148

ANEXA 1 - cnas.ro...11 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 1,511050 12 a02ba03 famotidinum famodin

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ANEXA 1

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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 0,192299 0,1730692 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 0,192299 0,1730693 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 0,192299 0,1730694 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 0,192299 0,1730695 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 0,192299 0,1730696 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 0,192299 0,1730697 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 0,192299 0,1730698 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 0,192299 0,1730699 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 0,384599 0,346139

10 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 0,384599 0,34613911 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 1,51105012 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 0,192299 0,17306913 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 0,192299 0,17306914 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 0,192299 0,17306915 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 0,23159916 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 0,384599 0,34613917 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 4,43520018 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 0,192299 0,17306919 A02BC01 OMEPRAZOLUM OMEPRAZOL AUROBINDO 10 mg CAPS. GASTROREZ. 10mg AUROBINDO PHARMA (MALTA) LIMITED MACEDONIA CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ. P6L 14 4,61 0,329285 0,329285 0,29635620 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 0,670349 0,60331421 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 0,670349 0,60331422 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 0,57600023 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 0,670349 0,60331424 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 0,670349 0,60331425 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 0,670349 0,60331426 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 0,670349 0,60331427 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 0,670349 0,60331428 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 16,95 0,847500 0,670349 0,60331429 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 0,58410030 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 0,670349 0,60331431 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 0,51878532 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 0,670349 0,60331433 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 18,38 0,656428 0,656428 0,59078534 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 0,670349 0,60331435 A02BC01 OMEPRAZOLUM OMEPRAZOL AUROBINDO 20 mg CAPS. GASTROREZ. 20mg AUROBINDO PHARMA (MALTA) LIMITED MACEDONIA CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 28 CAPS. GASTROREZ. P6L 28 8,94 0,319285 0,319285 0,28735636 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 0,670349 0,60331437 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 0,670349 0,60331438 A02BC01 OMEPRAZOLUM OMZATOL 20 mg CAPS. GASTROREZ. 20mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 28 21,42 0,765000 0,667574 0,60081639 A02BC01 OMEPRAZOLUM OMZATOL 20 mg CAPS. GASTROREZ. 20mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 14 10,71 0,765000 0,667574 0,60081640 A02BC01 OMEPRAZOLUM OMEPRAZOL ZENTIVA 20 mg CAPS. GASTROREZ. 20mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 18,38 0,656428 0,656428 0,59078541 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 1,032427

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 CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI

MODIFICARILE ULTERIOARE VALABILA INCEPAND CU1 IULIE 2014

Pagina 1 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti42 A02BC01 OMEPRAZOLUM OMEPRAZOL AUROBINDO 40 mg CAPS. GASTROREZ. 40mg AUROBINDO PHARMA (MALTA) LIMITED MACEDONIA CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ. P6L 14 12,76 0,911428 0,911428 0,82028543 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 0,670349 0,60331444 A02BC01 OMEPRAZOLUM LOSEC MUPS 10 mg COMPR. GASTROREZ. 10mg ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. PEID X 14 COMPR. GASTROREZ. P6L 14 33,19 2,370714 0,335174 0,30165645 A02BC01 OMEPRAZOLUM OMEDAR 20 mg COMPR. GASTROREZ. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. DE STICLA BRUNA X 28 COMPR. FILM. GASTROREZ. P-6L 28 14,45 0,516071 0,516071 0,46446346 A02BC01 OMEPRAZOLUM LOSEC MUPS 20 mg COMPR. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. PEID X 7 COMPR. GASTROREZ. P6L 7 24,96 3,565714 0,670349 0,60331447 A02BC01 OMEPRAZOLUM OMEZ 40 mg 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 14,597999 13,13819948 A02BC01 OMEPRAZOLUM OMEPRAZOL ZENTIVA 40 mg PULB. PT. SOL. PERF. 40mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 16,22 16,220000 14,597999 13,13819949 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 16,22 16,220000 14,597999 13,13819950 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 0,335174 0,30165651 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 0,670349 0,60331452 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 0,670349 0,60331453 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 0,670349 0,60331454 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 0,75209955 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 0,75209956 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 0,37604957 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 0,33359858 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 0,33359859 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 0,33359860 A03AA05 TRIMEBUTINUM DEBRIDAT 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 33,61 1,120333 0,741334 0,66720061 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 1,00080162 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 10,84500063 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 0,193837 0,17445364 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA FARMACOM 200 mg COMPR. 200 mg FARMACOM S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 8,54 0,427000 0,387675 0,34890765 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4,01 0,100250 0,046012 0,04141066 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1,36 0,034000 0,034000 0,03060067 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 5,39 0,134750 0,046012 0,04141068 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 0,034750 0,03127569 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 8,690000 7,82100070 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 MLP-RF 5 12,02 2,404000 2,404000 2,16360071 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 0,046012 0,04141072 A03FA03 DOMPERIDONUM OROPERIDYS 10 mg COMPR. ORODISPERSABILE 10mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. ORODISP. P6L 30 25,07 0,835666 0,046012 0,04141073 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 124,28 1,242800 1,242800 1,11852074 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 1,340850 1,20676575 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 1,340850 1,20676576 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOROM 250 mg CAPS. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L 60 55,47 0,924500 0,924500 0,83205077 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 0,804510 0,72405978 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 1,609021 1,44811879 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 2,681700 2,41353080 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 2,41353081 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 67,042564 60,33830782 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 6,957322 6,26158983 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 10,169999 9,15299984 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 3,389999 3,05099985 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 16,949999 15,25499986 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 30,00600087 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 6,73 6,730000 6,730000 6,05700088 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 3,494307 3,14487689 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9,24 0,462000 0,461999 0,41579990 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 0,508320

Pagina 2 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti91 A07EC01 SULFASALAZINUM SALAZIDIN GR 500 mg COMPR. GASTROREZ. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. GASTROREZ. P6L 50 28,20 0,564000 0,564000 0,50760092 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 1,611998 1,45079893 A07EC02 MESALAZINUM** PENTASA 500mg 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 0,805999 0,72539994 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 0,402998 0,36269895 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 0,805999 0,72539996 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 0,805999 0,72539997 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 46,88 0,781333 0,644798 0,58031898 A07EC02 MESALAZINUM** MESALAZINA SOFARFARM 400 mg COMPR. GASTROREZISTENTE 400mg SOFARFARM S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L 60 46,88 0,781333 0,644798 0,58031899 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 89,05 1,484166 1,289599 1,160639100 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 90 128,96 1,432888 1,289599 1,160639101 A07EC02 MESALAZINUM** MESALAZINA SOFARFARM 800 mg COMPR. GASTROREZISTENTE 800mg SOFARFARM S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L 60 89,05 1,484166 1,289599 1,160639102 A07EC02 MESALAZINUM** MESALAZINA SOFARFARM 800 mg COMPR. GASTROREZISTENTE 800mg SOFARFARM S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L 90 128,96 1,432888 1,289599 1,160639103 A07EC02 MESALAZINUM** PENTASA 1000mg SUPOZ. 1000mg 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 5,586427104 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 5,586427105 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 1,396602106 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 2,793213107 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 21,807000108 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 0,163049109 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 0,304200110 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 0,603000 0,542700111 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 0,603000 0,542700112 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 14,64 2,928000 2,928000 2,635200113 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 0,257400114 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 0,232091 0,208881115 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 0,644699 0,580229116 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FER ROMPHARM 50 mg/ml PIC. ORALE, SOL. 50mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 30 ML PIC. ORALE, SOL. P6L 1 8,78 8,780000 8,780000 7,902000117 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 8,809999 7,928999118 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 8,809999 7,928999119 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 8,809999 7,928999120 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 5,873333 5,285999121 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 0,267300122 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 0,221999123 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3,34 0,133600 0,133600 0,120240124 C01AA05 DIGOXINUM DIGOXIN ZENTIVA 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3,34 0,133600 0,133600 0,120240125 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0,5mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 7,97 1,594000 1,594000 1,434600126 C01AA05 DIGOXINUM DIGOXIN ZENTIVA 0,5 mg/2ml SOL. INJ. 0,5mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE S S/P-RF 5 7,97 1,594000 1,594000 1,434600127 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 0,617975 0,556177128 C01BA01 CHINIDINI SULFAS CHINIDINA ARENA 200 mg COMPR. 200mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 13,25 0,662500 0,617975 0,556177129 C01BA01 CHINIDINI SULFAS CHINIDINA ARENA 200 mg COMPR. 200mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF 30 19,26 0,642000 0,617975 0,556177130 C01BA01 CHINIDINI SULFAS CHINIDINA ARENA 200 mg COMPR. 200mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. PRF 50 30,82 0,616400 0,616400 0,554760131 C01BC03 PROPAFENONUM PROPAFENONA ARENA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8,03 0,401500 0,362325 0,326092132 C01BC03 PROPAFENONUM PROPAFENONA ARENA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 36,25 0,362500 0,362325 0,326092133 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 0,362325 0,326092134 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 0,362325 0,326092135 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 0,362325 0,326092136 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 0,314550137 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 0,325620138 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 0,724650 0,652185139 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 6,622200

Pagina 3 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti140 C01BD01 AMIODARONUM AMIODARONA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 9,01 0,300333 0,272333 0,245099141 C01BD01 AMIODARONUM AMIODARONA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7,33 0,244333 0,244333 0,219899142 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 13,87 0,462333 0,272333 0,245099143 C01BD01 AMIODARONUM AMIOKORDIN SOL INJ. 150mg/3ml CN UNIFARM S.A. ROMANIA CUTIE X 5 FIOLE X 3ML SOLUTIE INJECTABILA PRF 5 18,49 3,698000 3,697999 3,328199144 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 0,137972 0,124174145 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 0,103730146 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 1,662300147 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 13,770000148 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 0,032099149 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 0,059099150 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 0,265331 0,238797151 C01DA14 ISOSORBIDI MONONITRAS MONO ROM SR 40 mg CAPS. ELIB. PREL. 40mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L 20 11,86 0,593000 0,265331 0,238797152 C01DA14 ISOSORBIDI MONONITRAS MONO ROM SR 60 mg CAPS. ELIB. PREL. 60mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L 20 18,49 0,924500 0,397996 0,358196153 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 0,397996 0,358196154 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 49,977675155 C01EA01 ALPROSTADILUM*** VASAPROSTAN 20 LIOF. PT. SOL. PERF. 20µg UCB PHARMA GMBH GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. PRF 10 521,11 52,111000 52,111000 46,899900156 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 0,228299157 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 0,443915 0,399523158 C01EB15 TRIMETAZIDINUM APSTAR 35 mg COMPR. ELIB. PREL. 35mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL. P6L 60 33,41 0,556833 0,443915 0,399523159 C01EB15 TRIMETAZIDINUM TRIMELUZINE 35 mg COMPR. ELIB. PREL. 35mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL. P6L 60 26,64 0,444000 0,443915 0,399523160 C01EB15 TRIMETAZIDINUM MODUXIN MR 35 mg COMPR. ELIB. PREL. 35mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. CU ELIB. PRELUNG. P6L 30 16,56 0,552000 0,443915 0,399523161 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA TEVA 35 mg COMPR. ELIB. PREL. 35mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P6L 60 23,56 0,392666 0,392666 0,353399162 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 0,228299163 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 0,253666 0,228299164 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 0,253666 0,228299165 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 0,253666 0,228299166 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 0,443915 0,399523167 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 0,443915 0,399523168 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 11,097000169 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 26,73 0,534600 0,534600 0,481140170 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 12,00 0,240000 0,216642 0,194977171 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 0,216642 0,194977172 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L 50 12,33 0,246600 0,216642 0,194977173 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 4,18 0,167200 0,167200 0,150480174 C03BA11 INDAPAMIDUM SERDIMID 1,5 mg COMPR. CU ELIB. PREL. 1,5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P6L 30 13,68 0,456000 0,343424 0,309081175 C03BA11 INDAPAMIDUM SERDIMID 2,5 mg COMPR. CU ELIB. PREL. 2,5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P6L 30 15,07 0,502333 0,502333 0,452099176 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 0,343424 0,309081177 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 0,446999178 C03BA11 INDAPAMIDUM INDAPAMIDA MYLAN 1,5 mg COMPR. ELIB. PREL. 1,5 mg MYLAN S.A.S. FRANTA CUTIE CU BLIST DIN PVC/AL X 30 COMPR. ELIB. PREL. P-6L 30 12,60 0,420000 0,343424 0,309081179 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 0,343424 0,309081180 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 0,343424 0,309081181 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 0,343424 0,309081182 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 0,343424 0,309081183 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 0,343424 0,309081184 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 0,343424 0,309081185 C03BA11 INDAPAMIDUM INDAPAGAMMA 1,5 mg COMPR. ELIB. PREL. 1,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 12,62 0,420666 0,343424 0,309081186 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 0,452099187 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 0,343424 0,309081188 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 0,343424 0,309081

Pagina 4 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti189 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 0,343424 0,309081190 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 0,343424 0,309081191 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 0,343424 0,309081192 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 0,343424 0,309081193 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 0,329333 0,296399194 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 0,135900195 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,151000 0,135900196 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,151500 0,136350197 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 0,151500 0,136350198 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 0,151500 0,136350199 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 0,151500 0,136350200 C03CA01 FUROSEMIDUM FUROSEMID BIOEEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,151500 0,136350201 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 1,092600202 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 0,882583 0,794324203 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 0,220645 0,198580204 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 0,220645 0,198580205 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 0,441291 0,397161206 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 0,441291 0,397161207 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 0,193500208 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA BIOEEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,30 0,215000 0,215000 0,193500209 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 0,220645 0,198580210 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 0,193500211 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 0,441291 0,397161212 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 0,944399213 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 1,049333 0,944399214 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 31,48 1,049333 1,049333 0,944399215 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P6L 20 23,31 1,165500 1,049333 0,944399216 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 0,417066 0,375359217 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 0,410800 0,369720218 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 0,625599 0,563039219 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 0,625599 0,563039220 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 0,625599 0,563039221 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 0,275850222 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 0,417066 0,375359223 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 0,417066 0,375359224 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 0,275999225 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 0,625599 0,563039226 C07AA05 PROPRANOLOLUM PROPRANOLOL EEL 10 mg COMPR. 10 mg BIO EEL S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 25 COMPR. P6L 50 3,25 0,065000 0,030404 0,027363227 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 0,030404 0,027363228 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4,10 0,082000 0,030404 0,027363229 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 0,089640230 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4,98 0,099600 0,099600 0,089640231 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 0,089640232 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 0,486472 0,437824233 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 0,486472 0,437824234 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 0,486472 0,437824235 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 0,486472 0,437824236 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 0,243236 0,218912237 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 0,243236 0,218912

Pagina 5 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti238 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 0,243236 0,218912239 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 0,243236 0,218912240 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 0,273499 0,246149241 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 0,273499 0,246149242 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 0,273499 0,246149243 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 0,213599244 C07AB02 METOPROLOLUM METOPROLOL LAROPHARM 100 mg COMPR. 100mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5,86 0,293000 0,273499 0,246149245 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 0,273499 0,246149246 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 0,177750247 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 0,234000248 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 0,273499 0,246149249 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 0,273499 0,246149250 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 0,273499 0,246149251 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 0,210299252 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 0,273499 0,246149253 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 0,068374 0,061536254 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 0,068374 0,061536255 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 0,068374 0,061536256 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 0,068374 0,061536257 C07AB02 METOPROLOLUM METOPROLOL LAROPHARM 50 mg COMPR. 50mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,51 0,175500 0,136749 0,123074258 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 0,136749 0,123074259 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 0,136749 0,123074260 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 0,136749 0,123074261 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 0,136749 0,123074262 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 0,075600263 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 0,136749 0,123074264 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 0,136749 0,123074265 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 0,136749 0,123074266 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 0,136749 0,123074267 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 0,136749 0,123074268 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 0,136749 0,123074269 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 0,273499 0,246149270 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 100 mg COMPR. FILM. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 9,09 0,303000 0,273499 0,246149271 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 50 mg COMPR. FILM. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 5,24 0,174666 0,136749 0,123074272 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 0,273499 0,246149273 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 0,136749 0,123074274 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 0,519649 0,467684275 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 0,129912 0,116920276 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 0,259824 0,233841277 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 0,324900278 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 0,316800279 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 0,281700280 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 0,176850281 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 0,166500282 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 0,160499283 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 0,160200284 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 0,207450285 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 9,61 0,343214 0,343214 0,308892286 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 0,410249 0,369224

Pagina 6 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti287 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 0,410249 0,369224288 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 0,410249 0,369224289 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 0,410249 0,369224290 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 0,410249 0,369224291 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16,18 0,539333 0,410249 0,369224292 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 0,205124 0,184611293 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7,32 0,244000 0,205124 0,184611294 C07AB07 BISOPROLOLUM BOREZ 10 mg COMPR. FILM. 10 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 10,51 0,350333 0,350333 0,315299295 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 0,410249 0,369224296 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 0,410249 0,369224297 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 0,410249 0,369224298 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 0,410249 0,369224299 C07AB07 BISOPROLOLUM BISOPROLOL FUMARAT AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM. P6L 30 13,67 0,455666 0,410249 0,369224300 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 32,72 1,090666 0,410249 0,369224301 C07AB07 BISOPROLOLUM SOBYC 10 mg COMPR. FILM. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 10,05 0,335000 0,335000 0,301500302 C07AB07 BISOPROLOLUM BOREZ 2,5 mg COMPR. FILM. 2,5 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 8,07 0,269000 0,102562 0,092305303 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 14,76 0,492000 0,102562 0,092305304 C07AB07 BISOPROLOLUM SOBYC 2,5 mg COMPR. FILM. 2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 6,04 0,201333 0,102562 0,092305305 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 0,205124 0,184611306 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 0,205124 0,184611307 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 0,205124 0,184611308 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 0,205124 0,184611309 C07AB07 BISOPROLOLUM BISOPROLOL FUMARAT AUROBINDO 5 mg COMPR. FILM. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM. P6L 30 7,87 0,262333 0,205124 0,184611310 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 22,31 0,743666 0,205124 0,184611311 C07AB07 BISOPROLOLUM SOBYC 5 mg COMPR. FILM. 5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 6,04 0,201333 0,201333 0,181199312 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8,20 0,273333 0,273333 0,245999313 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ 12,5 mg COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 8,20 0,273333 0,273333 0,245999314 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 0,349205 0,314284315 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 0,349205 0,314284316 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 0,349205 0,314284317 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 0,349205 0,314284318 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 0,302400319 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 0,349205 0,314284320 C07AG02 CARVEDILOLUM MIOCARVIL 12,5 mg COMPR. 12,5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 13,36 0,445333 0,349205 0,314284321 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 0,349205 0,314284322 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 0,698410 0,628569323 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 0,698410 0,628569324 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 0,698410 0,628569325 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 0,275400326 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 0,698410 0,628569327 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 0,698410 0,628569328 C07AG02 CARVEDILOLUM MIOCARVIL 25 mg COMPR. 25mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 23,62 0,787333 0,698410 0,628569329 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 0,698410 0,628569330 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ 25 mg COMPR. 25mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 9,18 0,306000 0,306000 0,275400331 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 0,174602 0,157141332 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 0,174602 0,157141333 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 0,174602 0,157141334 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 5,33 0,177666 0,174602 0,157141335 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 0,174602 0,157141

