Lista medicamentelor valabila din 01.08.2021 - CNAS

ANEXA 6(ANEXA 2a la Ordinul CNAS nr. 755/2020)

Nr c

rt.

Cod

_CIM

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

APP Ambalaj Pres

crip

tie

cant. UT/

ambalaj

Pret de referinta / UT

(RON)

Contributie maxima a asiguratului / UT (pt. asiguratii care

beneficiaza de compensare 100%

din pretul de referinta)

Val. maxima suportata de sistemul de asigurari

sociale de sanatate / UT (pt. asiguratii care

beneficiaza de compensare 90% din

pretul de referinta)




SE ADAUGA

1.077 W67567002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 600 mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600mg/42,9mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 180 ML SI PREVAZUTA CU PIPETA DOZATOARE CU PISTON DIN POLISTIREN SI CORP DIN PEJD MARCATA DE LA 0,4 ML PANA LA 5 ML CU 33,10 G PULB. PT. SUSP. ORALA PRF 1 43,885714 20,914286 39,497142 25,3028581.078 W62440004 N05CF02 ZOLPIDEMUM * STILNOX 10 mg COMPR. FILM. 10mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 0,304000 0,127428 0,273600 0,157828

SE MODIFICA

293 W63872001 C08CA05 NIFEDIPINUM ADALAT 30 mg COMPR. ELIB. PREL. 30mg BAYER AG GERMANIA CUTIE CU 2 BLIST. AL/PP X 14 COMPR. ELIB. PREL. P6L 28 0,141449 0,436765 0,127304 0,450910426 W60908002 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 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 0,085687 0,261098 0,077118 0,269667427 W12477002 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILMP-6L 28 0,085687 0,132884 0,077118 0,141453428 W42158001 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 0,085687 0,260979 0,077118 0,269548429 W08725001 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 0,085687 0,205027 0,077118 0,213596430 W42328001 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 0,085687 0,260979 0,077118 0,269548431 W56959001 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 0,085687 0,072884 0,077118 0,081453433 W59878005 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,085687 0,072979 0,077118 0,081548435 W60907002 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 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 0,171374 0,292554 0,154236 0,309692436 W12478002 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILMP-6L 28 0,171374 0,292554 0,154236 0,309692437 W51357002 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 0,171374 0,433268 0,154236 0,450406438 W42159001 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 0,171374 0,290959 0,154236 0,308097439 W08479001 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 0,171374 0,291840 0,154236 0,308978440 W42327001 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 0,171374 0,292292 0,154236 0,309430441 W56960001 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 0,171374 0,091840 0,154236 0,108978442 W58958005 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 0,171374 0,193292 0,154236 0,210430443 W59879005 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,171374 0,290959 0,154236 0,308097444 W65997005 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 0,171374 0,193292 0,154236 0,210430445 W60906002 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 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 0,342749 0,841893 0,308474 0,876168446 W13137001 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 0,342749 0,324751 0,308474 0,359026447 W41446002 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 0,342749 0,246536 0,308474 0,280811448 W41547001 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 0,342749 0,804584 0,308474 0,838859449 W52431001 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 0,342749 0,804584 0,308474 0,838859450 W56961001 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 0,342749 0,019393 0,308474 0,053668451 W58959005 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 0,342749 0,328584 0,308474 0,362859452 W59880005 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 40 mg COMPR. FILM. 40mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,342749 0,050584 0,308474 0,084859453 W65998005 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 40 mg COMPR. FILM. 40mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 0,342749 0,328584 0,308474 0,362859454 W06752001 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 0,114249 0,843751 0,102824 0,855176455 W57367004 C10AA02 LOVASTATINUM LOVASTATINA ARENA 20 mg COMPR. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0,114249 0,843751 0,102824 0,855176456 W43037001 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR.P-6L 28 0,171374 0,712911 0,154236 0,730049457 W65064001 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg TERAPIA S.A. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR.P-6L 28 0,171374 0,712911 0,154236 0,730049458 W43843001 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLISTERE DIN PA-AL-PVC/AL X 7 COMPRIMATE P-6L 28 0,342749 1,066893 0,308474 1,101168459 W65065001 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg TERAPIA S.A. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR.P-6L 28 0,342749 1,066893 0,308474 1,101168538 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 9,142857 2,887143 8,228571 3,801429540 W55355001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALAP-RF 1 10,240000 0,480000 9,216000 1,504000541 W55355005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 10,240000 0,480000 9,216000 1,504000542 W55355006 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 20,480000 0,970000 18,432000 3,018000543 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 20,480000 0,970000 18,432000 3,018000

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORMDENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE

PERSONALA DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,VALABILA INCEPAND CU 01 AUGUST 2021

Pagina 1 din 2

Nr c

rt.

Cod

_CIM


APP Ambalaj Pres

crip

tie

cant. UT/

ambalaj


(RON)











546 W00402001 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 18,285714 3,594286 16,457142 5,422858821 W64281004 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 100 mg CAPS. 100 mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 50 CAPS. P6L 50 0,081384 0,078616 0,073245 0,086755822 W54332002 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 0,081384 0,536116 0,073245 0,544255823 W60025001 N03AX12 GABAPENTINUM GABAPENTIN ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0,081384 0,536116 0,073245 0,544255824 W64282004 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 300 mg CAPS. 300 mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 50 CAPS. P6L 50 0,244156 0,235044 0,219740 0,259460825 W41589005 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 0,244156 0,565744 0,219740 0,590160826 W42824001 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 0,244156 1,173044 0,219740 1,197460827 W43540001 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 0,244156 0,219744 0,219740 0,244160828 W54333001 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 0,244156 0,372344 0,219740 0,396760829 W60026001 N03AX12 GABAPENTINUM GABAPENTIN ARENA 300 mg CAPS. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0,244156 0,717177 0,219740 0,741593830 W64360001 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg TEVA B.V. OLANDA CUTIE CU 10 BLIST. PVC-PVDC TRANSPARENTA/AL X 10 CAPS. P6L 100 0,244156 0,219744 0,219740 0,244160831 W65059001 N03AX12 GABAPENTINUM GABARAN 300 mg CAPS. 300mg TERAPIA S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 50 0,244156 1,173044 0,219740 1,197460833 W64283004 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 400 mg CAPS. 400 mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 50 CAPS. P6L 50 0,325542 0,314458 0,292987 0,347013834 W41590005 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 0,325542 0,908458 0,292987 0,941013835 W42825001 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 0,325542 1,291058 0,292987 1,323613836 W43541001 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 0,325542 0,292558 0,292987 0,325113837 W54334001 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 0,325542 0,739124 0,292987 0,771679838 W60027001 N03AX12 GABAPENTINUM GABAPENTIN ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0,325542 1,656958 0,292987 1,689513839 W64361001 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg TEVA B.V. OLANDA CUTIE CU 10 BLIST. PVC-PVDC TRANSPARENTA/AL X 10 CAPS. P6L 100 0,325542 0,292558 0,292987 0,325113840 W65060001 N03AX12 GABAPENTINUM GABARAN 400 mg CAPS. 400mg TERAPIA S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 50 0,325542 1,291058 0,292987 1,323613841 W42826001 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 0,488313 1,846687 0,439481 1,895519842 W65061001 N03AX12 GABAPENTINUM GABARAN 600 mg COMPR. FILM. 600mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P6L 30 0,488313 1,846687 0,439481 1,895519898 W54358003 N05CF02 ZOLPIDEMUM * STILNOX 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF 20 0,304000 0,065000 0,273600 0,095400899 W62440001 N05CF02 ZOLPIDEMUM * STILNOX 10 mg COMPR. FILM. 10mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0,304000 0,064000 0,273600 0,094400900 W62440002 N05CF02 ZOLPIDEMUM * STILNOX 10 mg COMPR. FILM. 10mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 0,304000 0,065000 0,273600 0,095400901 W62440003 N05CF02 ZOLPIDEMUM * STILNOX 10 mg COMPR. FILM. 10mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF 20 0,304000 0,065000 0,273600 0,095400

