BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50 mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. PEID CU CAPAC PP X 28 COMPR.FILM. P6L 28 168.59 6.021071 5.983999 205.82 7.350714 7.305199375 L02BB03 BICALUTAMIDUM BICALUTAMIDA ALVOGEN 50 mg COMPR. FILM. 50mg ALVOGEN ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM P6L 28 152.77 5.456071 5.456071 186.50 6.660714 6.660714376 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 141.19 5.042500 5.042500 172.37 6.156071 6.156071377 L02BB03 BICALUTAMIDUM BICALUTAMIDA SANDOZ 50 mg COMPR. FILM. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 149.60 4.986666 4.986666 182.63 6.087666 6.087666378 L02BB03 BICALUTAMIDUM YONISTIB 50 mg COMPR. FILM. 50mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 187.29 6.688928 5.983999 228.65 8.166071 7.305199379 L02BB03 BICALUTAMIDUM BICALUTAMIDA ATB 50 mg COMPR. FILM. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PR 30 199.57 6.652333 5.983999 243.63 8.121000 7.305199380 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 28 288.09 10.288928 5.983999 351.70 12.560714 7.305199381 L02BB03 BICALUTAMIDUM BICATLON 50mg COMPR. FILM. 50mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 186.27 6.652500 5.983999 227.40 8.121428 7.305199382 L02BB03 BICALUTAMIDUM CALUMID COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. P-6L 30 200.69 6.689666 5.983999 245.00 8.166666 7.305199383 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 124.00 3.100000 3.100000 151.38 3.784500 3.784500384 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P-6L/S 300 1,914.54 6.381800 3.399857 2,125.00 7.083333 4.298570385 L02BG03 ANASTROZOLUM ENZAMIDEX 1mg COMPR. FILM. 1mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 113.17 3.772333 3.399857 138.16 4.605333 4.298570386 L02BG03 ANASTROZOLUM ANASTROZOL BLUEFISH 1 mg COMPR. FILM. 1mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 80.01 2.857500 2.857500 101.17 3.613214 3.613214387 L02BG03 ANASTROZOLUM ARIMIDEX COMPR. FILM. 1mg ACTAVIS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L 28 162.50 5.803571 3.399857 198.38 7.085000 4.298570388 L02BG03 ANASTROZOLUM KYARESTA 1 mg COMPR. FILM. 1mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L 28 95.19 3.399642 3.399642 120.36 4.298571 4.298570389 L02BG03 ANASTROZOLUM ANASTROZOL ATB 1 mg COMPR. FILM. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P -6L 30 113.17 3.772333 3.399857 138.16 4.605333 4.298570390 L02BG03 ANASTROZOLUM OZOLAN 1 mg COMPR. FILM. 1mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 95.20 3.400000 3.399857 120.37 4.298928 4.298570391 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. P-6L 30 113.17 3.772333 3.399857 138.16 4.605333 4.298570392 L02BG03 ANASTROZOLUM ANASTROZOL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 107.55 3.841071 3.399857 131.30 4.689285 4.298570393 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 28 128.99 4.606785 3.399857 157.47 5.623928 4.298570394 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 289.53 5.790600 3.399857 353.46 7.069200 4.298570395 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P-6L 84 509.65 6.067261 3.399857 593.67 7.067500 4.298570396 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P-6L 98 600.71 6.129693 3.399857 692.92 7.070612 4.298570397 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 613.71 6.137100 3.399857 707.09 7.070900 4.298570398 L02BG03 ANASTROZOLUM ANASTROZOL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 113.18 3.772666 3.399857 138.17 4.605666 4.298570399 L02BG03 ANASTROZOLUM ANASTROZOLE MEDICO UNO 1 mg COMPR. FILM. 1mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 93.05 3.323214 3.323214 117.65 4.201785 4.201785400 L02BG03 ANASTROZOLUM OZOLAN 1 mg COMPR. FILM. 1mg S.C. CORIS PHARMA S.R.L. ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 107.55 3.841071 3.399857 131.30 4.689285 4.298570

Pagina 14 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

401 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 161.78 5.777857 3.399857 197.50 7.053571 4.298570402 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 173.39 5.779666 3.399857 211.68 7.056000 4.298570403 L02BG03 ANASTROZOLUM ANAROMAT 1 mg COMPR. FILM. 1mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 89.60 3.200000 3.200000 113.29 4.046071 4.046071404 L02BG03 ANASTROZOLUM AXASTROL 1 mg COMPR. FILM. 1mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 106.54 3.805000 3.399857 130.06 4.645000 4.298570405 L02BG03 ANASTROZOLUM ANASTROZOL KABI 1 mg COMPR. FILM. 1mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM. P6L 14 40.38 2.884285 2.884285 52.82 3.772857 3.772857406 L02BG03 ANASTROZOLUM ANASTROZOL KABI 1 mg COMPR. FILM. 1mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM. P6L 28 79.33 2.833214 2.833214 100.30 3.582142 3.582142407 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 115.31 5.765500 3.399857 140.77 7.038500 4.298570408 L02BG03 ANASTROZOLUM ANASTRAZE 1 mg COMPR. FILM. 1mg SANDOZ SRL ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 94.64 3.380000 3.380000 119.66 4.273571 4.273571409 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L 90 338.63 3.762555 3.399857 407.26 4.525111 4.298570410 L02BG03 ANASTROZOLUM ELOZA 1 mg COMPR. FILM. 1mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 91.40 3.046666 3.046666 115.56 3.852000 3.852000411 L02BG04 LETROZOLUM LETROZOL TERAPIA 2,5 mg COMPR. FILM. 2,5 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM. P6L 30 198.16 6.605333 6.577999 241.92 8.064000 8.030400412 L02BG04 LETROZOLUM LETROZOL KABI 2,5 mg COMPR. FILM. 2,5mg FRESENIUS KABI ONCOLOGY PLC MACEDONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 199.46 7.123571 6.577999 243.50 8.696428 8.030400413 L02BG04 LETROZOLUM LETROZOL KABI 2,5 mg COMPR. FILM. 2,5mg FRESENIUS KABI ONCOLOGY PLC MACEDONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L 10 72.53 7.253000 6.577999 91.71 9.171000 8.030400414 L02BG04 LETROZOLUM LETROZOL KABI 2,5 mg COMPR. FILM. 2,5mg FRESENIUS KABI ONCOLOGY PLC MACEDONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 14 101.54 7.252857 6.577999 123.96 8.854285 8.030400415 L02BG04 LETROZOLUM LETROZOL TEVA 2,5 mg COMPR. FILM. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 228.64 7.621333 6.577999 279.12 9.304000 8.030400416 L02BG04 LETROZOLUM LETROZOL ALVOGEN 2,5 mg COMPR. FILM. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 196.90 6.563333 6.563333 240.38 8.012666 8.012666417 L02BG04 LETROZOLUM ETRUZIL 2,5 mg COMPR. FILM. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L 30 196.59 6.553000 6.553000 240.00 8.000000 8.000000418 L02BG04 LETROZOLUM LETROZOL BLUEFISH 2,5 mg COMPR. FILM. 2,5mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 165.03 5.501000 5.501000 201.47 6.715666 6.715666419 L02BG04 LETROZOLUM TROZEL 2,5 mg COMPR. FILM. 2,5mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 196.59 6.553000 6.553000 240.00 8.000000 8.000000420 L02BG04 LETROZOLUM LETROZOL SANOFI-AVENTIS 2,5 mg COMPR. FILM. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 197.34 6.578000 6.577999 240.91 8.030333 8.030333421 L02BG04 LETROZOLUM LETROZOL ATB 2,5 mg COMPR. FILM. 2,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM. P6L 30 317.16 10.572000 6.577999 383.85 12.795000 8.030400422 L02BG04 LETROZOLUM LETROZOL POLPHARMA 2,5 mg COMPR. FILM. 2,5mg PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L 30 255.63 8.521000 6.577999 312.07 10.402333 8.030400423 L02BG04 LETROZOLUM LEZRA 2,5 mg COMPR. FILM. 2,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 195.80 6.526666 6.526666 239.03 7.967666 7.967666424 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 30 473.58 15.786000 6.577999 554.35 18.478333 8.030400425 L02BG04 LETROZOLUM ZOTROL 2,5 mg COMPR. FILM. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L 30 164.45 5.481666 5.481666 200.76 6.692000 6.692000426 L02BG04 LETROZOLUM LETRALAN 2,5 mg COMPR. FILM. 2,5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 215.13 7.171000 6.577999 262.63 8.754333 8.030400427 L02BG04 LETROZOLUM LETROZOLE MEDICO UNO 2,5mg COMPR. FILM. 2,5mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 166.18 5.935000 5.935000 202.87 7.245357 7.245357428 L02BG04 LETROZOLUM ZEQUIPRA 2,5 mg COMPR. FILM. 2,5mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P-6L 30 196.90 6.563333 6.563333 240.38 8.012666 8.012666429 L02BG04 LETROZOLUM LETROZOL POLIPHARMA 2,5 mg COMPR. FILM. 2,5mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 164.45 5.481666 5.481666 200.76 6.692000 6.692000430 L02BG06 EXEMESTANUM AROSTANIL 25 mg COMPR. FILM. 25 mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 154.58 5.152666 5.152666 188.71 6.290333 6.290333431 L02BG06 EXEMESTANUM EXESTRALAN 25 mg COMPR. FILM. 25mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 200.35 6.678333 6.183199 244.59 8.153000 7.548400432 L02BG06 EXEMESTANUM EXEMESTAN MEDISON PHARMA 25 mg COMPR. FILM. 25mg MEDISON PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF 30 201.50 6.716666 6.183199 245.99 8.199666 7.548400433 L02BG06 EXEMESTANUM EXEMESTAN ACTAVIS 25 mg COMPR. FILM. 25mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF 30 183.66 6.122000 6.122000 224.21 7.473666 7.473666434 L02BG06 EXEMESTANUM EXEMESTAN TEVA 25 mg COMPR. FILM. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM P-RF 30 201.62 6.720666 6.183199 246.14 8.204666 7.548400435 L02BG06 EXEMESTANUM EXEMESTAN ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 201.38 6.712666 6.183199 245.85 8.195000 7.548400436 L02BG06 EXEMESTANUM EXEMESTAN GLENMARK 2 5mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 185.49 6.183000 6.183000 226.45 7.548333 7.548333437 L02BG06 EXEMESTANUM EXEMESTAN TERAPIA 25 mg COMPR. FILM. 25mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF 30 185.48 6.182666 6.182666 226.44 7.548000 7.548000438 L02BG06 EXEMESTANUM XANEPRA 25 mg COMPR. FILM. 25mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM PRF 30 183.66 6.122000 6.122000 224.21 7.473666 7.473666439 L02BG06 EXEMESTANUM XANEPRA 25 mg COMPR. FILM. 25mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM PRF 30 183.66 6.122000 6.122000 224.21 7.473666 7.473666440 L02BG06 EXEMESTANUM EXEMESTAN ALVOGEN 25 mg COMPR. FILM. 25mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 183.67 6.122333 6.122333 224.23 7.474333 7.474333441 L02BG06 EXEMESTANUM INPLAVIA 25 mg COMPR. FILM. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR. FILM. PRF 30 176.84 5.894666 5.894666 215.89 7.196333 7.196333442 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 30 310.19 10.339666 6.183199 376.26 12.542000 7.548400443 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 1 267.05 267.050000 194.520000 326.02 326.020000 237.468000444 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 1 436.57 436.570000 313.092000 514.01 514.010000 382.224000445 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 162.10 162.100000 162.100000 197.89 197.890000 197.890000446 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.91 260.910000 260.910000 318.52 318.520000 318.520000447 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 418.45 83.690000 83.690000 494.26 98.852000 98.852000448 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 214.16 214.160000 194.520000 261.45 261.450000 237.468000449 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,001.12 200.224000 194.520000 1,129.37 225.874000 225.874000450 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.90 355.900000 313.092000 426.08 426.080000 382.224000451 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,656.30 331.260000 313.092000 1,843.52 368.704000 368.704000452 L03AA13 PEGFILGRASTIMUM*** NEULASTA 6mg SOL. INJ. 6 mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER, CU PROTECTIE A ACULUI PR 1 3,307.67 3,307.670000 3,307.670000 3,643.51 3,643.510000 3,643.510000453 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 3,307.67 3,307.670000 3,307.670000 3,643.51 3,643.510000 3,643.510000454 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 69.15 69.150000 69.150000 87.43 87.430000 87.430000455 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 1 150.08 150.080000 150.080000 183.22 183.220000 183.220000456 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 1 415.25 415.250000 415.250000 490.77 490.770000 490.770000457 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 1 673.78 673.780000 673.780000 772.57 772.570000 772.570000458 M05BA02 ACIDUM CLODRONICUM** BONEFOS® 800 mg COMPR. FILM. 800mg BAYER OY FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 586.00 9.766666 9.766666 676.89 11.281500 11.281500459 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 800 mg COMPR. FILM. 800mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 586.00 9.766666 9.766666 676.89 11.281500 11.281500460 M05BA02 ACIDUM CLODRONICUM** SINDRONAT (R) 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S 1 20.75 20.750000 20.750000 28.04 28.040000 28.040000461 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 60 mg/ml CONC. PT. SOL. PERF. 60mg/ml BAYER SCHERING PHARMA AG FINLANDA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 154.06 30.812000 24.900000 188.08 37.616000 33.648000462 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 1 185.79 185.790000 183.444000 226.81 226.810000 223.956000463 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 1 110.73 110.730000 110.730000 135.18 135.180000 135.180000464 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 1 529.92 529.920000 529.920000 615.76 615.760000 615.760000465 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 1 361.86 361.860000 285.384000 432.58 432.580000 348.396000466 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 1 152.87 152.870000 152.870000 186.63 186.630000 186.630000467 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 1 237.82 237.820000 237.820000 290.33 290.330000 290.330000468 M05BA03 ACIDUM PAMIDRONICUM** AREDIA (R) 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 4 595.85 148.962500 132.876000 687.63 171.907500 162.216000469 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 65.80 65.800000 48.528000 83.20 83.200000 63.480000470 M05BA06 ACIDUM IBANDRONICUM** QUODIXOR 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P-6L 1 56.52 56.520000 48.528000 71.46 71.460000 63.480000471 M05BA06 ACIDUM IBANDRONICUM** OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 55.29 55.290000 48.528000 69.91 69.910000 63.480000472 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L 1 40.44 40.440000 40.440000 52.90 52.900000 52.900000473 M05BA06 ACIDUM IBANDRONICUM** OSSICA 150 mg COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L 1 57.19 57.190000 48.528000 72.31 72.310000 63.480000474 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 105.93 105.930000 48.528000 129.32 129.320000 63.480000475 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM. 50 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE PR 28 519.62 18.557857 18.557857 604.54 21.590714 21.590714

Pagina 15 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

476 M05BA06 ACIDUM IBANDRONICUM** IASIBON 50 mg COMPR. FILM. 50mg PHARMATHEN S.A. GRECIA CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR 28 629.47 22.481071 22.269428 724.27 25.866785 25.866785477 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S 28 964.08 34.431428 22.269428 1,089.00 38.892857 25.908857478 M05BA06 ACIDUM IBANDRONICUM** HOLMEVIS 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. PR 28 637.16 22.755714 22.269428 732.65 26.166071 25.908857479 M05BA06 ACIDUM IBANDRONICUM** IASIBON 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml PHARMATHEN S.A. GRECIA CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR 1 596.39 596.390000 596.390000 688.22 688.220000 688.220000480 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S 1 901.37 901.370000 715.668000 1,020.64 1,020.640000 825.864000481 M05BA06 ACIDUM IBANDRONICUM** OSSICA 3 mg SOL INJ. IN SERINGA PREUMPLUTA 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE P6L 1 196.40 196.400000 179.712000 239.77 239.770000 219.396000482 M05BA06 ACIDUM IBANDRONICUM** OSAGRAND 3 mg/3 ml SOL. INJ. 3mg/3ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P6L 1 232.02 232.020000 179.712000 283.25 283.250000 219.396000483 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 354.51 354.510000 179.712000 424.57 424.570000 219.396000484 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC ALVOGEN 3 mg SOL.INJ. IN SERINGA PREUMPLUTA 3 mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ. PR 1 149.76 149.760000 149.760000 182.83 182.830000 182.830000485 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 1,098.45 1,098.450000 1,098.450000 1,235.46 1,235.460000 1,235.460000486 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 1,399.70 1,399.700000 1,399.700000 1,563.83 1,563.830000 1,563.830000487 V03AF01 MESNUM UROMITEXAN (R) 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 44.87 2.991333 2.991333 58.69 3.912666 3.912666488 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 29.11 1.455500 1.455500 38.08 1.904000 1.904000489 V03AF03 CALCII FOLINAS FOLCASIN (R) 100 mg/10 ml SOL. INJ. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML S/P-RF 1 29.47 29.470000 29.470000 38.55 38.550000 38.550000490 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S 1 29.50 29.500000 29.500000 38.59 38.590000 38.590000491 V03AF03 CALCII FOLINAS FOLCASIN (R) 30 mg/10 ml SOL. INJ. 3mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML S/P-RF 1 13.53 13.530000 12.055200 18.29 18.290000 15.242400492 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 P-RF 5 142.16 28.432000 28.432000 173.55 34.710000 34.710000493 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 P-RF 5 50.23 10.046000 10.046000 63.51 12.702000 12.702000494 V03AF05 AMIFOSTINUM** ETHYOL (R) 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 1,883.14 627.713333 627.713333 2,090.77 696.923333 696.923333

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE Subprogramul de tratament al sclerozei multiple

1 L03AB07 INTERFERONUM BETA 1A**** AVONEX 30 mcg BIO-SET PULB. + SOLV. PT. SOL. INJ. 30mcg (6 mil. UI) BIOGEN IDEC LIMITED MAREA BRITANIE CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT P-RF/R 4 3,085.23 771.307500 771.307500 3,401.05 850.262500 850.2625002 L03AB07 INTERFERONUM BETA 1A**** REBIF 44 micrograme SOL. INJ. 44mcg SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. P-RF/R 12 4,183.50 348.625000 348.625000 4,598.17 383.180833 383.1808333 L03AB08 INTERFERONUM BETA 1-B**** EXTAVIA 250 mcg/ ml PULB+SOLV.PT.SOL.INJ 250mcg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT P-RF/R 15 3,506.14 233.742666 233.742666 3,859.85 257.323333 257.3233334 L03AB08 INTERFERONUM BETA 1-B**** BETAFERON 250mcg/ml PULB. + SOLV. PT. SOL. INJ. 250mcg/ml BAYER SCHERING AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. P-RF/P 15 3,301.14 220.076000 220.076000 3,636.40 242.426666 242.4266665 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 3,083.08 110.110000 110.110000 3,398.71 121.382500 121.3825006 L04AA23 NATALIZUMABUM**** TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml ELAN PHARMA INTERNATIONAL LTD IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S 1 6,951.95 6,951.950000 6,951.950000 7,615.78 7,615.780000 7,615.7800007 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 83.19 0.831900 0.831900 105.18 1.051800 1.0518008 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 42.34 0.846800 0.846800 55.38 1.107600 1.1076009 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 63.98 0.639800 0.639800 80.90 0.809000 0.809000

10 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 62.39 0.623900 0.623900 78.89 0.788900 0.788900

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT Tratamentul medicamentos al bolnavilor cu diabet zah arat

1 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 90.98 18.196000 18.196000 115.03 23.006000 23.0060002 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 43.32 43.320000 43.320000 56.66 56.660000 56.6600003 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 99.04 19.808000 19.808000 125.23 25.046000 25.0460004 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 95.98 19.196000 19.196000 121.36 24.272000 24.2720005 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 5 137.54 27.508000 27.508000 167.91 33.582000 33.5820006 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml SoloStar 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 5 113.08 22.616000 21.835200 138.05 27.610000 27.6072007 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 95.98 19.196000 19.196000 121.36 24.272000 24.2720008 A10AB04 INSULINUM LISPRO** HUMALOG KWIKPEN100U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF 5 156.50 31.300000 30.950400 191.06 38.212000 37.7856009 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 5 128.96 25.792000 25.792000 157.44 31.488000 31.488000

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 5 130.56 26.112000 26.112000 159.39 31.878000 31.87800011 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 130.56 26.112000 26.112000 159.39 31.878000 31.87800012 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN FLACON 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON X 10 ML SOL. INJ. P-RF 1 79.27 79.270000 79.270000 100.23 100.230000 100.23000013 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 SOL. INJ. P-RF 5 130.56 26.112000 26.112000 159.39 31.878000 31.87800014 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 43.32 43.320000 43.320000 56.66 56.660000 56.66000015 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 90.98 18.196000 18.196000 115.03 23.006000 23.00600016 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 99.01 19.802000 19.802000 125.19 25.038000 25.03800017 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 5 137.54 27.508000 27.508000 167.91 33.582000 33.58200018 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 5 134.25 26.850000 21.835200 163.89 32.778000 27.60720019 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SoloStar 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 5 113.08 22.616000 21.835200 138.05 27.610000 27.60720020 A10AC04 INSULINUM LISPRO** HUMALOG BASAL KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ. P-RF 5 156.50 31.300000 31.300000 191.06 38.212000 38.21200021 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 43.32 43.320000 43.320000 56.66 56.660000 56.66000022 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 90.98 18.196000 18.196000 115.03 23.006000 23.00600023 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 99.01 19.802000 19.802000 125.19 25.038000 25.03800024 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 5 105.07 21.014000 21.014000 128.27 25.654000 25.65400025 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 99.01 19.802000 19.802000 125.19 25.038000 25.03800026 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 5 137.54 27.508000 27.508000 167.91 33.582000 33.58200027 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 5 134.25 26.850000 21.835200 163.89 32.778000 27.60720028 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SoloStar 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 5 113.08 22.616000 21.835200 138.05 27.610000 27.60720029 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 95.98 19.196000 19.196000 121.36 24.272000 24.27200030 A10AD04 INSULINUM LISPRO** HUMALOG MIX50 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF 5 156.50 31.300000 31.300000 191.06 38.212000 38.21200031 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 5 134.73 26.946000 26.946000 164.48 32.896000 32.89600032 A10AD04 INSULINUM LISPRO** HUMALOG MIX25 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF 5 156.50 31.300000 31.300000 191.06 38.212000 38.21200033 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 5 136.03 27.206000 27.206000 166.07 33.214000 33.21400034 A10AD05 INSULINUM ASPART** NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 140.58 28.116000 28.116000 171.62 34.324000 34.32400035 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 5 224.93 44.986000 44.986000 274.59 54.918000 54.918000