Pagina 7 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti336 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 0,174602 0,157141337 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 0,174602 0,157141338 C07AG02 CARVEDILOLUM MIOCARVIL 6,25 mg COMPR. 6,25mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. P-6L 30 6,89 0,229666 0,174602 0,157141339 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ 6,25 mg COMPR. 6,25mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 5,33 0,177666 0,174602 0,157141340 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 12,5mg COMPR. FILM. 12,5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 14,81 0,528928 0,349205 0,314284341 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 25mg COMPR. FILM. 25mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 21,99 0,785357 0,698410 0,628569342 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 6,25mg COMPR. FILM. 6,25mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 7,32 0,261428 0,174602 0,157141343 C08CA01 AMLODIPINUM AMLODIPINA TEVA 10 mg COMPR. 10 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 11,53 0,384333 0,384333 0,345899344 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 0,578249 0,520424345 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 0,578249 0,520424346 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 0,578249 0,520424347 C08CA01 AMLODIPINUM AMLODIPINE MEDOCHEMIE 10 mg COMPR. 10mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 13,13 0,437666 0,437666 0,393899348 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 0,578249 0,520424349 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 0,578249 0,520424350 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 0,578249 0,520424351 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 0,578249 0,520424352 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 0,578249 0,520424353 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 0,471535354 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 0,578249 0,520424355 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 0,578249 0,520424356 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 0,578249 0,520424357 C08CA01 AMLODIPINUM AMLODIPINA AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 7,38 0,246000 0,246000 0,221400358 C08CA01 AMLODIPINUM RECOTENS 10 mg COMPR. 10mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 14,05 0,468333 0,468333 0,421499359 C08CA01 AMLODIPINUM AGEN 10 COMPR. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 8,49 0,283000 0,283000 0,254700360 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 0,578249 0,520424361 C08CA01 AMLODIPINUM AMLODIPINA ZENTIVA 10 mg COMPR. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 8,49 0,283000 0,283000 0,254700362 C08CA01 AMLODIPINUM AMLODIPINA HELCOR 10 mg COMPR. 10mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 12,87 0,643500 0,578249 0,520424363 C08CA01 AMLODIPINUM AMLODIPINA ARENA 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 0,578249 0,520424364 C08CA01 AMLODIPINUM AMLODIPINA TEVA 5 mg COMPR. 5 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 5,76 0,192000 0,192000 0,172800365 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 0,289124 0,260211366 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 0,289124 0,260211367 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 0,289124 0,260211368 C08CA01 AMLODIPINUM AMLODIPINE MEDOCHEMIE 5 mg COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 7,81 0,260333 0,260333 0,234299369 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 0,289124 0,260211370 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 0,289124 0,260211371 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 0,289124 0,260211372 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 0,289124 0,260211373 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 0,289124 0,260211374 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 0,289124 0,260211375 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 0,236700376 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 0,289124 0,260211377 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 0,289124 0,260211378 C08CA01 AMLODIPINUM AMLODIPINA AUROBINDO 5 mg COMPR. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 5,25 0,175000 0,175000 0,157500379 C08CA01 AMLODIPINUM RECOTENS 5 mg COMPR. 5mg ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 7,63 0,254333 0,254333 0,228899380 C08CA01 AMLODIPINUM AGEN 5 COMPR. 5mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 4,10 0,136666 0,136666 0,122999381 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 0,289124 0,260211382 C08CA01 AMLODIPINUM AMLODIPINA ZENTIVA 5 mg COMPR. 5mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 4,10 0,136666 0,136666 0,122999383 C08CA01 AMLODIPINUM AMLODIPINA HELCOR 5 mg COMPR. 5mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 8,63 0,431500 0,289124 0,260211384 C08CA01 AMLODIPINUM AMLODIPINA ARENA 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 0,236700

Pagina 8 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti385 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 0,578249 0,520424386 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 33,73 1,124333 0,578249 0,520424387 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 0,144562 0,130105388 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 14,47 0,482333 0,144562 0,130105389 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 0,289124 0,260211390 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 18,44 0,614666 0,289124 0,260211391 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 0,578249 0,520424392 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 0,144562 0,130105393 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 0,289124 0,260211394 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 0,578249 0,520424395 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 0,578249 0,520424396 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 0,144562 0,130105397 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 0,289124 0,260211398 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 0,289124 0,260211399 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 0,289124 0,260211400 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 10,80 0,216000 0,192749 0,173474401 C08DA01 VERAPAMILUM VERAPAMIL ARENA 40 mg CAPS. 40mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 3,33 0,111000 0,094589 0,085130402 C08DA01 VERAPAMILUM VERAPAMIL ARENA 80 mg CAPS. 80mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 5,96 0,198666 0,189180 0,170262403 C08DA01 VERAPAMILUM CORDAMIL 40 COMPR. FILM. 40mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM. P-6L 30 3,33 0,111000 0,094589 0,085130404 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 0,189180 0,170262405 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 0,189180 0,170262406 C08DA01 VERAPAMILUM CORDAMIL 80 COMPR. FILM. 80mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM. P-6L 30 5,96 0,198666 0,189180 0,170262407 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 0,189180 0,170262408 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 0,567540 0,510786409 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 0,094589 0,085130410 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 0,189180 0,170262411 C08DA01 VERAPAMILUM DILACORAN SOL INJ. 5mg/2ml ABBOTT PRODUCTS ROMANIA SRL ROMANIA CUTIE CU 5 FIOLE X 5MG/2ML PR/PRF 5 12,73 2,546000 2,546000 2,291400412 C08DB01 DILTIAZEMUM DILTIAZEM SR ROMPHARM 180 mg CAPS. ELIB. PREL. 180mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L 30 35,79 1,193000 0,802200 0,721980413 C08DB01 DILTIAZEMUM DILTIAZEM SR ROMPHARM 90 mg CAPS. ELIB. PREL. 90mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 7 CAPS. ELIB. PREL. P6L 21 7,00 0,333333 0,333333 0,299999414 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 0,267400 0,240660415 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 0,267400 0,240660416 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 0,240660417 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 0,267400 0,240660418 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 0,240660419 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 0,401100 0,360990420 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 0,044578 0,040120421 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 0,089156 0,080240422 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 0,089156 0,080240423 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 0,089156 0,080240424 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 0,089156 0,080240425 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 0,089156 0,080240426 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 0,089156 0,080240427 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 0,089156 0,080240428 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 0,120150429 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 0,178312 0,160480430 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 0,178312 0,160480431 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 0,120150432 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 0,135000433 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 0,117900

Pagina 9 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti434 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 0,178312 0,160480435 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 0,178312 0,160480436 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 0,178312 0,160480437 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 0,178312 0,160480438 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 0,178312 0,160480439 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 0,178312 0,160480440 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 0,178312 0,160480441 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 0,178312 0,160480442 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 0,178312 0,160480443 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 0,178312 0,160480444 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 0,178312 0,160480445 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 0,178312 0,160480446 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 4,39 0,219500 0,178312 0,160480447 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 0,356625 0,320962448 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 0,356625 0,320962449 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 0,356625 0,320962450 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 0,356625 0,320962451 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 0,356625 0,320962452 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 0,356625 0,320962453 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 0,356625 0,320962454 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 0,295740455 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 0,356625 0,320962456 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 20 mg COMPR. 20mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 7,94 0,397000 0,356625 0,320962457 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 0,089156 0,080240458 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 0,089156 0,080240459 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 0,089156 0,080240460 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 0,089156 0,080240461 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 0,089156 0,080240462 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 0,089156 0,080240463 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 0,089156 0,080240464 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 0,089156 0,080240465 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 0,089156 0,080240466 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 5 mg COMPR. 5mg LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L 20 3,67 0,183500 0,089156 0,080240467 C09AA02 ENALAPRILUM ENAP 1,25 mg/ml SOL. INJ./PERF. 1,25mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. PR/PRF 5 15,45 3,090000 3,090000 2,781000468 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 0,178312 0,160480469 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 0,178312 0,160480470 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 0,178312 0,160480471 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 0,178312 0,160480472 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 0,178312 0,160480473 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 0,178312 0,160480474 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11,96 0,398666 0,178312 0,160480475 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 0,178312 0,160480476 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 0,044578 0,040120477 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 0,356625 0,320962478 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 0,356625 0,320962479 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 0,356625 0,320962480 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 0,356625 0,320962481 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 0,356625 0,320962482 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 0,356625 0,320962

Pagina 10 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti483 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 0,356625 0,320962484 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL X 10 COMPR. P-6L 20 14,44 0,722000 0,356625 0,320962485 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 0,713250 0,641925486 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 0,089156 0,080240487 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 0,089156 0,080240488 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 0,089156 0,080240489 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 0,089156 0,080240490 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 0,089156 0,080240491 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9,23 0,329642 0,329642 0,296677492 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 0,713250 0,641925493 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9,74 0,324666 0,324666 0,292199494 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 0,713250 0,641925495 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9,21 0,328928 0,328928 0,296035496 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9,23 0,329642 0,329642 0,296677497 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 14,19 0,506785 0,506785 0,456106498 C09AA05 RAMIPRILUM RAMIPRIL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L 28 9,49 0,338928 0,338928 0,305035499 C09AA05 RAMIPRILUM AMPRIGEN 10 mg COMPR. 10mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 24,04 0,801333 0,713250 0,641925500 C09AA05 RAMIPRILUM RAMIPRIL TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,296399501 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,296399502 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,296399503 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 4,65 0,166071 0,166071 0,149463504 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 0,178312 0,160480505 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4,87 0,162333 0,162333 0,146099506 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 0,178312 0,160480507 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 4,62 0,165000 0,165000 0,148500508 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 4,65 0,166071 0,166071 0,149463509 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 7,15 0,255357 0,178312 0,160480510 C09AA05 RAMIPRILUM AMPRIGEN 2,5 mg COMPR. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 9,92 0,330666 0,178312 0,160480511 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. 2,5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 4,98 0,166000 0,166000 0,149400512 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. 2,5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 4,98 0,166000 0,166000 0,149400513 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 6,70 0,239285 0,239285 0,215356514 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 0,356625 0,320962515 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7,18 0,239333 0,239333 0,215399516 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 0,356625 0,320962517 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 6,69 0,238928 0,238928 0,215035518 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 6,70 0,239285 0,239285 0,215356519 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10,31 0,368214 0,356625 0,320962520 C09AA05 RAMIPRILUM RAMIPRIL AUROBINDO 5 mg COMPR. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L 28 7,10 0,253571 0,253571 0,228213521 C09AA05 RAMIPRILUM AMPRIGEN 5 mg COMPR. 5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 10,75 0,358333 0,356625 0,320962522 C09AA05 RAMIPRILUM RAMIPRIL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,215399523 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,215399524 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,215399525 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 0,118874 0,106986526 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 0,237749 0,213974527 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 0,059437 0,053493528 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 0,118874 0,106986529 C09AA09 FOSINOPRILUM FOSINOPRIL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 13,54 0,451333 0,118874 0,106986530 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 0,237749 0,213974531 C09AA09 FOSINOPRILUM FOSINOPRIL AUROBINDO 20 mg COMPR. 20mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 18,58 0,619333 0,237749 0,213974

Pagina 11 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti532 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 0,412071 0,370863533 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 0,412071 0,370863534 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 0,357750535 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL HL COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS. P-6L 30 8,88 0,296000 0,296000 0,266400536 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL H COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS. P-6L 30 11,82 0,394000 0,394000 0,354600537 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 5,64 0,201428 0,201428 0,181285538 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 0,412071 0,370863539 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 8,67 0,309642 0,309642 0,278677540 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 12,82 0,457857 0,412071 0,370863541 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 0,412071 0,370863542 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 19,72 0,704285 0,412071 0,370863543 C09CA01 LOSARTANUM LODIAL 100mg COMPR. FILM. 100 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 2 BLIST. DIN PVC/AL X 15 COMPR. FILM. P6L 30 39,38 1,312666 1,054927 0,949434544 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 1,054927 0,949434545 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 1,054927 0,949434546 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 14,38 0,479333 0,479333 0,431399547 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 1,054927 0,949434548 C09CA01 LOSARTANUM LOSARTAN ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA A.S. SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 14,38 0,479333 0,479333 0,431399549 C09CA01 LOSARTANUM LODIAL 50mg COMPR. FILM. 50 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPR. FILM. P6L 30 19,23 0,641000 0,527463 0,474716550 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 0,527463 0,474716551 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 0,527463 0,474716552 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 0,527463 0,474716553 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 7,75 0,258333 0,258333 0,232499554 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 0,527463 0,474716555 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 0,527463 0,474716556 C09CA01 LOSARTANUM LOSARTAN ZENTIVA 50 mg COMPR. FILM. 50mg ZENTIVA A.S. SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 7,75 0,258333 0,258333 0,232499557 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 0,210693 0,189623558 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 0,210693 0,189623559 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 0,210693 0,189623560 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 0,210693 0,189623561 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 0,210693 0,189623562 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 0,210693 0,189623563 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 0,210693 0,189623564 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 0,210693 0,189623565 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 0,210693 0,189623566 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 0,210693 0,189623567 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 0,166799568 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 0,210693 0,189623569 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 0,210693 0,189623570 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 0,210693 0,189623571 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 3,98 0,142142 0,142142 0,127927572 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 4,01 0,143214 0,143214 0,128892573 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 0,210693 0,189623574 C10AA01 SIMVASTATINUM SIMGAL® 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 4,01 0,143214 0,143214 0,128892575 C10AA01 SIMVASTATINUM SIMVASTATINA TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L 30 4,28 0,142666 0,142666 0,128399576 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 4,93 0,164333 0,164333 0,147899577 C10AA01 SIMVASTATINUM SIMVASTATIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 9,35 0,311666 0,210693 0,189623578 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 8,81 0,293666 0,210693 0,189623579 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 0,421387 0,379248580 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 0,421387 0,379248

Pagina 12 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti581 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 0,421387 0,379248582 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 0,421387 0,379248583 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 0,421387 0,379248584 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 0,421387 0,379248585 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 0,421387 0,379248586 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 0,421387 0,379248587 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 0,421387 0,379248588 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 0,421387 0,379248589 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 0,421387 0,379248590 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 0,421387 0,379248591 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 0,421387 0,379248592 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 0,421387 0,379248593 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 0,421387 0,379248594 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 0,421387 0,379248595 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 0,421387 0,379248596 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 6,58 0,235000 0,235000 0,211500597 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 6,63 0,236785 0,236785 0,213106598 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 0,421387 0,379248599 C10AA01 SIMVASTATINUM SIMGAL® 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 6,63 0,236785 0,236785 0,213106600 C10AA01 SIMVASTATINUM SIMVASTATINA TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L 30 7,10 0,236666 0,236666 0,212999601 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 11,16 0,372000 0,372000 0,334800602 C10AA01 SIMVASTATINUM SIMVASTATIN ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 14,05 0,468333 0,421387 0,379248603 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 14,87 0,495666 0,421387 0,379248604 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 0,632081 0,568872605 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 0,842774 0,758496606 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 0,842774 0,758496607 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 0,842774 0,758496608 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 0,842774 0,758496609 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 0,842774 0,758496610 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 0,842774 0,758496611 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 0,842774 0,758496612 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 0,842774 0,758496613 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 0,842774 0,758496614 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 0,842774 0,758496615 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 0,693299616 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 0,842774 0,758496617 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 0,842774 0,758496618 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 0,842774 0,758496619 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 0,556200620 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 0,842774 0,758496621 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 0,694199622 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 9,06 0,323571 0,323571 0,291213623 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 0,694199624 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 9,12 0,325714 0,325714 0,293142625 C10AA01 SIMVASTATINUM SIMGAL® 40 mg COMPR. FILM. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 9,12 0,325714 0,325714 0,293142626 C10AA01 SIMVASTATINUM SIMVASTATINA TEVA 40 mg COMPR. FILM. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L 30 9,77 0,325666 0,325666 0,293099627 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 17,72 0,590666 0,590666 0,531599628 C10AA01 SIMVASTATINUM SIMVASTATIN ACTAVIS 40 mg COMPR. FILM. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 23,11 0,770333 0,770333 0,693299629 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 40 mg COMPR. FILM. 40mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 25,79 0,859666 0,842774 0,758496

Pagina 13 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti630 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 1,685549 1,516994631 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 67,59 0,675900 0,280924 0,252831632 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 14,44 1,444000 0,280924 0,252831633 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 20,79 0,693000 0,280924 0,252831634 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 25,87 0,862333 0,280924 0,252831635 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 0,561849 0,505664636 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 0,421387 0,379248637 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 0,842774 0,758496638 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 0,803324 0,722991639 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 0,803324 0,722991640 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 0,792900641 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 0,728013 0,655211642 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 0,803324 0,722991643 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 0,803324 0,722991644 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 0,803324 0,722991645 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 6,455999 5,810399646 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 6,048000 5,443200647 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 2,016000 1,814400648 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 2,016000 1,814400649 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 6,048000 5,443200650 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 4,230000651 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 6,048000 5,443200652 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 6,048000 5,443200653 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 5 G CREMA P-RF 1 5,39 5,390000 2,016000 1,814400654 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 6,660000655 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 3,213000656 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 6,660000657 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 3,213000658 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 0,893999659 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 1,715999660 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 7,13 1,426000 1,426000 1,283400661 G02AB03 ERGOMETRINUM MALEAT DE ERGOMETRINA ZENTIVA 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 7,13 1,426000 1,426000 1,283400662 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 0,709949663 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 6,444749 5,800274664 G03BA03 TESTOSTERONUM* TESTIM 50 mg GEL TRANSDERMIC 50mg FERRING GMBH GERMANIA CUTIE CU 30 TUBURI DIN AL X 5 G GEL TRANSDERMIC PR/PRF 30 183,34 6,111333 6,111333 5,500199665 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 1 452,72 452,720000 452,720000 407,448000666 G03BA03 TESTOSTERONUM* NEBIDO 1000 mg/4 ml SOL. INJ. 1000mg/4ml BAYER PHARMA AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ. S/P-RF 1 452,72 452,720000 452,720000 407,448000667 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 9,998190 8,998371668 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 9,598263 8,638436669 G03CA03 ESTRADIOLUM* CLIMARA PLASTURE TRANSDERM. 50µg/24ore BAYER PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 29,89 7,472500 7,472500 6,725250670 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 0,189482 0,170533671 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 0,189482 0,170533672 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 0,378964 0,341067673 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 0,378964 0,341067674 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 0,757928 0,682135675 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 0,757928 0,682135676 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 0,757928 0,682135677 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 0,757928 0,682135678 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 0,757928 0,682135

Pagina 14 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti679 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 0,757928 0,682135680 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 8,282500 7,454250681 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 27,918000682 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF 1 20,48 20,480000 16,565000 14,908500683 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 0,087333 0,078599684 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 0,078599685 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 0,087333 0,078599686 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 0,087333 0,078599687 H02AB09 HYDROCORTISONUM* HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. PRF 25 12,20 0,488000 0,488000 0,439200688 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 3,527999 3,175199689 H02AB09 HYDROCORTISONUM* HIDROCORTIZON HF 500 mg PULB. + SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML, INCCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, C PR/PRF 1 11,91 11,910000 11,910000 10,719000690 H02AB09 HYDROCORTISONUM* HIDROCORTIZON HF 100 mg PULB. SI SOLV. PT. SOL. INJ./PERF. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 5 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DE ALUMINIU, CON PR/PRF 1 7,09 7,090000 3,527999 3,175199691 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 0,881999 0,793799692 J01AA02 DOXYCYCLINUM DOXICICLINA ATB 100 mg CAPS. 100 mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 4,01 0,401000 0,342900 0,308610693 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 0,342900 0,308610694 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 0,342900 0,308610695 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 6,83 0,683000 0,342900 0,308610696 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 0,297500 0,267750697 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6,93 0,346500 0,311849 0,280664698 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 0,311849 0,280664699 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6,15 0,307500 0,307500 0,276750700 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5,86 0,586000 0,479374 0,431436701 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 0,479374 0,431436702 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 0,396450703 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 0,479374 0,431436704 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4,92 0,492000 0,479374 0,431436705 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 0,958749 0,862874706 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 0,426749707 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 0,831856708 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 0,958749 0,862874709 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 0,311849 0,280664710 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 0,479374 0,431436711 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 0,719061 0,647154712 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 125 mg/5 ml 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 1,871099 1,683989713 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 1,871099 1,683989714 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg/ 5 ml 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 3,742199 3,367979715 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 3,742199 3,367979716 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 0,260249717 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN® 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL/PVC-PVDC X 6 COMPR. FILM. P-RF 12 6,10 0,508333 0,440718 0,396646718 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 0,132215719 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400.000 U.I./5 ml SUSP. ORALA 400.000U.I./5ml SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML SUSP. ORALA CU CAPAC SI LINGURITA DOZATOARE P-RF 1 8,63 8,630000 0,195874 0,176286720 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 5,39 5,390000 4,338799 3,904919721 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 100 451,96 4,519600 4,338799 3,904919722 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 0,296110 0,266499723 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 0,296110 0,266499724 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 0,296110 0,266499725 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 7,50 0,750000 0,592220 0,532998726 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 0,592220 0,532998727 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 0,502650

Pagina 15 din 28

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

APP Ambalaj Prescriptie

cant/ambala

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Pret amanunt

ul 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.