Pagina 2 din 2

ANEXA 7(ANEXA 2b la Ordinul CNAS nr. 755/2020)

Nr

crt.

Cod

_CIM

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APPTara det.

APP Ambalaj Pre

scri

ptie

cant. UT/ ambalaj

Pret de referinta / UT (RON)

Contributie maxima a

asiguratului / UT (pt. asiguratii care



Val. maxima suportata de sistemul de

asigurari sociale de sanatate / UT (pt.

asiguratii care beneficiaza de

compensare 50% din pretul de referinta)













SE ADAUGA

1.377 W52943002 B01AE07 DABIGATRANUM ETEXILATUM ** Ω # PRADAXA 110mg CAPS. 110mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 3 BLIST. (AL/AL) X 10 CAPS. (30X1 BLISTER PERFORAT UNIDOZA ) P-RF 30 5,532333 0,000000 2,766166 2,766167 4,979099 0,5532341.378 W57151003 B01AE07 DABIGATRANUM ETEXILATUM ** Ω # PRADAXA 150mg CAPS. 150mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. (AL/AL) X 10 CAPS. (60 X1 BLISTER PERFORAT UNIDOZA ) P-RF 60 5,245666 0,000000 2,622833 2,622833 4,721099 0,5245671.379 W66574001 B01AF03 EDOXABANUM ** Ω # ROTEAS 30 mg COMPR. FILM. 30mg BERLIN-CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR/PRF 30 11,127666 0,000000 5,563833 5,563833 10,014899 1,1127671.380 W66575001 B01AF03 EDOXABANUM ** Ω # ROTEAS 60 mg COMPR. FILM. 60mg BERLIN-CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR/PRF 30 11,127666 0,000000 5,563833 5,563833 10,014899 1,1127671.381 W65549003 C10AA05 ATORVASTATINUM ATORVASTATINA ARENA 40 mg COMPR. FILM. 40mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30(3X10) COMPR. FILM. P6L 30 0,693333 0,000000 0,346666 0,346667 0,623999 0,0693341.382 W65550003 C10AA05 ATORVASTATINUM ATORVASTATINA ARENA 80 mg COMPR. FILM. 80mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30(3X10) COMPR. FILM. P6L 30 1,094000 0,000000 0,547000 0,547000 0,984600 0,1094001.383 W67728005 R03DC03 MONTELUKASTUM * MONTELUKAST TEVA 4 mg COMPR. MAST. 4mg TEVA B.V. OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L 30 0,662856 0,156810 0,331428 0,488238 0,596570 0,223096