Pagina 16 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

36 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 1 153.99 153.990000 153.990000 187.99 187.990000 187.99000037 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 5 224.93 44.986000 44.986000 274.59 54.918000 54.91800038 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 5 224.93 44.986000 44.986000 274.59 54.918000 54.91800039 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 5 245.54 49.108000 49.108000 299.76 59.952000 59.95200040 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR. P-RF 50 6.30 0.126000 0.126000 8.52 0.170400 0.17040041 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. P-RF/S 200 25.16 0.125800 0.125800 32.91 0.164550 0.16455042 A10BA02 METFORMINUM METFORMIN ARENA 500 MG COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF 60 3.58 0.059666 0.059666 4.84 0.080666 0.08066643 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. P-RF 15 1.69 0.112666 0.112666 2.28 0.152000 0.15200044 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P-RF 30 11.34 0.378000 0.071599 15.33 0.511000 0.09679945 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 11.34 0.378000 0.071599 15.33 0.511000 0.09679946 A10BA02 METFORMINUM SERDENIS 1000 mg COMPR. FILM. 1000mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 6.75 0.225000 0.150960 9.12 0.304000 0.19746047 A10BA02 METFORMINUM SERDENIS 1000 mg COMPR. FILM. 1000mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 60 13.50 0.225000 0.150960 18.24 0.304000 0.19746048 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 13.42 0.223666 0.150960 18.14 0.302333 0.19746049 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 15.93 0.132750 0.132750 21.53 0.179416 0.17941650 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 6.64 0.221333 0.150960 8.98 0.299333 0.19746051 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 13.28 0.221333 0.150960 17.95 0.299166 0.19746052 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-6L 60 20.74 0.345666 0.150960 28.03 0.467166 0.19746053 A10BA02 METFORMINUM SERDENIS 1000 mg COMPR. FILM. 1000mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 90 20.25 0.225000 0.150960 27.37 0.304111 0.19746054 A10BA02 METFORMINUM METFORMIN BLUEFISH 1000 mg COMPR. FILM. 1000mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 12.24 0.204000 0.150960 16.55 0.275833 0.19746055 A10BA02 METFORMINUM METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 1.38 0.069000 0.069000 1.86 0.093000 0.09300056 A10BA02 METFORMINUM METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2.07 0.069000 0.069000 2.80 0.093333 0.09333357 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 5.10 0.085000 0.071599 6.89 0.114833 0.09679958 A10BA02 METFORMINUM DIPIMET 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 2.85 0.095000 0.071599 3.85 0.128333 0.09679959 A10BA02 METFORMINUM METFORMIN LPH (R) 500 mg COMPR. FILM. 500mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 2.95 0.098333 0.071599 3.99 0.133000 0.09679960 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 4.08 0.068000 0.068000 5.52 0.092000 0.09200061 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2.55 0.085000 0.071599 3.45 0.115000 0.09679962 A10BA02 METFORMINUM MEGUAN (R) 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 3.24 0.162000 0.071599 4.38 0.219000 0.09679963 A10BA02 METFORMINUM SERDENIS 850 mg COMPR. FILM. 850mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 60 7.27 0.121166 0.116400 9.82 0.163666 0.15739964 A10BA02 METFORMINUM SERDENIS 850 mg COMPR. FILM. 850mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 90 10.90 0.121111 0.116400 14.73 0.163666 0.15739965 A10BA02 METFORMINUM METFORMIN LPH (R) 850 mg COMPR. FILM. 850mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 3.65 0.121666 0.116400 4.93 0.164333 0.15739966 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 13.54 0.112833 0.112833 18.30 0.152500 0.15250067 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 3.60 0.120000 0.116400 4.87 0.162333 0.15739968 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 6.59 0.109833 0.109833 8.91 0.148500 0.14850069 A10BA02 METFORMINUM MEGUAN (R) 850 mg COMPR. FILM. 850mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 5.65 0.282500 0.116400 7.64 0.382000 0.15739970 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 5.82 0.097000 0.097000 7.87 0.131166 0.13116671 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 2.19 0.109500 0.109500 2.96 0.148000 0.14800072 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 3.28 0.109333 0.109333 4.44 0.148000 0.14800073 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100 10.96 0.109600 0.109600 14.82 0.148200 0.14820074 A10BA02 METFORMINUM SERDENIS 850 mg COMPR. FILM. 850mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 3.64 0.121333 0.116400 4.92 0.164000 0.15739975 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 7.18 0.119666 0.116400 9.71 0.161833 0.15739976 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 18.70 0.187000 0.116400 25.27 0.252700 0.15739977 A10BA02 METFORMINUM SIOFOR 850 mg COMPR. FILM. 850mg BERLIN-CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE CU 4 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 60 13.45 0.224166 0.116400 18.18 0.303000 0.15739978 A10BA03 BUFORMINUM SILUBIN RETARD DRAJ. RET. 100mg PHARMAFARM S.A. ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF 60 14.14 0.235666 0.235666 19.11 0.318500 0.31850079 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ATB 1,75 MG COMPR. 1,75 mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.41 0.047000 0.047000 1.91 0.063666 0.06366680 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 3.11 0.051833 0.051833 4.21 0.070166 0.07016681 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 8.60 0.086000 0.060799 11.62 0.116200 0.08200082 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 8.75 0.072916 0.060799 11.82 0.098500 0.08200083 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 1,000 55.56 0.055560 0.055560 70.25 0.070250 0.07025084 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.52 0.050666 0.050666 2.05 0.068333 0.06833385 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 2.26 0.037666 0.037666 3.05 0.050833 0.05083386 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 10.64 0.106400 0.040399 14.38 0.143800 0.05479987 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 6.34 0.052833 0.040399 8.57 0.071416 0.05479988 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 4.15 0.138333 0.040399 5.61 0.187000 0.05479989 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 1,000 76.44 0.076440 0.040399 96.65 0.096650 0.05479990 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ATB 3,5 MG COMPR. 3,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.01 0.033666 0.033666 1.37 0.045666 0.04566691 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.24 0.141333 0.141333 5.73 0.191000 0.19100092 A10BB07 GLIPIZIDUM GLIPIZID LPH 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 11.49 0.383000 0.383000 15.53 0.517666 0.51766693 A10BB07 GLIPIZIDUM GLIPIZIDA ATB 5mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 11.49 0.383000 0.383000 15.53 0.517666 0.51766694 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 E P-RF 30 35.35 1.178333 1.178333 46.24 1.541333 1.54133395 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 EL P-RF 30 17.67 0.589000 0.459600 23.88 0.796000 0.62119996 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 20.38 0.339666 0.339666 27.55 0.459166 0.45916697 A10BB09 GLICLAZIDUM DIABREZIDE COMPR. 80mg L. MOLTENI ITALIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. P-RF 40 9.71 0.242750 0.242750 13.13 0.328250 0.32825098 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-RF 30 9.71 0.323666 0.262399 13.13 0.437666 0.35460099 A10BB09 GLICLAZIDUM GLICLAZID LPH COMPR. 80mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 13.12 0.218666 0.218666 17.73 0.295500 0.295500

100 A10BB09 GLICLAZIDUM ADOZID MR 30 mg COMPR. CU ELIBERARE PRELUNGITA 30mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. CU ELIB. PRELUNGITA P-6L 60 12.13 0.202166 0.202166 16.39 0.273166 0.273166101 A10BB09 GLICLAZIDUM DIAPREL MR COMPR. ELIB. MODIF. 30mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF 60 18.67 0.311166 0.240799 25.24 0.420666 0.325600102 A10BB09 GLICLAZIDUM DIAPREL MR 60 mg COMPR. ELIB. MODIF. 60mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. P-RF 60 34.89 0.581500 0.581500 45.64 0.760666 0.760666103 A10BB09 GLICLAZIDUM GLICLAZIDA ATB 30 mg COMPR. ELIB. PREL. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF 30 6.02 0.200666 0.200666 8.14 0.271333 0.271333104 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 60 12.10 0.201666 0.201666 16.36 0.272666 0.272666105 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P-6L 60 12.10 0.201666 0.201666 16.36 0.272666 0.272666106 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 12.16 0.202666 0.202666 16.43 0.273833 0.273833107 A10BB12 GLIMEPIRIDUM TINERIL 4 mg COMPR 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.64 0.354666 0.311200 14.38 0.479333 0.420799108 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 3.10 0.103333 0.094399 4.19 0.139666 0.127600109 A10BB12 GLIMEPIRIDUM TINERIL 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 3.10 0.103333 0.094399 4.19 0.139666 0.127600110 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 3.06 0.102000 0.094399 4.14 0.138000 0.127600

Pagina 17 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

111 A10BB12 GLIMEPIRIDUM MEGLIMID 1 mg COMPR. 1mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.73 0.224333 0.094399 9.09 0.303000 0.127600112 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ATB 1 mg COMPR. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF 30 3.08 0.102666 0.094399 4.16 0.138666 0.127600113 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.36 0.078666 0.078666 3.19 0.106333 0.106333114 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 2.36 0.078666 0.078666 3.19 0.106333 0.106333115 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 3.64 0.121333 0.094399 4.92 0.164000 0.127600116 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 3.10 0.103333 0.094399 4.19 0.139666 0.127600117 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 2 mg COMPR. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 3.97 0.132333 0.132333 5.36 0.178666 0.178666118 A10BB12 GLIMEPIRIDUM AMYX 2 COMPR. 2mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 5.37 0.179000 0.158800 7.26 0.242000 0.214399119 A10BB12 GLIMEPIRIDUM TINERIL 2 mg COMPR. 2mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.37 0.179000 0.158800 7.26 0.242000 0.214399120 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 5.36 0.178666 0.158800 7.24 0.241333 0.214399121 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.97 0.132333 0.132333 5.36 0.178666 0.178666122 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 3.97 0.132333 0.132333 5.36 0.178666 0.178666123 A10BB12 GLIMEPIRIDUM MEGLIMID 2 mg COMPR. 2mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 13.35 0.445000 0.158800 18.04 0.601333 0.214399124 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ATB 2 mg COMPR. 2mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF 30 5.08 0.169333 0.158800 6.87 0.229000 0.214399125 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 2 mg COMPR. 2mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.37 0.179000 0.158800 7.26 0.242000 0.214399126 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 6.10 0.203333 0.158800 8.24 0.274666 0.214399127 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.35 0.245000 0.245000 9.94 0.331333 0.331333128 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 3 mg COMPR. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 7.35 0.245000 0.245000 9.94 0.331333 0.331333129 A10BB12 GLIMEPIRIDUM MEGLIMID 3 mg COMPR. 3mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 18.49 0.616333 0.294000 24.99 0.833000 0.397600130 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 3 mg COMPR. 3mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 9.94 0.331333 0.294000 13.44 0.448000 0.397600131 A10BB12 GLIMEPIRIDUM TINERIL 3 mg COMPR. 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.01 0.333666 0.294000 13.53 0.451000 0.397600132 A10BB12 GLIMEPIRIDUM AMYX 3 COMPR. 3mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 10.01 0.333666 0.294000 13.53 0.451000 0.397600133 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 7.35 0.245000 0.245000 9.94 0.331333 0.331333134 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.01 0.333666 0.294000 13.53 0.451000 0.397600135 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ATB 3 mg COMPR. 3mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF 30 9.43 0.314333 0.294000 12.74 0.424666 0.397600136 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 11.31 0.377000 0.294000 15.28 0.509333 0.397600137 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 7.78 0.259333 0.259333 10.52 0.350666 0.350666138 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST AL/PVC X 10 COMPR. P-RF 30 7.78 0.259333 0.259333 10.52 0.350666 0.350666139 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 4mg COMPR. 4mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 10.64 0.354666 0.311200 14.38 0.479333 0.420799140 A10BB12 GLIMEPIRIDUM AMYX 4 COMPR. 4mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 10.64 0.354666 0.311200 14.38 0.479333 0.420799141 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ATB 4 mg COMPR. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF 30 10.62 0.354000 0.311200 14.36 0.478666 0.420799142 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 11.97 0.399000 0.311200 16.18 0.539333 0.420799143 A10BB12 GLIMEPIRIDUM AMARYL 6 mg COMPR. 6mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 19.08 0.636000 0.636000 25.79 0.859666 0.859666144 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 500 178.17 0.356340 0.356340 217.51 0.435020 0.435020145 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 7.63 0.381500 0.381199 10.31 0.515500 0.515200146 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA/GERMANIA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P-RF 60 20.35 0.339166 0.339166 27.50 0.458333 0.458333147 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA/GERMANIA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P-RF 60 20.35 0.339166 0.339166 27.50 0.458333 0.458333148 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIBOMET (R) COMPR. FILM. 2,5mg/400mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM. P-RF 60 19.06 0.317666 0.317666 25.76 0.429333 0.429333149 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 19.06 0.317666 0.317666 25.76 0.429333 0.429333150 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 20.35 0.339166 0.339166 27.50 0.458333 0.458333151 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 20.35 0.339166 0.339166 27.50 0.458333 0.458333152 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 56 159.72 2.852142 2.852142 194.99 3.481964 3.481964153 A10BF01 ACARBOSUM GLUCOBAY (R) 100 COMPR. 100mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 67.50 0.562500 0.562500 85.35 0.711250 0.711250154 A10BF01 ACARBOSUM GLUCOBAY (R) 50 COMPR. 50mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 48.67 0.405583 0.405583 63.66 0.530500 0.530500155 A10BG03 PIOGLITAZONUM*** ZIPION 15 mg COMPR. 15 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. PRF 30 69.84 2.328000 2.328000 88.30 2.943333 2.943333156 A10BG03 PIOGLITAZONUM*** ACTOS 15mg COMPR. 15mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR. (BLIST. AL/AL) P-RF 28 100.29 3.581785 2.578285 122.43 4.372500 3.260142157 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TORRENT 15 mg COMPR. 15mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF 30 69.84 2.328000 2.328000 88.30 2.943333 2.943333158 A10BG03 PIOGLITAZONUM*** LISPECIP 15 mg COMPR. 15mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF 30 65.18 2.172666 2.172666 82.42 2.747333 2.747333159 A10BG03 PIOGLITAZONUM*** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. PRF 28 65.18 2.327857 2.327857 82.42 2.943571 2.943571160 A10BG03 PIOGLITAZONUM*** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. PRF 30 69.84 2.328000 2.328000 88.30 2.943333 2.943333161 A10BG03 PIOGLITAZONUM*** GLIDIPION 15 mg COMPR. 15mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR) PRF 28 64.96 2.320000 2.320000 82.14 2.933571 2.933571162 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TERAPIA 15 mg COMPR. 15mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. PRF 28 60.16 2.148571 2.148571 76.07 2.716785 2.716785163 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TERAPIA 15 mg COMPR. 15mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL/PE+ DESICANT/PEID/AL X 28 COMPR. PRF 28 60.16 2.148571 2.148571 76.07 2.716785 2.716785164 A10BG03 PIOGLITAZONUM*** ZIPION 30 mg COMPR. 30 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. PRF 30 107.02 3.567333 3.567333 130.65 4.355000 4.355000165 A10BG03 PIOGLITAZONUM*** ACTOS 30mg COMPR. 30mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) P-RF 28 150.92 5.390000 3.951428 184.24 6.580000 4.996285166 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TORRENT 30 mg COMPR. 30mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF 30 107.02 3.567333 3.567333 130.65 4.355000 4.355000167 A10BG03 PIOGLITAZONUM*** LISPECIP 30 mg COMPR. 30mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF 30 99.89 3.329666 3.329666 126.30 4.210000 4.210000168 A10BG03 PIOGLITAZONUM*** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. PRF 28 99.88 3.567142 3.567142 126.29 4.510357 4.510357169 A10BG03 PIOGLITAZONUM*** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. PRF 30 107.02 3.567333 3.567333 130.65 4.355000 4.355000170 A10BG03 PIOGLITAZONUM*** GLIDIPION 30 mg COMPR. 30mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR) PRF 28 99.68 3.560000 3.560000 126.04 4.501428 4.501428171 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TERAPIA 30 mg COMPR. 30mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. PRF 28 92.20 3.292857 3.292857 116.58 4.163571 4.163571172 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TERAPIA 30 mg COMPR. 30mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL/PE+ DESICANT/PEID/AL X 28 COMPR. PRF 28 92.20 3.292857 3.292857 116.58 4.163571 4.163571173 A10BG03 PIOGLITAZONUM*** ZIPION 45 mg COMPR. 45 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. PRF 30 143.75 4.791666 4.791666 175.49 5.849666 5.849666174 A10BG03 PIOGLITAZONUM*** ACTOS 45mg COMPR. 45mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) P-RF 28 206.41 7.371785 4.865570 251.99 8.999642 5.940000175 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TORRENT 45 mg COMPR. 45mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF 30 143.75 4.791666 4.791666 175.49 5.849666 5.849666176 A10BG03 PIOGLITAZONUM*** LISPECIP 45 mg COMPR. 45mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF 30 130.26 4.342000 4.342000 159.02 5.300666 5.300666177 A10BG03 PIOGLITAZONUM*** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. PRF 28 134.17 4.791785 4.791785 163.79 5.849642 5.849642178 A10BG03 PIOGLITAZONUM*** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. PRF 30 143.75 4.791666 4.791666 175.49 5.849666 5.849666179 A10BG03 PIOGLITAZONUM*** GLIDIPION 45 mg COMPR. 45mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR) PRF 28 133.98 4.785000 4.785000 163.56 5.841428 5.841428180 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TERAPIA 45 mg COMPR. 45mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. PRF 28 113.53 4.054642 4.054642 138.60 4.950000 4.950000181 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA TERAPIA 45 mg COMPR. 45mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL/PE+ DESICANT/PEID/AL X 28 COMPR. PRF 28 113.53 4.054642 4.054642 138.60 4.950000 4.950000182 A10BH01 SITAGLIPTINUM*** JANUVIA 100mg COMPR. FILM. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) P-RF 28 160.75 5.741071 5.741071 196.24 7.008571 7.008571183 A10BX02 REPAGLINIDUM RENEOS 0,5 mg COMPR. 0,5 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF 90 45.59 0.506555 0.506555 59.63 0.662555 0.662555184 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 15.20 0.506666 0.506666 20.54 0.684666 0.684666185 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF 270 131.98 0.488814 0.488814 161.12 0.596740 0.596740

Pagina 18 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

186 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF 120 59.73 0.497750 0.497750 75.52 0.629333 0.629333187 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 0,5 mg COMPR. 0,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 45.59 0.506555 0.506555 59.63 0.662555 0.662555188 A10BX02 REPAGLINIDUM RENEOS 1 mg COMPR. 1 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF 90 59.40 0.660000 0.660000 75.11 0.834555 0.834555189 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF 270 175.06 0.648370 0.648370 213.71 0.791518 0.791518190 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 20.15 0.671666 0.671666 27.24 0.908000 0.908000191 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 59.40 0.660000 0.660000 75.11 0.834555 0.834555192 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 1 mg COMPR. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF 120 79.22 0.660166 0.660166 100.16 0.834666 0.834666193 A10BX02 REPAGLINIDUM RENEOS 2 mg COMPR. 2 mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR. PRF 90 72.61 0.806777 0.806777 91.81 1.020111 1.020111194 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 24.64 0.821333 0.821333 33.30 1.110000 1.110000195 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 72.61 0.806777 0.806777 91.81 1.020111 1.020111196 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF 120 96.81 0.806750 0.806750 122.41 1.020083 1.020083197 A10BX02 REPAGLINIDUM REPAGLINIDA FARMAL 2 mg COMPR. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF 270 213.89 0.792185 0.792185 261.12 0.967111 0.967111198 A10BX04 EXENATIDUM*** BYDUREON 2 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 2 mg ELI LILLY NEDERLAND BV OLANDA AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN PRF 4 468.95 117.237500 117.237500 549.31 137.327500 137.327500199 A10BX04 EXENATIDUM*** BYETTA 10mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 393.64 393.640000 393.640000 467.22 467.220000 467.220000200 A10BX04 EXENATIDUM*** BYETTA 5mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 336.72 336.720000 336.720000 405.17 405.170000 405.170000201 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 39.86 0.398600 0.398600 52.14 0.521400 0.521400202 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 21.25 0.425000 0.425000 28.72 0.574400 0.574400203 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 15.00 0.750000 0.750000 20.28 1.014000 1.012080204 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 66.70 0.667000 0.667000 84.34 0.843400 0.843400205 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 35.84 0.716800 0.716800 46.88 0.937600 0.937600206 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 30 38.12 1.270666 1.270666 49.86 1.662000 1.662000207 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 113.93 1.139300 1.139300 139.08 1.390800 1.390800208 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 60 71.14 1.185666 1.185666 89.95 1.499166 1.499166209 A11DBN1 COMBINATII** MILGAMMA (R) NA SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML P-RF 5 13.70 2.740000 2.740000 18.52 3.704000 3.704000210 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 66.08 2.643200 2.643200 83.55 3.342000 3.342000211 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 13.70 2.740000 2.740000 18.52 3.704000 3.704000212 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 66.70 0.667000 0.667000 84.34 0.843400 0.843400213 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 15.00 0.750000 0.750000 20.28 1.014000 1.012080214 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 35.84 0.716800 0.716800 46.88 0.937600 0.937600

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.1: HEMOFILIE SI TALASEMIE

1 B02BD02 FACTOR VIII DE COAGULARE** HAEMOCTIN SDH 1000 PULB+SOLV. PT. SOL. INJ. 100UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S P-PR 1 1,475.99 1,475.990000 1,475.990000 1,646.98 1,646.980000 1,646.9800002 B02BD02 FACTOR VIII DE COAGULARE** HAEMOCTIN SDH 250 PULB+SOLV. PT. SOL. INJ. 50UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 5 ML SO P-PR 1 375.37 375.370000 375.370000 447.30 447.300000 447.3000003 B02BD02 FACTOR VIII DE COAGULARE** HAEMOCTIN SDH 500 PULB+SOLV. PT. SOL. INJ. 50UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S P-PR 1 753.00 753.000000 753.000000 858.92 858.920000 858.9200004 B02BD02 FACTOR VIII DE COAGULARE** FANHDI 100ui/ml PULB+SOLV.PT.SOL.INJ 1000ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL S 1 1,765.78 1,765.780000 1,765.780000 1,962.85 1,962.850000 1,962.8500005 B02BD02 FACTOR VIII DE COAGULARE** FANHDI 25 ui/ml PULB+SOLV.PT.SOL.INJ 250ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL S 1 463.88 463.880000 463.880000 543.78 543.780000 543.7800006 B02BD02 FACTOR VIII DE COAGULARE** FANHDI 50 ui/ml PULB+SOLV.PT.SOL.INJ 500ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL S 1 897.84 897.840000 897.840000 1,016.80 1,016.800000 1,016.8000007 B02BD02 FACTOR VIII DE COAGULARE** OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ. 100 UI/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE PR 1 1,419.30 1,419.300000 1,419.300000 1,585.19 1,585.190000 1,585.1900008 B02BD02 FACTOR VIII DE COAGULARE** OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50 UI/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1 FL.SOLVENT X 5ML+ CUTIE CU SET DE RECONSTITUIRE SI ADM. PR 1 377.32 377.320000 377.320000 449.43 449.430000 449.4300009 B02BD02 FACTOR VIII DE COAGULARE** OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50 UI/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE SI ADM. PR 1 724.65 724.650000 724.650000 828.02 828.020000 828.020000

10 B02BD02 MOROCTOCOG ALFA** REFACTO 1000UI PULB. + SOL. PT. SOL. INJ. 1000 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 2,441.69 2,441.690000 2,441.690000 2,699.59 2,699.590000 2,699.59000011 B02BD02 MOROCTOCOG ALFA** REFACTO 2000UI PULB. + SOL. PT. SOL. INJ. 2000 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 4,853.37 4,853.370000 4,853.370000 5,328.32 5,328.320000 5,328.32000012 B02BD02 MOROCTOCOG ALFA** REFACTO 250UI PULB. + SOL. PT. SOL. INJ. 250 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 632.91 632.910000 632.910000 728.02 728.020000 728.02000013 B02BD02 MOROCTOCOG ALFA** REFACTO 500UI PULB. + SOL. PT. SOL. INJ. 500 UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER P-RF/R 1 1,235.86 1,235.860000 1,235.860000 1,385.24 1,385.240000 1,385.24000014 B02BD02 OCTOCOG ALFA** RECOMBINATE 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF 1 2,301.15 2,301.150000 2,301.150000 2,546.40 2,546.400000 2,546.40000015 B02BD02 OCTOCOG ALFA** RECOMBINATE 250 UI PULB+SOLV. PT. SOL. INJ. 250UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF 1 597.46 597.460000 597.460000 689.38 689.380000 689.38000016 B02BD02 OCTOCOG ALFA** RECOMBINATE 500 UI PULB+SOLV. PT. SOL. INJ. 500UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF 1 1,165.59 1,165.590000 1,165.590000 1,308.64 1,308.640000 1,308.64000017 B02BD02 OCTOCOG ALFA** ADVATE 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 3,035.05 3,035.050000 3,035.050000 3,346.35 3,346.350000 3,346.35000018 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 2,630.24 2,630.240000 2,630.240000 2,905.11 2,905.110000 2,905.11000019 B02BD02 OCTOCOG ALFA** ADVATE 1500UI PULB+SOLV.PT.SOL.INJ 1500UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 4,766.25 4,766.250000 4,766.250000 5,233.36 5,233.360000 5,233.36000020 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 5,541.15 5,541.150000 5,541.150000 6,078.00 6,078.000000 6,078.00000021 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 718.85 718.850000 718.850000 821.70 821.700000 821.70000022 B02BD02 OCTOCOG ALFA** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 1,608.75 1,608.750000 1,608.750000 1,791.69 1,791.690000 1,791.69000023 B02BD02 OCTOCOG ALFA** KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN P-RF/R 1 1,396.36 1,396.360000 1,396.360000 1,560.18 1,560.180000 1,560.18000024 B02BD02 OCTOCOG ALFA** ADVATE 2000UI PULB+SOLV.PT.SOL.INJ. 2000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 6,345.00 6,345.000000 6,345.000000 6,954.20 6,954.200000 6,954.20000025 B02BD02 OCTOCOG ALFA** ADVATE 250UI PULB+SOLV.PT.SOL.INJ. 250 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 781.26 781.260000 781.260000 889.72 889.720000 889.72000026 B02BD02 OCTOCOG ALFA** ADVATE 3000UI PULB+SOLV.PT.SOL.INJ. 3000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 9,502.50 9,502.500000 9,502.500000 10,395.88 10,395.880000 10,395.88000027 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 1000 U FEIBA LIOF. + SOLV. PT. SOL. INJ./PERF. 1000 U/20 ml BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM. S 1 2,766.50 2,766.500000 2,766.500000 3,053.64 3,053.640000 3,053.64000028 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 500 U FEIBA LIOF. + SOLV. PT. SOL. INJ./PERF. 500 U/20ml BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM. S 1 1,407.44 1,407.440000 1,407.440000 1,572.26 1,572.260000 1,572.26000029 B02BD04 FACTOR IX DE COAGULARE** OCTANINE F 250 LIOF. + SOLV. PT. SOL. PERF. 250 UI OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN S 1 492.34 492.340000 492.340000 574.80 574.800000 574.80000030 B02BD04 FACTOR IX DE COAGULARE** OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PER S 1 1,629.80 1,629.800000 1,629.800000 1,814.63 1,814.630000 1,814.63000031 B02BD04 FACTOR IX DE COAGULARE** OCTANINE F 500 UI PULB. + SOLV. SOL. PERF. 500 UI OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF S 1 829.90 829.900000 829.900000 942.74 942.740000 942.74000032 B02BD04 FACTOR IX DE COAGULARE** IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMI S 1 1,586.83 1,586.830000 1,586.830000 1,767.79 1,767.790000 1,767.79000033 B02BD04 FACTOR IX DE COAGULARE** IMMUNINE 600 UI PULB.+SOLV. PT. SOL. INJ./PERF. 600UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 5 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMIN S 1 891.90 891.900000 891.900000 1,010.32 1,010.320000 1,010.32000034 B02BD04 NONACOG ALPHA** BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. P-RF 1 2,519.23 2,519.230000 2,519.230000 2,784.11 2,784.110000 2,784.11000035 B02BD04 NONACOG ALPHA** BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. S 1 5,008.46 5,008.460000 5,008.460000 5,497.37 5,497.370000 5,497.37000036 B02BD04 NONACOG ALPHA** BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. P-RF 1 712.99 712.990000 712.990000 815.31 815.310000 815.31000037 B02BD04 NONACOG ALPHA** BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI WYETH EUROPA LTD MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. P-RF 1 1,274.61 1,274.610000 1,274.610000 1,427.47 1,427.470000 1,427.47000038 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 1000 UI LIOF. + SOLV. PT. SOL. INJ./PERF. 1000UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE S 1 1,107.58 1,107.580000 1,107.580000 1,245.41 1,245.410000 1,245.41000039 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 250 UI LIOF. + SOLV. PT. SOL. INJ./PERF. 250UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE S 1 296.35 296.350000 296.350000 361.79 361.790000 361.79000040 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 500 UI LIOF. + SOLV. PT. SOL. INJ./PERF. 500UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE S 1 568.81 568.810000 568.810000 658.15 658.150000 658.150000