Adulti728 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 0,592220 0,532998729 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 5,33 5,330000 5,117650 4,605885730 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 448,06 4,480600 4,480600 4,032540731 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 4,92 4,920000 2,558825 2,302942732 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 418,89 4,188900 2,558825 2,302942733 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 100 418,89 4,188900 2,558825 2,302942734 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 4,92 4,920000 2,558825 2,302942735 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 4,032540736 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 4,605885737 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 1,548214 1,393392738 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 1,354687 1,219218739 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 0,774107 0,696696740 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 0,696213741 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 0,774107 0,696696742 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 9,95 0,710714 0,710714 0,639642743 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 0,774107 0,696696744 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 1,354687 1,219218745 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 1,354687 1,219218746 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 17,12 1,222857 1,222857 1,100571747 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 1,354687 1,219218748 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 0,774107 0,696696749 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 5,815178 5,233660750 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 5,815178 5,233660751 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 11,630357 10,467321752 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 5,814000753 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 11,637000754 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA + PRF 1 6,47 6,470000 6,470000 5,823000755 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 6,513000 5,861700756 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 6,513000 5,861700757 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 13,026000 11,723400758 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 27,912857 25,121571759 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 11,630357 10,467321760 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 0,450900 0,405810761 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 12,02 0,601000 0,450900 0,405810762 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 0,450900 0,405810763 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 0,450900 0,405810764 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 10,51 1,051000 0,901800 0,811620765 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 0,900000 0,810000766 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 0,901800 0,811620767 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 1,184249768 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 0,901800 0,811620769 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 4,622625770 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 4,622625771 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 4,622625772 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 9,245250773 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 8,685000774 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 8,667000775 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 0,450900 0,405810776 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 0,901800 0,811620

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti777 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 0,901800 0,811620778 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 1,803600 1,623240779 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 4,622625780 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 9,245250781 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 1,219860782 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 1,219860783 J01DC02 CEFUROXIMUM CEFUROXIMA AUROBINDO 250 mg COMPR. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 10 COMPR. PRF 10 10,80 1,080000 1,080000 0,972000784 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 2,439720785 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 2,439720786 J01DC02 CEFUROXIMUM CEFUROXIMA AUROBINDO 500 mg COMPR. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 10 COMPR. PRF 10 17,97 1,797000 1,797000 1,617300787 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 1,324500 1,192050788 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 1,219860789 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 2,439720790 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 13,245000 11,920500791 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 15,894000792 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 0,609930793 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 0,609930794 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 0,609930795 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 0,609930796 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 1,219860797 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 1,219860798 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 1,219860799 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 1,219860800 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 1,219860801 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 1,829790802 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 0,914895803 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 1,829790804 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 0,914895805 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 1,219860806 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 1,829790807 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 9,933750 8,940375808 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 9,933750 8,940375809 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 19,867500 17,880750810 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 26,490000 23,841000811 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 19,867500 17,880750812 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 9,933750 8,940375813 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 7,947000 7,152300814 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 19,867500 17,880750815 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 15,894000 14,304600816 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 1,846462 1,661815817 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 3,129300818 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5 55,99 11,198000 7,385850 6,647265819 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 101,25 10,125000 7,385850 6,647265820 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 0,328950 0,296055821 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 7,40 0,370000 0,328950 0,296055822 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 0,328950 0,296055823 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 0,328950 0,296055824 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 4,284000825 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SUSP. ORALA 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 10,48 10,480000 4,366125 3,929512

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti826 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 0,319050827 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9,60 0,480000 0,419400 0,377460828 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 0,419400 0,377460829 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 11,404800 10,264320830 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 2,097000 1,887300831 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. ELIB. PREL. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL. PRF 6 29,37 4,895000 2,097000 1,887300832 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 1,048500 0,943650833 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 11,36 0,811428 0,811428 0,730285834 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 1,048500 0,943650835 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 0,943071836 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 1,048500 0,943650837 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 250 mg COMPR. FILM. 250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 11,34 0,810000 0,810000 0,729000838 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 11,36 0,811428 0,811428 0,730285839 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 32,62 2,330000 2,097000 1,887300840 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 2,097000 1,887300841 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 2,097000 1,887300842 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 2,097000 1,887300843 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 2,097000 1,887300844 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 53,31 2,665500 2,097000 1,887300845 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 24,62 1,758571 1,758571 1,582713846 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 32,62 2,330000 2,097000 1,887300847 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 33,15 4,735714 2,097000 1,887300848 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 2,097000 1,887300849 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 2,097000 1,887300850 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 23,760000 21,384000851 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 14,256000 12,830400852 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 14,256000 12,830400853 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 14,256000 12,830400854 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 14,256000 12,830400855 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 47,520000 42,768000856 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 47,520000 42,768000857 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 28,78 28,780000 28,512000 25,660800858 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 28,512000 25,660800859 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 28,78 28,780000 28,512000 25,660800860 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 23,018625861 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 1,022400862 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 1,070820863 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 0,214164864 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 0,214164865 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 0,535410866 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 0,535410867 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 0,535410868 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 0,535410869 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 0,535410870 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 0,535410871 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 0,535410872 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 0,535410873 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 0,428400874 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 1,070820

Pagina 18 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti875 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 1,070820876 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 1,070820877 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 1,070820878 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 0,790200879 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 1,070820880 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 0,830700881 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 0,739350882 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 0,535410883 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 1,606230884 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 1,606230885 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 84,70 12,100000 2,379600 2,141640886 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 27,63 9,210000 1,189800 1,070820887 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 1,070820888 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 0,786500 0,707850889 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 0,557100890 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 0,786500 0,707850891 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 0,786500 0,707850892 J01MA06 NORFLOXACINUM NORFLOXACIN HELCOR 400 mg COMPR. FILM. 400mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 17,60 0,880000 0,786500 0,707850893 J01MB02 ACIDUM NALIDIXICUM NALIXID 500 mg CAPS. 500mg ZENTIVA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 29,29 0,976333 0,976333 0,878699894 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 0,231599895 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 0,231599896 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 7,09 0,354500 0,297187 0,267468897 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 7,09 0,354500 0,297187 0,267468898 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 7,518749899 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 7,768874900 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 7,371749901 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 7,768874902 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 3,884436903 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 3,884436904 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 3,884436905 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 25,61 6,402500 4,198177 3,778359906 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 4,198177 3,778359907 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 4,198177 3,778359908 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 4,198177 3,778359909 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 43,36 6,194285 4,198177 3,778359910 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 9,94 9,940000 6,297266 5,667539911 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 6,297266 5,667539912 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 6,297266 5,667539913 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 6,297266 5,667539914 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 6,297266 5,667539915 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 6,297266 5,667539916 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 6,297266 5,667539917 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 6,297266 5,667539918 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 6,297266 5,667539919 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 6,297266 5,667539920 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 6,297266 5,667539921 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 12,03 12,030000 6,297266 5,667539922 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 6,297266 5,667539923 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 6,297266 5,667539

Pagina 19 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti924 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 13,54 13,540000 6,297266 5,667539925 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 12,03 12,030000 6,297266 5,667539926 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 5,061856927 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 22,56 3,222857 2,099088 1,889179928 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 2,099088 1,889179929 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 2,099088 1,889179930 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 2,099088 1,889179931 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 2,099088 1,889179932 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 2,099088 1,889179933 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 2,099088 1,889179934 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 2,099088 1,889179935 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 2,099088 1,889179936 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 2,099088 1,889179937 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 29,61 4,230000 2,099088 1,889179938 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O PRF 1 31,71 31,710000 14,693622 13,224259939 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 33,905812 30,515230940 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 0,760086 0,684077941 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 0,760086 0,684077942 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 0,760086 0,684077943 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 1,520172 1,368154944 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 0,760086 0,684077945 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 0,760086 0,684077946 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 0,621450947 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 0,585000948 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 27,18 2,718000 1,520172 1,368154949 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 50,934600950 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 0,074531 0,067077951 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 0,064199952 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 0,149062 0,134155953 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 0,380999 0,342899954 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 0,380999 0,342899955 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 6,59 0,659000 0,380999 0,342899956 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 0,447187 0,402468957 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 0,223593 0,201233958 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 0,149062 0,134155959 M01AB05 DICLOFENACUM DICLOTARD® 100 mg COMPR. CU ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL P-6L 20 8,21 0,410500 0,298125 0,268312960 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 0,223593 0,201233961 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 0,298125 0,268312962 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 0,298125 0,268312963 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 0,149062 0,134155964 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 0,149062 0,134155965 M01AB05 DICLOFENACUM DICLOFENAC HELCOR 50 mg COMPR. FILM. GASTROREZ. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2,27 0,113500 0,113500 0,102150966 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 0,149062 0,134155967 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 0,074531 0,067077968 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 0,114300969 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 0,119250970 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 0,119399971 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 0,988199972 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 1,185840

Pagina 20 din 28

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

APP Ambalaj Prescriptie

cant/ambala

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Pret amanunt

ul maximal/ambalaj (RON)

Pret amanuntul maximal/UT

(RON)

Val suportata de CNAS/UT (RON)Legea

nr. 95/2006 art 213 alin.1 lit. a)

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Val suportata CNAS/UT (RON) pt.

Adulti973 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 MLP-RF 5 6,10 1,220000 1,097999 0,988199974 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 0,988199975 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 0,988199976 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 0,729000977 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 0,656666 0,590999978 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 0,761999 0,685799979 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 0,695000 0,625500980 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 6,38 0,638000 0,638000 0,574200981 M01AB05 DICLOFENACUM DICLOFENAC SINTOFARM 12,5 mg SUPOZ. 12,5 mg SINTOFARM S.A. ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE P6L 6 3,64 0,606666 0,095249 0,085724982 M01AB05 DICLOFENACUM DICLOFENAC SINTOFARM 12,5 mg SUPOZ. 12,5 mg SINTOFARM S.A. ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 5 SUPOZITOARE P6L 10 6,01 0,601000 0,095249 0,085724983 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 0,380999 0,342899984 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 0,099374 0,089436985 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 0,099374 0,089436986 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 1,317600987 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 1,317600988 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 0,149062 0,134155989 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 0,406215990 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 0,406215991 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 0,406215992 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 2,570850 2,313765993 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 15,44 0,772000 0,451350 0,406215994 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 7,70 0,770000 0,451350 0,406215995 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 0,406215996 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 0,406215997 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 0,406215998 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 0,406215999 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 6,92 0,346000 0,346000 0,3114001.000 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 0,4062151.001 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 0,4062151.002 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 0,4062151.003 M01AC06 MELOXICAMUM NOFLAMEN 15 mg COMPR. 15mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X BLIST. OPA-AL-PVC/AL X 20 COMPR. P-6L 20 10,03 0,501500 0,451350 0,4062151.004 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 0,4062151.005 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 0,4062151.006 M01AC06 MELOXICAMUM Meloxicam Zentiva 15 mg comprimate COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 6,92 0,346000 0,346000 0,3114001.007 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 0,2031071.008 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 0,2031071.009 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7,5mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 7,41 0,741000 0,225675 0,2031071.010 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7,5mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 14,84 0,742000 0,225675 0,2031071.011 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 0,2031071.012 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 0,2031071.013 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 0,2031071.014 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 0,2031071.015 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 0,2031071.016 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 0,2031071.017 M01AC06 MELOXICAMUM MOVALIS 15mg/1,5ml SOL. INJ. 15mg/1,5ml BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF 5 15,12 3,024000 2,570850 2,3137651.018 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 0,664200 0,5977801.019 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 0,494699 0,4452291.020 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 0,742050 0,6678451.021 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 0,989399 0,890459

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul maximal/ambalaj (RON)

Pret amanuntul maximal/UT

(RON)

Val suportata de CNAS/UT (RON)Legea

nr. 95/2006 art 213 alin.1 lit. a)

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Val suportata CNAS/UT (RON) pt.

Adulti1.022 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 0,989399 0,8904591.023 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 0,742050 0,6678451.024 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 0,4063501.025 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 13,20 0,440000 0,440000 0,3960001.026 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 0,494699 0,4452291.027 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 0,3550501.028 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 0,247349 0,2226141.029 M01AE03 KETOPROFENUM PROFENID (R) LP 200 mg COMPR. FILM. ELIB. PREL. 200mg LAB. AVENTIS FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL. P-6L 14 13,36 0,954285 0,954285 0,8588561.030 M01AE03 KETOPROFENUM KETOPROFEN ROMPHARM 100 mg/2ml SOL. INJ. 100 mg/2ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ PRF 5 5,70 1,140000 1,140000 1,0260001.031 M01AE03 KETOPROFENUM KETOPROFEN ROMPHARM 100 mg/2ml SOL. INJ. 100 mg/2ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ PRF 10 11,36 1,136000 1,136000 1,0224001.032 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 0,570000 0,5130001.033 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 1,140000 1,0260001.034 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 0,660583 0,5945241.035 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 0,5877001.036 M04AA01 ALLOPURINOLUM* MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 8,23 0,164600 0,148399 0,1335591.037 M04AA01 ALLOPURINOLUM* MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 12,87 0,429000 0,429000 0,3861001.038 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 0,1296001.039 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 1,2318751.040 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 1,2015001.041 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5,61 0,280500 0,280500 0,2524501.042 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 0,283348 0,2550131.043 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 0,283348 0,2550131.044 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 0,283348 0,2550131.045 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 0,283348 0,2550131.046 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 0,283348 0,2550131.047 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 3,85 0,385000 0,283348 0,2550131.048 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5,61 0,280500 0,280500 0,2524501.049 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 0,283348 0,2550131.050 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 0,283348 0,2550131.051 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 0,566699 0,5100291.052 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 0,566699 0,5100291.053 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 18,91 0,630333 0,566699 0,5100291.054 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 100 mg 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 0,566699 0,5100291.055 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 27,55 0,918333 0,850049 0,7650441.056 N02AX02 TRAMADOLUM TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 33,41 1,113666 0,850049 0,7650441.057 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 27,55 0,918333 0,850049 0,7650441.058 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 34,30 1,143333 1,133398 1,0200581.059 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 0,283348 0,2550131.060 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 0,566699 0,5100291.061 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 0,850049 0,7650441.062 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 0,850049 0,7650441.063 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 1,133398 1,0200581.064 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 1,133398 1,0200581.065 N02AX02 TRAMADOLUM TRALGIT 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 3,84 0,384000 0,283348 0,2550131.066 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 3,84 0,384000 0,283348 0,2550131.067 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE PRF 10 3,84 0,384000 0,283348 0,2550131.068 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 1,629810 1,4668291.069 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 1,2110401.070 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 0,814902 0,733411

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.071 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 1,629810 1,4668291.072 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 1,0044001.073 N02CC01 SUMATRIPTANUM* IMIGRAN DR 100 mg COMPR. DISP. 100mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF 2 44,81 22,405000 9,929166 8,9362491.074 N02CC01 SUMATRIPTANUM* IMIGRAN DR 50 mg COMPR. DISP. 50mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF 2 25,36 12,680000 4,964583 4,4681241.075 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 8,7179991.076 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. PRF 2 20,02 10,010000 9,929166 8,9362491.077 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM. PRF 6 58,12 9,686666 9,686666 8,7179991.078 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 4,964583 4,4681241.079 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. PRF 2 14,28 7,140000 4,964583 4,4681241.080 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM. PRF 6 41,47 6,911666 4,964583 4,4681241.081 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 0,230533 0,2074791.082 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 0,2035801.083 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 0,2035801.084 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 11,31 0,226200 0,226200 0,2035801.085 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,96 0,248000 0,230533 0,2074791.086 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 0,2025001.087 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 0,2035801.088 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 0,230533 0,2074791.089 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 11,31 0,226200 0,226200 0,2035801.090 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26,26 0,525200 0,461066 0,4149591.091 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 0,461066 0,4149591.092 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 P6L 50 15,16 0,303200 0,172900 0,1556101.093 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 P6L 50 20,62 0,412400 0,345800 0,3112201.094 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 P6L 50 36,53 0,730600 0,691600 0,6224401.095 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 0,345800 0,3112201.096 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 0,691600 0,6224401.097 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 0,230533 0,2074791.098 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR. FILM. ELIB. PREL. 200mg S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 12,43 0,248600 0,230533 0,2074791.099 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 0,461066 0,4149591.100 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 25,27 0,505400 0,461066 0,4149591.101 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 400mg S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 25,27 0,505400 0,461066 0,4149591.102 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 0,230533 0,2074791.103 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 20,2590001.104 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 100 mg CAPS. 100 mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. DIIN POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L 50 7,20 0,144000 0,144000 0,1296001.105 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 0,288282 0,2594531.106 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 0,288282 0,2594531.107 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L 50 22,54 0,450800 0,288282 0,2594531.108 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100 43,63 0,436300 0,288282 0,2594531.109 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 23,56 0,392666 0,288282 0,2594531.110 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 300 mg CAPS. 300 mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L 50 21,80 0,436000 0,436000 0,3924001.111 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 0,864853 0,7783671.112 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 0,864853 0,7783671.113 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 0,864853 0,7783671.114 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 0,864853 0,7783671.115 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L 50 47,92 0,958400 0,864853 0,7783671.116 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100 91,03 0,910300 0,864853 0,7783671.117 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 51,89 0,864833 0,864833 0,7783491.118 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 400 mg CAPS. 400 mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L 50 28,81 0,576200 0,576200 0,5185801.119 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 1,153140 1,037826

Pagina 23 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.120 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 1,153140 1,0378261.121 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 1,153140 1,0378261.122 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 1,153140 1,0378261.123 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 400 mg CAPS. 400mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L 50 64,12 1,282400 1,153140 1,0378261.124 N03AX12 GABAPENTINUM GABAPENTINA PFIZER 400 mg CAPS. 400mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100 121,79 1,217900 1,153140 1,0378261.125 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 64,86 1,081000 1,081000 0,9729001.126 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 1,729711 1,5567391.127 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 1,729711 1,5567391.128 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 2,306281 2,0756521.129 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 2,306281 2,0756521.130 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 0,0729001.131 N05AD01 HALOPERIDOLUM HALOPERIDOL ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF 30 7,72 0,257333 0,162000 0,1458001.132 N05AD01 HALOPERIDOLUM HALOPERIDOL ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF 30 10,80 0,360000 0,324000 0,2916001.133 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 0,6458401.134 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 3,8790001.135 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 2,9160001.136 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 8,0136001.137 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 1,0463571.138 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 0,0895501.139 N05BA01 DIAZEPAMUM DIAZEPAM COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4,01 0,133666 0,133666 0,1202991.140 N05BA01 DIAZEPAMUM DIAZEPAM LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2,08 0,104000 0,104000 0,0936001.141 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 10,48 2,096000 2,096000 1,8864001.142 N05BA01 DIAZEPAMUM DIAZEPAM 5 mg/ml SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 10,48 2,096000 2,096000 1,8864001.143 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 5,8716001.144 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 4,6782001.145 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 0,1102501.146 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 0,1009801.147 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR. P-RF 20 3,05 0,152500 0,123637 0,1112731.148 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 0,123500 0,1111501.149 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 0,098909 0,0890181.150 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 0,037091 0,0333811.151 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 0,074182 0,0667631.152 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 0,074182 0,0667631.153 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 0,074182 0,0667631.154 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 0,074182 0,0667631.155 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 0,061818 0,0556361.156 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 0,061818 0,0556361.157 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 0,061818 0,0556361.158 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 0,061818 0,0556361.159 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 0,25 mg COMPR. 0,25mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF 10 1,22 0,122000 0,061818 0,0556361.160 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 0,25 mg COMPR. 0,25mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 2,45 0,122500 0,061818 0,0556361.161 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 0,25 mg COMPR. 0,25mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF 30 3,67 0,122333 0,061818 0,0556361.162 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 0,123637 0,1112731.163 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 0,123637 0,1112731.164 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 0,123637 0,1112731.165 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 0,123637 0,1112731.166 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 0,5 mg COMPR. 0,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF 10 1,93 0,193000 0,123637 0,1112731.167 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 0,5 mg COMPR. 0,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 3,87 0,193500 0,123637 0,1112731.168 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 0,5 mg COMPR. 0,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF 30 5,81 0,193666 0,123637 0,111273