SE MODIFICA

55 W52808004 B01AB04 DALTEPARINUM ** # FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA S/P-RF 10 12,097000 0,000000 6,048500 6,048500 10,887300 1,20970056 W64849001 B01AB04 DALTEPARINUM ** # FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000UI/0,2mlPFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA PR/PRF 10 12,097000 0,000000 6,048500 6,048500 10,887300 1,20970065 W63590012 B01AB05 ENOXAPARINUM ** # CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6,048500 0,837500 3,024250 3,861750 5,443650 1,44235066 W63591012 B01AB05 ENOXAPARINUM ** # CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 12,097000 0,220000 6,048500 6,268500 10,887300 1,42970069 W61293001 B01AB06 NADROPARINUM ** # FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. S/P-RF 10 8,064664 1,041336 4,032332 5,073668 7,258197 1,84780370 W61291001 B01AB06 NADROPARINUM ** # FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. S/P-RF 10 12,097000 1,488000 6,048500 7,536500 10,887300 2,69770071 W61292001 B01AB06 NADROPARINUM ** # FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF 10 16,129329 1,272671 8,064664 9,337336 14,516396 2,88560472 W59473001 B01AB10 TINZAPARINUM ** # INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN FLACOANE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE PR/PRF 10 34,562852 21,011148 17,281426 38,292574 31,106566 24,46743473 W59475001 B01AB10 TINZAPARINUM ** # INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE VERDE INCHIS PR/PRF 10 69,125711 50,153289 34,562855 84,716145 62,213139 57,06586195 W52943002 B01AE07 DABIGATRANUM ETEXILATUM ** PRADAXA 110mg CAPS. 110mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 3 BLIST. (AL/AL) X 10 CAPS. (30X1 BLISTER PERFORAT UNIDOZA ) P-RF 30 4,268200 1,264133 2,134100 3,398233 3,841380 1,69095396 W60379002 B01AF01 RIVAROXABANUM ** XARELTO 10mg COMPR. FILM. 10mg BAYER PHARMA AG GERMANIA CUTIE X BLIST PP/AL X 10 COMPR. FILM. P-RF 10 7,385457 4,281543 3,692728 7,974272 6,646911 5,02008997 W60379003 B01AF01 RIVAROXABANUM ** XARELTO 10mg COMPR. FILM. 10mg BAYER PHARMA AG GERMANIA CUTIE X BLIST PP/AL X 30 COMPR. FILM. P-RF 30 7,385457 3,678209 3,692728 7,370938 6,646911 4,41675598 W63896002 B01AF01 RIVAROXABANUM ** XARELTO 10mg COMPR. FILM. 10mg BAYER AG GERMANIA CUTIE X BLIST PP/AL X 10 COMPR. FILM. PRF 10 7,385457 4,281543 3,692728 7,974272 6,646911 5,02008999 W63896003 B01AF01 RIVAROXABANUM ** XARELTO 10mg COMPR. FILM. 10mg BAYER AG GERMANIA CUTIE X BLIST PP/AL X 30 COMPR. FILM. PRF 30 7,385457 3,678209 3,692728 7,370938 6,646911 4,416755101 W63897001 B01AF01 RIVAROXABANUM ** Ω # XARELTO 15mg COMPR. FILM. 15mg BAYER AG GERMANIA CUTIE X BLIST PP/AL X 98 COMPR. FILM. PRF 98 9,239081 0,000000 4,619540 4,619541 8,315172 0,923909103 W63898001 B01AF01 RIVAROXABANUM ** Ω # XARELTO 20mg COMPR. FILM. 20mg BAYER AG GERMANIA CUTIE X BLIST PP/AL X 98 COMPR. FILM. PRF 98 9,239081 0,000000 4,619540 4,619541 8,315172 0,923909104 W57283003 B01AF02 APIXABANUM ** ELIQUIS COMPR. FILM. 2,5mg BRISTOL-MYERS SQUIBB / PFIZER EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 2,793500 2,755500 1,396750 4,152250 2,514150 3,034850105 W65619003 B01AF02 APIXABANUM ** ELIQUIS 2,5 mg COMPR. FILM. 2,5mg BRISTOL-MYERS SQUIBB / PFIZER EEIG IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 2,793500 2,755500 1,396750 4,152250 2,514150 3,034850106 W57283003 B01AF02 APIXABANUM ** Ω # ELIQUIS COMPR. FILM. 2,5mg BRISTOL-MYERS SQUIBB / PFIZER EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 5,549000 0,000000 2,774500 2,774500 4,994100 0,554900107 W65619003 B01AF02 APIXABANUM ** Ω # ELIQUIS 2,5 mg COMPR. FILM. 2,5mg BRISTOL-MYERS SQUIBB / PFIZER EEIG IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 5,549000 0,000000 2,774500 2,774500 4,994100 0,554900108 W59339004 B01AF02 APIXABANUM ** Ω # ELIQUIS 5mg COMPR. FILM. 5 mg BRISTOL-MYERS SQUIBB / PFIZER EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PRF 60 5,587000 0,000000 2,793500 2,793500 5,028300 0,558700109 W65620009 B01AF02 APIXABANUM ** Ω # ELIQUIS 5 mg COMPR. FILM. 5 mg BRISTOL-MYERS SQUIBB / PFIZER EEIG IRLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PRF 60 5,587000 0,000000 2,793500 2,793500 5,028300 0,5587001.337 W67270001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg UPJOHN EESV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,257062 0,655604 0,128531 0,784135 0,231355 0,6813111.372 W65547003 C10AA05 ATORVASTATINUM ATORVASTATINA ARENA 10 mg COMPR. FILM. 10mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL A CATE 10 COMPRIMATE FILMATE P6L 30 0,257062 0,128271 0,128531 0,256802 0,231355 0,153978390 W12893001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 0,257062 0,655604 0,128531 0,784135 0,231355 0,681311391 W54696006 C10AA05 ATORVASTATINUM ATORIS 10 mg COMPR. FILM. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR.FILM. P-6L 28 0,257062 0,134723 0,128531 0,263254 0,231355 0,160430392 W55516003 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 0,257062 0,114938 0,128531 0,243469 0,231355 0,140645395 W62152005 C10AA05 ATORVASTATINUM TORVACARD 10 mg COMPR. FILM. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,257062 0,039938 0,128531 0,168469 0,231355 0,065645397 W64877001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,257062 0,655604 0,128531 0,784135 0,231355 0,6813111.298 W66680001 C10AA05 ATORVASTATINUM ATORVASTATINA MSN 10 mg COMPR. FILM. 10mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. OPA-PVC/AL X 28 COMPR. FILM. P6L 28 0,257062 0,003652 0,128531 0,132183 0,231355 0,029359401 W12894001 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 0,514124 0,619209 0,257062 0,876271 0,462711 0,670622403 W55517003 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 0,514124 0,075542 0,257062 0,332604 0,462711 0,126955408 W64878001 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,514124 0,619209 0,257062 0,876271 0,462711 0,6706221.338 W67271001 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg UPJOHN EESV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,514124 0,619209 0,257062 0,876271 0,462711 0,670622413 W12895001 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 COMPR. FILM. P-6L 14 1,028249 0,211036 0,514124 0,725161 0,925424 0,313861414 W54698004 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 1,028249 0,076751 0,514124 0,590876 0,925424 0,179576416 W55518003 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 1,028249 0,115084 0,514124 0,629209 0,925424 0,217909423 W65501005 C10AA05 ATORVASTATINUM ATORVASTATIN TERAPIA 40 mg COMPR. FILM. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 1,028249 0,063084 0,514124 0,577209 0,925424 0,1659091.339 W67272006 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg UPJOHN EESV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P6L 14 1,028249 0,211036 0,514124 0,725161 0,925424 0,313861422 W64879006 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P6L 14 1,028249 0,211036 0,514124 0,725161 0,925424 0,313861440 W13864001 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM.P-6L 28 0,514124 0,688733 0,257062 0,945795 0,462711 0,740146441 W55327002 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 0,514124 0,154542 0,257062 0,411604 0,462711 0,205955

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 SI FARA CONTRIBUTIE PERSONALA DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU 01 AUGUST 2021

Pagina 1 din 3

Nr

crt.