Pagina 19 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

41 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** HAEMATE P 500 UI LIOF. SI SOLV. PT. SOL. INJ./PERF. 500UI+1200UI CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT. P-RF 1 1,337.63 1,337.630000 1,337.630000 1,496.17 1,496.170000 1,496.17000042 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** WILATE 450 U.I./400 U.I. PULB+SOLV. PT. SOL. INJ. 450U.I./400U.I. OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S S 1 996.20 996.200000 996.200000 1,124.01 1,124.010000 1,124.01000043 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** WILATE 900 U.I./800 U.I. PULB+SOLV. PT. SOL. INJ. 900U.I./800U.I. OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S S 1 1,962.39 1,962.390000 1,962.390000 2,177.16 2,177.160000 2,177.16000044 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.41000045 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.11000046 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.63000047 V03AC01 DEFEROXAMINUM**3) 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 10 110.64 11.064000 11.064000 135.07 13.507000 13.50700048 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 28 687.54 24.555000 24.555000 787.57 28.127500 28.12750049 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 1,461.36 52.191428 52.191428 1,631.03 58.251071 58.25107150 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 2,660.12 95.004285 95.004285 2,937.68 104.917142 104.917142

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.2: EPIDERMOLIZA BULOASA

1 D05BB02 ACITRETINUM NEOTIGASON 10 mg CAPS. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 30 59.11 1.970333 1.970333 74.74 2.491333 2.4913332 D06AA04 TETRACYCLINUM TETRACICLINA ATB 30 mg/g UNGUENT 30mg/g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 TUB AL X 12 G UNGUENT P-RF 1 4.85 4.850000 4.850000 6.56 6.560000 6.5600003 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 11.24 11.240000 11.240000 15.19 15.190000 15.1900004 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 11.24 11.240000 11.240000 15.19 15.190000 15.1900005 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA BORCAN X 500 G CREMA PRF 1 83.51 83.510000 83.510000 105.59 105.590000 105.5900006 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 16.08 16.080000 16.080000 21.74 21.740000 21.7400007 D07CC01 COMBINATII TRIDERM® CREMA 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 11.28 11.280000 11.280000 15.24 15.240000 15.2400008 D07CC01 COMBINATII DIPROGENTA (R) CREMA 0,5mg/1mg pe gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 9.26 9.260000 9.260000 12.51 12.510000 12.5100009 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gram CREMA 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 9.26 9.260000 9.260000 12.51 12.510000 12.510000

10 D07CC01 COMBINATII TRIDERM (R) CREMA FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB AL X 15 G P-RF 1 11.28 11.280000 11.280000 15.24 15.240000 15.24000011 D07CC01 COMBINATII TRIDERM UNGUENT 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 11.28 11.280000 11.280000 15.24 15.240000 15.24000012 D07CC01 COMBINATII DIPROGENTA (R) UNGUENT 0,5mg/1mg pe gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 9.26 9.260000 9.260000 12.51 12.510000 12.51000013 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gram UNGUENT 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 9.26 9.260000 9.260000 12.51 12.510000 12.51000014 D07CC01 COMBINATII TRIDERM UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 11.28 11.280000 11.280000 15.24 15.240000 15.24000015 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 17.62 17.620000 17.620000 23.82 23.820000 23.82000016 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 4.79 0.239500 0.125304 6.47 0.323500 0.15844817 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.21 0.110500 0.110500 2.99 0.149500 0.14950018 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S 500 52.21 0.104420 0.104420 66.02 0.132040 0.13204019 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.05 0.102500 0.102500 2.77 0.138500 0.13850020 N03AB02 PHENYTOINUM PHENHYDAN 250 mg/5 ml SOL. INJ. 250mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 53.57 10.714000 10.714000 67.73 13.546000 13.546000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.3: HIPERTENSIUNE PULMONARA

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 9,529.79 170.174821 170.174821 10,425.63 186.171964 186.1719642 C02KX01 BOSENTANUM** TRACLEER 62,5 mg COMPR. FILM. 62,5mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R 56 9,200.67 164.297678 164.297678 10,066.89 179.765892 179.7658923 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 1,873.53 20.817000 20.817000 2,080.30 23.114444 23.114444

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.4: MUCOVISCIDOZA

1 A09AA02 PANCREATINUM** MEZYM FORTE 25000 CAPS. CU MINI-COMPR. GASTROREZ. 356,100mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ. OTC 20 42.40 2.120000 2.120000 42.40 2.120000 2.1200002 A09AA02 PANCREATINUM** KREON 10000 CAPS. GASTROREZ. 150mg SOLVAY PHARMACEUTICALS BV GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC 20 21.60 1.080000 1.080000 21.60 1.080000 1.0800003 A09AA02 PANCREATINUM** KREON 25000 CAPS. GASTROREZ. 300mg SOLVAY PHARMACEUTICALS BV GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC 20 33.00 1.650000 1.650000 33.00 1.650000 1.6500004 A09AA02 PANCREATINUM** KREON 40000 CAPS. GASTROREZ. 400mg ABBOTT PRODUCTS GMBH GERMANIA CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L 50 111.16 2.223200 2.223200 135.70 2.714000 2.7140005 A09AA02 PANCREATINUM** KREON 40000 CAPS. GASTROREZ. 400mg SOLVAY PHARMACEUTICALS BV GERMANIA FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L 50 111.16 2.223200 2.223200 135.70 2.714000 2.7140006 J01FA09 CLARITHROMYCINUM CLAXIRIT 500 mg COMPR. CU ELIB. PREL. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF 7 23.71 3.387142 1.988400 32.05 4.578571 2.6010007 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 17.01 0.850500 0.850500 22.99 1.149500 1.1495008 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 12.35 0.882142 0.882142 16.69 1.192142 1.1921429 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 21.14 1.510000 0.930000 28.57 2.040714 1.257428

10 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 12.35 0.882142 0.882142 16.69 1.192142 1.19214211 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.85 0.775000 0.775000 14.67 1.047857 1.04785712 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 23.85 1.703571 0.930000 32.23 2.302142 1.25742813 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 33.14 1.657000 1.657000 43.35 2.167500 2.16750014 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 23.73 1.695000 1.695000 32.08 2.291428 2.29142815 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 24.13 1.723571 1.723571 32.62 2.330000 2.33000016 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 24.13 1.723571 1.723571 32.62 2.330000 2.33000017 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 33.91 1.695500 1.695500 44.36 2.218000 2.21800018 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 29.01 2.072142 1.988400 37.95 2.710714 2.60100019 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 26.92 3.845714 1.988400 35.21 5.030000 2.60100020 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 27.85 5.570000 1.988400 36.43 7.286000 2.60100021 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 20.78 2.968571 1.988400 28.09 4.012857 2.60100022 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 19.39 19.390000 16.812000 26.21 26.210000 22.72800023 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 29.92 29.920000 28.056000 39.14 39.140000 37.92000024 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 18.11 18.110000 16.812000 24.48 24.480000 22.72800025 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 17.24 17.240000 16.812000 23.30 23.300000 22.72800026 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 23.38 23.380000 23.380000 31.60 31.600000 31.600000

Pagina 20 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

27 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 14.01 14.010000 14.010000 18.94 18.940000 18.94000028 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 47.03 47.030000 46.872000 61.52 61.520000 61.30800029 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 34.29 34.290000 28.128000 44.85 44.850000 38.01600030 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 39.06 39.060000 39.060000 51.09 51.090000 51.09000031 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 23.44 23.440000 23.440000 31.68 31.680000 31.68000032 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 41.12 41.120000 41.120000 53.78 53.780000 53.78000033 J01GB01 TOBRAMYCINUM** TOBI (R) 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 N P-RF 28 8,112.06 289.716428 289.716428 8,880.31 317.153928 317.15392834 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 6 551.59 91.931666 91.931666 639.38 106.563333 106.563333

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMU NE

P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE

1 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 451.00 451.000000 451.000000 529.74 529.740000 529.7400002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 872.00 872.000000 872.000000 988.63 988.630000 988.6300003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 3,072.10 3,072.100000 3,072.100000 3,386.74 3,386.740000 3,386.7400004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S 1 6,114.44 6,114.440000 6,114.440000 6,702.89 6,702.890000 6,702.8900005 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. S 1 663.61 663.610000 663.610000 761.48 761.480000 761.4800006 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S 1 1,550.55 1,550.550000 1,550.550000 1,728.25 1,728.250000 1,728.2500007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S 1 3,473.78 3,473.780000 3,473.780000 3,824.57 3,824.570000 3,824.5700008 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S 1 1,751.89 1,751.890000 1,751.890000 1,947.71 1,947.710000 1,947.7100009 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S 1 460.47 460.470000 460.470000 540.07 540.070000 540.070000

10 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 889.76 889.760000 889.760000 1,007.99 1,007.990000 1,007.99000011 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,749.51 1,749.510000 1,749.510000 1,945.12 1,945.120000 1,945.12000012 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,469.04 3,469.040000 3,469.040000 3,819.40 3,819.400000 3,819.40000013 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 459.88 459.880000 459.880000 539.42 539.420000 539.42000014 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,459.41 7,459.410000 7,459.410000 8,168.91 8,168.910000 8,168.91000015 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S 1 890.95 890.950000 890.950000 1,009.28 1,009.280000 1,009.28000016 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 188.56 188.560000 188.560000 230.20 230.200000 230.20000017 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 2,050.80 2,050.800000 2,050.800000 2,273.52 2,273.520000 2,273.52000018 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 222.29 222.290000 222.290000 271.37 271.370000 271.37000019 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 535.20 535.200000 535.200000 621.52 621.520000 621.52000020 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 914.10 914.100000 914.100000 1,034.52 1,034.520000 1,034.52000021 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,798.20 1,798.200000 1,798.200000 1,998.19 1,998.190000 1,998.19000022 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 472.05 472.050000 472.050000 552.68 552.680000 552.68000023 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.02 99.020000 99.020000 125.20 125.200000 125.20000024 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 1,166.70 1,166.700000 1,166.700000 1,309.85 1,309.850000 1,309.85000025 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 640.45 640.450000 640.450000 736.24 736.240000 736.24000026 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 2,261.30 2,261.300000 2,261.300000 2,502.97 2,502.970000 2,502.97000027 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 1,040.40 1,040.400000 1,040.400000 1,172.19 1,172.190000 1,172.190000

P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMI OTROFICA

1 N07XX02 RILUZOLUM** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. P-RF/R 56 884.76 15.799285 15.799285 1,002.54 17.902500 17.902500

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.6: OSTEOGENEZA IMPERFECTA

1 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 1 185.79 185.790000 183.444000 226.81 226.810000 223.9560002 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 1 110.73 110.730000 110.730000 135.18 135.180000 135.1800003 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 1 529.92 529.920000 529.920000 615.76 615.760000 615.7600004 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 1 361.86 361.860000 285.384000 432.58 432.580000 348.3960005 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 1 152.87 152.870000 152.870000 186.63 186.630000 186.6300006 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 1 237.82 237.820000 237.820000 290.33 290.330000 290.3300007 M05BA03 ACIDUM PAMIDRONICUM AREDIA (R) 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 4 595.85 148.962500 132.876000 687.63 171.907500 162.216000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.7: SINDROM PRADER WILLI

1 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 1 373.65 373.650000 373.650000 445.43 445.430000 445.4300002 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 1 474.75 474.750000 474.750000 555.63 555.630000 555.6300003 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 1 409.15 409.150000 409.150000 484.12 484.120000 484.1200004 H01AC01 SOMATROPINUM** OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 667.50 667.500000 667.500000 765.73 765.730000 765.7300005 H01AC01 SOMATROPINUM** NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF 1 1,176.67 1,176.670000 801.000000 1,320.72 1,320.720000 918.8760006 H01AC01 SOMATROPINUM** NORDITROPIN FLEXPRO 10 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 10mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 1,549.07 1,549.070000 801.000000 1,726.64 1,726.640000 918.8760007 H01AC01 SOMATROPINUM** NORDITROPIN FLEXPRO 5 mg/1,5 ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 5mg/1,5 ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ P-RF 1 789.53 789.530000 490.980000 898.74 898.740000 580.944000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER

Pagina 21 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

P6.8: BOALA FABRY

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 13,797.28 13,797.280000 13,797.280000 15,077.20 15,077.200000 15,077.200000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.9: BOALA POMPE

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 2,264.71 2,264.710000 2,264.710000 2,506.69 2,506.690000 2,506.690000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.10: TIROZINEMIE

1 A16AX04 NITISINONUM ORFADIN 10mg CAPS. 10mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 12,802.92 213.382000 213.382000 13,993.35 233.222500 233.2225002 A16AX04 NITISINONUM ORFADIN 2mg CAPS. 2mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 3,522.06 58.701000 58.701000 3,877.20 64.620000 64.6200003 A16AX04 NITISINONUM ORFADIN 5mg CAPS. 5mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 7,014.11 116.901833 116.901833 7,683.54 128.059000 128.059000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.12: MUCOPOLIZAHARIDOZ Ă TIP II (SINDROM HUNTER)

1 A16AB09 IDURSULFASUM** ELAPRASE 2mg/ml CONC. PT. SOL. PERF. 2mg/ml SHIRE HUMAN GENETIC THERAPIES AB SUEDIA CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF. S 4 49,871.94 12,467.985000 12,467.985000 54,398.63 13,599.657500 13,599.657500

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.13: MUCOPOLIZAHARIDOZ Ă TIP I (SINDROM HURLER)

1 A16AB05 LARONIDAZUM** ALDURAZYME 100UI/ml CONC. PT. SOL. PERF. 100U/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML S 1 2,802.88 2,802.880000 2,802.880000 3,093.29 3,093.290000 3,093.290000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT P ENTRU BOLI RARE SI SEPSIS SEVER P6.15: Sindrom de imunodeficien ţă primar ă

1 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 451.00 451.000000 451.000000 529.74 529.740000 529.7400002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 872.00 872.000000 872.000000 988.63 988.630000 988.6300003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 3,072.10 3,072.100000 3,072.100000 3,386.74 3,386.740000 3,386.7400004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S 1 6,114.44 6,114.440000 6,114.440000 6,702.89 6,702.890000 6,702.8900005 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. S 1 663.61 663.610000 663.610000 761.48 761.480000 761.4800006 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S 1 1,550.55 1,550.550000 1,550.550000 1,728.25 1,728.250000 1,728.2500007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S 1 3,473.78 3,473.780000 3,473.780000 3,824.57 3,824.570000 3,824.5700008 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S 1 1,751.89 1,751.890000 1,751.890000 1,947.71 1,947.710000 1,947.7100009 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S 1 460.47 460.470000 460.470000 540.07 540.070000 540.070000

10 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 889.76 889.760000 889.760000 1,007.99 1,007.990000 1,007.99000011 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,749.51 1,749.510000 1,749.510000 1,945.12 1,945.120000 1,945.12000012 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,469.04 3,469.040000 3,469.040000 3,819.40 3,819.400000 3,819.40000013 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 459.88 459.880000 459.880000 539.42 539.420000 539.42000014 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,459.41 7,459.410000 7,459.410000 8,168.91 8,168.910000 8,168.91000015 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S 1 890.95 890.950000 890.950000 1,009.28 1,009.280000 1,009.28000016 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 188.56 188.560000 188.560000 230.20 230.200000 230.20000017 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 2,050.80 2,050.800000 2,050.800000 2,273.52 2,273.520000 2,273.52000018 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 222.29 222.290000 222.290000 271.37 271.370000 271.37000019 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 535.20 535.200000 535.200000 621.52 621.520000 621.52000020 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 914.10 914.100000 914.100000 1,034.52 1,034.520000 1,034.52000021 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,798.20 1,798.200000 1,798.200000 1,998.19 1,998.190000 1,998.19000022 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 472.05 472.050000 472.050000 552.68 552.680000 552.68000023 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.02 99.020000 99.020000 125.20 125.200000 125.20000024 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 1,166.70 1,166.700000 1,166.700000 1,309.85 1,309.850000 1,309.85000025 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 640.45 640.450000 640.450000 736.24 736.240000 736.24000026 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 2,261.30 2,261.300000 2,261.300000 2,502.97 2,502.970000 2,502.97000027 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 1,040.40 1,040.400000 1,040.400000 1,172.19 1,172.190000 1,172.190000

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE Tratamentul medicamentos al bolnavilor cu osteoporo za, gusa datorata carentei de iod si proliferarii ma ligne

1 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 25.70 0.514000 0.514000 33.62 0.672400 0.6724002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 28.49 0.949666 0.616800 37.26 1.242000 0.8068803 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 23.23 0.774333 0.774333 31.40 1.046666 1.0466664 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 42.10 1.403333 0.929200 55.07 1.835666 1.2559995 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S 10 203.78 20.378000 20.378000 248.78 24.878000 24.8780006 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. S 10 108.79 10.879000 10.879000 132.81 13.281000 13.2810007 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 60.88 0.608800 0.608800 76.98 0.769800 0.769800

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Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

8 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 21.75 21.750000 21.750000 29.40 29.400000 29.4000009 G03CA03 ESTRADIOLUM OESTROGEL 0,6 mg/g GEL 0,6mg/g LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN P-6L 1 12.29 12.290000 12.290000 16.61 16.610000 16.610000

10 G03CA03 ESTRADIOLUM CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 25.48 6.370000 6.370000 33.33 8.332500 8.33250011 G03DC05 TIBOLONUM LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 57.59 2.056785 2.056785 72.82 2.600714 2.60071412 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 98.84 3.530000 3.530000 124.97 4.463214 4.46321413 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 3,064.97 1,532.485000 1,532.485000 3,378.97 1,689.485000 1,689.48500014 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 24.13 0.482600 0.482600 32.62 0.652400 0.65240015 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 21.94 1.097000 1.097000 29.65 1.482500 1.48250016 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 4.83 0.161000 0.161000 6.53 0.217666 0.21766617 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 6.52 6.520000 6.520000 8.81 8.810000 8.81000018 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 22.95 22.950000 22.950000 31.02 31.020000 31.02000019 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 15.15 15.150000 15.150000 20.48 20.480000 20.48000020 H03AA01 LEVOTHYROXINUM EUTHYROX 100mcg COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.65 0.086500 0.086500 11.69 0.116900 0.11690021 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 9.23 0.092300 0.092300 12.48 0.124800 0.12480022 H03AA01 LEVOTHYROXINUM EUTHYROX 200mcg COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 17.86 0.178600 0.178600 24.14 0.241400 0.24140023 H03AA01 LEVOTHYROXINUM EUTHYROX 25mcg COMPR. 25mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 7.04 0.070400 0.070400 9.51 0.095100 0.09510024 H03AA01 LEVOTHYROXINUM EUTHYROX 50mcg COMPR. 50mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 6.12 0.061200 0.061200 8.27 0.082700 0.08270025 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 6.21 0.062100 0.062100 8.40 0.084000 0.08400026 H03AAN1 LEVOTIROXINUM+KALII IODIDUM JODTHYROX (R) 100/130,8 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 2 BLIST. PP/AL X 25 COMPR. P-6L 50 10.92 0.218400 0.218400 14.76 0.295200 0.29520027 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 12.48 0.124800 0.124800 16.87 0.168700 0.16870028 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 15.54 0.310800 0.310800 21.00 0.420000 0.42000029 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 18.88 0.377600 0.377600 25.52 0.510400 0.51040030 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L/S 100 22.83 0.228300 0.228300 30.86 0.308600 0.30860031 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 9.12 0.091200 0.091200 12.33 0.123300 0.12330032 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 9.12 0.091200 0.091200 12.33 0.123300 0.12330033 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 14.23 0.142300 0.142300 19.23 0.192300 0.19230034 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 14.23 0.142300 0.142300 19.23 0.192300 0.19230035 H05AA02 TERIPARATIDUM** FORSTEO 20µg/80µg SOL. INJ. 20µg/80µl ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 ΜG/80ΜL) P-RF 1 1,473.60 1,473.600000 1,473.600000 1,644.38 1,644.380000 1,644.38000036 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 23.94 4.788000 4.788000 32.36 6.472000 6.47200037 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 26.35 5.270000 5.270000 34.46 6.892000 6.89200038 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 36.97 36.970000 36.970000 48.36 48.360000 48.36000039 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 56.38 56.380000 56.380000 71.29 71.290000 71.29000040 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 36.90 1.317857 1.317857 48.27 1.723928 1.72392841 M05BA04 ACIDUM ALENDRONICUM** TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 36.90 9.225000 5.484000 48.27 12.067500 7.41300042 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 36.90 9.225000 5.484000 48.27 12.067500 7.41300043 M05BA04 ACIDUM ALENDRONICUM** RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 36.44 9.110000 5.484000 47.66 11.915000 7.41300044 M05BA04 ACIDUM ALENDRONICUM** INSTREL 70 mg COMPR. 70mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF 4 36.44 9.110000 5.484000 47.66 11.915000 7.41300045 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 18.44 9.220000 5.484000 24.93 12.465000 7.41300046 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L 4 18.28 4.570000 4.570000 24.71 6.177500 6.17750047 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 28.39 14.195000 5.484000 37.13 18.565000 7.41300048 M05BA04 ACIDUM ALENDRONICUM** ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 9.49 4.745000 4.745000 12.82 6.410000 6.41000049 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 108.06 9.005000 5.484000 131.92 10.993333 7.41300050 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 18.33 9.165000 5.484000 24.78 12.390000 7.41300051 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 36.67 9.167500 5.484000 47.97 11.992500 7.41300052 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 65.80 65.800000 48.528000 83.20 83.200000 63.48000053 M05BA06 ACIDUM IBANDRONICUM** QUODIXOR 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P-6L 1 56.52 56.520000 48.528000 71.46 71.460000 63.48000054 M05BA06 ACIDUM IBANDRONICUM** OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 55.29 55.290000 48.528000 69.91 69.910000 63.48000055 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L 1 40.44 40.440000 40.440000 52.90 52.900000 52.90000056 M05BA06 ACIDUM IBANDRONICUM** OSSICA 150 mg COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L 1 57.19 57.190000 48.528000 72.31 72.310000 63.48000057 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 105.93 105.930000 48.528000 129.32 129.320000 63.48000058 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM. 50 mg SANDOZ PHARMACEUTICALS GMBH GERMANIA CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE PR 28 519.62 18.557857 18.557857 604.54 21.590714 21.59071459 M05BA06 ACIDUM IBANDRONICUM** IASIBON 50 mg COMPR. FILM. 50mg PHARMATHEN S.A. GRECIA CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR 28 629.47 22.481071 22.269428 724.27 25.866785 25.86678560 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S 28 964.08 34.431428 22.269428 1,089.00 38.892857 25.90885761 M05BA06 ACIDUM IBANDRONICUM** HOLMEVIS 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. PR 28 637.16 22.755714 22.269428 732.65 26.166071 25.90885762 M05BA06 ACIDUM IBANDRONICUM** IASIBON 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml PHARMATHEN S.A. GRECIA CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR 1 596.39 596.390000 596.390000 688.22 688.220000 688.22000063 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S 1 901.37 901.370000 715.668000 1,020.64 1,020.640000 825.86400064 M05BA06 ACIDUM IBANDRONICUM** OSSICA 3 mg SOL INJ. IN SERINGA PREUMPLUTA 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE P6L 1 196.40 196.400000 179.712000 239.77 239.770000 219.39600065 M05BA06 ACIDUM IBANDRONICUM** OSAGRAND 3 mg/3 ml SOL. INJ. 3mg/3ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P6L 1 232.02 232.020000 179.712000 283.25 283.250000 219.39600066 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 354.51 354.510000 179.712000 424.57 424.570000 219.39600067 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC ALVOGEN 3 mg SOL.INJ. IN SERINGA PREUMPLUTA 3 mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ. PR 1 149.76 149.760000 149.760000 182.83 182.830000 182.83000068 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT BLUEFISH 35 mg COMPR. FILM. 35 mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 27.36 6.840000 6.840000 35.79 8.947500 8.94750069 M05BA07 ACIDUM RISEDRONICUM** LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 27.91 6.977500 6.977500 36.50 9.125000 9.12500070 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 57.38 14.345000 8.208000 72.55 18.137500 10.73700071 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 43.34 10.835000 8.208000 56.69 14.172500 10.73700072 M05BA07 ACIDUM RISEDRONICUM** PEXALIT 35 mg COMPR. FILM. 35mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L 4 27.91 6.977500 6.977500 36.50 9.125000 9.12500073 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 35 mg COMPR. FILM. 35mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L 4 57.38 14.345000 8.208000 72.55 18.137500 10.73700074 M05BA07 ACIDUM RISEDRONICUM** OSTEORON 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 27.36 6.840000 6.840000 35.79 8.947500 8.94750075 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L 4 57.38 14.345000 8.208000 72.55 18.137500 10.73700076 M05BA07 ACIDUM RISEDRONICUM** ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 88.28 22.070000 8.208000 111.62 27.905000 10.73700077 M05BA07 ACIDUM RISEDRONICUM** OSODENS 35 mg COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 57.38 14.345000 8.208000 72.55 18.137500 10.73700078 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 57.38 2.049285 2.049285 72.55 2.591071 2.59107179 M05BA07 ACIDUM RISEDRONICUM** ACTONEL 75 mg COMPR. FILM. 75mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L 2 75.11 37.555000 37.555000 94.97 47.485000 47.48500080 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 1,098.45 1,098.450000 1,098.450000 1,235.46 1,235.460000 1,235.46000081 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 1,399.70 1,399.700000 1,399.700000 1,563.83 1,563.830000 1,563.83000082 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 36.16 18.080000 18.080000 47.30 23.650000 23.650000