Pagina 24 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.169 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 0,247274 0,2225461.170 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 0,247274 0,2225461.171 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 0,247274 0,2225461.172 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 0,247274 0,2225461.173 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 1 mg COMPR. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF 10 2,74 0,274000 0,247274 0,2225461.174 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 1 mg COMPR. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 5,50 0,275000 0,247274 0,2225461.175 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM ATB 1 mg COMPR. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF 30 8,24 0,274666 0,247274 0,2225461.176 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 0,054000 0,0486001.177 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 0,0706501.178 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 0,108000 0,0972001.179 N05CD02 NITRAZEPAMUM NITRAZEPAM - RICHTER 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 0,108000 0,0972001.180 N05CF01 ZOPICLONUM* SONLAX 7,5 mg COMPR. FILM. 7,5 mg AS GRINDEKS LETONIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 20 10,06 0,503000 0,503000 0,4527001.181 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 0,513900 0,4625101.182 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 0,407250 0,3665251.183 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 0,407250 0,3665251.184 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 0,407250 0,3665251.185 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 0,407250 0,3665251.186 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 3,90 0,390000 0,390000 0,3510001.187 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 7,80 0,390000 0,390000 0,3510001.188 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 0,203625 0,1832621.189 N05CF02 ZOLPIDEMUM* ONIRIA 10 mg/ml PIC. ORALE, SOL. 10mg/ml ITF PHARMA KERESKEDELMI ES SZOLGALTATO KFT. UNGARIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CU PIC. ORALE, SOL.+PIPETA P-RF 1 60,41 60,410000 12,217500 10,9957501.190 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 0,122399 0,1101591.191 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 0,305999 0,2753991.192 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 0,2701801.193 N06AA12 DOXEPINUM* DOXEPIN 25 mg DRAJ. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 19,95 0,665000 0,305999 0,2753991.194 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 0,614399 0,5529591.195 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 0,614399 0,5529591.196 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 0,587666 0,5288991.197 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 0,614399 0,5529591.198 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 0,614399 0,5529591.199 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 0,2135991.200 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 0,2378561.201 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 0,614399 0,5529591.202 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 0,3445711.203 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 1,0796771.204 N06AB05 PAROXETINUM* ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 23,05 0,768333 0,614399 0,5529591.205 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 0,614399 0,5529591.206 N06AB05 PAROXETINUM* SEROXAT 20 mg COMPR. FILM. 20mg SMITHKLINE BEECHAM MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 34,30 1,143333 0,614399 0,5529591.207 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 0,614399 0,5529591.208 N06AB05 PAROXETINUM* PALUXETIL 20 mg COMPR. FILM. 20mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR.FILM. P-RF 30 20,48 0,682666 0,614399 0,5529591.209 N06AB05 PAROXETINUM* PALUXETIL 40 mg COMPR. FILM. 40mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR.FILM. P-RF 30 36,77 1,225666 1,225666 1,1030991.210 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 1,228798 1,1059181.211 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 1,228798 1,1059181.212 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 1,217500 1,0957501.213 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 1,228798 1,1059181.214 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 1,228798 1,1059181.215 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 36,52 1,217333 1,217333 1,0955991.216 N06AB06 SERTRALINUM* STIMULOTON® 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 1,228798 1,1059181.217 N06AB06 SERTRALINUM* SERTRALINA ARENA 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 1,228798 1,105918

Pagina 25 din 28

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

APP Ambalaj Prescriptie

cant/ambala

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Pret amanunt

ul maximal/ambalaj (RON)

Pret amanuntul maximal/UT

(RON)

Val suportata de CNAS/UT (RON)Legea

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si f)

Val suportata CNAS/UT (RON) pt.

Adulti1.218 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 0,614399 0,5529591.219 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 0,614399 0,5529591.220 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 0,614399 0,5529591.221 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 0,614399 0,5529591.222 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 0,614399 0,5529591.223 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 20,06 0,668666 0,614399 0,5529591.224 N06AB06 SERTRALINUM* STIMULOTON® 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-RF 30 20,94 0,698000 0,614399 0,5529591.225 N06AB06 SERTRALINUM* SERTRALINA ARENA 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 0,614399 0,5529591.226 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 14,745585 13,2710261.227 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 0,614399 0,5529591.228 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 0,307199 0,2764791.229 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 0,3584231.230 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 1,0752751.231 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 1,263833 1,1374491.232 N06AX11 MIRTAZAPINUM* MIRTAZAPIN ARENA 15 mg COMPR. FILM. 15mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM. PRF 30 24,62 0,820666 0,631916 0,5687241.233 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 1,263833 1,1374491.234 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 1,0802991.235 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 13,91 0,463666 0,463666 0,4172991.236 N06AX11 MIRTAZAPINUM* MIRTAZAPIN ARENA 45 mg COMPR. FILM. 45mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM. PRF 30 63,52 2,117333 1,895749 1,7061741.237 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. ORODISPERSABILEP-RF 30 24,62 0,820666 0,631916 0,5687241.238 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 1,263833 1,1374491.239 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. ORODISPERSABILEP-RF 30 37,92 1,264000 1,263833 1,1374491.240 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. ORODISPERSABILEP-RF 30 38,11 1,270333 1,263833 1,1374491.241 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 1,1369991.242 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. ORODISPERSABILEP-RF 30 63,52 2,117333 1,895749 1,7061741.243 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 23,22 0,829285 0,829285 0,7463561.244 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 1,277856 1,1500701.245 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 1,277856 1,1500701.246 N06AX16 VENLAFAXINUM** IVRYX 150mg CAPS. ELIB. PREL. 150 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 23,22 0,829285 0,829285 0,7463561.247 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 1,277856 1,1500701.248 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 40,87 1,362333 1,277856 1,1500701.249 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 1,277856 1,1500701.250 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 40,87 1,362333 1,277856 1,1500701.251 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 23,11 0,825357 0,825357 0,7428211.252 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 1,277856 1,1500701.253 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 40,87 1,362333 1,277856 1,1500701.254 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 40,87 1,362333 1,277856 1,1500701.255 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 17,24 0,574666 0,319464 0,2875171.256 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 0,319464 0,2875171.257 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 17,89 0,638928 0,638928 0,5750351.258 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 0,638928 0,5750351.259 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. PRF 30 25,61 0,853666 0,638928 0,5750351.260 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 17,89 0,638928 0,638928 0,5750351.261 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 17,89 0,638928 0,638928 0,5750351.262 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 0,638928 0,5750351.263 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 25,59 0,853000 0,638928 0,5750351.264 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 19,15 0,638333 0,638333 0,5744991.265 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 25,61 0,853666 0,638928 0,5750351.266 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 17,72 0,632857 0,632857 0,569571

Pagina 26 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.267 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 0,638928 0,5750351.268 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 25,61 0,853666 0,638928 0,5750351.269 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 25,61 0,853666 0,638928 0,5750351.270 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 0,319464 0,2875171.271 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 0,425952 0,3833561.272 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 0,638928 0,5750351.273 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 20,74 0,691333 0,691333 0,6221991.274 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 15,98 0,532666 0,532666 0,4793991.275 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 0,6178501.276 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 0,594374 0,5349361.277 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 0,594374 0,5349361.278 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 0,594374 0,5349361.279 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 0,594374 0,5349361.280 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 3,079166 2,7712491.281 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 5,3759991.282 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 3,079166 2,7712491.283 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 3,079166 2,7712491.284 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 3,4323751.285 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 3,3660001.286 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 3,0780001.287 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 3,0780001.288 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 1,0259891.289 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 1,0259891.290 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 38,4462001.291 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 1,4029201.292 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 7,0146001.293 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 6,1290001.294 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 91,7640001.295 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 35,5320001.296 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 67,5000001.297 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 36,7110001.298 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 73,4220001.299 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 146,8440001.300 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 39,1583981.301 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 39,1583981.302 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 1,4212111.303 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 11,3400001.304 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 2,7450001.305 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 0,6408001.306 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 0,2110501.307 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 0,3145501.308 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 0,162250 0,1460251.309 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 0,162250 0,1460251.310 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3,02 0,151000 0,151000 0,1359001.311 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3,41 0,170500 0,162250 0,1460251.312 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 0,1435501.313 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 0,162250 0,1460251.314 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 0,1039491.315 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 0,604687 0,544218

Pagina 27 din 28

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.316 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 0,604687 0,5442181.317 R06AE07 CETIRIZINUM ZYRTEC 10 mg/ml PICATURI ORALE, SOL. 10mg/ml UCB PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA + PICURATOR DIN PEJD X 20 ML PIC. ORALE, SOL. P6L 1 13,16 13,160000 12,093750 10,8843751.318 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 0,1552501.319 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 0,1552501.320 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 0,1552501.321 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 0,1489501.322 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 10,2870001.323 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 8,4791251.324 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 10,1070001.325 S01BC03 DICLOFENACUM VOLTAREN OPHTHA CD PICATURI OFT.-SOL. 0,1% LABORATOIRES THEA FRANTA 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 8,4791251.326 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL PICATURI OFT.SUSP. 0,2g+0,5g/100ml THEA FARMASPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE P-RF 1 13,45 13,450000 13,450000 12,1050001.327 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL UNG. OFT. 0,2g+0,5g/100g THEA FARMACEUTICI S ITALIA CUTIE X 1 TUB AL X 5 G P-RF 1 15,45 15,450000 13,950000 12,555000

NOTĂ:

- 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; - 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;

Pagina 28 din 28

ANEXA 2

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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 0,670349 0,3351742 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 0,670349 0,3351743 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 1,340699 0,6703494 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 6,38 0,227857 0,227857 0,1139286 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 0,670349 0,3351747 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 0,670349 0,3351748 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 0,670349 0,3351749 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 0,670349 0,335174

10 A02BC02 PANTOPRAZOLUM AZATOL 20 mg COMPR. GASTROREZ. 20mg NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P6L 28 22,57 0,806071 0,667574 0,33378711 A02BC02 PANTOPRAZOLUM PANTOPRAZOL TERAPIA 20 mg COMPR. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P6L 30 23,39 0,779666 0,670349 0,33517412 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 11,63 0,415357 0,415357 0,20767813 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 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 0,56053515 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 0,54616616 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 0,60283317 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 0,29650018 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 0,32616619 A02BC02 PANTOPRAZOLUM PANTOPRAZOL MACLEODS 40 mg COMPR. GASTROREZ. 40mg MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ. P6L 28 27,57 0,984642 0,984642 0,49232120 A02BC02 PANTOPRAZOLUM PANTOPRAZOL ATB 40 mg COMPR. GASTROREZ. 40mg ANTIBIOTICE SA ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. GASTROREZ. P6L 30 32,77 1,092333 1,092333 0,54616621 A02BC02 PANTOPRAZOLUM AZATOL 40 mg COMPR. GASTROREZ. 40mg NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P6L 28 33,80 1,207142 1,207142 0,60357122 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 0,670349 0,33517423 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 0,56833324 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 14,597999 7,29899925 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF 1 13,39 13,390000 13,390000 6,69500026 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.PR/PRF 10 190,42 19,042000 14,597999 7,29899927 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 0,893798 0,44689928 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 37,80 1,350000 0,893798 0,44689929 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 18,38 0,656428 0,656428 0,32821430 A02BC05 ESOMEPRAZOLUM MESOPRAL 20 mg CAPS. GASTROREZ. 20mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ. P6L 28 51,23 1,829642 0,893798 0,44689931 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 1,787598 0,89379932 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 55,99 1,999642 1,787598 0,89379933 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 30,80 1,100000 1,100000 0,55000034 A02BC05 ESOMEPRAZOLUM MESOPRAL 40 mg CAPS. GASTROREZ. 40mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ. P6L 28 73,54 2,626428 1,787598 0,89379935 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 0,893798 0,44689936 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 0,893798 0,44689937 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 0,893798 0,44689938 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 0,893798 0,44689939 A02BC05 ESOMEPRAZOLUM PRAGASTROL 20 mg COMPR. GASTROREZ. 20mg ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ. P6L 30 26,75 0,891666 0,891666 0,44583340 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 1,787598 0,89379941 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 1,787598 0,89379942 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 1,787598 0,89379943 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 1,787598 0,89379944 A02BC05 ESOMEPRAZOLUM PRAGASTROL 40 mg COMPR. GASTROREZ. 40mg ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ. P6L 30 47,82 1,594000 1,594000 0,797000

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORMDENUMIRILOR 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 IULIE 2014

Pagina 1 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti45 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 0,893798 0,44689946 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 1,787598 0,89379947 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 3,11160748 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 19,463995 9,73199749 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 9,66750050 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL POLPHARMA 40 mg PULB. PT. SOL. PERF./INJ. 40mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CONTINAND PULB. PT. SOL. INJ./PERF. P6L 10 193,35 19,335000 19,335000 9,66750051 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 0,15475052 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 0,15712553 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 0,15712554 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 0,55950055 A06AD15 MACROGOLUM*2) OLOPEG CONC. PT. SOL. ORALA FARA CONCENTRATIE CNP PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN PET X 500 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT PRF 1 44,15 44,150000 44,150000 22,07500056 A06AD15 MACROGOLUM*2) OLOPEG CONC. PT. SOL. ORALA FARA CONCENTRATIE CNP PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN PET X 200 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT PRF 1 19,03 19,030000 18,002500 9,00125057 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 1,32333358 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 1,26750059 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 7,94000760 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 2,02424361 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 6,07273562 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 191,91500063 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 186,03500064 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 2,081306 1,04065365 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 2,081306 1,04065366 A07XA04 RACECADOTRILUM HIDRASEC 30 mg PULB. PT. SOL. ORALA 30mg LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 3 G P-RF 16 39,13 2,445625 2,081306 1,04065367 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 1,89498568 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 1,79625069 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 0,26166670 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 22,97 0,765666 0,523333 0,26166671 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 0,52333372 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 34,01 1,133666 1,046666 0,52333373 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 68,47 2,282333 1,978474 0,98923774 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOSSEN 600 (vezi N07XN03) COMPR. FILM. 600mg AAA - PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 30 46,05 1,535000 1,535000 0,76750075 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 5 120,12 24,024000 24,024000 12,01200076 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 12,59700077 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 32,045000 16,02250078 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 38,454000 19,22700079 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 46,144800 23,07240080 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 6,409000 3,20450081 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 12,818000 6,40900082 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 19,227000 9,61350083 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. PR/PRF 10 64,09 6,409000 6,409000 3,20450084 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. PR/PRF 10 118,84 11,884000 11,884000 5,94200085 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. PR/PRF 10 144,45 14,445000 14,445000 7,22250086 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. PR/PRF 2 40,14 20,070000 20,070000 10,03500087 B01AB05 ENOXAPARINUM**# CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml LABORATOIRE AVENTIS FRANTA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A PR/PRF 6 127,39 21,231666 21,231666 10,61583388 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 6,409000 3,20450089 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 8,545331 4,27266590 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 12,818000 6,40900091 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 17,090662 8,54533192 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 10 123,06 12,306000 6,409000 3,20450093 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 CULO PR/PRF 10 517,40 51,740000 36,622852 18,31142694 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 CULO PR/PRF 10 1.090,55 109,055000 73,245711 36,62285595 B01AB10 TINZAPARINUM**# INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE PR/PRF 10 123,06 12,306000 6,409000 3,204500

Pagina 2 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti96 B01AB10 TINZAPARINUM**# INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 10 155,09 15,509000 8,240141 4,12007097 B01AB10 TINZAPARINUM**# INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 2 73,65 36,825000 9,155711 4,57785598 B01AB10 TINZAPARINUM**# INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 2 98,32 49,160000 25,636000 12,81800099 B01AB10 TINZAPARINUM**# INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 2 120,16 60,080000 32,960570 16,480285100 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 1,028300101 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 3,921500102 B01AC04 CLOPIDOGRELUM** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 359,66 11,988666 9,648000 4,824000103 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 37,53 1,340357 1,340357 0,670178104 B01AC04 CLOPIDOGRELUM** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 1,340357 0,670178105 B01AC04 CLOPIDOGRELUM** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 57,74 2,062142 2,062142 1,031071106 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 17,86 0,595333 0,595333 0,297666107 B01AC04 CLOPIDOGRELUM** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,52 1,340000 1,340000 0,670000108 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF 90 52,86 0,587333 0,587333 0,293666109 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 2,412000 1,206000110 B01AC04 CLOPIDOGRELUM** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 79,52 2,840000 2,412000 1,206000111 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 1,340357 0,670178112 B01AC04 CLOPIDOGRELUM** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 1,340357 0,670178113 B01AC04 CLOPIDOGRELUM** PLAVOCORIN 75 mg COMPR. FILM. 75mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 1,340357 0,670178114 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 1,340357 0,670178115 B01AC04 CLOPIDOGRELUM** DEFROZYP 75 mg COMPR. FILM. 75mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 1,340357 0,670178116 B01AC04 CLOPIDOGRELUM** TESSYRON 75 mg COMPR. FILM. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF 30 40,26 1,342000 1,342000 0,671000117 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 40,22 1,340666 1,340666 0,670333118 B01AC04 CLOPIDOGRELUM** MOYTOR 75 mg COMPR. FILM. 75mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM. P-RF 28 37,52 1,340000 1,340000 0,670000119 B01AC04 CLOPIDOGRELUM** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF 10 13,82 1,382000 1,382000 0,691000120 B01AC04 CLOPIDOGRELUM** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 76,22 1,270333 1,270333 0,635166121 B01AC04 CLOPIDOGRELUM** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 114,32 1,270222 1,270222 0,635111122 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL TERAPIA 75 mg COMPR. FILM. 75mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF 30 51,97 1,732333 1,732333 0,866166123 B01AC04 CLOPIDOGRELUM** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,46 1,337857 1,337857 0,668928124 B01AC04 CLOPIDOGRELUM** DEPLATT 75 mg COMPR. FILM. 75mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 40,20 1,340000 1,340000 0,670000125 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINÂND 30 COMPRIMATE FILMATEP-RF 30 17,18 0,572666 0,572666 0,286333126 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINÂND 90 COMPRIMATE FILMATEP-RF 90 49,88 0,554222 0,554222 0,277111127 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL POLIPHARMA 75 mg COMPR. FILM. 75mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L 30 40,22 1,340666 1,340666 0,670333128 B01AC18 TRIFLUSALUM PLATROX 300 mg CAPS. 300 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 5 BLIST. AL-PVC/PVDC X 10 CAPS. PRF 50 58,12 1,162400 1,162400 0,581200129 B01AC18 TRIFLUSALUM AFLEN (R) CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 84,93 1,698600 1,206000 0,603000130 B01AC30 COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)** AGGRENOX CAPS. ELIB. MODIF. 25mg/200mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L 60 63,61 1,060166 1,060166 0,530083131 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 11,088249132 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 32,663000133 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 14,977000134 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 1,636258135 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 1,636258136 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 2,324642137 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 2,454388138 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 0,363333139 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 0,866569 0,433284140 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. P6L 28 13,24 0,472857 0,472857 0,236428141 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 0,431166142 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,3 mg COMPR. FILM. 0,3mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 20,22 0,722142 0,722142 0,361071143 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 0,552333144 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 0,781964145 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. P6L 28 26,58 0,949285 0,949285 0,474642146 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 1,299855 0,649927