Cod

_CIM


APP Ambalaj Pre

scri

ptie

cant. UT/ ambalaj






















442 W57059005 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 0,514124 0,124876 0,257062 0,381938 0,462711 0,176289443 W59899004 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0,514124 0,143018 0,257062 0,400080 0,462711 0,194431444 W59899017 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0,514124 0,143018 0,257062 0,400080 0,462711 0,194431447 W61054001 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 0,514124 0,393876 0,257062 0,650938 0,462711 0,445289448 W62399024 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30X1 COMPR. FILM. P6L 30 0,514124 0,079542 0,257062 0,336604 0,462711 0,130955450 W64682002 C10AA07 ROSUVASTATINUM ROSI 10 mg COMPR. FILM. 10mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,514124 0,254209 0,257062 0,511271 0,462711 0,305622451 W65079001 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 0,514124 0,688733 0,257062 0,945795 0,462711 0,740146455 W13865001 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM.P-6L 28 1,028249 0,169608 0,514124 0,683733 0,925424 0,272433458 W59900004 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,028249 0,151036 0,514124 0,665161 0,925424 0,253861459 W59900017 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 1,028249 0,151036 0,514124 0,665161 0,925424 0,253861461 W60393003 C10AA07 ROSUVASTATINUM ROVASTAMED 20mg COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,028249 0,191751 0,514124 0,705876 0,925424 0,294576462 W61055001 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 20 mg COMPR. FILM. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 1,028249 0,044751 0,514124 0,558876 0,925424 0,147576463 W62400024 C10AA07 ROSUVASTATINUM ROSUVASTATINA TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30X1 COMPR. FILM. P6L 30 1,028249 0,169751 0,514124 0,683876 0,925424 0,272576465 W64684002 C10AA07 ROSUVASTATINUM ROSI 20 mg COMPR. FILM. 20mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1,028249 0,458751 0,514124 0,972876 0,925424 0,561576466 W65078001 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 1,028249 0,169608 0,514124 0,683733 0,925424 0,272433475 W61056001 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 40 mg COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 2,056499 0,619834 1,028249 1,648084 1,850849 0,825484477 W64686002 C10AA07 ROSUVASTATINUM ROSI 40 mg COMPR. FILM. 40mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 2,056499 0,925834 1,028249 1,954084 1,850849 1,131484480 W43678001 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 0,257062 0,649723 0,128531 0,778254 0,231355 0,675430482 W59898004 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0,257062 0,077580 0,128531 0,206111 0,231355 0,103287486 W61053001 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 0,257062 0,568271 0,128531 0,696802 0,231355 0,5939781.305 W66513005 C10AA07 ROSUVASTATINUM ROSUVASTATINA MSN LABORATORIES 5 mg COMPR. FILM. 5mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. AL/AL CU 28 COMPRIMATE FILMATE P6L 28 0,257062 0,133652 0,128531 0,262183 0,231355 0,159359481 W57058005 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 0,257062 0,070604 0,128531 0,199135 0,231355 0,096311483 W59898017 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0,257062 0,077580 0,128531 0,206111 0,231355 0,103287485 W60391003 C10AA07 ROSUVASTATINUM ROVASTAMED 5mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0,257062 1,046509 0,128531 1,175040 0,231355 1,072216488 W65077001 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 0,257062 0,649723 0,128531 0,778254 0,231355 0,675430895 W60296004 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 5,017875 4,237125 2,508937 6,746063 4,516087 4,738913896 W60296002 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 5,017875 3,937125 2,508937 6,446063 4,516087 4,438913898 W52948001 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 5,017875 0,142125 2,508937 2,651063 4,516087 0,643913899 W56763001 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 5,017875 3,691291 2,508937 6,200229 4,516087 4,193079900 W56763002 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 5,017875 4,457125 2,508937 6,966063 4,516087 4,958913901 W56763003 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 5,017875 4,152125 2,508937 6,661063 4,516087 4,653913904 W61163003 M05BA07 ACIDUM RISEDRONICUM * ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 5,017875 6,729625 2,508937 9,238563 4,516087 7,231413906 W66497003 M05BA07 ACIDUM RISEDRONICUM * ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 5,017875 6,729625 2,508937 9,238563 4,516087 7,231413907 W61164001 M05BA07 ACIDUM RISEDRONICUM * ACTONEL 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 10,752589 13,157411 5,376294 18,533706 9,677330 14,232670909 W66214001 M05BA07 ACIDUM RISEDRONICUM * ACTONEL 75 mg COMPR. FILM. 75mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 10,752589 13,157411 5,376294 18,533706 9,677330 14,232670910 W66432001 M05BA07 ACIDUM RISEDRONICUM * RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 10,752589 3,867411 5,376294 9,243706 9,677330 4,9426701.348 W66935003 M05BA07 ACIDUM RISEDRONICUM * ACTONEL 35 mg COMPR. GASTROREZ. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC/AL X 4 COMPR. P6L 4 5,017875 16,287125 2,508937 18,796063 4,516087 16,788913911 W42702002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UIMERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P-6L 4 5,017875 4,167125 2,508937 6,676063 4,516087 4,668913912 W63914002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/2800 UI COMPR. 70mg/2800UIAUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,017875 1,529625 2,508937 4,038563 4,516087 2,031413913 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR. 70mg/2800UIZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,017875 6,997125 2,508937 9,506063 4,516087 7,498913914 W64728002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UIMERCK SHARP & DOHME OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 5,017875 4,167125 2,508937 6,676063 4,516087 4,6689131.282 W65840001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL ACCORD 70 mg/2800 UI COMPR. 70mg/2800UIACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIACUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,017875 7,057125 2,508937 9,566063 4,516087 7,558913915 W52559001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UIMERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P-6L 2 5,017875 4,472125 2,508937 6,981063 4,516087 4,973913916 W62143003 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UITEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 5,017875 0,557125 2,508937 3,066063 4,516087 1,058913917 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UITEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L 4 5,017875 0,557125 2,508937 3,066063 4,516087 1,058913918 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UITEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR.P6L 4 5,017875 0,557125 2,508937 3,066063 4,516087 1,058913919 W63074002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL SANDOZ 70 mg/5600 UI COMPR. 70mg/5600UISANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR.P6L 4 5,017875 6,844625 2,508937 9,353563 4,516087 7,346413920 W63915002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/5600 UI COMPR. 70mg/5600UIAUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,017875 1,914625 2,508937 4,423563 4,516087 2,416413921 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR. 70mg/5600UIZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,017875 7,284625 2,508937 9,793563 4,516087 7,786413922 W64729001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UIMERCK SHARP & DOHME OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 5,017875 4,472125 2,508937 6,981063 4,516087 4,973913923 W65841001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL ACCORD 70 mg/5600 UI COMPR. 70mg/5600UIACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIACUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,017875 6,032125 2,508937 8,541063 4,516087 6,533913944 W63613001 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 125 mg CAPS. 125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF 14 1,220783 1,531359 0,610391 2,141751 1,098704 1,653438946 W63613008 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 125 mg CAPS. 125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 14 CAPS.PRF 14 1,220783 1,531359 0,610391 2,141751 1,098704 1,653438953 W62312005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF 60 1,464942 0,125058 0,732471 0,857529 1,318447 0,271553954 W62572001 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF 14 1,464942 1,584343 0,732471 2,316814 1,318447 1,730838956 W62572008 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 14 CAPS.PRF 14 1,464942 1,584343 0,732471 2,316814 1,318447 1,730838977 W66013005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS.PRF 60 1,464942 0,125058 0,732471 0,857529 1,318447 0,271553978 W63615001 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 250 mg CAPS. 250mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF 14 2,441570 2,347001 1,220785 3,567786 2,197413 2,591158980 W63615008 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 250 mg CAPS. 250mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 14 CAPS.PRF 14 2,441570 2,347001 1,220785 3,567786 2,197413 2,591158985 W62313005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 300 mg CAPS. 300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF 60 2,929885 0,057948 1,464942 1,522891 2,636896 0,3509371.000 W66014005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 300 mg CAPS. 300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS.PRF 60 2,929885 0,057948 1,464942 1,522891 2,636896 0,3509371.001 W41743001 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS., (BLIST. PVC/AL)P-RF 14 0,732471 0,323957 0,366235 0,690193 0,659223 0,3972051.002 W41743002 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS., (BLIST. PVC/AL)P-RF 56 0,732471 0,290029 0,366235 0,656265 0,659223 0,363277