Pagina 23 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

83 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 71.05 17.762500 17.762500 89.84 22.460000 22.46000084 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 36.16 18.080000 18.080000 47.30 23.650000 23.65000085 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 71.05 17.762500 17.762500 89.84 22.460000 22.46000086 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 82.84 5.917142 5.917142 104.74 7.481428 7.48142887 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 28 143.02 5.107857 5.107857 174.60 6.235714 6.235714

V09FX03 NATRII IODIDUM (131I) V10XA01 NATRII IODIDUM (131I)

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUT URI SI CELULE DE ORIGINE UMANA P9.1: TRANSPLANT MEDULAR

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 14.09 1.409000 1.409000 19.04 1.904000 1.9040002 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 24.64 2.464000 2.464000 33.31 3.331000 3.3310003 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 17.60 3.520000 3.520000 23.79 4.758000 4.7580004 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 33.45 6.690000 6.690000 43.75 8.750000 8.7500005 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 33.43 6.686000 6.686000 43.73 8.746000 8.7460006 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF 5 17.60 3.520000 3.520000 23.79 4.758000 4.7580007 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 98.29 0.982900 0.982900 124.28 1.242800 1.2428008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.54 1.130800 1.130800 71.49 1.429800 1.4298009 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.39 1.087800 1.087800 68.77 1.375400 1.375400

10 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.43 0.690500 0.690500 54.19 0.903166 0.90316611 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.43 1.371500 1.371500 35.88 1.794000 1.79400012 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 111.83 2.236600 2.236600 136.52 2.730400 2.73040013 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 219.67 2.196700 2.196700 268.17 2.681700 2.68170014 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 77.10 77.100000 77.100000 97.49 97.490000 97.49000015 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 66.80 6.680000 6.680000 84.46 8.446000 8.44600016 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 80.20 16.040000 16.040000 101.41 20.282000 20.28200017 B02AA02 ACIDUM TRANEXAMICUM4) EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 9.47 1.894000 1.894000 12.80 2.560000 2.56000018 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.41000019 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.11000020 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.63000021 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 10 212.62 21.262000 21.262000 259.57 25.957000 25.95700022 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 401.14 33.428333 23.533200 475.39 39.615833 28.72920023 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 692.90 57.741666 46.081000 793.41 66.117500 54.04300024 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 265.41 22.117500 22.117500 324.01 27.000833 27.00083325 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920026 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920027 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 265.28 22.106666 22.106666 323.86 26.988333 26.98833328 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920029 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 386.57 38.657000 23.533200 459.51 45.951000 28.72920030 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920031 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.32 20.320000 20.320000 27.47 27.470000 27.47000032 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.83 19.966000 19.966000 126.23 25.246000 25.24600033 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 196.11 19.611000 19.611000 239.41 23.941000 23.94100034 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.65 40.650000 23.533200 53.17 53.170000 28.72920035 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.11 39.222000 23.533200 239.41 47.882000 28.72920036 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000037 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 197.45 39.490000 39.490000 241.05 48.210000 48.21000038 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 389.01 38.901000 38.901000 462.17 46.217000 46.21700039 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000040 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.94 40.940000 40.940000 53.55 53.550000 53.55000041 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000042 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000043 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583344 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583345 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF. S 10 1,030.68 103.068000 64.903200 1,161.59 116.159000 75.32280046 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF. S 10 539.60 53.960000 36.430800 626.31 62.631000 44.28720047 J01DH02 MEROPENEMUM LODITER 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 72.84 72.840000 64.903200 92.10 92.100000 75.32280048 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 72.84 72.840000 64.903200 92.10 92.100000 75.32280049 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 680.43 68.043000 64.903200 779.82 77.982000 75.32280050 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF. 1g HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 10 540.86 54.086000 54.086000 627.69 62.769000 62.76900051 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF. 1g HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 1 57.22 57.220000 57.220000 72.35 72.350000 72.35000052 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 500 mg PULB. PT. SOL. INJ./PERF. 500mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 1 31.46 31.460000 31.460000 41.15 41.150000 41.15000053 J01DH02 MEROPENEMUM MEROPENEM HOSPIRA 500 mg PULB. PT. SOL. INJ./PERF. 500mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR 10 303.59 30.359000 30.359000 369.06 36.906000 36.90600054 J01DH02 MEROPENEMUM LODITER 500 mg PULB. PT. SOL. INJ./PERF. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 37.77 37.770000 36.430800 49.40 49.400000 44.28720055 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 37.77 37.770000 36.430800 49.40 49.400000 44.28720056 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 361.25 36.125000 36.125000 431.91 43.191000 43.19100057 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 292.52 29.252000 29.252000 357.11 35.711000 35.71100058 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 146.26 29.252000 29.252000 178.55 35.710000 35.71000059 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 146.26 29.252000 29.252000 178.55 35.710000 35.71000060 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 292.52 29.252000 29.252000 357.11 35.711000 35.71100061 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 296.98 29.698000 29.698000 362.55 36.255000 36.25500062 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF. PR 5 146.26 29.252000 29.252000 178.55 35.710000 35.710000

Pagina 24 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

63 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,068.64 42.745600 35.102400 1,202.97 48.118800 42.85200064 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 445.46 44.546000 35.102400 523.70 52.370000 42.85200065 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 48.56 48.560000 48.560000 63.52 63.520000 63.52000066 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 24.28 24.280000 24.280000 32.82 32.820000 32.82000067 J01XA01 VANCOMYCINUM VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF. 1000mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 456.00 45.600000 45.600000 535.19 53.519000 53.51900068 J01XA01 VANCOMYCINUM VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF. 500mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 234.30 23.430000 23.430000 286.03 28.603000 28.60300069 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P PR 1 48.39 48.390000 48.390000 63.30 63.300000 63.30000070 J01XA01 VANCOMYCINUM VANCOMICINA ACTAVIS 1000mg PULB. PT.CONC. PT.SOL. PERF. 1000mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA P-PR 1 48.45 48.450000 48.450000 63.37 63.370000 63.37000071 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.SOL. PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P PR 1 24.17 24.170000 24.170000 32.67 32.670000 32.67000072 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 56.90 56.900000 54.720000 71.94 71.940000 64.22280073 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 118.16 118.160000 118.160000 144.25 144.250000 144.25000074 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100075 J01XX08 LINEZOLIDUM ZYVOXID (R) 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 1 879.36 879.360000 879.360000 996.65 996.650000 996.65000076 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100077 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.37 4.085625 3.996000 82.66 5.166250 5.16625078 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 6.98 3.490000 3.490000 9.43 4.715000 4.71500079 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 23.31 3.330000 3.330000 31.51 4.501428 4.50142880 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.95 4.737500 3.996000 25.61 6.402500 5.40171481 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.65 6.916071 3.996000 236.41 8.443214 5.40171482 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.15 4.735714 3.996000 43.36 6.194285 5.40171483 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.27 9.270000 5.856000 12.53 12.530000 7.90800084 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.88 4.880000 4.880000 6.59 6.590000 6.59000085 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.65 16.650000 5.856000 22.51 22.510000 7.90800086 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.79 10.790000 5.856000 14.58 14.580000 7.90800087 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.16 7.160000 5.856000 9.68 9.680000 7.90800088 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.24 12.060000 5.856000 63.10 15.775000 7.90800089 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 4.88 4.880000 4.880000 6.59 6.590000 6.59000090 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800091 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 18.56 18.560000 5.856000 25.08 25.080000 7.90800092 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.95 13.950000 5.856000 18.86 18.860000 7.90800093 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.07 6.070000 5.856000 8.20 8.200000 7.90800094 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800095 J02AC01 FLUCONAZOLUM FLUCONAZOL ACTAVIS 150 mg CAPS. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF 1 7.44 7.440000 5.856000 10.06 10.060000 7.90800096 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800097 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 9.57 9.570000 5.856000 12.94 12.940000 7.90800098 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.68 6.680000 5.856000 9.03 9.030000 7.90800099 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 30.10 4.300000 4.300000 39.37 5.624285 5.624285

100 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.701714101 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 12.35 1.764285 1.764285 16.69 2.384285 2.384285102 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.701714103 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.09 1.761250 1.761250 19.04 2.380000 2.380000104 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.66 1.665714 1.665714 15.76 2.251428 2.251428105 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.88 1.888000 1.888000 25.52 2.552000 2.552000106 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.49 2.070000 1.998857 19.58 2.797142 2.701714107 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 43.23 6.175714 1.998857 56.54 8.077142 2.701714108 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.91 3.130000 1.998857 29.61 4.230000 2.701714109 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 32.06 4.580000 1.998857 41.93 5.990000 2.701714110 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.19 6.741428 1.998857 61.72 8.817142 2.701714111 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.95 1.707142 1.707142 16.15 2.307142 2.307142112 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.15 2.021428 1.998857 19.12 2.731428 2.701714113 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 50 mg CAPS. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 16.69 2.384285 1.998857 22.56 3.222857 2.701714114 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 43.23 43.230000 43.230000 56.54 56.540000 56.540000115 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 20 631.41 31.570500 31.570500 726.39 36.319500 36.319500116 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 362.55 18.127500 18.127500 433.33 21.666500 21.666500117 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 454.59 45.459000 37.524480 533.65 53.365000 42.732960118 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 796.39 39.819500 37.524480 906.22 45.311000 42.732960119 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 770.66 77.066000 77.066000 878.17 87.817000 87.817000120 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.63 40.630000 37.524480 53.14 53.140000 42.732960121 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 1 42.66 42.660000 37.524480 55.80 55.800000 42.732960122 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S 1 137.44 137.440000 91.405200 167.79 167.790000 104.210400123 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.90 18.290000 18.290000 223.28 22.328000 22.328000124 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10 761.71 76.171000 76.171000 868.42 86.842000 86.842000125 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 18.84 18.840000 18.840000 25.47 25.470000 25.033440126 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 10 181.93 18.193000 18.193000 222.10 22.210000 22.210000127 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 20 360.77 18.038500 18.038500 431.39 21.569500 21.569500128 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 133.17 133.170000 91.405200 162.58 162.580000 104.210400129 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.99 30.990000 21.286560 40.53 40.530000 25.033440130 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 25 443.47 17.738800 17.738800 521.53 20.861200 20.861200131 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 34.28 34.280000 34.280000 44.84 44.840000 42.732960132 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 10 330.71 33.071000 33.071000 398.62 39.862000 39.862000133 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 35.03 35.030000 35.030000 45.82 45.820000 42.732960134 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 25 781.76 31.270400 31.270400 890.27 35.610800 35.610800135 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 81.95 81.950000 81.950000 103.62 103.620000 103.620000136 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.918571137 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.868928

Pagina 25 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

138 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.450000139 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000140 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 2,488.19 2,488.190000 2,488.190000 2,750.28 2,750.280000 2,750.280000141 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,488.19 2,488.190000 2,488.190000 2,750.28 2,750.280000 2,750.280000142 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 1,202.39 1,202.390000 1,202.390000 1,348.76 1,348.760000 1,348.760000143 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 1,560.14 1,560.140000 1,560.140000 1,738.70 1,738.700000 1,738.700000144 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.780000145 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.97 0.748500 0.577200 20.23 1.011500 0.780000146 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.780000147 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1,000 704.14 0.704140 0.577200 805.66 0.805660 0.780000148 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.41 1.441000 1.441000 19.48 1.948000 1.948000149 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.62 0.481000 0.481000 13.00 0.650000 0.650000150 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.16 0.608000 0.577200 16.44 0.822000 0.780000151 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.75 0.637500 0.577200 17.23 0.861500 0.780000152 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 10.22 0.511000 0.511000 13.81 0.690500 0.690500153 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.69 0.634500 0.577200 17.15 0.857500 0.780000154 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 14.23 1.423000 1.423000 19.23 1.923000 1.923000155 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 5 231.79 46.358000 46.358000 282.97 56.594000 56.594000156 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 43.54 4.354000 4.354000 56.95 5.695000 5.695000157 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.982166158 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 451.00 451.000000 451.000000 529.74 529.740000 529.740000159 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 872.00 872.000000 872.000000 988.63 988.630000 988.630000160 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 3,072.10 3,072.100000 3,072.100000 3,386.74 3,386.740000 3,386.740000161 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S 1 6,114.44 6,114.440000 6,114.440000 6,702.89 6,702.890000 6,702.890000162 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. S 1 663.61 663.610000 663.610000 761.48 761.480000 761.480000163 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S 1 1,550.55 1,550.550000 1,550.550000 1,728.25 1,728.250000 1,728.250000164 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S 1 3,473.78 3,473.780000 3,473.780000 3,824.57 3,824.570000 3,824.570000165 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S 1 1,751.89 1,751.890000 1,751.890000 1,947.71 1,947.710000 1,947.710000166 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S 1 460.47 460.470000 460.470000 540.07 540.070000 540.070000167 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 889.76 889.760000 889.760000 1,007.99 1,007.990000 1,007.990000168 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,749.51 1,749.510000 1,749.510000 1,945.12 1,945.120000 1,945.120000169 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,469.04 3,469.040000 3,469.040000 3,819.40 3,819.400000 3,819.400000170 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 459.88 459.880000 459.880000 539.42 539.420000 539.420000171 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,459.41 7,459.410000 7,459.410000 8,168.91 8,168.910000 8,168.910000172 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S 1 890.95 890.950000 890.950000 1,009.28 1,009.280000 1,009.280000173 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 188.56 188.560000 188.560000 230.20 230.200000 230.200000174 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 2,050.80 2,050.800000 2,050.800000 2,273.52 2,273.520000 2,273.520000175 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 222.29 222.290000 222.290000 271.37 271.370000 271.370000176 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 535.20 535.200000 535.200000 621.52 621.520000 621.520000177 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 914.10 914.100000 914.100000 1,034.52 1,034.520000 1,034.520000178 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,798.20 1,798.200000 1,798.200000 1,998.19 1,998.190000 1,998.190000179 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 472.05 472.050000 472.050000 552.68 552.680000 552.680000180 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.02 99.020000 99.020000 125.20 125.200000 125.200000181 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 1,166.70 1,166.700000 1,166.700000 1,309.85 1,309.850000 1,309.850000182 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 640.45 640.450000 640.450000 736.24 736.240000 736.240000183 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 2,261.30 2,261.300000 2,261.300000 2,502.97 2,502.970000 2,502.970000184 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 1,040.40 1,040.400000 1,040.400000 1,172.19 1,172.190000 1,172.190000185 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 19.33 0.386600 0.386600 26.13 0.522600 0.522600186 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 11.76 11.760000 11.760000 15.89 15.890000 15.890000187 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 6.90 0.276000 0.276000 9.32 0.372800 0.372800188 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 92.66 92.660000 92.660000 117.16 117.160000 117.160000189 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 11.61 0.464400 0.464400 15.69 0.627600 0.627600190 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 70.91 70.910000 70.910000 89.66 89.660000 89.660000191 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 1 332.72 332.720000 332.720000 400.81 400.810000 400.810000192 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 5 197.47 39.494000 39.494000 241.07 48.214000 48.214000193 L01BA01 METHOTREXATUM EMTHEXATE PF SOL INJ. 25mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FIOLA X 2ML PR 1 53.61 53.610000 53.610000 67.79 67.790000 67.790000194 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 17.62 1.762000 1.762000 23.82 2.382000 2.382000195 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ PR 1 45.60 45.600000 45.600000 59.64 59.640000 59.640000196 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 62.22 62.220000 62.220000 78.67 78.670000 78.670000197 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 87.07 87.070000 87.070000 110.09 110.090000 110.090000198 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 100.34 100.340000 100.340000 122.50 122.500000 122.500000199 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 86.63 86.630000 86.630000 109.54 109.540000 109.540000200 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 101.74 101.740000 101.740000 124.21 124.210000 124.210000201 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 59.16 59.160000 54.720000 74.80 74.800000 71.568000202 L01BA01 METHOTREXATUM METOJECT 50mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 50mg/ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL P-RF 1 62.22 62.220000 62.220000 78.67 78.670000 78.670000203 L01BB05 FLUDARABINUM FLUDARA ORAL 10 mg COMPR. FILM. 10mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 1,494.08 74.704000 74.704000 1,666.70 83.335000 83.335000204 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S 5 1,252.62 250.524000 250.524000 1,403.51 280.702000 280.702000205 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 340.13 340.130000 300.628800 408.89 408.890000 336.842400206 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF 10 311.36 31.136000 31.136000 377.53 37.753000 37.753000207 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF 20 308.57 15.428500 15.428500 374.49 18.724500 18.724500208 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 39.04 39.040000 38.352000 51.07 51.070000 50.172000209 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 32.83 32.830000 32.830000 42.94 42.940000 42.940000210 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 31.96 31.960000 31.960000 41.81 41.810000 41.810000211 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 61.07 61.070000 61.070000 77.22 77.220000 77.220000212 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 203.33 203.330000 203.330000 248.22 248.220000 248.220000

Pagina 26 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

213 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 143.35 143.350000 143.350000 175.00 175.000000 175.000000214 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 1 555.48 555.480000 555.480000 643.62 643.620000 643.620000215 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 9.17 9.170000 9.170000 12.39 12.390000 12.390000216 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 24.41 24.410000 24.410000 32.99 32.990000 32.990000217 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 7.75 7.750000 7.750000 10.48 10.480000 10.480000218 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 7.75 7.750000 7.750000 10.48 10.480000 10.480000219 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 19.18 19.180000 19.180000 25.92 25.920000 25.920000220 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 24.41 24.410000 24.410000 32.99 32.990000 32.990000221 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 22.06 22.060000 22.060000 29.81 29.810000 29.810000222 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 31.57 31.570000 29.292000 41.30 41.300000 39.588000223 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 62.52 62.520000 56.940000 79.05 79.050000 74.472000224 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 1 132.81 132.810000 132.810000 162.14 162.140000 162.140000225 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 50.00 50.000000 50.000000 63.22 63.220000 63.220000226 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 18.05 18.050000 18.050000 24.39 24.390000 24.390000227 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 1 178.07 178.070000 159.372000 217.39 217.390000 194.568000228 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 21.86 21.860000 21.660000 29.55 29.550000 29.268000229 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 47.45 47.450000 47.450000 62.06 62.060000 62.060000230 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 1 133.04 133.040000 133.040000 162.41 162.410000 162.410000231 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 2,221.55 1,110.775000 1,110.775000 2,459.64 1,229.820000 1,229.820000232 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 5,509.03 5,509.030000 5,509.030000 6,043.00 6,043.000000 6,043.000000233 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 4,923.23 1,641.076666 1,641.076666 5,404.48 1,801.493333 1,801.493333234 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 4,923.64 1,641.213333 1,641.213333 5,404.92 1,801.640000 1,801.640000235 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 1 267.05 267.050000 194.520000 326.02 326.020000 237.468000236 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 1 436.57 436.570000 313.092000 514.01 514.010000 382.224000237 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 162.10 162.100000 162.100000 197.89 197.890000 197.890000238 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.91 260.910000 260.910000 318.52 318.520000 318.520000239 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 418.45 83.690000 83.690000 494.26 98.852000 98.852000240 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 214.16 214.160000 194.520000 261.45 261.450000 237.468000241 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,001.12 200.224000 194.520000 1,129.37 225.874000 225.874000242 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.90 355.900000 313.092000 426.08 426.080000 382.224000243 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,656.30 331.260000 313.092000 1,843.52 368.704000 368.704000244 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 452.86 4.528600 3.499440 531.77 5.317700 4.272120245 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.89 5.857800 5.452080 357.56 7.151200 6.655920246 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 452.86 9.057200 5.452080 531.77 10.635400 6.655920247 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 120 557.65 4.647083 4.647083 645.99 5.383250 5.383250248 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 1,041.93 8.682750 8.682750 1,173.85 9.782083 9.782083249 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100250 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 302.31 3.023100 3.023100 367.67 3.676700 3.676700251 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.89 2.928900 2.928900 357.56 3.575600 3.575600252 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600253 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 250 mg COMPR. FILM. 250mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100254 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM. PR 50 302.36 6.047200 5.452080 367.72 7.354400 6.655920255 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600256 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 302.31 6.046200 5.452080 367.67 7.353400 6.655920257 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600258 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 500 mg COMPR. FILM. 500mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600259 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 489.29 16.309666 16.309666 571.48 19.049333 19.049333260 L04AB01 ETANERCEPTUM** ENBREL 10mg de uz pediatric PULB+SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX PR 4 722.92 180.730000 180.730000 826.13 206.532500 206.532500261 L04AB01 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 4,153.67 1,038.417500 1,038.417500 4,565.66 1,141.415000 1,141.415000262 L04AB01 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 2,052.34 513.085000 513.085000 2,275.20 568.800000 568.800000263 L04AB01 ETANERCEPTUM** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,047.58 511.895000 511.895000 2,270.01 567.502500 567.502500264 L04AB01 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 2,047.58 511.895000 511.895000 2,270.01 567.502500 567.502500265 L04AB01 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 4,065.15 1,016.287500 1,016.287500 4,469.17 1,117.292500 1,117.292500266 L04AB01 ETANERCEPTUM** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,065.15 1,016.287500 1,016.287500 4,469.17 1,117.292500 1,117.292500267 L04AD01 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 50 397.39 7.947800 7.947800 471.31 9.426200 9.426200268 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.48 2.249600 1.786800 137.32 2.746400 2.259120269 L04AD01 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 74.45 1.489000 1.489000 94.13 1.882600 1.882600270 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 239.32 4.786400 3.733200 292.16 5.843200 4.557600271 L04AD01 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 50 155.55 3.111000 3.111000 189.90 3.798000 3.798000272 L04AD01 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 1 358.02 358.020000 358.020000 428.39 428.390000 428.390000273 L04AD02 TACROLIMUSUM** TACNI 0,5 mg CAPS. 0,5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE PRF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400274 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 0,5 mg CAPS. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400275 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 205.39 4.107800 3.203760 250.74 5.014800 3.911280276 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400277 L04AD02 TACROLIMUSUM** TACNI 1 mg CAPS. 1 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200278 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 1 mg CAPS. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200279 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 363.74 7.274800 5.726880 434.63 8.692600 6.991440280 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200281 L04AD02 TACROLIMUSUM** TACNI 5 mg CAPS. 5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF 50 1,114.65 22.293000 22.293000 1,253.12 25.062400 25.062400282 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,715.18 34.303600 26.751600 1,907.70 38.154000 30.074880283 L04AD02 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 50 204.92 4.098400 3.203760 250.17 5.003400 3.911280284 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 402.53 8.050600 5.726880 476.91 9.538200 6.991440285 L04AD02 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 1,865.58 37.311600 26.751600 2,071.63 41.432600 30.074880286 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,545.19 154.519000 154.519000 1,722.41 172.241000 172.241000287 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 0.215500 0.215500 5.82 0.291000 0.291000

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Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

288 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 8.53 0.284333 0.258600 11.53 0.384333 0.349200289 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.85 0.285000 0.258600 3.85 0.385000 0.349200290 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.85 0.285000 0.258600 3.85 0.385000 0.349200291 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2.85 0.285000 0.258600 3.85 0.385000 0.349200292 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.83 0.283000 0.258600 3.82 0.382000 0.349200293 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200294 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 0.215500 0.215500 5.82 0.291000 0.291000295 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200296 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.66 0.333000 0.258600 9.00 0.450000 0.349200297 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 24.79 1.239500 0.559200 33.50 1.675000 0.755599298 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 36.23 1.207666 0.559200 47.39 1.579666 0.755599299 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 56.65 1.133000 0.559200 71.63 1.432600 0.755599300 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 12.86 1.286000 0.559200 17.38 1.738000 0.755599301 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 19.30 1.930000 0.993600 26.09 2.609000 1.342800302 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 37.14 1.857000 0.993600 48.58 2.429000 1.342800303 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.34 1.811333 0.993600 68.71 2.290333 1.342800304 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 84.99 1.699800 0.993600 107.46 2.149200 1.342800305 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 24.09 2.409000 1.626799 32.56 3.256000 2.128000306 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 44.68 2.234000 1.626799 58.44 2.922000 2.128000307 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 61.79 2.059666 1.626799 78.13 2.604333 2.128000308 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 96.03 1.920600 1.626799 121.42 2.428400 2.128000309 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200310 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200311 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200312 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 4.66 0.466000 0.466000 6.30 0.630000 0.630000313 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 13.99 0.466333 0.466333 18.91 0.630333 0.630333314 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 4.66 0.466000 0.466000 6.30 0.630000 0.630000315 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 13.98 0.466000 0.466000 18.89 0.629666 0.629666316 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 24.09 0.481800 0.481800 32.56 0.651200 0.651200317 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 24.84 0.828000 0.828000 33.57 1.119000 1.119000318 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 15.57 1.557000 0.993600 21.05 2.105000 1.342800319 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 20.35 2.035000 1.626799 27.50 2.750000 2.128000320 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 7.88 0.262666 0.258600 10.65 0.355000 0.349200321 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 7.17 0.717000 0.559200 9.69 0.969000 0.755599322 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 16.30 1.630000 0.993600 22.03 2.203000 1.342800323 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 31.78 1.059333 0.993600 41.57 1.385666 1.342800324 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 20.85 2.085000 1.626799 28.18 2.818000 2.128000325 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 40.67 1.355666 1.355666 53.20 1.773333 1.773333326 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 3.73 3.730000 3.730000 5.04 5.040000 5.040000327 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 7.27 1.454000 1.322640 9.83 1.966000 1.614720328 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 110.22 1.102200 1.102200 134.56 1.345600 1.345600329 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 9.09 1.818000 1.322640 12.28 2.456000 1.614720330 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.65 0.730000 0.730000 4.93 0.986000 0.986000331 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.63 0.726000 0.726000 4.90 0.980000 0.980000332 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 5.67 1.134000 1.134000 7.67 1.534000 1.534000333 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.69 1.938000 1.322640 13.10 2.620000 1.614720334 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 4.13 0.826000 0.826000 5.58 1.116000 1.116000335 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 6 551.59 91.931666 91.931666 639.38 106.563333 106.563333336 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 28 687.54 24.555000 24.555000 787.57 28.127500 28.127500337 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 1,461.36 52.191428 52.191428 1,631.03 58.251071 58.251071338 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 2,660.12 95.004285 95.004285 2,937.68 104.917142 104.917142339 V03AF01 MESNUM UROMITEXAN (R) 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 44.87 2.991333 2.991333 58.69 3.912666 3.912666