Pagina 3 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti147 C02AC06 RILMENIDINUM RILMENIDINA TEVA 1 mg COMPR. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X BLISTERE AL/AL (FOLIE AL CFF FORMATA LA RECE/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC) X 30 COMPRIMATE P6L 30 27,94 0,931333 0,931333 0,465666148 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 0,486749 0,243374151 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 0,973499 0,486749152 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 0,324499 0,162249153 C04AE02 NICERGOLINUM GRALIN 10 mg COMPR. FILM. 10mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 13,45 0,448333 0,324499 0,162249154 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 0,973499 0,486749155 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 0,973499 0,486749156 C04AE02 NICERGOLINUM GRALIN 30 mg COMPR. FILM. 30mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 32,45 1,081666 0,973499 0,486749157 C04AE02 NICERGOLINUM GRALIN 5 mg COMPR. FILM. 5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L 30 6,76 0,225333 0,162249 0,081124158 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 0,324499 0,162249159 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 0,973499 0,486749160 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 0,973499 0,486749161 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 0,463000162 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 0,157750163 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 0,543166164 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 0,379604 0,189802165 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 0,379604 0,189802166 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 0,377416167 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 0,562333168 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 0,379604 0,189802169 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 0,379604 0,189802170 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 0,379604 0,189802171 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 0,379604 0,189802172 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (N06DX02) COMPR. FILM. 40mg IPSEN PHARMA FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 23,17 0,772333 0,379604 0,189802173 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 0,759208 0,379604174 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 0,759208 0,379604175 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 0,373666176 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 12,440000177 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (C04AXN1) PICATURI ORALE-SOL. 40mg/ml 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 12,440000178 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 0,439833179 C07AB12 NEBIVOLOLUM NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 34,55 1,233928 0,820499 0,410249180 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 0,386666181 C07AB12 NEBIVOLOLUM X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 27,09 0,903000 0,820499 0,410249182 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 0,820499 0,410249183 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 0,407142184 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 0,407333185 C07AB12 NEBIVOLOLUM NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24,87 0,829000 0,820499 0,410249186 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 0,247142187 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 0,404464188 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 0,409833189 C07AB12 NEBIVOLOLUM NEBICARD 5 mg COMPR. 5mg BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L 28 22,93 0,818928 0,818928 0,409464190 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 0,902749 0,451374191 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 10 mg/6,25mg COMPR. FILM. 10 mg/6,25mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 29,46 0,982000 0,902749 0,451374192 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 0,438166193 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 2,5mg/6,25mg COMPR. FILM. 2,5mg/6,25mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 26,29 0,876333 0,876333 0,438166194 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 0,902749 0,451374195 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 5mg/6,25mg COMPR. FILM. 5mg/6,25mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 30 29,46 0,982000 0,902749 0,451374196 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 0,578249 0,289124197 C08CA13 LERCANIDIPINUM LERCANIDIPINA TEVA 10 mg COMPR. FILM. 10 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 26,92 0,448666 0,448666 0,224333

Pagina 4 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti198 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 0,578249 0,289124199 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 16,18 0,539333 0,539333 0,269666200 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 0,578249 0,289124201 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 0,578249 0,289124202 C08CA13 LERCANIDIPINUM KAPIDIN10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 13,45 0,448333 0,448333 0,224166203 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 0,578249 0,289124204 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVDC X 30 COMPR. FILM. P-6L 30 16,18 0,539333 0,539333 0,269666205 C08CA13 LERCANIDIPINUM LERCANIDIPINA ZENTIVA 10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 13,45 0,448333 0,448333 0,224166206 C08CA13 LERCANIDIPINUM LERCANIDIPINA TEVA 20 mg COMPR. FILM. 20 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 43,54 0,725666 0,725666 0,362833207 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 0,548500208 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 26,96 0,898666 0,898666 0,449333209 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 0,539583210 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 1,156499 0,578249211 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 1,156499 0,578249212 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVDC X 30 COMPR. FILM. P-6L 30 26,96 0,898666 0,898666 0,449333213 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 0,178312 0,089156214 C09AA04 PERINDOPRILUM PRICORON 4 mg COMPR. 4 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 23,14 0,771333 0,356625 0,178312215 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 0,356625 0,178312216 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 0,356625 0,178312217 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 0,356625 0,178312218 C09AA04 PERINDOPRILUM STOPRESS 4 mg COMPR. 4mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM. P-6L 30 16,61 0,553666 0,356625 0,178312219 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 0,356625 0,178312220 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 0,356625 0,178312221 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 0,356625 0,178312222 C09AA04 PERINDOPRILUM PRINDEX 4 mg COMPR. 4mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 26,90 0,896666 0,356625 0,178312223 C09AA04 PERINDOPRILUM PRICORON 8 mg COMPR. 8 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 44,36 1,478666 0,713250 0,356625224 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 0,713250 0,356625225 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 0,713250 0,356625226 C09AA04 PERINDOPRILUM STOPRESS 8 mg COMPR. 8mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM. P-6L 30 30,88 1,029333 0,713250 0,356625227 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 0,713250 0,356625228 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 0,713250 0,356625229 C09AA04 PERINDOPRILUM PRINDEX 8 mg COMPR. 8mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 54,01 1,800333 0,713250 0,356625230 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 0,713250 0,356625231 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 0,891562 0,445781232 C09AA04 PERINDOPRILUM PERINDOPRIL TOSILAT TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L 30 42,77 1,425666 0,891562 0,445781233 C09AA04 PERINDOPRILUM PERINDOPRIL TOSILAT TEVA 2,5 mg COMPR. FILM. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L 30 13,81 0,460333 0,222890 0,111445234 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 0,445781 0,222890235 C09AA04 PERINDOPRILUM PERINDOPRIL TOSILAT TEVA 5 mg COMPR. FILM. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L 30 27,61 0,920333 0,445781 0,222890236 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 0,475499 0,237749237 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 0,950999 0,475499238 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 0,237749 0,118874239 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 0,089156 0,044578240 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 0,356625 0,178312241 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 0,713250 0,356625242 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 44,47 1,588214 0,356625 0,178312243 C09AA15 ZOFENOPRILUM ZOMEN (R) 7,5 mg COMPR. FILM. 7,5mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 19,69 0,703214 0,089156 0,044578244 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) COTREZEN 2 mg/0,625 mg COMPR. 2 mg/0,625 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR. P6L 30 15,72 0,524000 0,524000 0,262000245 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRINDEX PLUS 2 mg/0,625 mg COMPR. 2 mg/0,625mg GLENMARK PHARMACEUTICALS S.R.O. 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 0,269666246 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 0,269666247 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 0,269666248 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) COTREZEN 4 mg/1,25 mg COMPR. 4 mg/1,25 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR. P6L 30 24,21 0,807000 0,807000 0,403500

Pagina 5 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti249 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRINDEX PLUS 4 mg/1,25mg COMPR. 4 mg/1,25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.P6L 30 29,41 0,980333 0,824142 0,412071250 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PANINDORIL 4 mg/1,25 mg COMPR. 4mg/1, 25mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 21,09 0,703000 0,703000 0,351500251 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 0,824142 0,412071252 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 0,824142 0,412071253 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 8 mg/2,5mg COMPR. 8mg/2,5mg KRKA-POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 29,54 0,984666 0,824142 0,412071254 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 0,824142 0,412071255 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 0,824142 0,412071256 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 2,5 mg/0,625 mg COMPR. FILM. 2,5mg/0,625mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L 30 37,16 1,238666 0,824142 0,412071257 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 0,824142 0,412071258 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 0,824142 0,412071259 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 5 mg/1,25 mg COMPR. FILM. 5mg/1,25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L 30 40,04 1,334666 0,824142 0,412071260 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 0,361333261 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 0,824142 0,412071262 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 1,608666263 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 0,943750264 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 0,943750265 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 0,943750266 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 0,581964267 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 0,361785268 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 2,109855 1,054927269 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 2,109855 1,054927270 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 0,565166271 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 2,109855 1,054927272 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 2,109855 1,054927273 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 0,586607274 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 2,109855 1,054927275 C09CA03 VALSARTANUM VALSARTAN ZENTIVA 160 mg COMPR. FILM. 160mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.P-6L 28 22,79 0,813928 0,813928 0,406964276 C09CA03 VALSARTANUM VAPRESS 160 mg COMPR. FILM. 160mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 32,82 1,172142 1,172142 0,586071277 C09CA03 VALSARTANUM VAPRESS 160 mg COMPR. FILM. 160mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 32,82 1,172142 1,172142 0,586071278 C09CA03 VALSARTANUM WAROTA 160 mg COMPR. FILM. 160mg ALKALOID - INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. P6L 30 33,16 1,105333 1,105333 0,552666279 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 0,527463 0,263731280 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 0,527463 0,263731281 C09CA03 VALSARTANUM VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 11,16 0,398571 0,398571 0,199285282 C09CA03 VALSARTANUM VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 11,16 0,398571 0,398571 0,199285283 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 1,054927 0,527463284 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 1,054927 0,527463285 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 0,387500286 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 1,054927 0,527463287 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 1,054927 0,527463288 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 0,515000289 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 1,054927 0,527463290 C09CA03 VALSARTANUM VALSARTAN ZENTIVA 80 mg COMPR. FILM. 80mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.P-6L 28 14,95 0,533928 0,533928 0,266964291 C09CA03 VALSARTANUM WAROTA 80 mg COMPR. FILM. 80mg ALKALOID - INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. P6L 30 32,48 1,082666 1,054927 0,527463292 C09CA03 VALSARTANUM VAPRESS 80 mg COMPR. FILM. 80mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 18,18 0,649285 0,649285 0,324642293 C09CA03 VALSARTANUM VAPRESS 80 mg COMPR. FILM. 80mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 18,18 0,649285 0,649285 0,324642294 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 6,329566 3,164783295 C09CA04 IRBESARTANUM IRBESARTAN AUROBINDO 150 mg COMPR. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 27,21 0,971785 0,971785 0,485892296 C09CA04 IRBESARTANUM IRBESARTAN AUROBINDO 300 mg COMPR. 300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 35,53 1,268928 1,268928 0,634464297 C09CA04 IRBESARTANUM IRBESARTAN GALENICA 150 mg COMPR. FILM. 150 mg GALENICA S.A. GRECIA CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM. P6L 28 18,10 0,646428 0,646428 0,323214298 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 32,76 1,170000 1,054927 0,527463299 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 18,12 0,647142 0,647142 0,323571

Pagina 6 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti300 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 29,83 1,065357 1,054927 0,527463301 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 1,054927 0,527463302 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 23,08 0,769333 0,769333 0,384666303 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 1,054927 0,527463304 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 21,54 0,769285 0,769285 0,384642305 C09CA04 IRBESARTANUM IRBESARTAN TORRENT 150 mg COMPR. FILM. 150mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 21,54 0,769285 0,769285 0,384642306 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 24,01 0,857500 0,857500 0,428750307 C09CA04 IRBESARTANUM IRBESARTAN ZENTIVA 150mg COMPR. FILM. 150mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 18,12 0,647142 0,647142 0,323571308 C09CA04 IRBESARTANUM IRBESARTAN HF 150 mg COMPR. FILM. 150mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 23,08 0,769333 0,769333 0,384666309 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI CLIR SNC FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 32,76 1,170000 1,054927 0,527463310 C09CA04 IRBESARTANUM ATOKKEN 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 24,01 0,857500 0,857500 0,428750311 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 29,01 1,036071 1,036071 0,518035312 C09CA04 IRBESARTANUM IRBESARTAN GALENICA 300 mg COMPR. FILM. 300 mg GALENICA S.A. GRECIA CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM. P6L 28 29,43 1,051071 1,051071 0,525535313 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 43,20 1,542857 1,542857 0,771428314 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 29,32 1,047142 1,047142 0,523571315 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 38,87 1,388214 1,388214 0,694107316 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 2,109855 1,054927317 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 2,109855 1,054927318 C09CA04 IRBESARTANUM IRBESARTAN TORRENT 300 mg COMPR. FILM. 300mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 29,01 1,036071 1,036071 0,518035319 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 31,00 1,107142 1,107142 0,553571320 C09CA04 IRBESARTANUM IRBESARTAN ZENTIVA 300mg COMPR. FILM. 300mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 29,32 1,047142 1,047142 0,523571321 C09CA04 IRBESARTANUM IRBESARTAN HF 300 mg COMPR. FILM. 300mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 31,09 1,036333 1,036333 0,518166322 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg SANOFI CLIR SNC FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 43,20 1,542857 1,542857 0,771428323 C09CA04 IRBESARTANUM ATOKKEN 300 mg COMPR. FILM. 300mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 31,00 1,107142 1,107142 0,553571324 C09CA04 IRBESARTANUM IRBESARTAN TORRENT 75 mg COMPR. FILM. 75mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 16,18 0,577857 0,527463 0,263731325 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 23,11 0,825357 0,527463 0,263731326 C09CA04 IRBESARTANUM ATOKKEN 75 mg COMPR. FILM. 75mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 23,11 0,825357 0,527463 0,263731327 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 2,109855 1,054927328 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 0,801250329 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR. 16mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,497500330 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN SANDOZ 16 mg COMPR. 16mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P-6L 28 26,95 0,962500 0,962500 0,481250331 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 0,708333332 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 0,720666333 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 0,800500334 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 0,800892335 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 0,801428336 C09CA06 CANDESARTANUM CILEXETIL CANZENO 16mg COMPR. 16mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,497500337 C09CA06 CANDESARTANUM CILEXETIL CANDEGAMMA 16 mg COMPR. 16mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 39,63 1,321000 1,321000 0,660500338 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL TEVA 16 mg COMPR. 16mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,497500339 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN LABORMED 16 mg COMPR. 16mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L 28 41,42 1,479285 1,479285 0,739642340 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN AUROBINDO 16 mg COMPR. 16mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,28 0,976000 0,976000 0,488000341 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 2,096428342 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL ZENTIVA 32 mg COMPR. 32mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36,65 1,221666 1,221666 0,610833343 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 1,189333344 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 1,362500345 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 1,362500346 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 1,238035347 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 1,362857348 C09CA06 CANDESARTANUM CILEXETIL CANZENO 32mg COMPR. 32mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36,65 1,221666 1,221666 0,610833349 C09CA06 CANDESARTANUM CILEXETIL CANDEGAMMA 32 mg COMPR. 32mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 72,06 2,402000 2,402000 1,201000350 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL TEVA 32 mg COMPR. 32mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 36,65 1,221666 1,221666 0,610833

Pagina 7 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti351 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN LABORMED 32 mg COMPR. 32mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L 28 56,66 2,023571 2,023571 1,011785352 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 1,054927 0,527463353 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 1,054927 0,527463354 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL ZENTIVA 8 mg COMPR. 8mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 16,22 0,540666 0,540666 0,270333355 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN SANDOZ 8 mg COMPR. 8mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P-6L 28 16,81 0,600357 0,600357 0,300178356 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 0,402166357 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 1,054927 0,527463358 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 1,054927 0,527463359 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 1,054927 0,527463360 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 1,054927 0,527463361 C09CA06 CANDESARTANUM CILEXETIL CANZENO 8mg COMPR. 8mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 16,22 0,540666 0,540666 0,270333362 C09CA06 CANDESARTANUM CILEXETIL CANDEGAMMA 8 mg COMPR. 8mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 33,77 1,125666 1,054927 0,527463363 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN CILEXETIL TEVA 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 23,07 0,769000 0,769000 0,384500364 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN LABORMED 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L 28 33,65 1,201785 1,054927 0,527463365 C09CA06 CANDESARTANUM CILEXETIL CANDESARTAN AUROBINDO 8 mg COMPR. 8mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 21,57 0,719000 0,719000 0,359500366 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 1,054927 0,527463367 C09CA07 TELMISARTANUM MICARDIS 40 mg COMPR. 40mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L 28 60,70 2,167857 1,054927 0,527463368 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 1,054927 0,527463369 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 1,054927 0,527463370 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 17,20 0,573333 0,573333 0,286666371 C09CA07 TELMISARTANUM TELMISARTAN TEVA 40 mg COMPR. 40mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1 P6L 30 42,27 1,409000 1,054927 0,527463372 C09CA07 TELMISARTANUM TELMISARTAN LABORMED 40 mg COMPR. 40mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 36,43 1,301071 1,054927 0,527463373 C09CA07 TELMISARTANUM TELMISARTAN RANBAXY 40 mg COMPR. 40mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.P6L 28 39,46 1,409285 1,054927 0,527463374 C09CA07 TELMISARTANUM TELMA 40 mg COMPR. 40mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 17,20 0,614285 0,614285 0,307142375 C09CA07 TELMISARTANUM TELMISARTAN TORRENT 40 mg COMPR. 40mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR. P6L 28 42,24 1,508571 1,054927 0,527463376 C09CA07 TELMISARTANUM TELMISARTAN DR. REDDY'S 40 mg COMPR. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L 28 17,20 0,614285 0,614285 0,307142377 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 0,946250378 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 77,42 2,765000 2,109855 1,054927379 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 2,109855 1,054927380 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 0,946250381 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 28,09 0,936333 0,936333 0,468166382 C09CA07 TELMISARTANUM TELMISARTAN TEVA 80 mg COMPR. 80mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1 P6L 30 56,77 1,892333 1,892333 0,946166383 C09CA07 TELMISARTANUM TELMISARTAN LABORMED 80 mg COMPR. 80mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 48,91 1,746785 1,746785 0,873392384 C09CA07 TELMISARTANUM TELMISARTAN RANBAXY 80 mg COMPR. 80mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.P6L 28 52,99 1,892500 1,892500 0,946250385 C09CA07 TELMISARTANUM TELMA 80 mg COMPR. 80mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 22,68 0,810000 0,810000 0,405000386 C09CA07 TELMISARTANUM TELMISARTAN TORRENT 80 mg COMPR. 80mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR. P6L 28 56,53 2,018928 2,018928 1,009464387 C09CA07 TELMISARTANUM TELMISARTAN DR. REDDY'S 80 mg COMPR. 80mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L 28 28,09 1,003214 1,003214 0,501607388 C09CA07 TELMISARTANUM TELMARK 40 mg COMPR. FILM. 40mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 39,46 1,409285 1,054927 0,527463389 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 1,054927 0,527463390 C09CA07 TELMISARTANUM TELMISARTAN EGIS 40 mg COMPR. FILM. 40mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 39,63 1,415357 1,054927 0,527463391 C09CA07 TELMISARTANUM TELMOTENS 40mg COMPR. FILM. 40mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM. P6L 30 42,27 1,409000 1,054927 0,527463392 C09CA07 TELMISARTANUM TELMARK 80 mg COMPR. FILM. 80mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 52,99 1,892500 1,892500 0,946250393 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 0,946333394 C09CA07 TELMISARTANUM TELMISARTAN EGIS 80 mg COMPR. FILM. 80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 52,98 1,892142 1,892142 0,946071395 C09CA07 TELMISARTANUM TELMOTENS 80mg COMPR. FILM. 80mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM. P6L 30 56,77 1,892333 1,892333 0,946166396 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 1,141071 0,570535397 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 0,536785398 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 0,523392399 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 0,322500400 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 85,68 3,060000 1,141071 0,570535401 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 1,141071 0,570535