Pagina 2 din 3

Nr

crt.

Cod

_CIM


APP Ambalaj Pre

scri

ptie

cant. UT/ ambalaj






















1.006 W62311005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 75 mg CAPS. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF 60 0,732471 0,357029 0,366235 0,723265 0,659223 0,4302771.007 W62571001 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 75 mg CAPS. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF 14 0,732471 1,161814 0,366235 1,528050 0,659223 1,2350621.009 W62571008 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 75 mg CAPS. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 14 CAPS.PRF 14 0,732471 1,161814 0,366235 1,528050 0,659223 1,2350621.019 W64906002 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 56 CAPS. (BLIST. PVC/AL) PRF 56 0,732471 0,290029 0,366235 0,656265 0,659223 0,3632771.020 W64906001 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 14 CAPS. (BLIST. PVC/AL) PRF 14 0,732471 0,323957 0,366235 0,690193 0,659223 0,3972051.030 W66012005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 75 mg CAPS. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS.PRF 60 0,732471 0,357029 0,366235 0,723265 0,659223 0,4302771.031 W64181001 N03AX16 PREGABALINUM ** # SIRANALEN 20 mg/ml SOL. ORALA 20mg/ml MEDOCHEMIE LTD. CIPRU CUTIE CU 1 FLAC. PEID CONTINAND 473 ML SOL. ORALA, O SERINGA PT. ADMINISTRARE ORALA, UN ADAPTOR DIN PLASTIC ALB CARE SE ATASEAZA LA FLAC. PRIN IMPINGERE PRF 1 92,389045 53,860955 46,194522 100,055478 83,150140 63,0998601.289 W66796002 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg UPJOHN EESV OLANDA CUTIE X 56 CAPS. (BLIST. PVC/AL) PRF 56 0,732471 0,290029 0,366235 0,656265 0,659223 0,3632771.290 W66796001 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg UPJOHN EESV OLANDA CUTIE X 14 CAPS. (BLIST. PVC/AL) PRF 14 0,732471 0,323957 0,366235 0,690193 0,659223 0,397205

SE ELIMINA

57 W62441002 B01AB05 ENOXAPARINUM ** # CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ.PR/PRF 10 5,415000 1,471000 2,707500 4,178500 4,873500 2,01250058 W63590002 B01AB05 ENOXAPARINUM ** # CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ.PR/PRF 10 5,415000 1,471000 2,707500 4,178500 4,873500 2,01250059 W62442002 B01AB05 ENOXAPARINUM ** # CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ.PR/PRF 10 10,830000 1,487000 5,415000 6,902000 9,747000 2,57000060 W63591002 B01AB05 ENOXAPARINUM ** # CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ.PR/PRF 10 10,830000 1,487000 5,415000 6,902000 9,747000 2,57000061 W63592002 B01AB05 ENOXAPARINUM ** # CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 16,245000 0,000000 8,122500 8,122500 14,620500 1,62450062 W62443002 B01AB05 ENOXAPARINUM ** # CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 16,245000 0,000000 8,122500 8,122500 14,620500 1,62450063 W62444002 B01AB05 ENOXAPARINUM ** # CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 20,456666 0,000000 10,228333 10,228333 18,410999 2,04566764 W63593002 B01AB05 ENOXAPARINUM ** # CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 20,456666 0,000000 10,228333 10,228333 18,410999 2,045667100 W60380001 B01AF01 RIVAROXABANUM ** Ω # XARELTO 15mg COMPR. FILM. 15mg BAYER PHARMA AG GERMANIA CUTIE X BLIST PP/AL X 98 COMPR. FILM. P-RF 98 10,048367 0,000000 5,024183 5,024184 9,043530 1,004837102 W60381001 B01AF01 RIVAROXABANUM ** Ω # XARELTO 20mg COMPR. FILM. 20mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE PP/AL X 98 COMPRIMATE FILMATE P-RF 98 10,048367 0,000000 5,024183 5,024184 9,043530 1,004837960 W62880005 N03AX16 PREGABALINUM ** # PREGABALINA DR. REDDY'S 150 mg CAPS. 150mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. PRF 56 1,466364 1,246671 0,733182 1,979853 1,319727 1,393308987 W62883005 N03AX16 PREGABALINUM ** # PREGABALINA DR. REDDY'S 300 mg CAPS. 300mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. PRF 56 2,932729 1,058342 1,466364 2,524707 2,639456 1,3516151.013 W62878005 N03AX16 PREGABALINUM ** # PREGABALINA DR. REDDY'S 75 mg CAPS. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. PRF 56 0,733182 0,978068 0,366591 1,344659 0,659863 1,051387

Pagina 3 din 3

ANEXA 8(ANEXA 2c la Ordinul CNAS nr. 755/2020)

Nr c

rt.