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUT URI SI CELULE DE ORIGINE UMANA P9.2: TRANSPLANT DE CORD

1 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 66.80 6.680000 6.680000 84.46 8.446000 8.4460002 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 80.20 16.040000 16.040000 101.41 20.282000 20.2820003 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 113.56 1.135600 1.135600 138.64 1.386400 1.3864004 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 401.14 33.428333 23.533200 475.39 39.615833 28.7292005 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 692.90 57.741666 46.081000 793.41 66.117500 54.0430006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 265.41 22.117500 22.117500 324.01 27.000833 27.0008337 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.7292008 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.7292009 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 265.28 22.106666 22.106666 323.86 26.988333 26.988333

10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920011 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 386.57 38.657000 23.533200 459.51 45.951000 28.72920012 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920013 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.32 20.320000 20.320000 27.47 27.470000 27.47000014 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.83 19.966000 19.966000 126.23 25.246000 25.24600015 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 196.11 19.611000 19.611000 239.41 23.941000 23.94100016 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.65 40.650000 23.533200 53.17 53.170000 28.72920017 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.11 39.222000 23.533200 239.41 47.882000 28.729200

Pagina 28 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

18 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000019 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 197.45 39.490000 39.490000 241.05 48.210000 48.21000020 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 389.01 38.901000 38.901000 462.17 46.217000 46.21700021 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000022 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.94 40.940000 40.940000 53.55 53.550000 53.55000023 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000024 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000025 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583326 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583327 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 154.50 15.450000 8.448000 188.61 18.861000 11.41200028 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 20.07 20.070000 13.932000 27.12 27.120000 18.82800029 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 257.49 25.749000 13.932000 314.35 31.435000 18.82800030 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 3.88 3.880000 3.880000 5.24 5.240000 5.24000031 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 11.61 11.610000 11.610000 15.69 15.690000 15.69000032 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 7.04 7.040000 7.040000 9.51 9.510000 9.51000033 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 292.52 29.252000 29.252000 357.11 35.711000 35.71100034 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 146.26 29.252000 29.252000 178.55 35.710000 35.71000035 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 146.26 29.252000 29.252000 178.55 35.710000 35.71000036 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 292.52 29.252000 29.252000 357.11 35.711000 35.71100037 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 10 296.98 29.698000 29.698000 362.55 36.255000 36.25500038 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF. PR 5 146.26 29.252000 29.252000 178.55 35.710000 35.71000039 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,068.64 42.745600 35.102400 1,202.97 48.118800 42.85200040 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 445.46 44.546000 35.102400 523.70 52.370000 42.85200041 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100042 J01XX08 LINEZOLIDUM ZYVOXID (R) 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 1 879.36 879.360000 879.360000 996.65 996.650000 996.65000043 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100044 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.37 4.085625 3.996000 82.66 5.166250 5.16625045 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 6.98 3.490000 3.490000 9.43 4.715000 4.71500046 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 23.31 3.330000 3.330000 31.51 4.501428 4.50142847 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.95 4.737500 3.996000 25.61 6.402500 5.40171448 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.65 6.916071 3.996000 236.41 8.443214 5.40171449 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.15 4.735714 3.996000 43.36 6.194285 5.40171450 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.27 9.270000 5.856000 12.53 12.530000 7.90800051 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.88 4.880000 4.880000 6.59 6.590000 6.59000052 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.65 16.650000 5.856000 22.51 22.510000 7.90800053 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.79 10.790000 5.856000 14.58 14.580000 7.90800054 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.16 7.160000 5.856000 9.68 9.680000 7.90800055 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.24 12.060000 5.856000 63.10 15.775000 7.90800056 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 4.88 4.880000 4.880000 6.59 6.590000 6.59000057 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800058 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 18.56 18.560000 5.856000 25.08 25.080000 7.90800059 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.95 13.950000 5.856000 18.86 18.860000 7.90800060 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.07 6.070000 5.856000 8.20 8.200000 7.90800061 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800062 J02AC01 FLUCONAZOLUM FLUCONAZOL ACTAVIS 150 mg CAPS. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF 1 7.44 7.440000 5.856000 10.06 10.060000 7.90800063 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800064 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 9.57 9.570000 5.856000 12.94 12.940000 7.90800065 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.68 6.680000 5.856000 9.03 9.030000 7.90800066 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 30.10 4.300000 4.300000 39.37 5.624285 5.62428567 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171468 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 12.35 1.764285 1.764285 16.69 2.384285 2.38428569 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171470 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.09 1.761250 1.761250 19.04 2.380000 2.38000071 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.66 1.665714 1.665714 15.76 2.251428 2.25142872 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.88 1.888000 1.888000 25.52 2.552000 2.55200073 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.49 2.070000 1.998857 19.58 2.797142 2.70171474 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 43.23 6.175714 1.998857 56.54 8.077142 2.70171475 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.91 3.130000 1.998857 29.61 4.230000 2.70171476 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 32.06 4.580000 1.998857 41.93 5.990000 2.70171477 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.19 6.741428 1.998857 61.72 8.817142 2.70171478 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.95 1.707142 1.707142 16.15 2.307142 2.30714279 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.15 2.021428 1.998857 19.12 2.731428 2.70171480 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 50 mg CAPS. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171481 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 43.23 43.230000 43.230000 56.54 56.540000 56.54000082 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 20 631.41 31.570500 31.570500 726.39 36.319500 36.31950083 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 362.55 18.127500 18.127500 433.33 21.666500 21.66650084 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 454.59 45.459000 37.524480 533.65 53.365000 42.73296085 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 796.39 39.819500 37.524480 906.22 45.311000 42.73296086 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 770.66 77.066000 77.066000 878.17 87.817000 87.81700087 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.63 40.630000 37.524480 53.14 53.140000 42.73296088 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 1 42.66 42.660000 37.524480 55.80 55.800000 42.73296089 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S 1 137.44 137.440000 91.405200 167.79 167.790000 104.21040090 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.90 18.290000 18.290000 223.28 22.328000 22.32800091 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10 761.71 76.171000 76.171000 868.42 86.842000 86.84200092 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 18.84 18.840000 18.840000 25.47 25.470000 25.033440

Pagina 29 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

93 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 10 181.93 18.193000 18.193000 222.10 22.210000 22.21000094 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 20 360.77 18.038500 18.038500 431.39 21.569500 21.56950095 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 133.17 133.170000 91.405200 162.58 162.580000 104.21040096 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.99 30.990000 21.286560 40.53 40.530000 25.03344097 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 25 443.47 17.738800 17.738800 521.53 20.861200 20.86120098 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 34.28 34.280000 34.280000 44.84 44.840000 42.73296099 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 10 330.71 33.071000 33.071000 398.62 39.862000 39.862000

100 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 35.03 35.030000 35.030000 45.82 45.820000 42.732960101 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 25 781.76 31.270400 31.270400 890.27 35.610800 35.610800102 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 81.95 81.950000 81.950000 103.62 103.620000 103.620000103 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.918571104 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.868928105 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.450000106 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000107 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.982166108 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 452.86 4.528600 3.499440 531.77 5.317700 4.272120109 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.89 5.857800 5.452080 357.56 7.151200 6.655920110 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 452.86 9.057200 5.452080 531.77 10.635400 6.655920111 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 120 557.65 4.647083 4.647083 645.99 5.383250 5.383250112 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 1,041.93 8.682750 8.682750 1,173.85 9.782083 9.782083113 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100114 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 302.31 3.023100 3.023100 367.67 3.676700 3.676700115 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.89 2.928900 2.928900 357.56 3.575600 3.575600116 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600117 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 250 mg COMPR. FILM. 250mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100118 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM. PR 50 302.36 6.047200 5.452080 367.72 7.354400 6.655920119 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600120 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 302.31 6.046200 5.452080 367.67 7.353400 6.655920121 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600122 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 500 mg COMPR. FILM. 500mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600123 L04AD01 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 50 397.39 7.947800 7.947800 471.31 9.426200 9.426200124 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.48 2.249600 1.786800 137.32 2.746400 2.259120125 L04AD01 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 74.45 1.489000 1.489000 94.13 1.882600 1.882600126 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 239.32 4.786400 3.733200 292.16 5.843200 4.557600127 L04AD01 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 50 155.55 3.111000 3.111000 189.90 3.798000 3.798000128 L04AD01 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 1 358.02 358.020000 358.020000 428.39 428.390000 428.390000129 L04AD02 TACROLIMUSUM** TACNI 0,5 mg CAPS. 0,5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE PRF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400130 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 0,5 mg CAPS. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400131 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 205.39 4.107800 3.203760 250.74 5.014800 3.911280132 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400133 L04AD02 TACROLIMUSUM** TACNI 1 mg CAPS. 1 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200134 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 1 mg CAPS. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200135 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 363.74 7.274800 5.726880 434.63 8.692600 6.991440136 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200137 L04AD02 TACROLIMUSUM** TACNI 5 mg CAPS. 5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF 50 1,114.65 22.293000 22.293000 1,253.12 25.062400 25.062400138 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,715.18 34.303600 26.751600 1,907.70 38.154000 30.074880139 L04AD02 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 50 204.92 4.098400 3.203760 250.17 5.003400 3.911280140 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 402.53 8.050600 5.726880 476.91 9.538200 6.991440141 L04AD02 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 1,865.58 37.311600 26.751600 2,071.63 41.432600 30.074880142 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,545.19 154.519000 154.519000 1,722.41 172.241000 172.241000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUT URI SI CELULE DE ORIGINE UMANA P9.3: TRANSPLANT HEPATIC

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 98.29 0.982900 0.982900 124.28 1.242800 1.2428002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.54 1.130800 1.130800 71.49 1.429800 1.4298003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.39 1.087800 1.087800 68.77 1.375400 1.3754004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.43 0.690500 0.690500 54.19 0.903166 0.9031665 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.43 1.371500 1.371500 35.88 1.794000 1.7940006 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 111.83 2.236600 2.236600 136.52 2.730400 2.7304007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 219.67 2.196700 2.196700 268.17 2.681700 2.6817008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 77.10 77.100000 77.100000 97.49 97.490000 97.4900009 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 57.68 5.768000 5.768000 72.93 7.293000 7.293000

10 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 10 118.41 11.841000 11.841000 144.56 14.456000 14.45600011 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 10 153.90 15.390000 15.390000 187.88 18.788000 18.78800012 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 39.90 19.950000 19.950000 52.19 26.095000 26.09500013 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 66.80 6.680000 6.680000 84.46 8.446000 8.44600014 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 80.20 16.040000 16.040000 101.41 20.282000 20.28200015 B01AC11 ILOPROSTUM** ILOMEDIN 20 CONC. PT. SOL. PERF. 20mcg/ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ. S/P-RF 5 764.66 152.932000 152.932000 871.63 174.326000 174.32600016 B01AC11 ILOPROSTUM** VENTAVIS 10mcg/ml SOL. DE INHALAT PRIN NEBULIZ. 10mcg/ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ. S 30 1,947.00 64.900000 64.900000 2,160.38 72.012666 72.01266617 B01AD02 ALTEPLASUM** ACTILYSE PULB+SOLV. PT. SOL. INJ 50mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER S 1 1,490.89 1,490.890000 1,490.890000 1,663.22 1,663.220000 1,663.22000018 B02AA02 ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 9.47 1.894000 1.894000 12.80 2.560000 2.56000019 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000

Pagina 30 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

20 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.11000021 B02BD08 EPTACOG ALFA ACTIVATUM** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R 1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.63000022 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUROCARD 50 mg/20 mg CAPS. 50mg/20 mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 23.29 0.776333 0.776333 31.48 1.049333 1.04933323 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 17.25 0.862500 0.862500 23.31 1.165500 1.16550024 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 105.26 3.508666 3.508666 128.50 4.283333 4.28333325 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg FERRING GMBH GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 95.42 3.180666 3.180666 120.65 4.021666 4.02166626 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 151.92 5.064000 5.064000 185.47 6.182333 6.18233327 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 77.57 2.585666 2.585666 98.08 3.269333 3.26933328 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 401.14 33.428333 23.533200 475.39 39.615833 28.72920029 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 692.90 57.741666 46.081000 793.41 66.117500 54.04300030 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 265.41 22.117500 22.117500 324.01 27.000833 27.00083331 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920032 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920033 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 265.28 22.106666 22.106666 323.86 26.988333 26.98833334 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920035 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 386.57 38.657000 23.533200 459.51 45.951000 28.72920036 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920037 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.32 20.320000 20.320000 27.47 27.470000 27.47000038 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.83 19.966000 19.966000 126.23 25.246000 25.24600039 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 196.11 19.611000 19.611000 239.41 23.941000 23.94100040 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.65 40.650000 23.533200 53.17 53.170000 28.72920041 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.11 39.222000 23.533200 239.41 47.882000 28.72920042 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000043 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 197.45 39.490000 39.490000 241.05 48.210000 48.21000044 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 389.01 38.901000 38.901000 462.17 46.217000 46.21700045 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000046 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.94 40.940000 40.940000 53.55 53.550000 53.55000047 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000048 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000049 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583350 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583351 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100052 J01XX08 LINEZOLIDUM ZYVOXID (R) 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 1 879.36 879.360000 879.360000 996.65 996.650000 996.65000053 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100054 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.91857155 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.86892856 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.45000057 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.99000058 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 1,202.39 1,202.390000 1,202.390000 1,348.76 1,348.760000 1,348.76000059 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 1,560.14 1,560.140000 1,560.140000 1,738.70 1,738.700000 1,738.70000060 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.98216661 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B** ZUTECTRA SOL INJ. IN SERINGA PRE-UMPLUTA 500 UI BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 500 UI AMBALATE ÎN BLISTERE PRF 5 9,205.00 1,841.000000 1,841.000000 10,071.60 2,014.320000 2,014.32000062 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR 1 4,477.57 4,477.570000 4,477.570000 4,918.70 4,918.700000 4,918.70000063 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 1 267.05 267.050000 194.520000 326.02 326.020000 237.46800064 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 1 436.57 436.570000 313.092000 514.01 514.010000 382.22400065 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 162.10 162.100000 162.100000 197.89 197.890000 197.89000066 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.91 260.910000 260.910000 318.52 318.520000 318.52000067 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 418.45 83.690000 83.690000 494.26 98.852000 98.85200068 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 214.16 214.160000 194.520000 261.45 261.450000 237.46800069 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,001.12 200.224000 194.520000 1,129.37 225.874000 225.87400070 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.90 355.900000 313.092000 426.08 426.080000 382.22400071 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,656.30 331.260000 313.092000 1,843.52 368.704000 368.70400072 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 452.86 4.528600 3.499440 531.77 5.317700 4.27212073 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.89 5.857800 5.452080 357.56 7.151200 6.65592074 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 452.86 9.057200 5.452080 531.77 10.635400 6.65592075 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 120 557.65 4.647083 4.647083 645.99 5.383250 5.38325076 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 1,041.93 8.682750 8.682750 1,173.85 9.782083 9.78208377 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR 100 291.62 2.916200 2.916200 356.01 3.560100 3.56010078 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 302.31 3.023100 3.023100 367.67 3.676700 3.67670079 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.89 2.928900 2.928900 357.56 3.575600 3.57560080 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 227.17 4.543400 4.543400 277.33 5.546600 5.54660081 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 250 mg COMPR. FILM. 250mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 100 291.62 2.916200 2.916200 356.01 3.560100 3.56010082 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM. PR 50 302.36 6.047200 5.452080 367.72 7.354400 6.65592083 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 272.59 5.451800 5.451800 332.78 6.655600 6.65560084 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 302.31 6.046200 5.452080 367.67 7.353400 6.65592085 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 272.59 5.451800 5.451800 332.78 6.655600 6.65560086 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 500 mg COMPR. FILM. 500mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 50 227.17 4.543400 4.543400 277.33 5.546600 5.54660087 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 489.29 16.309666 16.309666 571.48 19.049333 19.04933388 L04AD01 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 50 397.39 7.947800 7.947800 471.31 9.426200 9.42620089 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.48 2.249600 1.786800 137.32 2.746400 2.25912090 L04AD01 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 74.45 1.489000 1.489000 94.13 1.882600 1.88260091 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 239.32 4.786400 3.733200 292.16 5.843200 4.55760092 L04AD01 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 50 155.55 3.111000 3.111000 189.90 3.798000 3.79800093 L04AD01 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 1 358.02 358.020000 358.020000 428.39 428.390000 428.39000094 L04AD02 TACROLIMUSUM** TACNI 0,5 mg CAPS. 0,5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE PRF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400

Pagina 31 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

95 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 0,5 mg CAPS. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 133.49 2.669800 2.669800 162.97 3.259400 3.25940096 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 205.39 4.107800 3.203760 250.74 5.014800 3.91128097 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.49 2.669800 2.669800 162.97 3.259400 3.25940098 L04AD02 TACROLIMUSUM** TACNI 1 mg CAPS. 1 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF 50 238.62 4.772400 4.772400 291.31 5.826200 5.82620099 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 1 mg CAPS. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200

100 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 363.74 7.274800 5.726880 434.63 8.692600 6.991440101 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200102 L04AD02 TACROLIMUSUM** TACNI 5 mg CAPS. 5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF 50 1,114.65 22.293000 22.293000 1,253.12 25.062400 25.062400103 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,715.18 34.303600 26.751600 1,907.70 38.154000 30.074880104 L04AD02 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 50 204.92 4.098400 3.203760 250.17 5.003400 3.911280105 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 402.53 8.050600 5.726880 476.91 9.538200 6.991440106 L04AD02 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 1,865.58 37.311600 26.751600 2,071.63 41.432600 30.074880107 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,545.19 154.519000 154.519000 1,722.41 172.241000 172.241000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUT URI SI CELULE DE ORIGINE UMANA P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

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 98.29 0.982900 0.982900 124.28 1.242800 1.2428002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.54 1.130800 1.130800 71.49 1.429800 1.4298003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.39 1.087800 1.087800 68.77 1.375400 1.3754004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.43 0.690500 0.690500 54.19 0.903166 0.9031665 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.43 1.371500 1.371500 35.88 1.794000 1.7940006 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 111.83 2.236600 2.236600 136.52 2.730400 2.7304007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 219.67 2.196700 2.196700 268.17 2.681700 2.6817008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 77.10 77.100000 77.100000 97.49 97.490000 97.4900009 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 25.70 0.514000 0.514000 33.62 0.672400 0.672400

10 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 28.49 0.949666 0.616800 37.26 1.242000 0.80688011 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 23.23 0.774333 0.774333 31.40 1.046666 1.04666612 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 42.10 1.403333 0.929200 55.07 1.835666 1.25599913 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S 10 203.78 20.378000 20.378000 248.78 24.878000 24.87800014 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. S 10 108.79 10.879000 10.879000 132.81 13.281000 13.28100015 B01AB04 DALTEPARINUM FRAGMIN 10000 UI/0,4 ml SOL. INJ. 10000UI/0,4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF 5 103.19 20.638000 20.638000 125.97 25.194000 25.19400016 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 10 218.57 21.857000 21.857000 266.83 26.683000 26.68300017 B01AB04 DALTEPARINUM FRAGMIN 12500 UI/0,5 ml SOL. INJ. 12500 UI/0,5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF 5 139.97 27.994000 27.994000 170.87 34.174000 34.17400018 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 5 169.45 33.890000 33.890000 206.87 41.374000 41.37400019 B01AB04 DALTEPARINUM FRAGMIN 18000 UI/0,72 ml SOL. INJ. 18000 UI/0,72ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF 5 192.72 38.544000 38.544000 235.27 47.054000 47.05400020 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 61.36 6.136000 6.136000 77.59 7.759000 7.75900021 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 10 116.45 11.645000 11.645000 142.16 14.216000 14.21600022 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 10 166.28 16.628000 16.628000 202.99 20.299000 20.29900023 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 57.68 5.768000 5.768000 72.93 7.293000 7.29300024 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 10 118.41 11.841000 11.841000 144.56 14.456000 14.45600025 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 10 153.90 15.390000 15.390000 187.88 18.788000 18.78800026 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 39.90 19.950000 19.950000 52.19 26.095000 26.09500027 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 66.80 6.680000 6.680000 84.46 8.446000 8.44600028 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 80.20 16.040000 16.040000 101.41 20.282000 20.28200029 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 3,478.41 3,478.410000 3,478.410000 3,829.62 3,829.620000 3,829.62000030 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 2,167.33 2,167.330000 2,167.330000 2,400.54 2,400.540000 2,400.54000031 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 4,817.21 4,817.210000 4,817.210000 5,288.92 5,288.920000 5,288.92000032 H01CB02 OCTREOTIDUM** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 125.02 25.004000 25.004000 152.62 30.524000 30.52400033 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 401.14 33.428333 23.533200 475.39 39.615833 28.72920034 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 692.90 57.741666 46.081000 793.41 66.117500 54.04300035 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 265.41 22.117500 22.117500 324.01 27.000833 27.00083336 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920037 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920038 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 265.28 22.106666 22.106666 323.86 26.988333 26.98833339 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920040 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 386.57 38.657000 23.533200 459.51 45.951000 28.72920041 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920042 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.32 20.320000 20.320000 27.47 27.470000 27.47000043 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.83 19.966000 19.966000 126.23 25.246000 25.24600044 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 196.11 19.611000 19.611000 239.41 23.941000 23.94100045 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.65 40.650000 23.533200 53.17 53.170000 28.72920046 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.11 39.222000 23.533200 239.41 47.882000 28.72920047 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000048 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 197.45 39.490000 39.490000 241.05 48.210000 48.21000049 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 389.01 38.901000 38.901000 462.17 46.217000 46.21700050 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000051 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.94 40.940000 40.940000 53.55 53.550000 53.55000052 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000053 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000054 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583355 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583356 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 118.16 118.160000 118.160000 144.25 144.250000 144.250000

Pagina 32 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

57 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100058 J01XX08 LINEZOLIDUM ZYVOXID (R) 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 1 879.36 879.360000 879.360000 996.65 996.650000 996.65000059 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100060 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 9.34 0.934000 0.609600 12.62 1.262000 0.82440061 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.78 0.678000 0.609600 9.17 0.917000 0.82440062 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 15.15 1.515000 0.609600 20.48 2.048000 0.82440063 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 5.94 0.594000 0.594000 8.03 0.803000 0.80300064 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.08 0.508000 0.508000 6.87 0.687000 0.68700065 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.37 4.085625 3.996000 82.66 5.166250 5.16625066 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 6.98 3.490000 3.490000 9.43 4.715000 4.71500067 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 23.31 3.330000 3.330000 31.51 4.501428 4.50142868 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.95 4.737500 3.996000 25.61 6.402500 5.40171469 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.65 6.916071 3.996000 236.41 8.443214 5.40171470 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.15 4.735714 3.996000 43.36 6.194285 5.40171471 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.27 9.270000 5.856000 12.53 12.530000 7.90800072 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.88 4.880000 4.880000 6.59 6.590000 6.59000073 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.65 16.650000 5.856000 22.51 22.510000 7.90800074 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.79 10.790000 5.856000 14.58 14.580000 7.90800075 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.16 7.160000 5.856000 9.68 9.680000 7.90800076 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.24 12.060000 5.856000 63.10 15.775000 7.90800077 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 4.88 4.880000 4.880000 6.59 6.590000 6.59000078 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800079 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 18.56 18.560000 5.856000 25.08 25.080000 7.90800080 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.95 13.950000 5.856000 18.86 18.860000 7.90800081 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.07 6.070000 5.856000 8.20 8.200000 7.90800082 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800083 J02AC01 FLUCONAZOLUM FLUCONAZOL ACTAVIS 150 mg CAPS. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF 1 7.44 7.440000 5.856000 10.06 10.060000 7.90800084 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800085 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 9.57 9.570000 5.856000 12.94 12.940000 7.90800086 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.68 6.680000 5.856000 9.03 9.030000 7.90800087 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 30.10 4.300000 4.300000 39.37 5.624285 5.62428588 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171489 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 12.35 1.764285 1.764285 16.69 2.384285 2.38428590 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171491 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.09 1.761250 1.761250 19.04 2.380000 2.38000092 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.66 1.665714 1.665714 15.76 2.251428 2.25142893 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.88 1.888000 1.888000 25.52 2.552000 2.55200094 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.49 2.070000 1.998857 19.58 2.797142 2.70171495 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 43.23 6.175714 1.998857 56.54 8.077142 2.70171496 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.91 3.130000 1.998857 29.61 4.230000 2.70171497 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 32.06 4.580000 1.998857 41.93 5.990000 2.70171498 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.19 6.741428 1.998857 61.72 8.817142 2.70171499 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.95 1.707142 1.707142 16.15 2.307142 2.307142