Pagina 8 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti402 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 1,141071 0,570535403 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 1,141071 0,570535404 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 73,85 2,637500 1,141071 0,570535405 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 39,26 1,402142 1,141071 0,570535406 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 55,40 1,978571 1,141071 0,570535407 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 20,39 0,728214 0,728214 0,364107408 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 150mg/12,5mg COMPR. FILM 150mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 20,39 0,728214 0,728214 0,364107409 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 33,70 1,203571 1,141071 0,570535410 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 300mg/12,5mg COMPR. FILM 300mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L 28 33,70 1,203571 1,141071 0,570535411 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,5 mg COMPR. FILM. 150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 26,49 0,946071 0,946071 0,473035412 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 1,141071 0,570535413 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 35,50 1,267857 1,141071 0,570535414 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 35,50 1,267857 1,141071 0,570535415 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. FILM. 150mg/12,5mg SANOFI CLIR SNC FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 39,26 1,402142 1,141071 0,570535416 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,5 mg COMPR. FILM. 300 mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 51,49 1,838928 1,141071 0,570535417 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 1,141071 0,570535418 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 68,91 2,461071 1,141071 0,570535419 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 68,91 2,461071 1,141071 0,570535420 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. FILM. 300mg/12,5mg SANOFI CLIR SNC FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 55,40 1,978571 1,141071 0,570535421 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 55,40 1,978571 1,141071 0,570535422 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 1,141071 0,570535423 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 68,91 2,461071 1,141071 0,570535424 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 68,91 2,461071 1,141071 0,570535425 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg SANOFI CLIR SNC FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 55,40 1,978571 1,141071 0,570535426 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) ACTELSAR HCT 80 mg/12,5 mg COMPR. 80 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF 28 43,24 1,544285 1,141071 0,570535427 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TOLUCOMBI 80 mg/12,5mg COMPR. 80 mg/12,5mg KRKA D.D. SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE PRF 30 56,77 1,892333 1,141071 0,570535428 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TOLUCOMBI 80 mg/25mg COMPR. 80 mg/25mg KRKA D.D. SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE PRF 30 73,02 2,434000 1,141071 0,570535429 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) ACTELSAR HCT 80 mg/25mg COMPR. 80 mg/25mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF 28 53,68 1,917142 1,141071 0,570535430 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/12,5mg COMPR. 80/12,5mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 77,42 2,765000 1,141071 0,570535431 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/25mg COMPR. 80/25mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL) P-6L 28 104,85 3,744642 1,141071 0,570535432 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 1,141071 0,570535433 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TANYDON HCT 80 mg/12,5 mg COMPR. 80mg/12,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 29,81 0,993666 0,993666 0,496833434 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA EGIS 80 mg/12,5 mg COMPR. 80mg/12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 35,00 1,250000 1,141071 0,570535435 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA DR. REDDY'S 80 mg/12,5 mg COMPR. 80mg/12,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L 28 52,99 1,892500 1,141071 0,570535436 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TEZEO HCT 80 mg/12,5 mg COMPR. 80mg/12,5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 29,54 0,984666 0,984666 0,492333437 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMARK PLUS 80mg/12,5mg COMPR. 80mg/12,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPRIMATE P-6L 30 56,77 1,892333 1,141071 0,570535438 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg COMPR. 80mg/12,5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 52,99 1,892500 1,141071 0,570535439 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg COMPR. 80mg/12,5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L 28 52,99 1,892500 1,141071 0,570535440 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 1,141071 0,570535441 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TANYDON HCT 80 mg/25 mg COMPR. 80mg/25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 29,81 0,993666 0,993666 0,496833442 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TEZEO HCT 80 mg/25 mg COMPR. 80mg/25mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 41,71 1,390333 1,141071 0,570535443 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMARK PLUS 80mg/25mg COMPR. 80mg/25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPRIMATE P-6L 30 73,02 2,434000 1,141071 0,570535444 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg COMPR. 80mg/25mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 69,38 2,477857 1,141071 0,570535445 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg COMPR. 80mg/25mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L 28 69,38 2,477857 1,141071 0,570535446 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 2,081026447 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 2,081026448 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 2,081026449 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 2,081026450 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 1,917946451 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 2,022500452 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 0,421387 0,210693

Pagina 9 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti453 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 0,842774 0,421387454 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 0,825714455 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 0,306333456 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 0,279166457 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 0,632081 0,316040458 C10AA05 ATORVASTATINUM TORVACARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 10,57 0,352333 0,352333 0,176166459 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 0,632081 0,316040460 C10AA05 ATORVASTATINUM GLETOR 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 21,14 0,704666 0,632081 0,316040461 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 0,632081 0,316040462 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 0,279166463 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 0,632081 0,316040464 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 0,308055465 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 0,632081 0,316040466 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 0,312833467 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 0,632081 0,316040468 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 0,632081 0,316040469 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 0,632081 0,316040470 C10AA05 ATORVASTATINUM ATORVASTATIN RANBAXY 10 mg COMPR. FILM. 10mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 10,57 0,352333 0,352333 0,176166471 C10AA05 ATORVASTATINUM ATORVASTATINA POLIPHARMA 10 mg COMPR. FILM. 10mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L 30 10,57 0,352333 0,352333 0,176166472 C10AA05 ATORVASTATINUM ATORVASTATINA TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 6,36 0,227142 0,227142 0,113571473 C10AA05 ATORVASTATINUM STAVRA 10 mg COMPR. FILM. 10mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 21,69 0,723000 0,632081 0,316040474 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 0,448333475 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 0,409333476 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 1,264162 0,632081477 C10AA05 ATORVASTATINUM TORVACARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 15,82 0,527333 0,527333 0,263666478 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 0,490833479 C10AA05 ATORVASTATINUM GLETOR 20 mg COMPR. FILM. 20mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 31,51 1,050333 1,050333 0,525166480 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 0,578500481 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 0,402333482 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 0,510833483 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 0,441666484 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 0,560178485 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 0,477333486 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 0,578500487 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 0,578500488 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 0,490833489 C10AA05 ATORVASTATINUM ATORVASTATIN RANBAXY 20 mg COMPR. FILM. 20mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 15,82 0,527333 0,527333 0,263666490 C10AA05 ATORVASTATINUM ATORVASTATINA POLIPHARMA 20 mg COMPR. FILM. 20mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L 30 15,82 0,527333 0,527333 0,263666491 C10AA05 ATORVASTATINUM ATORVASTATINA TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 7,50 0,267857 0,267857 0,133928492 C10AA05 ATORVASTATINUM STAVRA 20 mg COMPR. FILM. 20mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 32,60 1,086666 1,086666 0,543333493 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 1,020714494 C10AA05 ATORVASTATINUM AMICOR 40 mg COMPR. FILM. 40 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L 30 59,26 1,975333 1,975333 0,987666495 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 0,842500496 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 2,528325 1,264162497 C10AA05 ATORVASTATINUM TORVACARD 40 mg COMPR. FILM. 40mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 32,68 1,089333 1,089333 0,544666498 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 0,923571499 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 0,893500500 C10AA05 ATORVASTATINUM GLETOR 40 mg COMPR. FILM. 40mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 63,06 2,102000 2,102000 1,051000501 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 0,944833502 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 0,881000503 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 10 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti504 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 0,846222505 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 1,050714506 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 0,878000507 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 1,050666508 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 1,050666509 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 0,893500510 C10AA05 ATORVASTATINUM ATORVASTATIN RANBAXY 40 mg COMPR. FILM. 40mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 32,10 1,070000 1,070000 0,535000511 C10AA05 ATORVASTATINUM ATORVASTATINA POLIPHARMA 40 mg COMPR. FILM. 40mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L 30 32,68 1,089333 1,089333 0,544666512 C10AA05 ATORVASTATINUM ATORVASTATINA TEVA 40 mg COMPR. FILM. 40mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 26,78 0,956428 0,956428 0,478214513 C10AA05 ATORVASTATINUM STAVRA 40 mg COMPR. FILM. 40mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 38,11 1,270333 1,270333 0,635166514 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 5,056650 2,528325515 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 1,686833516 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 1,686785517 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 1,686833518 C10AA05 ATORVASTATINUM MODLIP 80 mg COMPR. FILM. 80mg 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 30 101,21 3,373666 3,373666 1,686833519 C10AA05 ATORVASTATINUM TORVACARD 80 mg COMPR. FILM. 80mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 44,03 1,467666 1,467666 0,733833520 C10AA05 ATORVASTATINUM ATORVASTATIN RANBAXY 80 mg COMPR. FILM. 80mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 50,04 1,668000 1,668000 0,834000521 C10AA05 ATORVASTATINUM ATORVASTATINA POLIPHARMA 80 mg COMPR. FILM. 80mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L 30 44,03 1,467666 1,467666 0,733833522 C10AA05 ATORVASTATINUM ATORVASTATINA TEVA 80 mg COMPR. FILM. 80mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L 28 38,25 1,366071 1,366071 0,683035523 C10AA05 ATORVASTATINUM STAVRA 80 mg COMPR. FILM. 80mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 42,62 1,420666 1,420666 0,710333524 C10AA07 ROSUVASTATINUM ROSUVASTATINA RATIOPHARM 10 mg COMPR. FILM. 10 mg RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 73,14 2,438000 1,264162 0,632081525 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 1,264162 0,632081526 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 24,08 0,802666 0,802666 0,401333527 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 1,264162 0,632081528 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 45,03 1,608214 1,264162 0,632081529 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 1,264162 0,632081530 C10AA07 ROSUVASTATINUM ROSTAT 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 24,08 0,802666 0,802666 0,401333531 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 1,264162 0,632081532 C10AA07 ROSUVASTATINUM ROSUVASTATINA LABORMED 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 18,60 0,664285 0,664285 0,332142533 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 33,52 1,197142 1,197142 0,598571534 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 33,52 1,197142 1,197142 0,598571535 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 35,92 1,197333 1,197333 0,598666536 C10AA07 ROSUVASTATINUM ROVASTAMED 10mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 69,48 2,481428 1,264162 0,632081537 C10AA07 ROSUVASTATINUM STARCREST 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 18,60 0,664285 0,664285 0,332142538 C10AA07 ROSUVASTATINUM ROSUVASTATINA ALVOGEN 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 1,264162 0,632081539 C10AA07 ROSUVASTATINUM ROZUCOR 10 mg COMPR. FILM. 10mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 46,97 1,565666 1,264162 0,632081540 C10AA07 ROSUVASTATINUM ROSUVASTATINA RATIOPHARM 20 mg COMPR. FILM. 20 mg RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 109,71 3,657000 2,528325 1,264162541 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 2,528325 1,264162542 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 26,72 0,890666 0,890666 0,445333543 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 2,528325 1,264162544 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 80,72 2,882857 2,528325 1,264162545 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 2,528325 1,264162546 C10AA07 ROSUVASTATINUM ROSTAT 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 34,30 1,143333 1,143333 0,571666547 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 0,945535548 C10AA07 ROSUVASTATINUM ROSUVASTATINA LABORMED 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 18,61 0,664642 0,664642 0,332321549 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 48,16 1,720000 1,720000 0,860000550 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 48,16 1,720000 1,720000 0,860000551 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 51,61 1,720333 1,720333 0,860166552 C10AA07 ROSUVASTATINUM ROVASTAMED 20mg COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 102,40 3,657142 2,528325 1,264162553 C10AA07 ROSUVASTATINUM STARCREST 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 18,61 0,664642 0,664642 0,332321554 C10AA07 ROSUVASTATINUM ROSUVASTATINA ALVOGEN 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 2,528325 1,264162

Pagina 11 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti555 C10AA07 ROSUVASTATINUM ROZUCOR 20 mg COMPR. FILM. 20mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 60,39 2,013000 2,013000 1,006500556 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 50,56 1,685333 1,685333 0,842666557 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 1,828500558 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 1,828500559 C10AA07 ROSUVASTATINUM ROSTAT 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 58,69 1,956333 1,956333 0,978166560 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 1,225714561 C10AA07 ROSUVASTATINUM ROSUVASTATINA LABORMED 40 mg COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 36,03 1,286785 1,286785 0,643392562 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 40 mg COMPR. FILM. 40mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 75,14 2,683571 2,683571 1,341785563 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 40 mg COMPR. FILM. 40mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 75,14 2,683571 2,683571 1,341785564 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 40 mg COMPR. FILM. 40mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 72,25 2,408333 2,408333 1,204166565 C10AA07 ROSUVASTATINUM ROVASTAMED 40mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 155,32 5,547142 5,056650 2,528325566 C10AA07 ROSUVASTATINUM STARCREST 40 mg COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 36,03 1,286785 1,286785 0,643392567 C10AA07 ROSUVASTATINUM ROZUCOR 40 mg COMPR. FILM. 40mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 78,60 2,620000 2,620000 1,310000568 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 0,632081 0,316040569 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 0,632081 0,316040570 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 32,48 1,160000 0,632081 0,316040571 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 0,632081 0,316040572 C10AA07 ROSUVASTATINUM ROSTAT 5 mg COMPR. FILM. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 22,34 0,744666 0,632081 0,316040573 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 0,632081 0,316040574 C10AA07 ROSUVASTATINUM ROSUVASTATINA LABORMED 5 mg COMPR. FILM. 5mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 18,58 0,663571 0,632081 0,316040575 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 62,54 2,233571 0,632081 0,316040576 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 62,54 2,233571 0,632081 0,316040577 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 5 mg COMPR. FILM. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 29,72 0,990666 0,632081 0,316040578 C10AA07 ROSUVASTATINUM ROVASTAMED 5mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 62,54 2,233571 0,632081 0,316040579 C10AA07 ROSUVASTATINUM STARCREST 5 mg COMPR. FILM. 5mg LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 18,58 0,663571 0,632081 0,316040580 C10AA07 ROSUVASTATINUM ROSUVASTATINA ALVOGEN 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 0,632081 0,316040581 C10AA07 ROSUVASTATINUM ROZUCOR 5 mg COMPR. FILM. 5mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 42,50 1,416666 0,632081 0,316040582 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 0,285500583 C10AX06 ACID OMEGA-3-ESTERI ETILICI 90** TEVOCOR 1000 mg CAPS. MOI 1000 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. PRF 30 70,92 2,364000 2,364000 1,182000584 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 2,399592 1,199796585 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 3,276205586 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 3,231964587 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 1,839000 0,919500588 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 1,839000 0,919500589 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) ATORDAPIN 10 mg/10 mg COMPR. FILM. 10mg/10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 55,75 1,858333 1,839000 0,919500590 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) TORVALIPIN PLUS 10 mg/10 mg COMPR. FILM. 10mg/10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 55,17 1,839000 1,839000 0,919500591 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 10mg/5mg COMPR. FILM. 10mg/5mg 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 0,963958592 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 0,813666593 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM) TORVALIPIN PLUS 5 mg/10 mg COMPR. FILM. 10mg/5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 48,46 1,615333 1,615333 0,807666594 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 0,963958595 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 1,839000 0,919500596 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 87,90 6,278571 1,178125 0,589062597 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 1,178125 0,589062598 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 1,178125 0,589062599 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 0,531071600 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 1,178125 0,589062601 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 1,142500 0,571250602 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 1,178125 0,589062603 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 1,178125 0,589062604 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 56,234999 28,117499605 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 56,234999 28,117499

Pagina 12 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti606 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 15 G GEL PRF 1 57,17 57,170000 56,234999 28,117499607 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET 50 micrograme/0,5mg/g UNGUENT 50micrograme/0,5mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE CU 1 TUB DIN AL/EPOXIFENOL X 15 G UNGUENT P-RF 1 53,43 53,430000 53,430000 26,715000608 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 1,245666609 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 7,595000610 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 7,595000611 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 22,901607612 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 37,980000613 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 11,059583614 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 6,203750615 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 6,203750616 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 6,203750617 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 5,615000618 D07AC13 MOMETASONUM ELOCOM CREMA 1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 7,67 7,670000 7,670000 3,835000619 D07AC13 MOMETASONUM MOMETAZONA ATB 1 mg/g CREMA 1mg/g ANTIBIOTICE SA ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L 1 10,18 10,180000 7,670000 3,835000620 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 10,226666 5,113333621 D07AC13 MOMETASONUM ELOCOM UNGUENT 1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 7,67 7,670000 7,670000 3,835000622 D07AC13 MOMETASONUM MOMETAZONA ATB 1 mg/g UNGUENT 1mg/g ANTIBIOTICE SA ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L 1 10,18 10,180000 7,670000 3,835000623 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN 1mg/g crema CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12,70 12,700000 11,879375 5,939687624 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN 1mg/g crema CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 24,16 24,160000 23,758750 11,879375625 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN MILK 1mg/g EMULSIE CUT. 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 20 G P-RF 1 15,75 15,750000 15,750000 7,875000626 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN MILK 1mg/g EMULSIE CUT. 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 50 G P-RF 1 34,03 34,030000 34,030000 17,015000627 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN 1mg/g unguent UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 12,99 12,990000 11,879375 5,939687628 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN 1mg/g unguent UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-RF 1 24,16 24,160000 23,758750 11,879375629 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 5,155000630 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 5,155000631 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 6,354000 3,177000632 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 2,605000633 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 6,354000 3,177000634 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 10,870000635 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 11,910000636 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC 1mg+5mg/gram UNGUENT 1mg+5mg/gram MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 45 G P-RF 1 47,00 47,000000 47,000000 23,500000637 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC 1mg+5mg/gram UNGUENT 1mg+5mg/gram MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 16,66 16,660000 15,915000 7,957500638 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 18,110000639 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 29,535500 14,767750640 D10AX03 ACIDUM AZELAICUM SKINOREN 150mg/g GEL 150mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 50 G GEL P-RF 1 46,69 46,690000 46,690000 23,345000641 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 1,087166 0,543583642 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 1,087166 0,543583643 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 1,071333644 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 1,202166645 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 1,202166646 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 1,202166647 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 17,735000648 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 17,092497 8,546248649 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 10,255498 5,127749650 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 26,664296 13,332148651 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 1,709249 0,854624652 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 1,109700 0,554850653 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 4,815000654 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 6,435000655 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON OVULE FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 2 FOLII PVC-PE X 5 OVULE P-RF 10 36,96 3,696000 1,109700 0,554850656 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 1,109700 0,554850