Cod

_CIM

cod ATC DCI Denumire Comerciala forma farm. concentratie DETINATOR APPTARA

DET. APP AMBALAJ Pres

crip

tie cant. UT/

ambalaj


(RON)

Val. maxima suportata de sistemul de asigurari sociale de sanatate / UT

(pt. asiguratii care beneficiaza de





SE ELIMINA

120 W62880005 N03AX16 PREGABALINUM ** PREGABALINA DR. REDDY'S 150 mg CAPS. 150mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. PRF 56 0,761142 0,761142 1,951893147 W62883005 N03AX16 PREGABALINUM ** PREGABALINA DR. REDDY'S 300 mg CAPS. 300mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. PRF 56 1,642285 1,642285 2,348786174 W62878005 N03AX16 PREGABALINUM ** PREGABALINA DR. REDDY'S 75 mg CAPS. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. PRF 56 0,691070 0,691070 1,020180

SE ADAUGA

70 W62419001 C10AX13 EVOLOCUMABUM ** Ω REPATHA 140 mg SOL INJ. IN PEN PREUMPLUT 140mg AMGEN EUROPE B.V. OLANDA CUTIE CU 2 PENURI SURECLICK PREUMPLUTE PRF 2 979,625000 979,625000 0,000000

SE ADAUGA

34 W67468007 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000035 W67468002 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 SERINGI PREUMPLUTE X 0,4ML SOLUTIE + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000036 W67468003 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 SERINGI PREUMPLUTE X 0,4ML SOLUTIE + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000037 W67468004 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 SERINGI PREUMPLUTE X 0,4ML SOLUTIE+ 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,00000038 W67468008 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,00000039 W67468001 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 SERINGA PREUMPLUTA X 0,4ML SOLUTIE + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000040 W67468006 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000041 W67468005 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 SERINGA PREUMPLUTA X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000042 W67469001 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 PEN PREUMPLUT + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000043 W67469002 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 PENURI PREUMPLUTE + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000044 W67469003 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 PENURI PREUMPLUTE + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000045 W67469004 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 PENURI PREUMPLUTE + 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,000000

18. BOLI ENDOCRINE ŞI METABOLICE (GUŞĂ ENDEMICĂ, INSUFICIENŢĂ SUPRARENALĂ CRONICĂ, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARĂ, TUMORI NEUROENDOCRINE ŞI OSTEOPOROZĂ SEVERĂ, HIPERCOLESTEROLEMIE HETEROZIGOTĂ FAMILIALĂ ŞI NONFAMILIALĂ, HIPOFOSFATEMIA X-LINKATA, TULBURĂRI ALE CICLULUI UREIC) - G 22

SECŢIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREŢUL DE REFERINŢĂ CONFORMDCI-urilor UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI

DIN H.G. NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE;MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE MEDICALĂ CU REŢINERE ÎN FARMACIE

VALABILĂ ÎNCEPÂND CU 01 AUGUST 2021

Tratamentul se iniţiază de către medicul în specialitatea endocrinologie sau oncologie, cu excepţia medicamentelor corespunzătoare DCI ALIROCUMABUM pentru care tratamentul se iniţiază de către medicul în specialitatea cardiologie, medicină internă, diabet şi boli de nutriţie, a medicamentelor corespunzătoare DCI DENOSUMAB pentru care tratamentul se iniţiază şi de către medicul în specialitatea reumatologie şi a medicamentelor corespunzătoare DCI: BUROSUMABUM, NATRII PHENYLBUTYRATE pentru care tratamentul se iniţiază şi de către medicul în specialitatea pediatrie.

9. EPILEPSIE - G11

Tratamentul se iniţiază de către medicul în specialitatea neurologie şi neurologie pediatrică.

IMUNOSUPRESOARE SELECTIVE - G3125. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a

Pagina 1 din 5

Nr c

rt.

Cod

_CIM



crip

tie cant. UT/

ambalaj


(RON)







SE MODIFICA

6 W63195001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE LTD MAREA BRITANIE CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOLPR 2 1.069,542000 1.069,542000 65,2280007 W64710001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOLPR 2 1.069,542000 1.069,542000 65,2280008 W64887001 L04AB04 ADALIMUMABUM **1 HULIO SOL INJ. IN PEN PREUMPLUT 40mg MYLAN S.A.S. FRANTA CUTIE CU 1 PEN PREUMPLUT + 2 TAMPOANE ALCOOL PR 1 1.069,542000 1.069,542000 111,8780009 W65224001 L04AB04 ADALIMUMABUM **1 IMRALDI SOL INJ. IN PEN PREUMPLUT 40mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE, FIECARE CU CÂTE 1TAMPON CU ALCOOL PR 2 1.069,542000 1.069,542000 65,223000

14 W62576001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE LTD MAREA BRITANIE CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL PR 2 1.069,542000 1.069,542000 65,22800015 W64709001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL PR 2 1.069,542000 1.069,542000 65,22800016 W64886001 L04AB04 ADALIMUMABUM **1 HULIO SOL INJ. IN SERINGA PREUMPLUTA 40mg MYLAN S.A.S. FRANTA CUTIE CU 1 SERINGA PREUMPLUTA CU PROTECTIE AUTOMATA A ACULUI + 2 TAMPOANE ALCOOL PR 1 1.069,542000 1.069,542000 144,66800017 W65223001 L04AB04 ADALIMUMABUM **1 IMRALDI SOL INJ. IN SERINGA PREUMPLUTA 40mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE, FIECARE CU CÂTE 1TAMPON CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22300018 W65083001 L04AB04 ADALIMUMABUM **1 AMGEVITA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0.8ml AMGEN EUROPE B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE CE CONTIN 40 MG ADALIMUMAB IN 0,8 ML SOLUTIE (50 MG/ML) PR 2 1.069,542000 1.069,542000 65,22800019 W65920001 L04AB04 ADALIMUMABUM **1 IDACIO 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg/0,8ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 SERINGI PREUMPLUTE (STICLA) X 0,8 ML SOL. INJ. + 2 TAMPOANE CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22800020 W65921001 L04AB04 ADALIMUMABUM **1 IDACIO 40 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 40mg/0,8ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 0,8 ML SOL. INJ. + 2 TAMPOANE CU ALCOOL PR 2 1.069,542000 1.069,542000 65,228000