100 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.15 2.021428 1.998857 19.12 2.731428 2.701714101 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 50 mg CAPS. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 16.69 2.384285 1.998857 22.56 3.222857 2.701714102 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 43.23 43.230000 43.230000 56.54 56.540000 56.540000103 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 20 631.41 31.570500 31.570500 726.39 36.319500 36.319500104 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 362.55 18.127500 18.127500 433.33 21.666500 21.666500105 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 454.59 45.459000 37.524480 533.65 53.365000 42.732960106 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 796.39 39.819500 37.524480 906.22 45.311000 42.732960107 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 770.66 77.066000 77.066000 878.17 87.817000 87.817000108 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.63 40.630000 37.524480 53.14 53.140000 42.732960109 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 1 42.66 42.660000 37.524480 55.80 55.800000 42.732960110 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S 1 137.44 137.440000 91.405200 167.79 167.790000 104.210400111 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.90 18.290000 18.290000 223.28 22.328000 22.328000112 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10 761.71 76.171000 76.171000 868.42 86.842000 86.842000113 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 18.84 18.840000 18.840000 25.47 25.470000 25.033440114 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 10 181.93 18.193000 18.193000 222.10 22.210000 22.210000115 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 20 360.77 18.038500 18.038500 431.39 21.569500 21.569500116 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 133.17 133.170000 91.405200 162.58 162.580000 104.210400117 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.99 30.990000 21.286560 40.53 40.530000 25.033440118 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 25 443.47 17.738800 17.738800 521.53 20.861200 20.861200119 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 34.28 34.280000 34.280000 44.84 44.840000 42.732960120 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 10 330.71 33.071000 33.071000 398.62 39.862000 39.862000121 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 35.03 35.030000 35.030000 45.82 45.820000 42.732960122 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 25 781.76 31.270400 31.270400 890.27 35.610800 35.610800123 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 81.95 81.950000 81.950000 103.62 103.620000 103.620000124 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000125 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 60.84 4.056000 3.214399 76.92 5.128000 4.204000126 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000127 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000128 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000129 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.56 3.504000 3.504000130 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 40.18 2.678666 2.678666 52.55 3.503333 3.503333131 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.918571

Pagina 33 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

132 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.868928133 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.450000134 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000135 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 1,202.39 1,202.390000 1,202.390000 1,348.76 1,348.760000 1,348.760000136 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 1,560.14 1,560.140000 1,560.140000 1,738.70 1,738.700000 1,738.700000137 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.780000138 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.97 0.748500 0.577200 20.23 1.011500 0.780000139 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.780000140 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1,000 704.14 0.704140 0.577200 805.66 0.805660 0.780000141 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.41 1.441000 1.441000 19.48 1.948000 1.948000142 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.62 0.481000 0.481000 13.00 0.650000 0.650000143 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.16 0.608000 0.577200 16.44 0.822000 0.780000144 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.75 0.637500 0.577200 17.23 0.861500 0.780000145 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 10.22 0.511000 0.511000 13.81 0.690500 0.690500146 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.69 0.634500 0.577200 17.15 0.857500 0.780000147 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 14.23 1.423000 1.423000 19.23 1.923000 1.923000148 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 5 231.79 46.358000 46.358000 282.97 56.594000 56.594000149 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 43.54 4.354000 4.354000 56.95 5.695000 5.695000150 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.982166151 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S 1 451.00 451.000000 451.000000 529.74 529.740000 529.740000152 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN PULB.+SOLV. PT. SOL. PERF. 5% HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD. UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S 1 872.00 872.000000 872.000000 988.63 988.630000 988.630000153 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 3,072.10 3,072.100000 3,072.100000 3,386.74 3,386.740000 3,386.740000154 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S 1 6,114.44 6,114.440000 6,114.440000 6,702.89 6,702.890000 6,702.890000155 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. S 1 663.61 663.610000 663.610000 761.48 761.480000 761.480000156 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S 1 1,550.55 1,550.550000 1,550.550000 1,728.25 1,728.250000 1,728.250000157 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S 1 3,473.78 3,473.780000 3,473.780000 3,824.57 3,824.570000 3,824.570000158 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S 1 1,751.89 1,751.890000 1,751.890000 1,947.71 1,947.710000 1,947.710000159 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S 1 460.47 460.470000 460.470000 540.07 540.070000 540.070000160 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S 1 889.76 889.760000 889.760000 1,007.99 1,007.990000 1,007.990000161 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S 1 1,749.51 1,749.510000 1,749.510000 1,945.12 1,945.120000 1,945.120000162 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S 1 3,469.04 3,469.040000 3,469.040000 3,819.40 3,819.400000 3,819.400000163 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S 1 459.88 459.880000 459.880000 539.42 539.420000 539.420000164 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S 1 7,459.41 7,459.410000 7,459.410000 8,168.91 8,168.910000 8,168.910000165 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S 1 890.95 890.950000 890.950000 1,009.28 1,009.280000 1,009.280000166 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml SOL. PERF. 100mg/ml BAXTER AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S 1 188.56 188.560000 188.560000 230.20 230.200000 230.200000167 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 2,050.80 2,050.800000 2,050.800000 2,273.52 2,273.520000 2,273.520000168 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 222.29 222.290000 222.290000 271.37 271.370000 271.370000169 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 535.20 535.200000 535.200000 621.52 621.520000 621.520000170 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S 1 914.10 914.100000 914.100000 1,034.52 1,034.520000 1,034.520000171 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF. S 1 1,798.20 1,798.200000 1,798.200000 1,998.19 1,998.190000 1,998.190000172 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S 1 472.05 472.050000 472.050000 552.68 552.680000 552.680000173 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5% SOL. PERF. 5% INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S 1 99.02 99.020000 99.020000 125.20 125.200000 125.200000174 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 1,166.70 1,166.700000 1,166.700000 1,309.85 1,309.850000 1,309.850000175 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 640.45 640.450000 640.450000 736.24 736.240000 736.240000176 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 2,261.30 2,261.300000 2,261.300000 2,502.97 2,502.970000 2,502.970000177 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE S 1 1,040.40 1,040.400000 1,040.400000 1,172.19 1,172.190000 1,172.190000178 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 19.33 0.386600 0.386600 26.13 0.522600 0.522600179 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 11.76 11.760000 11.760000 15.89 15.890000 15.890000180 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 1 267.05 267.050000 194.520000 326.02 326.020000 237.468000181 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 1 436.57 436.570000 313.092000 514.01 514.010000 382.224000182 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 162.10 162.100000 162.100000 197.89 197.890000 197.890000183 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 260.91 260.910000 260.910000 318.52 318.520000 318.520000184 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 120µg/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF 5 418.45 83.690000 83.690000 494.26 98.852000 98.852000185 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 214.16 214.160000 194.520000 261.45 261.450000 237.468000186 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,001.12 200.224000 194.520000 1,129.37 225.874000 225.874000187 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 355.90 355.900000 313.092000 426.08 426.080000 382.224000188 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 1,656.30 331.260000 313.092000 1,843.52 368.704000 368.704000189 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 452.86 4.528600 3.499440 531.77 5.317700 4.272120190 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.89 5.857800 5.452080 357.56 7.151200 6.655920191 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 452.86 9.057200 5.452080 531.77 10.635400 6.655920192 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 120 557.65 4.647083 4.647083 645.99 5.383250 5.383250193 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 1,041.93 8.682750 8.682750 1,173.85 9.782083 9.782083194 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100195 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 302.31 3.023100 3.023100 367.67 3.676700 3.676700196 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.89 2.928900 2.928900 357.56 3.575600 3.575600197 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600198 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 250 mg COMPR. FILM. 250mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100199 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM. PR 50 302.36 6.047200 5.452080 367.72 7.354400 6.655920200 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600201 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 302.31 6.046200 5.452080 367.67 7.353400 6.655920202 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600203 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 500 mg COMPR. FILM. 500mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600204 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 489.29 16.309666 16.309666 571.48 19.049333 19.049333205 L04AC02 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 4,267.46 4,267.460000 4,267.460000 4,689.69 4,689.690000 4,689.690000206 L04AD01 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 50 397.39 7.947800 7.947800 471.31 9.426200 9.426200

Pagina 34 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

207 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.48 2.249600 1.786800 137.32 2.746400 2.259120208 L04AD01 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 74.45 1.489000 1.489000 94.13 1.882600 1.882600209 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 239.32 4.786400 3.733200 292.16 5.843200 4.557600210 L04AD01 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 50 155.55 3.111000 3.111000 189.90 3.798000 3.798000211 L04AD01 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 1 358.02 358.020000 358.020000 428.39 428.390000 428.390000212 L04AD02 TACROLIMUSUM** TACNI 0,5 mg CAPS. 0,5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE PRF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400213 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 0,5 mg CAPS. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400214 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 205.39 4.107800 3.203760 250.74 5.014800 3.911280215 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400216 L04AD02 TACROLIMUSUM** TACNI 1 mg CAPS. 1 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200217 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 1 mg CAPS. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200218 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 363.74 7.274800 5.726880 434.63 8.692600 6.991440219 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200220 L04AD02 TACROLIMUSUM** TACNI 5 mg CAPS. 5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF 50 1,114.65 22.293000 22.293000 1,253.12 25.062400 25.062400221 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,715.18 34.303600 26.751600 1,907.70 38.154000 30.074880222 L04AD02 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 50 204.92 4.098400 3.203760 250.17 5.003400 3.911280223 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 402.53 8.050600 5.726880 476.91 9.538200 6.991440224 L04AD02 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 1,865.58 37.311600 26.751600 2,071.63 41.432600 30.074880225 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,545.19 154.519000 154.519000 1,722.41 172.241000 172.241000226 L04AX01 AZATHIOPRINUM IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 83.19 0.831900 0.831900 105.18 1.051800 1.051800227 L04AX01 AZATHIOPRINUM IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 42.34 0.846800 0.846800 55.38 1.107600 1.107600228 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 63.98 0.639800 0.639800 80.90 0.809000 0.809000229 L04AX01 AZATHIOPRINUM IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 62.39 0.623900 0.623900 78.89 0.788900 0.788900230 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 36.90 1.317857 1.317857 48.27 1.723928 1.723928231 M05BA04 ACIDUM ALENDRONICUM TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 36.90 9.225000 5.484000 48.27 12.067500 7.413000232 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 36.90 9.225000 5.484000 48.27 12.067500 7.413000233 M05BA04 ACIDUM ALENDRONICUM RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 36.44 9.110000 5.484000 47.66 11.915000 7.413000234 M05BA04 ACIDUM ALENDRONICUM INSTREL 70 mg COMPR. 70mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF 4 36.44 9.110000 5.484000 47.66 11.915000 7.413000235 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 18.44 9.220000 5.484000 24.93 12.465000 7.413000236 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L 4 18.28 4.570000 4.570000 24.71 6.177500 6.177500237 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 28.39 14.195000 5.484000 37.13 18.565000 7.413000238 M05BA04 ACIDUM ALENDRONICUM ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 9.49 4.745000 4.745000 12.82 6.410000 6.410000239 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 108.06 9.005000 5.484000 131.92 10.993333 7.413000240 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 18.33 9.165000 5.484000 24.78 12.390000 7.413000241 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 36.67 9.167500 5.484000 47.97 11.992500 7.413000242 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 5.77 1.154000 1.154000 7.80 1.560000 1.560000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUT URI SI CELULE DE ORIGINE UMANA P9.5: TRANSPLANT CELULE PANCREATICE

1 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 66.80 6.680000 6.680000 84.46 8.446000 8.4460002 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 80.20 16.040000 16.040000 101.41 20.282000 20.2820003 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.5710004 J01XX08 LINEZOLIDUM ZYVOXID (R) 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 1 879.36 879.360000 879.360000 996.65 996.650000 996.6500005 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.5710006 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.9185717 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.8689288 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.4500009 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000

10 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.982166

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUT URI SI CELULE DE ORIGINE UMANA P9.6: TRANSPLANT PULMONAR

1 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 57.68 5.768000 5.768000 72.93 7.293000 7.2930002 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 10 118.41 11.841000 11.841000 144.56 14.456000 14.4560003 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 10 153.90 15.390000 15.390000 187.88 18.788000 18.7880004 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 39.90 19.950000 19.950000 52.19 26.095000 26.0950005 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 66.80 6.680000 6.680000 84.46 8.446000 8.4460006 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 80.20 16.040000 16.040000 101.41 20.282000 20.2820007 B02AA02 ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 9.47 1.894000 1.894000 12.80 2.560000 2.5600008 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 113.56 1.135600 1.135600 138.64 1.386400 1.3864009 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 401.14 33.428333 23.533200 475.39 39.615833 28.729200

10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 692.90 57.741666 46.081000 793.41 66.117500 54.04300011 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 12 265.41 22.117500 22.117500 324.01 27.000833 27.00083312 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920013 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920014 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 265.28 22.106666 22.106666 323.86 26.988333 26.98833315 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920016 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 386.57 38.657000 23.533200 459.51 45.951000 28.72920017 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S 1 22.93 22.930000 22.930000 30.99 30.990000 28.72920018 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 20.32 20.320000 20.320000 27.47 27.470000 27.470000

Pagina 35 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

19 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 99.83 19.966000 19.966000 126.23 25.246000 25.24600020 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 196.11 19.611000 19.611000 239.41 23.941000 23.94100021 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.65 40.650000 23.533200 53.17 53.170000 28.72920022 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 196.11 39.222000 23.533200 239.41 47.882000 28.72920023 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000024 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 197.45 39.490000 39.490000 241.05 48.210000 48.21000025 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 389.01 38.901000 38.901000 462.17 46.217000 46.21700026 J01CR05 PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000027 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.94 40.940000 40.940000 53.55 53.550000 53.55000028 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000029 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 1 40.93 40.930000 40.930000 53.53 53.530000 53.53000030 J01CR05 PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ROMASTRU TRADING SRL ROMANIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583331 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 12 460.81 38.400833 38.400833 540.43 45.035833 45.03583332 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100033 J01XX08 LINEZOLIDUM ZYVOXID (R) 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 1 879.36 879.360000 879.360000 996.65 996.650000 996.65000034 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,603.26 160.326000 160.326000 1,785.71 178.571000 178.57100035 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.37 4.085625 3.996000 82.66 5.166250 5.16625036 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 6.98 3.490000 3.490000 9.43 4.715000 4.71500037 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 23.31 3.330000 3.330000 31.51 4.501428 4.50142838 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.95 4.737500 3.996000 25.61 6.402500 5.40171439 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.65 6.916071 3.996000 236.41 8.443214 5.40171440 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.15 4.735714 3.996000 43.36 6.194285 5.40171441 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.27 9.270000 5.856000 12.53 12.530000 7.90800042 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.88 4.880000 4.880000 6.59 6.590000 6.59000043 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.65 16.650000 5.856000 22.51 22.510000 7.90800044 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.79 10.790000 5.856000 14.58 14.580000 7.90800045 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.16 7.160000 5.856000 9.68 9.680000 7.90800046 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.24 12.060000 5.856000 63.10 15.775000 7.90800047 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 4.88 4.880000 4.880000 6.59 6.590000 6.59000048 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800049 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 18.56 18.560000 5.856000 25.08 25.080000 7.90800050 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.95 13.950000 5.856000 18.86 18.860000 7.90800051 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.07 6.070000 5.856000 8.20 8.200000 7.90800052 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800053 J02AC01 FLUCONAZOLUM FLUCONAZOL ACTAVIS 150 mg CAPS. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF 1 7.44 7.440000 5.856000 10.06 10.060000 7.90800054 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800055 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 9.57 9.570000 5.856000 12.94 12.940000 7.90800056 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.68 6.680000 5.856000 9.03 9.030000 7.90800057 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 30.10 4.300000 4.300000 39.37 5.624285 5.62428558 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171459 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 12.35 1.764285 1.764285 16.69 2.384285 2.38428560 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171461 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.09 1.761250 1.761250 19.04 2.380000 2.38000062 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.66 1.665714 1.665714 15.76 2.251428 2.25142863 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.88 1.888000 1.888000 25.52 2.552000 2.55200064 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.49 2.070000 1.998857 19.58 2.797142 2.70171465 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 43.23 6.175714 1.998857 56.54 8.077142 2.70171466 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.91 3.130000 1.998857 29.61 4.230000 2.70171467 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 32.06 4.580000 1.998857 41.93 5.990000 2.70171468 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.19 6.741428 1.998857 61.72 8.817142 2.70171469 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.95 1.707142 1.707142 16.15 2.307142 2.30714270 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.15 2.021428 1.998857 19.12 2.731428 2.70171471 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 50 mg CAPS. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171472 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 43.23 43.230000 43.230000 56.54 56.540000 56.54000073 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 20 631.41 31.570500 31.570500 726.39 36.319500 36.31950074 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 362.55 18.127500 18.127500 433.33 21.666500 21.66650075 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 454.59 45.459000 37.524480 533.65 53.365000 42.73296076 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 796.39 39.819500 37.524480 906.22 45.311000 42.73296077 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 770.66 77.066000 77.066000 878.17 87.817000 87.81700078 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.63 40.630000 37.524480 53.14 53.140000 42.73296079 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 1 42.66 42.660000 37.524480 55.80 55.800000 42.73296080 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S 1 137.44 137.440000 91.405200 167.79 167.790000 104.21040081 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.90 18.290000 18.290000 223.28 22.328000 22.32800082 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10 761.71 76.171000 76.171000 868.42 86.842000 86.84200083 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 18.84 18.840000 18.840000 25.47 25.470000 25.03344084 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 10 181.93 18.193000 18.193000 222.10 22.210000 22.21000085 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 20 360.77 18.038500 18.038500 431.39 21.569500 21.56950086 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 133.17 133.170000 91.405200 162.58 162.580000 104.21040087 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.99 30.990000 21.286560 40.53 40.530000 25.03344088 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 25 443.47 17.738800 17.738800 521.53 20.861200 20.86120089 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 34.28 34.280000 34.280000 44.84 44.840000 42.73296090 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 10 330.71 33.071000 33.071000 398.62 39.862000 39.86200091 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 35.03 35.030000 35.030000 45.82 45.820000 42.73296092 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 25 781.76 31.270400 31.270400 890.27 35.610800 35.61080093 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 81.95 81.950000 81.950000 103.62 103.620000 103.620000

Pagina 36 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

94 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.91857195 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.86892896 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.45000097 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.99000098 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.78000099 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.97 0.748500 0.577200 20.23 1.011500 0.780000

100 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.780000101 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1,000 704.14 0.704140 0.577200 805.66 0.805660 0.780000102 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.41 1.441000 1.441000 19.48 1.948000 1.948000103 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.62 0.481000 0.481000 13.00 0.650000 0.650000104 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.16 0.608000 0.577200 16.44 0.822000 0.780000105 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.75 0.637500 0.577200 17.23 0.861500 0.780000106 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 10.22 0.511000 0.511000 13.81 0.690500 0.690500107 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.69 0.634500 0.577200 17.15 0.857500 0.780000108 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 14.23 1.423000 1.423000 19.23 1.923000 1.923000109 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 5 231.79 46.358000 46.358000 282.97 56.594000 56.594000110 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.982166111 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 452.86 4.528600 3.499440 531.77 5.317700 4.272120112 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.89 5.857800 5.452080 357.56 7.151200 6.655920113 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 452.86 9.057200 5.452080 531.77 10.635400 6.655920114 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 120 557.65 4.647083 4.647083 645.99 5.383250 5.383250115 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 1,041.93 8.682750 8.682750 1,173.85 9.782083 9.782083116 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100117 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 302.31 3.023100 3.023100 367.67 3.676700 3.676700118 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.89 2.928900 2.928900 357.56 3.575600 3.575600119 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600120 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 250 mg COMPR. FILM. 250mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100121 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM. PR 50 302.36 6.047200 5.452080 367.72 7.354400 6.655920122 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600123 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 302.31 6.046200 5.452080 367.67 7.353400 6.655920124 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600125 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 500 mg COMPR. FILM. 500mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600126 L04AC02 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 4,267.46 4,267.460000 4,267.460000 4,689.69 4,689.690000 4,689.690000127 L04AD01 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 50 397.39 7.947800 7.947800 471.31 9.426200 9.426200128 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.48 2.249600 1.786800 137.32 2.746400 2.259120129 L04AD01 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 74.45 1.489000 1.489000 94.13 1.882600 1.882600130 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 239.32 4.786400 3.733200 292.16 5.843200 4.557600131 L04AD01 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 50 155.55 3.111000 3.111000 189.90 3.798000 3.798000132 L04AD01 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 1 358.02 358.020000 358.020000 428.39 428.390000 428.390000133 L04AX01 AZATHIOPRINUM IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 83.19 0.831900 0.831900 105.18 1.051800 1.051800134 L04AX01 AZATHIOPRINUM IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 42.34 0.846800 0.846800 55.38 1.107600 1.107600135 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 63.98 0.639800 0.639800 80.90 0.809000 0.809000136 L04AX01 AZATHIOPRINUM IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 62.39 0.623900 0.623900 78.89 0.788900 0.788900137 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 0.215500 0.215500 5.82 0.291000 0.291000138 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 8.53 0.284333 0.258600 11.53 0.384333 0.349200139 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.85 0.285000 0.258600 3.85 0.385000 0.349200140 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.85 0.285000 0.258600 3.85 0.385000 0.349200141 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2.85 0.285000 0.258600 3.85 0.385000 0.349200142 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.83 0.283000 0.258600 3.82 0.382000 0.349200143 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200144 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.31 0.215500 0.215500 5.82 0.291000 0.291000145 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200146 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.66 0.333000 0.258600 9.00 0.450000 0.349200147 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 24.79 1.239500 0.559200 33.50 1.675000 0.755599148 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 36.23 1.207666 0.559200 47.39 1.579666 0.755599149 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 56.65 1.133000 0.559200 71.63 1.432600 0.755599150 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 12.86 1.286000 0.559200 17.38 1.738000 0.755599151 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 19.30 1.930000 0.993600 26.09 2.609000 1.342800152 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 37.14 1.857000 0.993600 48.58 2.429000 1.342800153 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.34 1.811333 0.993600 68.71 2.290333 1.342800154 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 84.99 1.699800 0.993600 107.46 2.149200 1.342800155 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 24.09 2.409000 1.626799 32.56 3.256000 2.128000156 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 44.68 2.234000 1.626799 58.44 2.922000 2.128000157 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 61.79 2.059666 1.626799 78.13 2.604333 2.128000158 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 96.03 1.920600 1.626799 121.42 2.428400 2.128000159 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200160 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200161 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.67 0.283500 0.258600 7.67 0.383500 0.349200162 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 4.66 0.466000 0.466000 6.30 0.630000 0.630000163 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 13.99 0.466333 0.466333 18.91 0.630333 0.630333164 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 4.66 0.466000 0.466000 6.30 0.630000 0.630000165 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 13.98 0.466000 0.466000 18.89 0.629666 0.629666166 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 24.09 0.481800 0.481800 32.56 0.651200 0.651200167 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 24.84 0.828000 0.828000 33.57 1.119000 1.119000168 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 15.57 1.557000 0.993600 21.05 2.105000 1.342800

Pagina 37 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

169 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 20.35 2.035000 1.626799 27.50 2.750000 2.128000170 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 7.88 0.262666 0.258600 10.65 0.355000 0.349200171 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 7.17 0.717000 0.559200 9.69 0.969000 0.755599172 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 16.30 1.630000 0.993600 22.03 2.203000 1.342800173 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 31.78 1.059333 0.993600 41.57 1.385666 1.342800174 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 20.85 2.085000 1.626799 28.18 2.818000 2.128000175 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 40.67 1.355666 1.355666 53.20 1.773333 1.773333176 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 3.73 3.730000 3.730000 5.04 5.040000 5.040000177 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 7.27 1.454000 1.322640 9.83 1.966000 1.614720178 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 110.22 1.102200 1.102200 134.56 1.345600 1.345600179 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 9.09 1.818000 1.322640 12.28 2.456000 1.614720180 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.65 0.730000 0.730000 4.93 0.986000 0.986000181 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.63 0.726000 0.726000 4.90 0.980000 0.980000182 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 5.67 1.134000 1.134000 7.67 1.534000 1.534000183 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.69 1.938000 1.322640 13.10 2.620000 1.614720184 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 4.13 0.826000 0.826000 5.58 1.116000 1.116000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUT URI SI CELULE DE ORIGINE UMANA P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATO RIU A PACIENTILOR TRANSPLANTATI

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 98.29 0.982900 0.982900 124.28 1.242800 1.2428002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 56.54 1.130800 1.130800 71.49 1.429800 1.4298003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 54.39 1.087800 1.087800 68.77 1.375400 1.3754004 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 41.43 0.690500 0.690500 54.19 0.903166 0.9031665 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27.43 1.371500 1.371500 35.88 1.794000 1.7940006 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 111.83 2.236600 2.236600 136.52 2.730400 2.7304007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 219.67 2.196700 2.196700 268.17 2.681700 2.6817008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 77.10 77.100000 77.100000 97.49 97.490000 97.4900009 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 24.13 0.482600 0.482600 32.62 0.652400 0.652400