Pagina 13 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti657 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 4,131375658 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 4,131375659 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 256,765000660 G03CA04 ESTRIOLUM* OVESTIN OVULE 0,5mg ORGANON NV OLANDA CUTIE X 3 FOLII X 5 OVULE P-RF 15 20,62 1,374666 1,374666 0,687333661 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 0,663539 0,331769662 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CREMA VAG. 1% LAB. THERAMEX MONACO CUTIE X 1 TUB X 15 G P-RF 1 13,87 13,870000 9,953098 4,976549663 G03CX01 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 1,300357664 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 0,644499 0,322249665 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 0,644499 0,322249666 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 1,288999 0,644499667 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 0,629000668 G03DA04 PROGESTERONUM* PROGESTOGEL 10 mg/g GEL 10mg/g LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB DIN AL X 80 G GEL + DISPOZITIV DE DOZARE PRF 1 21,14 21,140000 18,800000 9,400000669 G03DA04 PROGESTERONUM* MASTOPROFEN 10 mg/g GEL 10mg/g ANTIBIOTICE SA ROMANIA CUTIE CU 1 TUB DIN AL X 40 G GEL P6L 1 9,01 9,010000 9,010000 4,505000670 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 21,57 1,078500 1,078500 0,539250671 G03DC03 LYNESTRENOLUM* ORGAMETRIL COMPR. 5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 9,12 0,304000 0,304000 0,152000672 G03FA17 COMBINATII** ANGELIQ COMPR. FILM. FARA CONCENTRATIE BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P6L 28 57,86 2,066428 2,066428 1,033214673 G03FB01 COMBINATII** CYCLO-PROGYNOVA DRAJ. FARA CONCENTRATIE BAYER PHARMA AG GERMANIA CUTIE CU 1 BLIST. PVC/AL TIP CALENDAR X 21 DRAJ. P-6L 21 7,77 0,370000 0,370000 0,185000674 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 0,554196 0,277098675 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 1 132,63 132,630000 120,123106 60,061553676 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 300 UI/0,5 ml ( 22 µg/0,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 300UI/0,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 8 ACE PT. ADM. P-RF/R 1 505,65 505,650000 480,492426 240,246213677 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 450 UI/0,75 ml (33 µg/0,75 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 450UI/0,75ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 12 ACE PT. ADM. SUBCUTANATA P-RF/R 1 735,78 735,780000 720,738639 360,369319678 G03GA05 FOLLITROPINUM ALFA****# GONAL-f 900 UI/1,5ml (66 µg/1,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 900UI/1,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 20 ACE PT. ADM. SUBCUTANATA P-RF/R 1 1.384,42 1384,420000 1384,420000 692,210000679 G03GA06 FOLLITROPINUM BETA****# PUREGON 100UI/0,5ml SOL. INJ. 100UI/0,5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ. PR/PRF 1 200,89 200,890000 160,164102 80,082051680 G03GA06 FOLLITROPINUM BETA****# PUREGON 300UI/0,36 ml SOL. INJ. 300UI/0,36ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS + 6 ACE PR/PRF 1 517,31 517,310000 480,300229 240,150114681 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 PR/PRF 1 1.410,83 1410,830000 1410,830000 705,415000682 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 73,360000683 G03GB02 CLOMIFENUM CLOSTILBEGYT COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF 10 17,07 1,707000 1,707000 0,853500684 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 2,231607685 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 0,221916686 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 2,361299 1,180649687 G04BD07 TOLTERODINUM**# UROFLOW 1 COMPR. FILM. 1mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 22,20 0,792857 0,590324 0,295162688 G04BD07 TOLTERODINUM**# UROFLOW 2 COMPR. FILM. 2mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 26,66 0,952142 0,952142 0,476071689 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 4,722599 2,361299690 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 4,722599 2,361299691 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 83,61 2,787000 2,361299 1,180649692 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 2,361299 1,180649693 G04BD08 SOLIFENACINUM SUCCINATE**# ASOLFENA 5 mg COMPR. FILM. 5mg KRKA, TOVARNA ZDRAVIL, D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 83,61 2,787000 2,361299 1,180649694 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 0,885487 0,442743695 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 1,770974 0,885487696 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 0,600666697 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 40,59 1,353000 1,353000 0,676500698 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 15,72 0,561428 0,561428 0,280714699 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 0,605666700 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 21,00 0,700000 0,700000 0,350000701 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 0,448833702 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 0,353333703 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 0,382666704 G04CA02 TAMSULOSINUM TAMSULOSIN AUROBINDO 400 micrograme CAPS. ELIB. PREL. 400micrograme AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 CAPS. ELIB. PREL. P6L 30 26,93 0,897666 0,897666 0,448833705 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 0,334666706 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 0,531666707 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 1,515857 0,757928

Pagina 14 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti708 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 1,175357 0,587678709 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 1,175357 0,587678710 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 0,586333711 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 1,175357 0,587678712 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 1,175357 0,587678713 G04CB01 FINASTERIDUM* FINASTERIDA ARENA 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 1,175357 0,587678714 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 1,593666715 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 2,875000716 H01AC01 SOMATROPINUM***# ZOMACTON PULB. + 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 1 434,84 434,840000 396,484000 198,242000717 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 528,645333 264,322666718 H01AC01 SOMATROPINUM***# OMNITROPE 15mg/1,5ml SOL INJ. 15mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. PR/PRF 1 1.653,92 1653,920000 1486,815000 743,407500719 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 991,210000 495,605000720 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 242,060000721 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 382,865000722 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 1320,720000 991,210000 495,605000723 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 1726,640000 991,210000 495,605000724 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 495,605000 247,802500725 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 60,647303726 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 60,367857727 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 0,477800728 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 3,453000729 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 15,936666730 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 3,490574731 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 0,303840 0,151920732 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 0,255200733 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 30,86 0,308600 0,151920 0,075960734 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 3,236000735 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 1,867500736 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 7,289600737 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 50 728,96 14,579200 14,579200 7,289600738 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 1,382500739 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. ORALAP-RF 1 24,41 24,410000 22,692500 11,346250740 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 9,85 0,615625 0,615625 0,307812741 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 25,56 2,556000 1,397998 0,698999742 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 3,494998 1,747499743 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 3,494998 1,747499744 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 1,747497 0,873748745 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 3,494998 1,747499746 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 25,52 4,253333 3,494998 1,747499747 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 25,52 4,253333 3,494998 1,747499748 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 6,989997 3,494998749 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 6,989997 3,494998750 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 6,989997 3,494998751 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 25,64 8,546666 6,989997 3,494998752 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 25,64 8,546666 6,989997 3,494998753 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 6,989997 3,494998754 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 22,13 7,376666 6,989997 3,494998755 J01FA10 AZITHROMYCINUM AZATRIL 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM. PRF 3 21,26 7,086666 6,989997 3,494998756 J01FA10 AZITHROMYCINUM AZITROMICINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF 3 25,64 8,546666 6,989997 3,494998757 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 8,388000 4,194000758 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 8,388000 4,194000

Pagina 15 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti759 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 8,180000760 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 12,671996 6,335998761 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 25,343993 12,671996762 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 DOZATOAREP-RF 1 25,18 25,180000 19,008000 9,504000763 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 DOZATOAREP-RF 1 48,58 48,580000 38,016000 19,008000764 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 47,520000 23,760000765 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 0,368242766 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 0,729062767 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 0,728437768 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 0,736484769 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 1,472968770 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 1,472968771 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 17,40 2,485714 2,379600 1,189800772 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 1,189800773 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 1,189800774 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 1,189800775 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA MACLEODS 250 mg COMPR. FILM. 250mg MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 23,64 2,364000 2,364000 1,182000776 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 2,379600777 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 2,379600778 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 2,379600779 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 2,379600780 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 2,282857781 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 2,282857782 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA MACLEODS 500 mg COMPR. FILM. 500mg MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 23,64 4,728000 4,728000 2,364000783 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA MACLEODS 500 mg COMPR. FILM. 500mg MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 41,93 4,193000 4,193000 2,096500784 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF 5 74,08 14,816000 4,759200 2,379600785 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 55,37 11,074000 4,759200 2,379600786 J01MA14 MOXIFLOXACINUM MOFINACIN 400 mg COMPR. FILM. 400mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM PRF 5 55,17 11,034000 4,759200 2,379600787 J01MA14 MOXIFLOXACINUM MOFIL 400 mg COMPR. FILM. 400mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF 5 46,22 9,244000 4,759200 2,379600788 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 2,564000789 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 1,752000790 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 1,752000791 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 1,751666792 J02AC02 ITRACONAZOLUM* ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52,56 3,504000 3,504000 1,752000793 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 5,067219 2,533609794 J05AB11 VALACYCLOVIRUM* VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 37,01 3,701000 3,701000 1,850500795 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 23,755714796 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 0,261300797 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 497,470000798 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 189,457499799 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 201,136246800 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 5,052195801 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 1184,810000 1136,745010 568,372505802 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 220,290000803 L02AE04 TRIPTORELINUM***# GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING GMBH GERMANIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 630,48 22,517142 1,353989 0,676994804 L04AX01 AZATHIOPRINUM* IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,569974 0,284987805 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 0,065750806 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 0,451350807 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 0,451350808 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 0,078250809 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 0,061750

Pagina 16 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti810 M01AC01 PIROXICAMUM PIROXICAM HELCOR 20 mg COMPR. 20mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 4,44 0,222000 0,222000 0,111000811 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 0,451350812 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 0,451350813 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 0,451350814 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 0,451350815 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 1,177000816 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 0,370000817 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 0,370000818 M01AC01 PIROXICAMUM PIROXICAM 20 mg SUPOZ. 20mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L 10 7,32 0,732000 0,732000 0,366000819 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 0,300899820 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 1,713898 0,856949821 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 0,494699 0,247349822 M01AE17 DEXKETOPROFENUM DEXKETOPROFEN TROMETAMOL SANDOZ 25mg COMPR. FILM. 25mg SANDOZ S.R.L. ROMANIA CUTIE BLIST. DIN PVC-PVDC/AL X 20 COMPRIMATE FILMATE P6L 20 16,81 0,840500 0,494699 0,247349823 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 2,280000 1,140000824 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 1,099566 0,549783825 M01AH01 CELECOXIBUM CALIDEM 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA/OLANDA CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF 30 42,74 1,424666 1,099566 0,549783826 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 2,199133 1,099566827 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 2,199133 1,099566828 M01AH01 CELECOXIBUM CALIDEM 200 mg CAPS. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA/OLANDA CUTIE CU BLIST. PVC/AL X 10 CAPS. PRF 10 22,17 2,217000 2,199133 1,099566829 M01AH01 CELECOXIBUM CALIDEM 200 mg CAPS. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA/OLANDA CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF 30 64,40 2,146666 2,146666 1,073333830 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 4,398267 2,199133831 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 4,398267 2,199133832 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 4,398267 2,199133833 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 4,398267 2,199133834 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 1,099566 0,549783835 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 2,199133 1,099566836 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 2,199133 1,099566837 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 2,199133 1,099566838 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 3,298700 1,649350839 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 3,298700 1,649350840 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 3,298700 1,649350841 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 3,298700 1,649350842 M01AX05 GLUCOSAMINUM CARTIFLEX 625 mg CAPS. 625 mg TERAPIA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/PVDC/AL X 10 (6 BLIST. X 10) CAPS. P6L 60 41,65 0,694166 0,694166 0,347083843 M01AX05 GLUCOSAMINUM GLUCOZAMINA PHARMATAXIS 1250 mg COMPR. EFF. 1250mg PHARMATAXIS LTD CIPRU CUTIE CU 3 TUBURI DIN PP CU DOP PP X 10 COMPR. EFF. P6L 30 42,05 1,401666 1,388332 0,694166844 M01AX05 GLUCOSAMINUM SLIDEFLEX 1178mg COMPR. FILM. 1178mg BLUE BIO PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPR. FILM. P6L 30 41,65 1,388333 1,388332 0,694166845 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 1,388332 0,694166846 M01AX17 NIMESULIDUM LEMESIL COMPR. 100mg ANFARM HELLAS S.A. PHARMACEUTICALSGRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9,72 0,486000 0,486000 0,243000847 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 0,243500848 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 0,362000849 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 0,205000850 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4,51 0,451000 0,451000 0,225500851 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 0,239000852 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 0,360000853 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 0,321719 0,160859854 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 0,335000855 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 10,185750 5,092875856 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 10,185750 5,092875857 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L 4 48,27 12,067500 10,185750 5,092875858 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 37,13 18,565000 10,185750 5,092875859 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 3,205000860 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 10,185750 5,092875

Pagina 17 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti861 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 10,185750 5,092875862 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 10,185750 5,092875863 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 61,42 61,420000 43,653214 21,826607864 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 89,74 89,740000 43,653214 21,826607865 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 43,653214 21,826607866 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 43,653214 21,826607867 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 38,80 38,800000 38,800000 19,400000868 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 43,653214 21,826607869 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 239,770000 119,885000870 M05BA06 ACIDUM IBANDRONICUM* ACID IBANDRONIC TEVA 3 mg SOL INJ. IN SERINGA PREUMPLUTA 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTAREP6L 1 283,25 283,250000 267,423187 133,711593871 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 1 271,45 271,450000 267,423187 133,711593872 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 267,423187 133,711593873 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/PRF 1 182,83 182,830000 182,830000 91,415000874 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 4,473750875 M05BA07 ACIDUM RISEDRONICUM* RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 14,31 3,577500 3,577500 1,788750876 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICALS SRL ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 45,27 11,317500 10,185750 5,092875877 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 4,562500878 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 45,27 11,317500 10,185750 5,092875879 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 67,31 16,827500 10,185750 5,092875880 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT SODIC SANDOZ 35 mg COMPR. FILM. 35mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 4 COMPR. FILM. P6L 4 28,38 7,095000 7,095000 3,547500881 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT SODIC ZENTIVA 35mg COMPR. FILM. 35mg ZENTIVA KS REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE P-6L 4 14,31 3,577500 3,577500 1,788750882 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 66,39 33,195000 21,826607 10,913303883 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 10,185750 5,092875884 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 10,185750 5,092875885 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 10,185750 5,092875886 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 10,185750 5,092875887 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 3,273571888 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 3,117857889 N02AA05 OXYCODONUM*# OXYCONTIN 10 mg COMPR. CU ELIB. MODIF. 10 mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 64,10 1,068333 0,533249 0,266624890 N02AA05 OXYCODONUM*# OXYCONTIN 20 mg COMPR. CU ELIB. MODIF. 20 mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 121,02 2,017000 1,066498 0,533249891 N02AA05 OXYCODONUM*# OXYCONTIN 40 mg COMPR. CU ELIB. MODIF. 40 mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 172,88 2,881333 2,133000 1,066500892 N02AA05 OXYCODONUM*# OXYCONTIN 80 mg COMPR. CU ELIB. MODIF. 80mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 309,83 5,163833 4,266000 2,133000893 N02AA05 OXYCODONUM*# RELTEBON 10 mg COMPR. CU ELIB. PREL. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 43,09 0,718166 0,533249 0,266624894 N02AA05 OXYCODONUM*# RELTEBON 20 mg COMPR. CU ELIB. PREL. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 78,60 1,310000 1,066498 0,533249895 N02AA05 OXYCODONUM*# RELTEBON 40 mg COMPR. CU ELIB. PREL. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 118,39 1,973166 1,973166 0,986583896 N02AA05 OXYCODONUM*# RELTEBON 80 mg COMPR. CU ELIB. PREL. 80mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 201,30 3,355000 3,355000 1,677500897 N02AA05 OXYCODONUM*# OXIDOLOR 10 mg COMPR. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 43,09 0,718166 0,533249 0,266624898 N02AA05 OXYCODONUM*# ALNAGON 10 mg COMPR. ELIB. PREL. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL. P-RF 56 48,27 0,861964 0,533249 0,266624899 N02AA05 OXYCODONUM*# OXIDOLOR 20 mg COMPR. ELIB. PREL. 20mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 78,65 1,310833 1,066498 0,533249900 N02AA05 OXYCODONUM*# ALNAGON 20 mg COMPR. ELIB. PREL. 20mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL. P-RF 56 88,08 1,572857 1,066498 0,533249901 N02AA05 OXYCODONUM*# OXIDOLOR 40 mg COMPR. ELIB. PREL. 40mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 118,50 1,975000 1,975000 0,987500902 N02AA05 OXYCODONUM*# ALNAGON 40 mg COMPR. ELIB. PREL. 40mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL. P-RF 56 132,72 2,370000 2,133000 1,066500903 N02AA05 OXYCODONUM*# OXICODONA SANDOZ 40 mg COMPR. ELIB. PREL. 40mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL. PS 20 47,40 2,370000 2,133000 1,066500904 N02AA05 OXYCODONUM*# OXICODONA SANDOZ 60 mg COMPR. ELIB. PREL. 60mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL. PS 20 139,36 6,968000 3,199501 1,599750905 N02AA05 OXYCODONUM*# OXIDOLOR 80 mg COMPR. ELIB. PREL. 80mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 201,38 3,356333 3,356333 1,678166906 N02AA05 OXYCODONUM*# OXICODONA SANDOZ 80 mg COMPR. ELIB. PREL. 80mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL. PS 20 80,55 4,027500 4,027500 2,013750907 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 0,533249 0,266624908 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 1,066498 0,533249909 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 2,133000 1,066500910 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 4,266000 2,133000911 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 128,54 2,295357 1,504445 0,752222

Pagina 18 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti912 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 29,34 0,523928 0,523928 0,261964913 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 101,69 1,815892 1,128334 0,564167914 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 0,702074 0,351037915 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 0,702074 0,351037916 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 0,702074 0,351037917 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 0,702074 0,351037918 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 0,702074 0,351037919 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 0,702074 0,351037920 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 0,702074 0,351037921 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 0,702074 0,351037922 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 0,702074 0,351037923 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 0,702074 0,351037924 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAUMOBOL 37,5mg/325mg CAPS. 37,5mg/325mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 2 BLISTERE PVC/PE/PVDC/AL X 15 CAPSULE PRF 30 23,34 0,778000 0,702074 0,351037925 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAUMOBOL 37,5mg/325mg CAPS. 37,5mg/325mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU 1 BLIST. DIN PVC/PE/PVDC/AL A 15 CAPS. PRF 15 11,71 0,780666 0,702074 0,351037926 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 0,702074 0,351037927 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 0,702074 0,351037928 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 0,702074 0,351037929 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 0,702074 0,351037930 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 0,702074 0,351037931 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 0,702074 0,351037932 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 0,702074 0,351037933 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 0,033952934 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 0,109333935 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 5,189139 2,594569936 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 2,579553937 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 3,773839938 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 4,081428939 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 2,594569 1,297284940 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 2,594569 1,297284941 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 0,105700942 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 0,131375 0,065687943 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 17,43 0,581000 0,268723 0,134361944 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL ZENTIVA 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 17,43 0,581000 0,268723 0,134361945 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,18 mg COMPR. 0,18mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 49,77 1,659000 0,268723 0,134361946 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 17,70 0,590000 0,268723 0,134361947 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 0,268723 0,134361948 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 0,268723 0,134361949 N04BC05 PRAMIPEXOLUM* MEDOPEXOL 0,18 mg COMPR. 0,18mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 27,83 0,927666 0,268723 0,134361950 N04BC05 PRAMIPEXOLUM* GLEPARK 0,18 mg COMPR. 0,18mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 14,88 0,496000 0,268723 0,134361951 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 0,268723 0,134361952 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 14,87 0,495666 0,268723 0,134361953 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 17,72 0,590666 0,268723 0,134361954 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 0,268723 0,134361955 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL AUROBINDO 0,18 mg COMPR. 0,18mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF 30 23,56 0,785333 0,268723 0,134361956 N04BC05 PRAMIPEXOLUM* MIGLASEN 0,18 mg COMPR. 0,18mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 14,87 0,495666 0,268723 0,134361957 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 0,522517 0,261258958 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 60,97 2,032333 1,045035 0,522517959 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL AUROBINDO 0,7 mg COMPR. 0,7 mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF 30 83,51 2,783666 1,045035 0,522517960 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL ZENTIVA 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 60,97 2,032333 1,045035 0,522517961 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,7 mg COMPR. 0,7mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 167,86 5,595333 1,045035 0,522517962 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 73,16 2,438666 1,045035 0,522517

Pagina 19 din 25

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

APP Ambalaj Prescriptie

cant/ambala

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Pret amanunt

ul 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.