SE ADAUGA


SE MODIFICA

30 W63195001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE LTD MAREA BRITANIE CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOLPR 2 1.069,542000 1.069,542000 65,22800031 W64710001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOLPR 2 1.069,542000 1.069,542000 65,22800032 W64887001 L04AB04 ADALIMUMABUM **1 HULIO SOL INJ. IN PEN PREUMPLUT 40mg MYLAN S.A.S. FRANTA CUTIE CU 1 PEN PREUMPLUT + 2 TAMPOANE ALCOOL PR 1 1.069,542000 1.069,542000 111,87800033 W65224001 L04AB04 ADALIMUMABUM **1 IMRALDI SOL INJ. IN PEN PREUMPLUT 40mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE, FIECARE CU CÂTE 1TAMPON CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22300035 W62576001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE LTD MAREA BRITANIE CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL PR 2 1.069,542000 1.069,542000 65,22800036 W64709001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL PR 2 1.069,542000 1.069,542000 65,22800037 W64886001 L04AB04 ADALIMUMABUM **1 HULIO SOL INJ. IN SERINGA PREUMPLUTA 40mg MYLAN S.A.S. FRANTA CUTIE CU 1 SERINGA PREUMPLUTA CU PROTECTIE AUTOMATA A ACULUI + 2 TAMPOANE ALCOOL PR 1 1.069,542000 1.069,542000 144,66800038 W65223001 L04AB04 ADALIMUMABUM **1 IMRALDI SOL INJ. IN SERINGA PREUMPLUTA 40mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE, FIECARE CU CÂTE 1TAMPON CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22300039 W65083001 L04AB04 ADALIMUMABUM **1 AMGEVITA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0.8ml AMGEN EUROPE B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE CE CONTIN 40 MG ADALIMUMAB IN 0,8 ML SOLUTIE (50 MG/ML) PR 2 1.069,542000 1.069,542000 65,22800040 W65920001 L04AB04 ADALIMUMABUM **1 IDACIO 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg/0,8ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 SERINGI PREUMPLUTE (STICLA) X 0,8 ML SOL. INJ. + 2 TAMPOANE CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22800041 W65921001 L04AB04 ADALIMUMABUM **1 IDACIO 40 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 40mg/0,8ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 0,8 ML SOL. INJ. + 2 TAMPOANE CU ALCOOL PR 2 1.069,542000 1.069,542000 65,228000

26. POLIARTITRITA REUMATOIDA - G31b

Tratamentul se iniţiază de către medicul în specialitatea gastro-enterologie şi medicină internă.

Pagina 2 din 5

Nr c

rt.

Cod

_CIM



crip

tie cant. UT/

ambalaj


(RON)







SE ADAUGA


SE MODIFICA


28. SPONDILOARTRITA AXIALĂ - G31d

SE ADAUGA

50 W67468007 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000051 W67468002 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 SERINGI PREUMPLUTE X 0,4ML SOLUTIE + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000052 W67468003 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 SERINGI PREUMPLUTE X 0,4ML SOLUTIE + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000053 W67468004 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 SERINGI PREUMPLUTE X 0,4ML SOLUTIE+ 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,00000054 W67468008 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,00000055 W67468001 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 SERINGA PREUMPLUTA X 0,4ML SOLUTIE + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000056 W67468006 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,000000

Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă, nefrologie (pentru pacienţii cu afectare renală) şi reabilitarea medicală.

27. ARTROPATIA PSORIAZICA - G31c

Tratamentul se iniţiază de către medicul în specialitatea reumatologie şi reabilitare medicală.

Pagina 3 din 5

Nr c

rt.

Cod

_CIM



crip

tie cant. UT/

ambalaj


(RON)







57 W67468005 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 SERINGA PREUMPLUTA X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000058 W67469001 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 PEN PREUMPLUT + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000059 W67469002 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 PENURI PREUMPLUTE + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000060 W67469003 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 PENURI PREUMPLUTE + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000061 W67469004 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 PENURI PREUMPLUTE + 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,000000

SE MODIFICA


SE ADAUGA


SE MODIFICA

16 W63195001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE LTD MAREA BRITANIE CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOLPR 2 1.069,542000 1.069,542000 65,22800017 W64710001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOLPR 2 1.069,542000 1.069,542000 65,22800018 W64887001 L04AB04 ADALIMUMABUM **1 HULIO SOL INJ. IN PEN PREUMPLUT 40mg MYLAN S.A.S. FRANTA CUTIE CU 1 PEN PREUMPLUT + 2 TAMPOANE ALCOOL PR 1 1.069,542000 1.069,542000 111,87800019 W65224001 L04AB04 ADALIMUMABUM **1 IMRALDI SOL INJ. IN PEN PREUMPLUT 40mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE, FIECARE CU CÂTE 1TAMPON CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22300022 W62576001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE LTD MAREA BRITANIE CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL PR 2 1.069,542000 1.069,542000 65,22800023 W64709001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL PR 2 1.069,542000 1.069,542000 65,22800024 W64886001 L04AB04 ADALIMUMABUM **1 HULIO SOL INJ. IN SERINGA PREUMPLUTA 40mg MYLAN S.A.S. FRANTA CUTIE CU 1 SERINGA PREUMPLUTA CU PROTECTIE AUTOMATA A ACULUI + 2 TAMPOANE ALCOOL PR 1 1.069,542000 1.069,542000 144,66800025 W65223001 L04AB04 ADALIMUMABUM **1 IMRALDI SOL INJ. IN SERINGA PREUMPLUTA 40mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE, FIECARE CU CÂTE 1TAMPON CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22300026 W65083001 L04AB04 ADALIMUMABUM **1 AMGEVITA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0.8ml AMGEN EUROPE B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE CE CONTIN 40 MG ADALIMUMAB IN 0,8 ML SOLUTIE (50 MG/ML) PR 2 1.069,542000 1.069,542000 65,228000

Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă şi reabilitare medicală.

29. ARTRITA JUVENILA - G 31e

Pagina 4 din 5

Nr c

rt.

Cod

_CIM



crip

tie cant. UT/

ambalaj


(RON)







27 W65920001 L04AB04 ADALIMUMABUM **1 IDACIO 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg/0,8ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 SERINGI PREUMPLUTE (STICLA) X 0,8 ML SOL. INJ. + 2 TAMPOANE CU ALCOOL PR 2 1.069,542000 1.069,542000 65,22800028 W65921001 L04AB04 ADALIMUMABUM **1 IDACIO 40 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 40mg/0,8ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 0,8 ML SOL. INJ. + 2 TAMPOANE CU ALCOOL PR 2 1.069,542000 1.069,542000 65,228000