10 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 21.94 1.097000 1.097000 29.65 1.482500 1.48250011 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 4.83 0.161000 0.161000 6.53 0.217666 0.21766612 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 6.52 6.520000 6.520000 8.81 8.810000 8.81000013 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 22.95 22.950000 22.950000 31.02 31.020000 31.02000014 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 15.15 15.150000 15.150000 20.48 20.480000 20.48000015 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.96 0.098000 0.053316 2.65 0.132500 0.06974416 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1,000 44.43 0.044430 0.044430 58.12 0.058120 0.05812017 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.94 0.064666 0.053316 2.62 0.087333 0.06974418 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.83 0.061000 0.053316 2.47 0.082333 0.06974419 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.74 0.091333 0.053316 3.71 0.123666 0.06974420 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.90 0.095000 0.053316 2.57 0.128500 0.06974421 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.71 0.285500 0.183600 7.72 0.386000 0.24780022 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 3.06 0.153000 0.153000 4.13 0.206500 0.20650023 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 5.21 0.260500 0.183600 7.04 0.352000 0.24780024 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.71 0.285500 0.183600 7.72 0.386000 0.24780025 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 6.07 6.070000 6.070000 8.20 8.200000 8.20000026 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 3.52 3.520000 3.520000 4.76 4.760000 4.76000027 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 65.37 4.085625 3.996000 82.66 5.166250 5.16625028 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 6.98 3.490000 3.490000 9.43 4.715000 4.71500029 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 23.31 3.330000 3.330000 31.51 4.501428 4.50142830 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 18.95 4.737500 3.996000 25.61 6.402500 5.40171431 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 193.65 6.916071 3.996000 236.41 8.443214 5.40171432 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 33.15 4.735714 3.996000 43.36 6.194285 5.40171433 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.27 9.270000 5.856000 12.53 12.530000 7.90800034 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.88 4.880000 4.880000 6.59 6.590000 6.59000035 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.65 16.650000 5.856000 22.51 22.510000 7.90800036 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.79 10.790000 5.856000 14.58 14.580000 7.90800037 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.16 7.160000 5.856000 9.68 9.680000 7.90800038 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 48.24 12.060000 5.856000 63.10 15.775000 7.90800039 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 4.88 4.880000 4.880000 6.59 6.590000 6.59000040 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800041 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 18.56 18.560000 5.856000 25.08 25.080000 7.90800042 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.95 13.950000 5.856000 18.86 18.860000 7.90800043 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.07 6.070000 5.856000 8.20 8.200000 7.90800044 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800045 J02AC01 FLUCONAZOLUM FLUCONAZOL ACTAVIS 150 mg CAPS. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF 1 7.44 7.440000 5.856000 10.06 10.060000 7.90800046 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 7.35 7.350000 5.856000 9.94 9.940000 7.90800047 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 9.57 9.570000 5.856000 12.94 12.940000 7.90800048 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.68 6.680000 5.856000 9.03 9.030000 7.90800049 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 30.10 4.300000 4.300000 39.37 5.624285 5.62428550 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171451 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 12.35 1.764285 1.764285 16.69 2.384285 2.38428552 J02AC01 FLUCONAZOLUM FLUCONAZOL OZONE 50 mg CAPS. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171453 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 14.09 1.761250 1.761250 19.04 2.380000 2.380000

Pagina 38 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

54 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 11.66 1.665714 1.665714 15.76 2.251428 2.25142855 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.88 1.888000 1.888000 25.52 2.552000 2.55200056 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.49 2.070000 1.998857 19.58 2.797142 2.70171457 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 43.23 6.175714 1.998857 56.54 8.077142 2.70171458 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 21.91 3.130000 1.998857 29.61 4.230000 2.70171459 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 32.06 4.580000 1.998857 41.93 5.990000 2.70171460 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 47.19 6.741428 1.998857 61.72 8.817142 2.70171461 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.95 1.707142 1.707142 16.15 2.307142 2.30714262 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 14.15 2.021428 1.998857 19.12 2.731428 2.70171463 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 50 mg CAPS. 50mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 16.69 2.384285 1.998857 22.56 3.222857 2.70171464 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 43.23 43.230000 43.230000 56.54 56.540000 56.54000065 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 20 631.41 31.570500 31.570500 726.39 36.319500 36.31950066 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S 20 362.55 18.127500 18.127500 433.33 21.666500 21.66650067 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S 10 454.59 45.459000 37.524480 533.65 53.365000 42.73296068 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S 20 796.39 39.819500 37.524480 906.22 45.311000 42.73296069 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S 10 770.66 77.066000 77.066000 878.17 87.817000 87.81700070 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 40.63 40.630000 37.524480 53.14 53.140000 42.73296071 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 1 42.66 42.660000 37.524480 55.80 55.800000 42.73296072 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S 1 137.44 137.440000 91.405200 167.79 167.790000 104.21040073 J02AC01 FLUCONAZOLUM FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S 10 182.90 18.290000 18.290000 223.28 22.328000 22.32800074 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10 761.71 76.171000 76.171000 868.42 86.842000 86.84200075 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 18.84 18.840000 18.840000 25.47 25.470000 25.03344076 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 10 181.93 18.193000 18.193000 222.10 22.210000 22.21000077 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 20 360.77 18.038500 18.038500 431.39 21.569500 21.56950078 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 133.17 133.170000 91.405200 162.58 162.580000 104.21040079 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 30.99 30.990000 21.286560 40.53 40.530000 25.03344080 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 25 443.47 17.738800 17.738800 521.53 20.861200 20.86120081 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 34.28 34.280000 34.280000 44.84 44.840000 42.73296082 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 10 330.71 33.071000 33.071000 398.62 39.862000 39.86200083 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 35.03 35.030000 35.030000 45.82 45.820000 42.73296084 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 25 781.76 31.270400 31.270400 890.27 35.610800 35.61080085 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 81.95 81.950000 81.950000 103.62 103.620000 103.62000086 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,559.23 127.115357 127.115357 3,917.72 139.918571 139.91857187 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 912.09 32.574642 32.574642 1,032.33 36.868928 36.86892888 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 458.07 458.070000 458.070000 537.45 537.450000 537.45000089 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 P-RF 1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.99000090 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 2,488.19 2,488.190000 2,488.190000 2,750.28 2,750.280000 2,750.28000091 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,488.19 2,488.190000 2,488.190000 2,750.28 2,750.280000 2,750.28000092 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.78000093 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.97 0.748500 0.577200 20.23 1.011500 0.78000094 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 15.85 0.792500 0.577200 21.42 1.071000 0.78000095 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1,000 704.14 0.704140 0.577200 805.66 0.805660 0.78000096 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.41 1.441000 1.441000 19.48 1.948000 1.94800097 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.62 0.481000 0.481000 13.00 0.650000 0.65000098 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.16 0.608000 0.577200 16.44 0.822000 0.78000099 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 12.75 0.637500 0.577200 17.23 0.861500 0.780000

100 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 10.22 0.511000 0.511000 13.81 0.690500 0.690500101 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.69 0.634500 0.577200 17.15 0.857500 0.780000102 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 14.23 1.423000 1.423000 19.23 1.923000 1.923000103 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 5 231.79 46.358000 46.358000 282.97 56.594000 56.594000104 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,863.09 81.051500 81.051500 5,338.93 88.982166 88.982166105 J05AF05 LAMIVUDINUM LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 159.00 5.300000 5.300000 194.11 6.470333 6.470333106 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 28 228.32 8.154285 6.360000 278.73 9.954642 7.764400107 J05AF05 LAMIVUDINUM LAMIVUDINE TEVA PHARMA B.V. 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R 60 319.27 5.321166 5.321166 386.16 6.436000 6.436000108 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 476.54 7.942333 6.385399 557.58 9.293000 7.723200109 J05AF05 LAMIVUDINUM LAMIVUDINE TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 319.27 10.642333 10.642333 386.16 12.872000 12.872000110 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 1 131.82 131.820000 131.820000 160.92 160.920000 160.920000111 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 452.86 4.528600 3.499440 531.77 5.317700 4.272120112 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 292.89 5.857800 5.452080 357.56 7.151200 6.655920113 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 452.86 9.057200 5.452080 531.77 10.635400 6.655920114 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 120 557.65 4.647083 4.647083 645.99 5.383250 5.383250115 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 1,041.93 8.682750 8.682750 1,173.85 9.782083 9.782083116 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS. 250 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100117 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 302.31 3.023100 3.023100 367.67 3.676700 3.676700118 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 292.89 2.928900 2.928900 357.56 3.575600 3.575600119 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600120 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 250 mg COMPR. FILM. 250mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 100 291.62 2.916200 2.916200 356.01 3.560100 3.560100121 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM. PR 50 302.36 6.047200 5.452080 367.72 7.354400 6.655920122 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600123 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 302.31 6.046200 5.452080 367.67 7.353400 6.655920124 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 272.59 5.451800 5.451800 332.78 6.655600 6.655600125 L04AA06 MYCOPHENOLATUM MOFETILUM** SUPREPHEN 500 mg COMPR. FILM. 500mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF 50 227.17 4.543400 4.543400 277.33 5.546600 5.546600126 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 489.29 16.309666 16.309666 571.48 19.049333 19.049333127 L04AD01 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 50 397.39 7.947800 7.947800 471.31 9.426200 9.426200128 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 112.48 2.249600 1.786800 137.32 2.746400 2.259120

Pagina 39 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

129 L04AD01 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 74.45 1.489000 1.489000 94.13 1.882600 1.882600130 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 239.32 4.786400 3.733200 292.16 5.843200 4.557600131 L04AD01 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 50 155.55 3.111000 3.111000 189.90 3.798000 3.798000132 L04AD01 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 1 358.02 358.020000 358.020000 428.39 428.390000 428.390000133 L04AD02 TACROLIMUSUM** TACNI 0,5 mg CAPS. 0,5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE PRF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400134 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 0,5 mg CAPS. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400135 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 205.39 4.107800 3.203760 250.74 5.014800 3.911280136 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 133.49 2.669800 2.669800 162.97 3.259400 3.259400137 L04AD02 TACROLIMUSUM** TACNI 1 mg CAPS. 1 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200138 L04AD02 TACROLIMUSUM** TACROLIMUSUM ACCORD 1 mg CAPS. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200139 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 363.74 7.274800 5.726880 434.63 8.692600 6.991440140 L04AD02 TACROLIMUSUM** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF 50 238.62 4.772400 4.772400 291.31 5.826200 5.826200141 L04AD02 TACROLIMUSUM** TACNI 5 mg CAPS. 5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF 50 1,114.65 22.293000 22.293000 1,253.12 25.062400 25.062400142 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,715.18 34.303600 26.751600 1,907.70 38.154000 30.074880143 L04AD02 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 50 204.92 4.098400 3.203760 250.17 5.003400 3.911280144 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 402.53 8.050600 5.726880 476.91 9.538200 6.991440145 L04AD02 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 1,865.58 37.311600 26.751600 2,071.63 41.432600 30.074880146 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,545.19 154.519000 154.519000 1,722.41 172.241000 172.241000147 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 83.19 0.831900 0.831900 105.18 1.051800 1.051800148 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 100 mg COMPR. FILM. 100mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR 50 42.34 0.846800 0.846800 55.38 1.107600 1.107600149 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 63.98 0.639800 0.639800 80.90 0.809000 0.809000150 L04AX01 AZATHIOPRINUM* IMMUNOPRIN 75 mg COMPR. FILM. 75mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100 62.39 0.623900 0.623900 78.89 0.788900 0.788900

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

1 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 25.70 0.514000 0.514000 33.62 0.672400 0.6724002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 28.49 0.949666 0.616800 37.26 1.242000 0.8068803 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 23.23 0.774333 0.774333 31.40 1.046666 1.0466664 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 42.10 1.403333 0.929200 55.07 1.835666 1.2559995 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S 10 203.78 20.378000 20.378000 248.78 24.878000 24.8780006 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. S 10 108.79 10.879000 10.879000 132.81 13.281000 13.2810007 A11CC04 CALCITRIOLUM** ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 60.88 0.608800 0.608800 76.98 0.769800 0.7698008 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 394.36 14.084285 14.084285 468.00 16.714285 16.7142859 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF 28 819.29 29.260357 29.260357 931.18 33.256428 33.256428

10 A11CC07 PARICALCITOLUM** ZEMPLAR 4mcg CAPS. MOI 4mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 1,562.06 55.787857 55.787857 1,740.80 62.171428 62.17142811 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 400.62 80.124000 80.124000 474.83 94.966000 94.96600012 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 792.54 158.508000 158.508000 902.02 180.404000 180.40400013 B01AB01 HEPARINUM** HEPARIN NATRIUM 25000 RATIOPHARM SOL. INJ. 5000 UI/ml HK&ZY BEST PHARMA DISTRIBUTION ROMANIA CUTIE CU 5 FLACOANE X 25000 UI P-RF 5 72.53 14.506000 14.506000 91.71 18.342000 18.34200014 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 10 104.96 10.496000 10.496000 128.14 12.814000 12.81400015 B01AB01 HEPARINUM** HEPARIN SOL. INJ. 5000ui/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 10 FIOLE X 5ML S 10 124.44 12.444000 12.444000 151.92 15.192000 15.19200016 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 57.68 5.768000 5.768000 72.93 7.293000 7.29300017 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 10 118.41 11.841000 11.841000 144.56 14.456000 14.45600018 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 10 153.90 15.390000 15.390000 187.88 18.788000 18.78800019 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 39.90 19.950000 19.950000 52.19 26.095000 26.09500020 B01AB06 NADROPARINUM** FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0,3ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ. S/P-RF 10 59.65 5.965000 5.965000 75.42 7.542000 7.54200021 B01AB06 NADROPARINUM** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. S/P-RF 10 81.83 8.183000 8.183000 103.46 10.346000 10.34600022 B01AB06 NADROPARINUM** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. S/P-RF 10 108.50 10.850000 10.850000 132.46 13.246000 13.24600023 B01AB06 NADROPARINUM** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF 10 155.43 15.543000 15.543000 189.75 18.975000 18.97500024 B01AB06 NADROPARINUM** FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza SOL. INJ. 9500 UI AFXa/1 ml GLAXO GROUP LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ. S 10 759.56 75.956000 75.956000 866.07 86.607000 86.60700025 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 66.80 6.680000 6.680000 84.46 8.446000 8.44600026 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 80.20 16.040000 16.040000 101.41 20.282000 20.28200027 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000 U-AXa/ml LEO PHARMA A/S DANEMARCA CUTIE X 10 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF 10 105.75 10.575000 10.575000 129.10 12.910000 12.91000028 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000 U-AXa/ml LEO PHARMA A/S DANEMARCA CUTIE X 10 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF 10 127.04 12.704000 12.704000 155.09 15.509000 15.50900029 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 19.33 9.665000 9.665000 26.13 13.065000 13.06500030 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 10 456.77 45.677000 45.677000 536.03 53.603000 53.60300031 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 26.85 13.425000 13.425000 35.12 17.560000 17.56000032 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 81.60 40.800000 40.800000 103.18 51.590000 51.59000033 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 10 986.30 98.630000 98.630000 1,113.22 111.322000 111.32200034 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 2 104.10 52.050000 52.050000 127.08 63.540000 63.54000035 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 58.25 29.125000 29.125000 73.65 36.825000 36.82500036 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 5 122.68 24.536000 24.536000 149.77 29.954000 29.95400037 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,550.81 258.468333 258.468333 1,728.54 288.090000 288.09000038 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 178.92 29.820000 29.820000 218.42 36.403333 36.40333339 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 355.67 59.278333 59.278333 425.83 70.971666 70.97166640 B03XA01 EPOETINUM ALFA** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 688.15 688.150000 688.150000 788.23 788.230000 788.23000041 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 518.88 86.480000 86.480000 603.73 100.621666 100.62166642 B03XA01 EPOETINUM ALFA** EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1,206.71 1,206.710000 1,052.784000 1,353.47 1,353.470000 1,193.31600043 B03XA01 EPOETINUM ALFA** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 877.32 877.320000 877.320000 994.43 994.430000 994.43000044 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 682.04 113.673333 113.673333 781.57 130.261666 130.261666

Pentru următoarele DCI-uri: VORICONAZOLUM si VALGANCICLOVIRUM prescrierea şi eliberarea medicamentelor se fac numai cu aprobarea Agenţiei Naţionale de Transplant

Pagina 40 din 41

Nr.crt

Grupa terapeutica

Denumire generica Denumire comercialaForma

farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj

Pre

scrip

tie cant/ambala

j

Pret cu ridicata

maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de

decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

45 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 845.15 140.858333 140.858333 959.37 159.895000 159.89500046 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,117.84 352.973333 352.973333 2,346.60 391.100000 391.10000047 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 6 447.82 74.636666 74.636666 526.27 87.711666 87.71166648 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,042.55 1,042.550000 1,042.550000 1,174.53 1,174.530000 1,174.53000049 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 6 865.04 144.173333 144.173333 981.05 163.508333 163.50833350 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,073.53 178.921666 178.921666 1,208.30 201.383333 201.38333351 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 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 117.90 19.650000 19.650000 143.93 23.988333 23.98833352 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,876.01 719.002500 719.002500 3,173.01 793.252500 793.25250053 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 324.23 81.057500 81.057500 391.56 97.890000 97.89000054 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,284.58 1,071.145000 1,071.145000 4,708.35 1,177.087500 1,177.08750055 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 467.24 116.810000 116.810000 547.44 136.860000 136.86000056 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 609.62 152.405000 152.405000 702.64 175.660000 175.66000057 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 1,991.25 1,991.250000 1,991.250000 2,208.61 2,208.610000 2,208.61000058 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 891.12 222.780000 222.780000 1,009.47 252.367500 252.36750059 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,175.04 293.760000 293.760000 1,318.95 329.737500 329.73750060 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,298.77 3,298.770000 3,298.770000 3,633.81 3,633.810000 3,633.81000061 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,457.44 364.360000 364.360000 1,626.76 406.690000 406.69000062 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,742.22 435.555000 435.555000 1,937.17 484.292500 484.29250063 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,309.91 577.477500 577.477500 2,555.95 638.987500 638.98750064 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 28 754.12 26.932857 26.932857 860.14 30.719285 30.71928565 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 1,383.17 49.398928 49.398928 1,545.81 55.207500 55.20750066 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 1,967.81 70.278928 70.278928 2,183.07 77.966785 77.96678567 V03AE02 SEVELAMER** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 698.95 3.883055 3.883055 800.01 4.444500 4.444500

P11: PROGRAM NATIONAL DE SANATATE MINTALASUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

1 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 28 249.53 8.911785 8.911785 304.63 10.879642 10.8796422 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 14 167.39 11.956428 10.694142 204.35 14.596428 13.0555703 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 18.06 0.361200 0.361200 24.41 0.488200 0.4882004 N07BC02 METHADONUM METADON BIOEEL 20 mg COMPR. 20mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 20 18.61 0.930500 0.930500 25.16 1.258000 1.2580005 N07BC02 METHADONUM METADON BIOEEL 20 mg COMPR. 20mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 46.54 0.930800 0.930800 60.88 1.217600 1.2176006 N07BC02 METHADONUM METADON BIOEEL 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 20 4.65 0.232500 0.232500 6.29 0.314500 0.3145007 N07BC02 METHADONUM METADON BIOEEL 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 11.63 0.232600 0.232600 15.72 0.314400 0.3144008 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 22.06 3.151428 3.151428 29.81 4.258571 4.2585719 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 85.12 12.160000 12.160000 107.63 15.375714 15.375714

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).

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

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;

Pagina 41 din 41

ANEXA 5

Nr. crt

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

1 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 24.50 0.980000 0.980000 0.9800002 A03BA01 ATROPINUM SULFAT DE ATROPINA NYCOMED 1 mg/ml SOL. INJ. 1mg/ml NYCOMED GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S 5 2.99 0.598000 0.598000 0.5980003 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml SOL. INJ. 10mg/ml NYCOMED GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 3.36 0.672000 0.672000 0.6720004 A03DA02 COMBINATII PIAFEN COMPR. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.29 0.264500 0.264500 0.2645005 A03DA02 COMBINATII ALGIFEN COMPRIMATE COMPR. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.02 0.301000 0.301000 0.3010006 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 10.20 2.040000 2.040000 2.0400007 A05BAN3 COMBINATII ASPATOFORT (R) SOL. INJ. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 10 ML P-RF 10 23.36 2.336000 2.336000 2.3360008 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 45.93 7.655000 7.655000 7.6550009 A06AD65 COMBINATII FORTRANS PULB. PT. SOL. ORALA FARA CONCENTRATIE IPSEN PHARMA FRANTA CUTIE CU 4 PLICURI DIN HARTIE-AL-PE X 73,69 G PULB. PT. SOL. ORALA P-RF 4 38.77 9.692500 9.186000 9.186000

10 A07AX03 NIFUROXAZIDUM ERCEFURYL (R) 200 mg CAPS. 200mg SANOFI-SYNTHELABO OTC FRANTA CUTIE X 2 BLIST. X 14 CAPS. P-RF 28 11.40 0.407142 0.407142 0.40714211 A11CA01 RETINOLUM VITAMINA A FORTE CAPS. MOI 50000ui BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L 30 5.52 0.184000 0.084000 0.08400012 A11CA01 RETINOLUM VITAMIN A 50000 ui CAPS. MOI 50000ui PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L 24 1.68 0.070000 0.070000 0.07000013 A11CA01 RETINOLUM VITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL. 20mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L 1 2.96 2.960000 2.960000 2.96000014 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 76.98 0.769800 0.769800 0.76980015 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 1000 COMPR. 1000UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 8.27 0.275666 0.275666 0.27566616 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 500 COMPR. 500UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.70 0.223333 0.223333 0.22333317 A11CC05 COLECALCIFEROLUM VITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL. 0,45mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L 1 5.05 5.050000 5.050000 5.05000018 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 6.36 6.360000 6.360000 6.36000019 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 1000 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 8.01 0.267000 0.267000 0.26700020 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 500 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.44 0.214666 0.214666 0.21466621 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 6.98 1.396000 1.396000 1.39600022 A11DA01 THIAMINUM VITAMINA B1 ZENTIVA 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 6.98 1.396000 1.396000 1.39600023 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 28.72 0.574400 0.574400 0.57440024 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 52.14 0.521400 0.521400 0.52140025 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 20.28 1.014000 1.012080 1.01208026 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 84.34 0.843400 0.843400 0.84340027 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 46.88 0.937600 0.937600 0.93760028 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 30 49.86 1.662000 1.662000 1.66200029 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 139.08 1.390800 1.390800 1.39080030 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 60 89.95 1.499166 1.499166 1.49916631 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 83.55 3.342000 3.342000 3.34200032 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 18.52 3.704000 3.704000 3.70400033 A11DBN1 COMBINATII MILGAMMA (R) NA SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML P-RF 5 18.52 3.704000 3.704000 3.70400034 A11DBN2 COMBINATII NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 11.17 0.558500 0.533640 0.53364035 A11DBN2 COMBINATII NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 100 44.47 0.444700 0.444700 0.44470036 A11GA01 ACIDUM ASCORBICUM ACID ASCORBIC ARENA 750 mg SOL INJ. 750mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. PRF 5 10.12 2.024000 2.024000 2.02400037 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 25.30 5.060000 2.428800 2.42880038 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 9.11 0.455500 0.455500 0.45550039 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 9.11 0.455500 0.455500 0.455500

SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPE NSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECÂT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE P ENTRU COPII PÂNĂ LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT E LEVI, STUDENŢI SAU UCENICI DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LĂUZE

DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARIL E ULTERIOAREVALABIL Ă ÎNCEPÂND CU 01 OCTOMBRIE 2012

Pagina 1 din 6

Nr. crt

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

40 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 9.11 0.455500 0.455500 0.45550041 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 10.34 2.068000 2.068000 2.06800042 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 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 10.34 2.068000 2.068000 2.06800043 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 6.98 1.396000 1.396000 1.39600044 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 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 6.98 1.396000 1.396000 1.39600045 A11HA03 TOCOFEROLUM VITAMINA E 400 mg CAPS. MOI 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L 24 9.35 0.389583 0.389583 0.38958346 A12AA03 CALCII GLUCONAS GLUCONAT 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 16.87 0.843500 0.843500 0.84350047 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU 94mg/ml SOL. INJ. 94mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF 20 16.87 0.843500 0.843500 0.84350048 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 15.92 3.184000 1.012200 1.01220049 A14AA03 METANDIENONUM NAPOSIM 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.10 0.255000 0.255000 0.25500050 A16AA01 LEVOCARNITINUM MIOCOR SOL. ORALA 10% ECOBI PHARMACEUTICI ITALIA CUTIE X 10 FLACOANE X 10ML P-6L 10 18.32 1.832000 1.832000 1.83200051 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 29.89 2.989000 2.198400 2.19840052 A16AXN1 DIVERSE ACTOVEGIN (R) DRAJ. 200mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ. P-6L 50 145.08 2.901600 2.901600 2.90160053 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 200mg/5ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML P-RF 5 108.72 21.744000 21.744000 21.74400054 B02BX01 ETAMSYLATUM ETAMSILAT 250mg/2ml SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 6.73 1.346000 1.346000 1.34600055 B02BX02 CARBAZOCHROMI SALICYLAS ADRENOSTAZIN SOL. INJ. 0,3mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 5 ML P-RF 5 8.37 1.674000 1.674000 1.67400056 B03AA03 FERROSI GLUCONAS ASCOFER COMPR. FARA CONCENTRATIE ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR. P-6L 20 7.72 0.386000 0.386000 0.38600057 B03AA03 FERROSI GLUCONAS ALOFER 80,5 mg COMPR. EFF. 80,5mg ART MED INTERNATIONAL SRL ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF. P-6L 1 21.00 21.000000 21.000000 21.00000058 B03AA03 FERROSI GLUCONAS ALOFER 80,5 mg COMPR. EFF. 80,5mg RECORDATI ROMANIA S.R.L. ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF. P-6L 1 21.00 21.000000 21.000000 21.00000059 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 3.34 3.340000 3.340000 3.34000060 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 27.57 0.275700 0.275700 0.27570061 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 10.69 0.356333 0.330840 0.33084062 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 15.02 0.500666 0.500666 0.50066663 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 17.87 0.595666 0.595666 0.59566664 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. MOI P-RF 100 43.20 0.432000 0.432000 0.43200065 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI P-RF 50 24.30 0.486000 0.486000 0.48600066 B03AE10 COMBINATII TOT'HEMA SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA FRANTA CUTIE X 20 FIOLE X 10 ML P-6L 20 17.73 0.886500 0.886500 0.88650067 B03BA01 CYANOCOBALAMINUM SICOVIT B12 50mcg/ml SOL. INJ. 50mcg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 6.98 1.396000 1.396000 1.39600068 B03BA01 CYANOCOBALAMINUM VITAMINA B12 ZENTIVA 50µg/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 6.98 1.396000 1.396000 1.39600069 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 84.34 0.843400 0.843400 0.84340070 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 20.28 1.014000 1.012080 1.01208071 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 46.88 0.937600 0.937600 0.93760072 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 84.34 0.843400 0.843400 0.84340073 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 20.28 1.014000 1.012080 1.01208074 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 46.88 0.937600 0.937600 0.93760075 C01EA01 ALPROSTADILUM** ALPROSTADIL "PINT" 500 mcg CONC. PT. SOL. PERF. 500mcg TARUS MEDIA S.R.L. ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S 5 1,603.19 320.638000 320.638000 320.63800076 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 11.82 11.820000 11.820000 11.82000077 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 2.20 2.200000 2.200000 2.20000078 C05AA01 COMBINATII HEMORZON UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-6L 1 8.20 8.200000 8.200000 8.20000079 C05AA08 COMBINATII ULTRAPROCT (R) SUPOZ. FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 2 FOLII X 5 SUPOZ. P-RF 10 12.93 1.293000 1.293000 1.29300080 C05AA08 COMBINATII ULTRAPROCT (R) UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF 1 14.58 14.580000 14.580000 14.58000081 C05AD01 COMBINATII DOXIPROCT UNGUENT RECTAL FARA CONCENTRATIE OM PHARMA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 22.31 22.310000 22.310000 22.31000082 C05BX01 CALCII DOBESILAS DOXILEK CAPS. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L 30 21.46 0.715333 0.715333 0.71533383 C05CA54 TROXERUTINUM (COMBINATII) GINKOR FORT CAPS. FARA CONCENTRATIE IPSEN PHARMA FRANTA/GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 25.73 0.857666 0.857666 0.85766684 C07NAN1 COMBINATII DISTONOCALM (R) COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.92 0.197333 0.197333 0.19733385 C08CA06 NIMODIPINUM NIMOTOP (R) COMPR. FILM. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 112.60 1.126000 1.126000 1.12600086 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 5 303.73 60.746000 60.746000 60.74600087 D01AC05 ISOCONAZOLUM TRAVOGEN CREMA 10mg/1g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 11.62 11.620000 11.620000 11.62000088 D01AC08 KETOCONAZOLUM NIZORAL CREMA 2% JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 TUB X 15 G P-RF 1 9.12 9.120000 6.456000 6.456000

Pagina 2 din 6

Nr. crt

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

89 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA 2% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB PEJD X 15 G P-RF 1 5.38 5.380000 5.380000 5.38000090 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA CREMA 20mg/g SC HYPERION SA ROMANIA CUTIE X 1 TUB DIN AL X 20 MG CREMA P-RF 1 7.94 7.940000 7.940000 7.94000091 D05AXN1 COMBINATII ASORIAN SOL. CUT. FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 10.17 10.170000 10.170000 10.17000092 D07AC04 FLUOCINOLONI ACETONIDUM FLUOCINOLON ACETONID 0,025% UNGUENT 0,025% LAROPHARM SRL ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 7.40 7.400000 7.400000 7.40000093 D07AC05 FLUOCORTOLONUM ULTRALAN CREMA CREMA 0,25% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G P-RF 1 12.30 12.300000 12.300000 12.30000094 D07AC05 FLUOCORTOLONUM ULTRALAN UNGUENT UNGUENT 0,25% SCHERING AG INTENDIS GmbH GERMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 12.79 12.790000 12.790000 12.79000095 D07CB01 COMBINATII NIDOFLOR CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.40 7.400000 7.400000 7.40000096 D07CB01 COMBINATII PANDERM UNGUENT FARA CONCENTRATIE GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.66 7.660000 7.660000 7.66000097 D07CC02 COMBINATII FLUOCINOLON N UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 7.40 7.400000 7.400000 7.40000098 D07XB02 COMBINATII TRIAMCINOLON S CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.40 7.400000 7.400000 7.40000099 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 16.15 16.150000 16.150000 16.150000100 D07XC01 COMBINATII DIPROSALIC UNGUENT FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.75 10.750000 10.750000 10.750000101 D07XC01 COMBINATII (BETAMETHASONUM+ACIDUM SALICYLICUM) SAL-EKARZIN 0,50 mg/30 mg pe gram UNGUENT 0,50mg/30mg pe gram ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 TUB AL X 15 G UNGUENT P-RF 1 7.00 7.000000 7.000000 7.000000102 D10AD01 TRETINOINUM RETIN - A (R) CREMA 0,05% JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 TUB X 30 G P-RF 1 14.01 14.010000 14.010000 14.010000103 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30ml PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT. P-RF 1 21.02 21.020000 21.020000 21.020000104 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30ml PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT. P-RF 1 8.09 8.090000 8.090000 8.090000105 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 32.50 32.500000 32.500000 32.500000106 D11AX15 PIMECROLIMUS ELIDEL 1% CREMA 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB AL X 15 G CREMA P-RF 1 82.96 82.960000 82.960000 82.960000107 G01AF01 METRONIDAZOLUM FLAGYL OVULE 500mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST. X 5 OVULE P-RF 10 8.57 0.857000 0.857000 0.857000108 G01AX12 CICLOPIROXUM DAFNEGIN OVULE 100mg POLICHEM SA LUXEMBURG CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE P-6L 6 38.11 6.351666 6.351666 6.351666109 G01AXN1 COMBINATII COLPOSEPTINE (R) COMPR. VAG. FARA CONCENTRATIE LAB. THERAMEX MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG. P-RF 18 17.64 0.980000 0.980000 0.980000110 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 21.91 2.191000 2.191000 2.191000111 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 13.10 13.100000 13.100000 13.100000112 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 31.51 3.151000 3.151000 3.151000113 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 42.77 14.256666 14.256666 14.256666114 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000 LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml NV ORGANON OLANDA CUTIE X 1 FIOLA CU LIOF. PREVAZUTA CU INEL DE RUPERE + 1 FIOLA X 1 ML SOLV. PREVAZUTE CU INEL DE RUPERE S/P-RF 1 15.04 15.040000 15.040000 15.040000115 G03GA02 MENOTROPINUM MENOPUR LIOF. + SOLV. PT. SOL. INJ. FARA CONCENTRATIE FERRING GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF 10 825.12 82.512000 82.512000 82.512000116 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 56.93 56.930000 56.930000 56.930000117 H03AA03 COMBINATII NOVOTHYRAL (R) 100 COMPR. 100mcg+20mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 28.94 0.289400 0.289400 0.289400118 J01DB04 CEFAZOLINUM LYZOLIN PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB. S/P-RF 1 3.45 3.450000 3.450000 3.450000119 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 1 25.24 25.240000 22.273440 22.273440120 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 10 219.94 21.994000 21.994000 21.994000121 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S 100 1,856.12 18.561200 18.561200 18.561200122 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 75.78 75.780000 75.780000 75.780000123 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 1 127.27 127.270000 127.270000 127.270000124 J01EB05 SULFAFURAZOLUM SULFAFURAZOL COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.72 0.486000 0.486000 0.486000125 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 15.24 1.524000 1.524000 1.524000126 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 7.13 0.713000 0.713000 0.713000127 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 41.48 0.829600 0.811200 0.811200128 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 9.58 0.958000 0.811200 0.811200129 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 6.76 0.676000 0.676000 0.676000130 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 1,789.09 17.890900 17.890900 17.890900131 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 50 929.98 18.599600 18.599600 18.599600132 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 10 211.79 21.179000 21.179000 21.179000133 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,917.72 139.918571 139.918571 139.918571134 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 1,032.33 36.868928 36.868928 36.868928135 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 P-RF 1 2,439.99 2,439.990000 2,439.990000 2,439.990000136 M01AA01 PHENYLBUTAZONUM FENILBUTAZONA 250 mg SUPOZ. 250mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 9.57 0.957000 0.957000 0.957000137 M01AB55 COMBINATII NEODOLPASSE SOL. PERF. FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 10 FLACOANE X 250 ML S 10 219.12 21.912000 21.912000 21.912000

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cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

138 M01AB55 COMBINATII ACECLOFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L 6 4.61 0.768333 0.768333 0.768333139 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. 75mg+0,200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 20 28.57 1.428500 1.428500 1.428500140 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 14.01 1.401000 1.401000 1.401000141 M01AE01 IBUPROFENUM BRUFEN RETARD 800 mg COMPR. CU ELIB. PREL. 800mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. CU ELIB. PREL. P6L 30 18.17 0.605666 0.605666 0.605666142 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 4.56 0.228000 0.228000 0.228000143 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 20 COMPR. FILM. P-6L 20 10.25 0.512500 0.273600 0.273600144 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 9.18 0.306000 0.273600 0.273600145 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 10.25 0.512500 0.273600 0.273600146 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 9.18 0.306000 0.273600 0.273600147 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 18.38 0.306333 0.273600 0.273600148 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. P-6L/S 100 30.62 0.306200 0.273600 0.273600149 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 600mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 13.33 0.666500 0.439200 0.439200150 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 7.32 0.366000 0.366000 0.366000151 M01AE01 IBUPROFENUM FASPIC 600 GRAN. PT. SOL. ORALA 600mg ZAMBON S.P.A. ITALIA CUTIE X 30 PLICURI UNIDOZA X 3 G GRAN. PT. SOL. ORALA P-6L 30 25.61 0.853666 0.439200 0.439200152 M01AE01 IBUPROFENUM IBALGIN BABY SUSP. ORALA 100mg/5ml ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA P-RF 1 9.89 9.890000 9.890000 9.890000153 M01AE01 IBUPROFENUM BRUFEN 20 mg/ml SUSP. ORALA 20mg/ml ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU 1 FLAC. DE 100 ML SUSP. ORALA, DIN PET DE CULOARE BRUNA CU CAPAC DIN PP SI SIGILIU DIN PEJD P6L 1 14.61 14.610000 11.868000 11.868000154 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.28 0.464000 0.464000 0.464000155 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 16.78 0.839000 0.839000 0.839000156 M01AG01 ACIDUM MEFENAMICUM VIDAN COMPR. FILM. 500mg VIANEX SA GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L 24 10.00 0.416666 0.416666 0.416666157 M01AH04 PARECOXIBUM DYNASTAT 40mg 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 5 147.23 29.446000 29.446000 29.446000158 M01AH04 PARECOXIBUM DYNASTAT 40mg PULB. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF 10 290.33 29.033000 29.033000 29.033000159 M03BB03 CHLORZOXAZONUM CLORZOXAZON 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.42 0.221000 0.221000 0.221000160 M03BB03 CHLORZOXAZONUM CLORZOXAZONA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.18 0.206000 0.206000 0.206000161 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 14.58 0.486000 0.486000 0.486000162 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 7.30 0.243333 0.243333 0.243333163 M03BX04 TOLPERISONUM MYDOCALM SOL. INJ. 100mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF 5 6.89 1.378000 1.378000 1.378000164 M09AX01 ACIDUM HIALURONICUM HYALGAN (R) SOL. INJ. 20mg/2ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF 1 143.42 143.420000 143.420000 143.420000165 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/30mg COMPR. 30mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 12.74 0.637000 0.637000 0.637000166 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM) ULTRACOD COMPR. 500mg+30mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-RF 30 33.79 1.126333 0.764400 0.764400167 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/60mg COMPR. 60mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 19.83 0.991500 0.991500 0.991500168 N02BB02 METAMIZOLUM NATRIUM ALGOZONE COMPR. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.80 0.340000 0.328200 0.328200169 N02BB02 METAMIZOLUM NATRIUM ALGOCALMIN (R) 500 mg COMPR. 500mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.89 0.344500 0.328200 0.328200170 N02BB02 METAMIZOLUM NATRIUM ALINDOR COMPR. 500mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF 20 6.89 0.344500 0.328200 0.328200171 N02BB02 METAMIZOLUM NATRIUM SINTOCALMIN COMPR. 500mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.84 0.342000 0.328200 0.328200172 N02BB02 METAMIZOLUM NATRIUM ALGOREMIN COMPR. 500mg REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.02 0.301000 0.301000 0.301000173 N02BB02 METAMIZOLUM NATRIUM NOVOCALMIN COMPR. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.47 0.273500 0.273500 0.273500174 N02BB02 METAMIZOLUM NATRIUM METAMIZOL FARMACOM 500 mg COMPR. 500mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF 20 6.52 0.326000 0.326000 0.326000175 N02BB02 METAMIZOLUM NATRIUM FABOCALM COMPR. 500mg FABIOL S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.27 0.313500 0.313500 0.313500176 N02BB02 METAMIZOLUM NATRIUM ALGIOTOP COMPR. 500mg SANTA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.89 0.344500 0.328200 0.328200177 N02BB02 METAMIZOLUM NATRIUM CENTRALGIN 500 mg COMPR. 500mg SC CENTROFARM S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.87 0.343500 0.328200 0.328200178 N02BB02 METAMIZOLUM NATRIUM ALGOBLOCK COMPR. 500mg BIOFARM S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF 20 6.18 0.309000 0.309000 0.309000179 N02BB02 METAMIZOLUM NATRIUM ALGOZONE 500mg COMPR. 500mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST.PVC-PVDC/AL A CATE 10 COMPR. P-RF 20 6.80 0.340000 0.328200 0.328200180 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 5.92 1.184000 1.184000 1.184000181 N02BB02 METAMIZOLUM NATRIUM SINTOCALMIN 300 mg SUPOZ. 300mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. PVC/PE X 3 SUPOZ. P-RF 6 7.57 1.261666 1.261666 1.261666182 N02BB02 METAMIZOLUM NATRIUM NOVOCALMIN 300 mg SUPOZ. 300mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 FOLII TERMOSUDATE, OPACE DIN PVC X 6 SUPOZ. PRF 12 12.97 1.080833 1.080833 1.080833183 N05BA05 CLORAZEPAT DIKALII TRANXENE 10 mg CAPS. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 6.32 0.210666 0.210666 0.210666184 N05BA05 CLORAZEPAT DIKALII TRANXENE 5 mg CAPS. 5mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 5.76 0.192000 0.192000 0.192000185 N05BA23 TOFISOPAMUM GRANDAXIN COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF 20 5.36 0.268000 0.268000 0.268000186 N05CD08 MIDAZOLAMUM DORMICUM (R) COMPR. FILM. 7,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM. P-RF 10 5.58 0.558000 0.558000 0.558000

Pagina 4 din 6

Nr. crt

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

187 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 10.57 1.057000 0.669600 0.669600188 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 29.14 2.914000 2.914000 2.914000189 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 33.06 3.306000 3.306000 3.306000190 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 23.88 2.388000 2.388000 2.388000191 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 64.04 6.404000 6.404000 6.404000192 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 23.05 0.768333 0.768333 0.768333193 N06BA04 METHYLFENIDATUM*** MEDIKINET EM 10 mg CAPS. ELIB. MODIF. 10mg MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF. PR 30 47.84 1.594666 1.594666 1.594666194 N06BA04 METHYLFENIDATUM*** MEDIKINET EM 20 mg CAPS. ELIB. MODIF. 20mg MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF. PR 30 95.80 3.193333 3.193333 3.193333195 N06BA04 METHYLFENIDATUM*** CONCERTA 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 30 192.42 6.414000 6.414000 6.414000196 N06BA04 METHYLFENIDATUM*** CONCERTA 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 30 229.23 7.641000 7.641000 7.641000197 N06BA04 METHYLFENIDATUM*** CONCERTA 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 30 296.84 9.894666 9.894666 9.894666198 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 7 103.33 14.761428 14.761428 14.761428199 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 7 103.33 14.761428 14.761428 14.761428200 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 28 388.16 13.862857 13.862857 13.862857201 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 28 388.16 13.862857 13.862857 13.862857202 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 28 388.16 13.862857 13.862857 13.862857203 N06BA09 ATOMOXETINUM*** STRATTERA 80 mg CAPS. 80mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS. P-RF/R 28 555.80 19.850000 19.850000 19.850000204 N06BX02 PYRITINOLUM PIRITINOL ARENA 100 mg DRAJ. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. X 10 DRAJ. P-6L 30 18.01 0.600333 0.600333 0.600333205 N06BX02 PYRITINOLUM ENCEPHABOL 100 mg DRAJ. 100mg MERCK KGAA GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ. P6L 50 33.34 0.666800 0.666800 0.666800206 N06BX02 PYRITINOLUM ENCEPHABOL 200 mg DRAJ. 200mg MERCK KGAA GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ. P6L 50 60.67 1.213400 1.213400 1.213400207 N06BX02 PYRITINOLUM ENCEPHABOL (R) SUSPENSIE SUSP. ORALA 80,5mg/5ml MERCK KGAA GERMANIA CUTIE X 1 FLACON X 200 ML P-6L 1 40.59 40.590000 40.590000 40.590000208 N06BX03 PIRACETAMUM PIRACETAM ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 10.57 0.352333 0.116400 0.116400209 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.36 0.118000 0.116400 0.116400210 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.36 0.118000 0.116400 0.116400211 N06BX03 PIRACETAMUM N - PIRACETAM COMPR. 400mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 4.04 0.101000 0.101000 0.101000212 N06BX03 PIRACETAMUM MEMOTAL 400mg COMPR. 400mg ZENTIVA S.A ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 8.34 0.417000 0.116400 0.116400213 N06BX03 PIRACETAMUM PIRACETAM SLAVIA 400 mg COMPR. 400mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR. P-6L 40 4.64 0.116000 0.116000 0.116000214 N06BX03 PIRACETAMUM PIRACETAM LAROPHARM 400 mg COMPR. 400mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.94 0.097000 0.097000 0.097000215 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg FABIOL SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.93 0.097666 0.097666 0.097666216 N06BX03 PIRACETAMUM PIRACETAM FARMEX 400 mg COMPR. 400mg FARMEX COMPANY SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.44 0.111000 0.111000 0.111000217 N06BX03 PIRACETAMUM PIRACETAM MCC 400mg COMPR. 400mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 3.10 0.155000 0.116400 0.116400218 N06BX03 PIRACETAMUM PIRACETAM SINTOFARM 400 mg COMPR. 400mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 3.45 0.172500 0.116400 0.116400219 N06BX03 PIRACETAMUM PIRACETAM SINTOFARM 400 mg COMPR. 400mg SINTOFARM SA ROMANIA CUTIE X 4 BLIST. PVC/AL X 10 COMPR. P-6L 40 6.46 0.161500 0.116400 0.116400220 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 6.72 0.336000 0.336000 0.336000221 N06BX03 PIRACETAMUM NOOTROPIL 1200 mg COMPR. FILM. 1200mg U.C.B. PHARMA S.A. BELGIA CUTIE CU 10 BLIST. PVC/AL X 10 COMPR. FILM. P6L 100 50.00 0.500000 0.403200 0.403200222 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. FILM. 400mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 3.50 0.175000 0.116400 0.116400223 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 6.33 0.105500 0.105500 0.105500224 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 7.04 0.117333 0.116400 0.116400225 N06BX03 PIRACETAMUM NEUROSTIM 400 mg COMPR. FILM. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.36 0.118000 0.116400 0.116400226 N06BX03 PIRACETAMUM PIRACETAM 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.76 0.338000 0.264600 0.264600227 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 6.63 0.221000 0.221000 0.221000228 N06BX03 PIRACETAMUM NEUROSTIM 800 mg COMPR. FILM. 800mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 20 4.41 0.220500 0.220500 0.220500229 N06BX03 PIRACETAMUM NOOTROPIL 800 mg COMPR. FILM. 800mg U.C.B. PHARMA S.A. BELGIA CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. FILM. P6L 90 33.27 0.369666 0.264600 0.264600230 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 8.97 1.794000 1.794000 1.794000231 N07CA02 CINNARIZINUM CINARIZINA ARENA 25 mg CAPS. 25mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. P-6L 40 3.30 0.082500 0.082500 0.082500232 N07CA02 CINNARIZINUM STUGERON 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 7.04 0.176000 0.090199 0.090199233 N07CA02 CINNARIZINUM CINARIZIN 25 mg COMPR. 25mg LAROPHARM SRL ROMANIA CUTIE X 3 BLIST. X 20 COMPR. P-6L 60 4.51 0.075166 0.075166 0.075166234 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 11.56 1.445000 1.445000 1.445000235 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 3.47 0.578333 0.578333 0.578333

Pagina 5 din 6

Nr. crt

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambal

aj

PRET AMANUNTUL

MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

236 P02CC01 PYRANTELUM HELMINTOX (R) 250 mg COMPR. FILM. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 3.47 1.156666 1.156666 1.156666237 P02CC01 PYRANTELUM HELMINTOX (R) SUSP. ORALA 125mg/2,5ml LAB. INNOTECH INT. FRANTA CUTIE X 1 FLACON X 15 ML + LINGURITA DOZATOARE X 2,5 ML P-RF 1 6.56 6.560000 6.560000 6.560000238 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 10.48 10.480000 10.480000 10.480000239 R01ADN1 COMBINATII BIORINIL SPRAY NAZ.,SUSP. FARA CONCENTRATIE FARMILA FARMACEUTICI MILANO SPA ITALIA CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF 1 25.87 25.870000 25.870000 25.870000240 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 20.02 20.020000 20.020000 20.020000241 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA ARENA COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 9.38 0.312666 0.312666 0.312666242 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 6.18 1.236000 1.236000 1.236000243 R03DX05 OMALIZUMABUM** XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA PR 1 1,576.28 1,576.280000 1,576.280000 1,576.280000244 R03DX05 OMALIZUMABUM** XOLAIR 75 mg SOL INJ. 75mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 0.5ML SOLUTIE INJECTABILA PR 1 915.38 915.380000 915.380000 915.380000245 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 7.55 1.510000 1.510000 1.510000246 R05CB01 ACETYLCYSTEINUM FLUIMUCIL 2% PEDIATRIC SOL. ORALA 2% ZAMBON S.P.A. ITALIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SOL. ORALA + MASURA DOZATOARE (5 SI 10 ML) P-RF 1 13.13 13.130000 13.130000 13.130000247 R05CB01 ACETYLCYSTEINUM FLUIMUCIL SOL.INJ./INHAL.NEBULIZ./INSTILATIE ENDOTRAHEOBRON. 300mg/3ml ZAMBON S.P.A. ITALIA CUTIE X 5 FIOLE DIN STICLA X 3 ML SOL.INJ/SOL.PT.INHALAT PRIN NEBULIZATOR/SOL.PT.INSTILATIE ENDOTRAH S/P-RF 5 8.24 1.648000 1.648000 1.648000248 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 8.01 8.010000 8.010000 8.010000249 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 9.18 9.180000 9.180000 9.180000250 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 8.81 8.810000 8.810000 8.810000251 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 3.53 3.530000 3.530000 3.530000252 R06AD02 PROMETHAZINUM ROMERGAN SIROP 5mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE P-RF 1 2.80 2.800000 2.800000 2.800000253 R06AE05 MECLOZINUM EMETOSTOP COMPR. 30mg SPECIFAR SA GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.59 0.359000 0.359000 0.359000254 R06AX02 CYPROHEPTADINUM PERITOL COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.25 0.162500 0.162500 0.162500255 R06AX02 CYPROHEPTADINUM CIPROHEPTADINA 4 mg COMPR. 4mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.90 0.163333 0.163333 0.163333256 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 5.58 5.580000 5.580000 5.580000257 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 5.79 5.790000 5.790000 5.790000258 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L 1 9.03 9.030000 9.030000 9.030000259 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 17.98 17.980000 14.400000 14.400000260 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 17.98 17.980000 14.400000 14.400000261 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 7.09 7.090000 7.090000 7.090000262 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 12.00 12.000000 12.000000 12.000000263 R06AX27 COMBINATII (DESLORATADINUM+ PSEUDOEPHEDRINE) AERINAZE (vezi R06AX27) 2,5mg/120mg COMPR. FILM. ELIB. MODIF. 2,5mg/120mg SP EUROPE BELGIA CUTIE X 10 COMPR.FILM.ELIB.MODIF. ( BLIST.PCTFE/PVC/AL) P-RF 10 21.00 2.100000 2.100000 2.100000264 S01AA13 ACIDUM FUSIDICUM FUCITHALMIC 10mg/g GEL OFT. 10mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L 1 14.96 14.960000 14.960000 14.960000265 S01AA24 KANAMYCINUM KANAMICINA SULFAT 1% UNG. OFT. 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL X 6 G P-RF 1 6.39 6.390000 6.390000 6.390000266 S01AA30 COMBINATII ANTIBIOPTAL PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 13.13 13.130000 13.130000 13.130000267 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 32.02 32.020000 32.020000 32.020000268 S01BA07 FLUOROMETHOLONUM FLUMETOL S UNGUENT OFTALMIC UNG. OFT. 1mg/g FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 TUB X 5G P-RF 1 10.12 10.120000 10.120000 10.120000269 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 14.50 14.500000 14.500000 14.500000270 S02CA05 COMBINATII SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA P-RF 1 3.39 3.390000 3.390000 3.390000

Nota:

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

Pagina 6 din 6