SE ADAUGA

59 W66653001 L04AA32 APREMILASTUM **1 Ω OTEZLA COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PR 56 52,619821 52,619821 0,00000060 W66652001 L04AA32 APREMILASTUM **1 Ω OTEZLA COMPR. FILM. FARA CONCENTRATIE AMGEN EUROPE B.V. OLANDA PACHET DE INITIERE CU BLIST. PVC/AL INCLUS INTR-UN CARD 4X10 MG+4 X 20 MG+19 X 30 MG COMPR. FILM. PR 1 1.457,420000 1.457,420000 0,00000061 W67468006 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000062 W67468005 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 SERINGA PREUMPLUTA X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000063 W67468003 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 SERINGI PREUMPLUTE X 0,4ML SOLUTIE + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000064 W67468002 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 SERINGI PREUMPLUTE X 0,4ML SOLUTIE + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000065 W67468001 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 SERINGA PREUMPLUTA X 0,4ML SOLUTIE + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000066 W67468007 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,00000067 W67468008 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 SERINGI PREUMPLUTE X 0,4ML SOLUTIE CU APARATOARE PENTRU AC + 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,00000068 W67468004 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 SERINGI PREUMPLUTE X 0,4ML SOLUTIE+ 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,00000069 W67469002 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 PENURI PREUMPLUTE + 2 TAMPOANE ALCOOL PR 2 914,900000 914,900000 0,00000070 W67469001 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 PEN PREUMPLUT + 2 TAMPOANE ALCOOL PR 1 950,330000 950,330000 0,00000071 W67469004 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 6 PENURI PREUMPLUTE + 6 TAMPOANE ALCOOL PR 6 891,285000 891,285000 0,00000072 W67469003 L04AB04 ADALIMUMABUM **1 YUFLYMA 40 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 40mg/0,4ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 4 PENURI PREUMPLUTE + 4 TAMPOANE ALCOOL PR 4 897,190000 897,190000 0,000000

SE MODIFICA


SE ELIMINA

57 W65071001 L04AA32 APREMILASTUM **1 Ω OTEZLA COMPR. FILM. 30mg CELGENE EUROPE BV OLANDA CUTIE CU BLIST. PVC/AL X 56 MG COMPR. FILM. PR 56 52,619821 52,619821 0,00000058 W65070001 L04AA32 APREMILASTUM **1 Ω OTEZLA COMPR. FILM. FARA CONCENTRATIE CELGENE EUROPE BV OLANDA PACHET DE INITIERE CU BLIST. PVC/AL INCLUS INTR-UN CARD 4X10 MG+4 X 20 MG+19 X 30 MG COMPR. FILM. PR 1 1.457,420000 1.457,420000 0,000000

30. PSORIAZIS CRONIC SEVER (PLĂCI) - G 31f

Tratamentul se iniţiază de către medicul în specialitatea dermatologie.

Tratamentul se iniţiază de către medicul în specialitatea reumatologie, pediatrie şi reabilitare medicală.

Pagina 5 din 5

ANEXA 9(ANEXA 2d la Ordinul CNAS nr. 755/2020)

Nr c

rt.

Cod

_CIM


APP Ambalaj Pres

crip

tie

cant. UT/

ambalaj


(RON)









SE ADAUGA

284 W67594002 A11GA01 ACIDUM ASCORBICUM VITAMINA C ZENTIVA 100 mg/ml SOL INJ./PERF. 100mg/ml ZENTIVA S.A. ROMANIA CUTIE CU 1 BLIST. PVC CARE CONTINE 10 FIOLE DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CARE CONTIN SOL. INJ./PERF. PRF 10 4,158240 4,158240 0,836760284 W67509001 M09AX01 ACIDUM HIALURONICUM HYALGAN 20 mg/2 ml SOL. INJ. IN SERINGA PREUMPLUTA 20mg/2ml FIDIA FARMACEUTICI SPA ITALIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU DOP DIN ELASTOMER SI OPRITOR X 2 ML SOL. INJ. PRF 1 134,420000 134,420000 0,000000284 W65928001 N02BB02 METAMIZOLUM NATRIUM CENTRALGIN 500 mg COMPR. 500mg S.C. SINTOFARM S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 0,270600 0,270600 0,153900284 W62181006 R01BA52 COMBINATII (LORATADINUM+PSEUDOEFEDRINUM) CLARINASE 5 mg/120 mg COMPR. ELIB. MODIF. 5mg/120mg BAYER S.R.L. ROMANIA CUTIE CU 2 BLIST. OPA-AL-PE/LDPE-AL X 7 COMPR. ELIB. MODIF. P6L 14 1,582857 1,582857 0,000000

SE MODIFICA

220 W62181001 R01BA52 COMBINATII (LORATADINUM+PSEUDOEFEDRINUM) CLARINASE 5 mg/120 mg COMPR. ELIB. MODIF. 5mg/120mg BAYER S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 COMPR. ELIB. MODIF. P-6L 7 1,899428 1,899428 1,164857249 W62181002 R01BA52 COMBINATII (LORATADINUM+PSEUDOEFEDRINUM) CLARINASE 5 mg/120 mg COMPR. ELIB. MODIF. 5mg/120mg BAYER S.R.L. ROMANIA CUTIE CU 1 BLIST. OPA-AL-PE/LDPE-AL X 7 COMPR. ELIB. MODIF. P-6L 7 1,899428 1,899428 1,164857

SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% DIN PREȚUL DE REFERINȚĂ - CONFORM DCI-URILOR, ALTELE DECÂT CELE DIN SUBLISTELE A, B, SUBLISTA C SECŢIUNEA C1 ŞI SUBLISTA D, CORESPUNZĂTOARE MEDICAMENTELOR, DE CARE BENEFICIAZĂ COPIII PÂNĂ LA 18 ANI, TINERII DE LA 18 LA 26 DE ANI DACĂ SUNT ELEVI,

UCENICI SAU STUDENŢI, DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LEHUZE, ÎN TRATAMENTUL AMBULATORIU,DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,

VALABILĂ ÎNCEPÂND CU 01 AUGUST 2021

Pagina 1 din 1

ANEXA 10(ANEXA 2e la Ordinul CNAS nr. 755/2020)

Nr c

rt.

Cod

_CIM


APP Ambalaj Pres

crip

tie

cant. UT/

ambalaj


(RON)











SE MODIFICA

75 W55441001 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 21,505178 12,234822 4,301035 29,43896576 W56947001 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 21,505178 16,714822 4,301035 33,91896577 W57485004 M05BA06 ACIDUM IBANDRONICUM * OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 21,505178 2,394822 4,301035 19,59896578 W58574001 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 21,505178 7,834822 4,301035 25,03896579 W60664001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L 1 21,505178 16,714822 4,301035 33,91896580 W63021001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 21,505178 0,394822 4,301035 17,59896581 W66455001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L 1 21,505178 16,714822 4,301035 33,918965

SUBLISTA D - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 20% DIN PRETUL DE REFERINTA CONFORMDENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE

PERSONALA DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,VALABILA INCEPAND CU 01 AUGUST 2021

Pagina 1 din 1

Documents

Lista medicamentelor valabila din 01.08.2021 - CNAS