Adulti963 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 1,045035 0,522517964 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 1,045035 0,522517965 N04BC05 PRAMIPEXOLUM* MEDOPEXOL 0,7 mg COMPR. 0,7mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 99,54 3,318000 1,045035 0,522517966 N04BC05 PRAMIPEXOLUM* GLEPARK 0,7 mg COMPR. 0,7mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 72,02 2,400666 1,045035 0,522517967 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 1,045035 0,522517968 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 72,03 2,401000 1,045035 0,522517969 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 73,14 2,438000 1,045035 0,522517970 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 1,045035 0,522517971 N04BC05 PRAMIPEXOLUM* MIGLASEN 0,7 mg COMPR. 0,7mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 72,03 2,401000 1,045035 0,522517972 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,26 mg COMPR. ELIB. PREL. 0,26mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 10 58,12 5,812000 0,388156 0,194078973 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,26mg COMPR. ELIB. PREL. 0,26mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 96,88 3,229333 0,388156 0,194078974 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,52 mg COMPR. ELIB. PREL. 0,52mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 314,07 10,469000 0,776312 0,388156975 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,52mg COMPR. ELIB. PREL. 0,52mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 183,73 6,124333 0,776312 0,388156976 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 1,05 mg COMPR. ELIB. PREL. 1,05mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 650,35 21,678333 1,567553 0,783776977 N04BC05 PRAMIPEXOLUM* OPRYMEA 1,05mg COMPR. ELIB. PREL. 1,05mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 409,85 13,661666 1,567553 0,783776978 N04BC05 PRAMIPEXOLUM* OPRYMEA 1,57mg COMPR. ELIB. PREL. 1,57mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 579,36 19,312000 2,343865 1,171932979 N04BC05 PRAMIPEXOLUM* OPRYMEA 2,10mg COMPR. ELIB. PREL. 2,10mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 748,86 24,962000 3,135107 1,567553980 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 2,1 mg COMPR. ELIB. PREL. 2,1mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1.229,85 40,995000 3,135107 1,567553981 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 3,15 mg COMPR. ELIB. PREL. 3,15mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1.809,33 60,311000 4,702660 2,351330982 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 0,933067 0,466533983 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 0,230750984 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 0,147916985 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 0,078010986 N06AA21 MAPROTILINUM* LUDIOMIL® 10 mg COMPR. FILM. 10mg AMDIPHARM LIMITED IRLANDA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 12,47 0,249400 0,244799 0,122399987 N06AA21 MAPROTILINUM* LUDIOMIL® 25 mg COMPR. FILM. 25mg AMDIPHARM LIMITED IRLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 8,83 0,294333 0,294333 0,147166988 N06AB10 ESCITALOPRAMUM** DESPRA 10 mg COMPR. FILM. 10 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 21,00 0,750000 0,750000 0,375000989 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 1,228798 0,614399990 N06AB10 ESCITALOPRAMUM** ESCITIL 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 25,01 0,893214 0,893214 0,446607991 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM-TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 22,51 0,750333 0,750333 0,375166992 N06AB10 ESCITALOPRAMUM** LENUXIN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 27,57 0,984642 0,984642 0,492321993 N06AB10 ESCITALOPRAMUM** ESLOREX 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 22,57 0,752333 0,752333 0,376166994 N06AB10 ESCITALOPRAMUM** SERODEPS 10mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF 28 21,06 0,752142 0,752142 0,376071995 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM TORRENT 10 mg COMPR. FILM. 10mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM. PRF 28 32,82 1,172142 1,172142 0,586071996 N06AB10 ESCITALOPRAMUM** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 14 24,13 1,723571 1,228798 0,614399997 N06AB10 ESCITALOPRAMUM** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 46,70 1,667857 1,228798 0,614399998 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF 28 21,00 0,750000 0,750000 0,375000999 N06AB10 ESCITALOPRAMUM** ELICEA 10 mg COMPR. FILM. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 22,57 0,752333 0,752333 0,3761661.000 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM-TEVA 15 mg COMPR. FILM. 15mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 33,77 1,125666 1,125666 0,5628331.001 N06AB10 ESCITALOPRAMUM** ELICEA 15 mg COMPR. FILM. 15mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 39,57 1,319000 1,319000 0,6595001.002 N06AB10 ESCITALOPRAMUM** DESPRA 20 mg COMPR. FILM. 20 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 42,62 1,522142 1,522142 0,7610711.003 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM-TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 43,57 1,452333 1,452333 0,7261661.004 N06AB10 ESCITALOPRAMUM** SERODEPS 20mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF 28 36,70 1,310714 1,310714 0,6553571.005 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM TORRENT 20 mg COMPR. FILM. 20mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM. PRF 28 63,52 2,268571 2,268571 1,1342851.006 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF 28 42,56 1,520000 1,520000 0,7600001.007 N06AB10 ESCITALOPRAMUM** ELICEA 20 mg COMPR. FILM. 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 45,60 1,520000 1,520000 0,7600001.008 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 10 mg COMPR. ORODISPERSABILE 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF 28 21,06 0,752142 0,752142 0,3760711.009 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 10 mg COMPR. ORODISPERSABILE 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE PRF 28 21,06 0,752142 0,752142 0,3760711.010 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 15 mg COMPR. ORODISPERSABILE 15mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE PRF 28 36,95 1,319642 1,319642 0,6598211.011 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 15 mg COMPR. ORODISPERSABILE 15mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF 28 36,95 1,319642 1,319642 0,6598211.012 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 20 mg COMPR. ORODISPERSABILE 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE PRF 28 42,56 1,520000 1,520000 0,7600001.013 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 20 mg COMPR. ORODISPERSABILE 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF 28 42,56 1,520000 1,520000 0,760000

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

APP Ambalaj Prescriptie

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Pret amanunt

ul 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.

Adulti1.014 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 1,199290 0,5996451.015 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF 60 63,31 1,055166 1,055166 0,5275831.016 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 0,599645 0,2998221.017 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 0,599645 0,2998221.018 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 1,0590001.019 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 0,3775001.020 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 0,3530001.021 N06AX14 TIANEPTINUM** NOBIXAL 12,5 mg COMPR. FILM. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF 30 22,65 0,755000 0,755000 0,3775001.022 N06AX14 TIANEPTINUM** NOBIXAL 12,5 mg COMPR. FILM. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. PRF 30 22,65 0,755000 0,755000 0,3775001.023 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 0,755000 0,3775001.024 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 0,5522541.025 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 1,0469641.026 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 1,6684151.027 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 3,1944641.028 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 1,7985001.029 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 0,1029001.030 N06BX18 VINPOCETINUM VINPOCETINA VIM SPECTRUM 5 mg CAPS. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X PVC/AL X10 CAPS. P6L 50 10,29 0,205800 0,205800 0,1029001.031 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 0,2058001.032 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 0,1029001.033 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 0,1029001.034 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 0,379604 0,1898021.035 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 0,397499 0,1987491.036 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 0,397499 0,1987491.037 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 0,580833 0,2904161.038 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 35,79 0,596500 0,596250 0,2981251.039 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 0,596250 0,2981251.040 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 0,596250 0,2981251.041 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 0,596250 0,2981251.042 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 0,596250 0,2981251.043 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 0,596250 0,2981251.044 N07CA01 BETAHISTINUM MARBETA 24 mg COMPR. 24mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 60 34,85 0,580833 0,580833 0,2904161.045 N07CA01 BETAHISTINUM BETAHISTIN MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 6 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 60 35,76 0,596000 0,596000 0,2980001.046 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 0,192400 0,0962001.047 N07CA01 BETAHISTINUM MICROSER COMPR. 8mg PRODOTTI FORMENTI ITALIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26,66 0,533200 0,198749 0,0993741.048 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 0,198749 0,0993741.049 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 0,198749 0,0993741.050 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 0,198749 0,0993741.051 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 0,198749 0,0993741.052 N07CA01 BETAHISTINUM BETAHISTIN MCC 8 mg COMPR. 8mg MAGISTRA C&C SRL ROMANIA CUTIE CU 10 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 100 19,26 0,192600 0,192600 0,0963001.053 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 0,198749 0,0993741.054 N07CA01 BETAHISTINUM MARBETA 8 mg COMPR. 8mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 100 19,26 0,192600 0,192600 0,0963001.055 N07CA01 BETAHISTINUM BETAHISTINA LPH 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 90 28,74 0,319333 0,198749 0,0993741.056 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 14,906249 7,4531241.057 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 29,812499 14,9062491.058 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 76,16 1,586666 1,586666 0,7933331.059 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 68,47 2,282333 1,978474 0,9892371.060 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 100 212,63 2,126300 1,978474 0,9892371.061 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 MLPR/PRF 5 124,46 24,892000 24,892000 12,4460001.062 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 PR/PRF 5 86,41 17,282000 14,863999 7,4319991.063 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 MLPR/PRF 10 39,22 3,922000 2,972800 1,4864001.064 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31,39 0,523166 0,523166 0,261583

Pagina 21 din 25

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

APP Ambalaj Prescriptie

cant/ambala

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Pret amanunt

ul 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.

Adulti1.065 R01AD05 BUDESONIDUM* RHINOCORT AQUA 32 micrograme/doza SPRAY NAZAL SUSP. 32micrograme/doza ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SPRAY NAZAL, SUSP. ECHIVALENT CU 120 DOZE, PREVAZUT CU POM PRF 1 25,27 25,270000 25,270000 12,6350001.066 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 15,3250001.067 R01AD09 MOMETASONUM* KALMENTE 50 micrograme/doza SPRAY NAZ., SUSP. 50micrograme/doza ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID PREVAZUT CU POMPA DOZATOARE SI APLICATOR NAZAL CARE CONTINE SPRAY NAZAL, SUSP. PRF 1 31,77 31,770000 30,174999 15,0874991.068 R01AD09 MOMETASONUM* MOMETAZONA FUROAT SANDOZ 50 micrograme/doza SPRAY NAZ.,SUSP. 50micrograme/doza SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID PREVAZUT CU O POMPA PULVERIZATOARE NAZALA DIN PE/PP CARE CONTINE 18 G SUSP. NA PRF 1 25,39 25,390000 25,390000 12,6950001.069 R01AD09 MOMETASONUM* MOMETAZONA TEVA 50 micrograme/doza SPRAY NAZ.,SUSP. 50µg/doza TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN PEID, CU POMPA DOZATOARE DIN PP SI SISTEM DE ACTIONARE X 140 DOZE SPRAY NAZAL, PRF 1 31,77 31,770000 30,174999 15,0874991.070 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 30,174999 15,0874991.071 R03AC04 FENOTEROLUM BEROTEC N - 100 mcg SOL. DE INHALAT PRESURIZATA 100mcg/doza BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATAP-6L 1 16,66 16,660000 16,660000 8,3300001.072 R03AK03 COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N AEROSOL SOL. INHAL. 0,020mg+0,050mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA P-6L 1 40,29 40,290000 40,290000 20,1450001.073 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 22,8512251.074 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 57,1280621.075 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 111,9350001.076 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 57,1280621.077 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 114,2561251.078 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 22,8512251.079 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 58,5062501.080 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 113,9050001.081 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 29,2531251.082 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 DOZEP-RF 1 40,65 40,650000 31,258800 15,6294001.083 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 DOZEP-RF 1 84,46 84,460000 78,147000 39,0735001.084 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 DOZEP-RF 1 137,24 137,240000 137,240000 68,6200001.085 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 19,5367501.086 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 DOZATOAREP-RF 1 36,40 36,400000 31,258800 15,6294001.087 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 0,5209791.088 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 2,0839191.089 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 44,984999 22,4924991.090 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 400 µg PULB. INHAL. 400µg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L 1 81,74 81,740000 81,740000 40,8700001.091 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 PRESURIZATAP-RF 1 124,79 124,790000 124,790000 62,3950001.092 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 PRESURIZATAP-RF 1 112,34 112,340000 74,881250 37,4406251.093 R03BB04 TIOTROPIUM* SPIRIVA 18 micrograme CAPS. CU PULB. INHAL. 18micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH 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 2,7390001.094 R03BB04 TIOTROPIUM* SPIRIVA RESPIMAT 2,5 micrograme SOL. DE INHALAT 2,5micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH 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 83,0800001.095 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 0,166544 0,0832721.096 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 0,0678001.097 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 0,166544 0,0832721.098 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 0,333090 0,1665451.099 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 1,1820001.100 R03DA05 AMINOPHYLLINUM MIOFILIN 24mg/ml 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 1,1820001.101 R03DC03 MONTELUKASTUM* ASTHATOR 10 mg COMPR. 10 mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L 28 61,93 2,211785 2,128034 1,0640171.102 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P6L 14 76,80 5,485714 2,128034 1,0640171.103 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P6L 28 145,70 5,203571 2,128034 1,0640171.104 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. P6L 28 82,04 2,930000 2,128034 1,0640171.105 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. P6L 30 87,90 2,930000 2,128034 1,0640171.106 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 42,11 1,503928 1,503928 0,7519641.107 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 52,34 1,744666 1,744666 0,8723331.108 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 2,128034 1,0640171.109 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 2,128034 1,0640171.110 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 63,22 2,257857 2,128034 1,0640171.111 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 2,128034 1,0640171.112 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 2,128034 1,0640171.113 R03DC03 MONTELUKASTUM* MONART 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. P6L 28 52,55 1,876785 1,876785 0,9383921.114 R03DC03 MONTELUKASTUM* MONTELUKAST AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 64,30 2,296428 2,128034 1,0640171.115 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 44,73 1,597500 1,597500 0,798750

Pagina 22 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.116 R03DC03 MONTELUKASTUM* MONTELUKAST ABBOTT 10 mg COMPR. FILM. 10mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 67,75 2,419642 2,128034 1,0640171.117 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 44,47 1,588214 1,511428 0,7557141.118 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 1,511428 0,7557141.119 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 1,511428 0,7557141.120 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 4 mg COMPR. MAST. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST. P6L 28 42,84 1,530000 1,511428 0,7557141.121 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 4 mg COMPR. MAST. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST. P6L 30 45,90 1,530000 1,511428 0,7557141.122 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 29,97 1,070357 1,070357 0,5351781.123 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 41,75 1,391666 1,391666 0,6958331.124 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 1,511428 0,7557141.125 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 42,84 1,530000 1,511428 0,7557141.126 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 1,511428 0,7557141.127 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 0,7557141.128 R03DC03 MONTELUKASTUM* MONART 4 mg COMPR. MAST. 4mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L 28 42,32 1,511428 1,511428 0,7557141.129 R03DC03 MONTELUKASTUM* MONTELUKAST AUROBINDO 4 mg COMPR. MAST. 4mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 48,83 1,743928 1,511428 0,7557141.130 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 27,73 0,990357 0,990357 0,4951781.131 R03DC03 MONTELUKASTUM* MONTELUKAST ABBOTT 4 mg COMPR. MAST. 4mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 42,84 1,530000 1,511428 0,7557141.132 R03DC03 MONTELUKASTUM* ASTMASAN 4 mg COMPR. MAST. 4mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L 28 17,20 0,614285 0,614285 0,3071421.133 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 55,28 1,974285 1,889284 0,9446421.134 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P6L 14 76,63 5,473571 1,889284 0,9446421.135 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P6L 28 145,31 5,189642 1,889284 0,9446421.136 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 5 mg COMPR. MAST. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST. P6L 28 53,46 1,909285 1,889284 0,9446421.137 R03DC03 MONTELUKASTUM* MONTELUKAST TEVA 5 mg COMPR. MAST. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST. P6L 30 57,27 1,909000 1,889284 0,9446421.138 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 36,31 1,296785 1,296785 0,6483921.139 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 47,72 1,590666 1,590666 0,7953331.140 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 1,889284 0,9446421.141 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 53,46 1,909285 1,889284 0,9446421.142 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 1,889284 0,9446421.143 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 1,889284 0,9446421.144 R03DC03 MONTELUKASTUM* MONART 5 mg COMPR. MAST. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L 28 53,46 1,909285 1,889284 0,9446421.145 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 34,30 1,225000 1,225000 0,6125001.146 R03DC03 MONTELUKASTUM* MONTELUKAST AUROBINDO 5 mg COMPR. MAST. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 60,94 2,176428 1,889284 0,9446421.147 R03DC03 MONTELUKASTUM* MONTELUKAST ABBOTT 5 mg COMPR. MAST. 5mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 53,46 1,909285 1,889284 0,9446421.148 R03DC03 MONTELUKASTUM* ASTMASAN 5 mg COMPR. MAST. 5mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L 28 21,20 0,757142 0,757142 0,3785711.149 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 1,511428 0,7557141.150 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 1,511428 0,7557141.151 R03DX03 FENSPIRIDUM EURESPAL 80 mg COMPR. CU ELIBERARE PRELUNGITA 80mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.CU ELIBERARE PRELUGITA P-6L 30 28,09 0,936333 0,936333 0,4681661.152 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 10,0099991.153 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 0,7905001.154 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 0,6517811.155 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 12,4750001.156 R05DA09 DEXTROMETHORPHANUM TUSSIN FORTE 20 mg COMPR. 20mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 6,78 0,339000 0,339000 0,1695001.157 R05DA09 DEXTROMETHORPHANUM HUMISEC 5mg/5ml 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 4,362396 2,1811981.158 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 4,2300001.159 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 9,283183 4,6415911.160 R05DA09 DEXTROMETHORPHANUM ROFEDEX SIROP 15mg/5ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOAREP-RF 1 5,27 5,270000 5,270000 2,6350001.161 R05DA09 DEXTROMETHORPHANUM HUMISEC pentru adulti 20mg/15 ml SIROP 20mg/15 ml LAB. URGO SA FRANTA CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA P-RF 1 10,82 10,820000 9,283183 4,6415911.162 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 5,217428 2,6087141.163 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN JUNIOR SOL. ORALA 3,75mg/5ml PFIZER CORPORATION AUSTRIA GMBH AUSTRIA CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M P-RF 1 8,61 8,610000 2,617438 1,3087191.164 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN ANTITUSSICUM SOL. ORALA 7,5mg/5ml PFIZER CORPORATION AUSTRIA GMBH AUSTRIA CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M P-RF 1 8,61 8,610000 5,234876 2,6174381.165 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 1,209375 0,6046871.166 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 1,209375 0,604687

Pagina 23 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.167 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 0,4723331.168 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 0,5495001.169 R06AE09 LEVOCETIRIZINUM CETIZAL 5 mg COMPR. FILM. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 7,27 0,727000 0,727000 0,3635001.170 R06AE09 LEVOCETIRIZINUM LEVOCETIRIZINA ACTAVIS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 10 6,41 0,641000 0,641000 0,3205001.171 R06AE09 LEVOCETIRIZINUM ZENARO 5 mg COMPR. FILM. 5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM. P6L 20 12,80 0,640000 0,640000 0,3200001.172 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 24,187500 12,0937501.173 R06AE09 LEVOCETIRIZINUM ZENARO 0,5 mg/ml SIROP 0,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA 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 23,91 23,910000 23,910000 11,9550001.174 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 10,80 1,080000 0,848083 0,4240411.175 R06AX27 DESLORATADINUM DYNID 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 25,42 0,847333 0,847333 0,4236661.176 R06AX27 DESLORATADINUM DESLORATADINA 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 0,848083 0,4240411.177 R06AX27 DESLORATADINUM DESLORATADINA 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 0,848083 0,4240411.178 R06AX27 DESLORATADINUM DESLORATADINA SANDOZ 5 mg COMPR. FILM. 5 mg SANDOZ S.R.L. ROMANIA CUTIE CU BLISTER NON UNIDOZA PVC-ACLAR/AL X 30 COMPR.FILM. P6L 30 33,14 1,104666 0,848083 0,4240411.179 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 0,848083 0,4240411.180 R06AX27 DESLORATADINUM DESLORATADINAE RATIOPHARM COMPR. FILM. 5mg RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPRIMATE FILMATEPRF 30 35,44 1,181333 0,848083 0,4240411.181 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 0,848083 0,4240411.182 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 0,848083 0,4240411.183 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 0,848083 0,4240411.184 R06AX27 DESLORATADINUM DESLORATADINA TEVA COMPR. FILM. 5mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC - AL X 30 COMPR. FILM. PRF 30 28,46 0,948666 0,848083 0,4240411.185 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg MERCK SHARP&DOHME LTD. MAREA BRITANIE CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 10 8,21 0,821000 0,821000 0,4105001.186 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg MERCK SHARP&DOHME LTD. MAREA BRITANIE CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 30 24,62 0,820666 0,820666 0,4103331.187 R06AX27 DESLORATADINUM AERIUS 2,5mg COMPR. ORODISPERSABILE 2,5mg MERCK SHARP&DOHME LTD. MAREA BRITANIE CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL) P-RF 30 28,55 0,951666 0,424041 0,2120201.188 R06AX27 DESLORATADINUM DESLORATADINA TEVA 5 mg COMPR. ORODISPERSABILE 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/HARTIE-PET-AL X 30 COMPR. ORODISPERSABILE P6L 30 19,94 0,664666 0,664666 0,3323331.189 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. ORODISPERSABILE 5mg MERCK SHARP&DOHME LTD. MAREA BRITANIE CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL) P-RF 30 28,55 0,951666 0,848083 0,4240411.190 R06AX27 DESLORATADINUM DESLORATADINA SANDOZ 0.5 mg/ml SOL. ORALA 0,5 mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 125 ML X 120 ML, SOL. ORALA + LINGURITA DOZATOAR P6L 1 13,31 13,310000 12,000000 6,0000001.191 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 12,000000 6,0000001.192 R06AX27 DESLORATADINUM DYNID 0,5 mg/ml SOL. ORALA 0,5mg/ml GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA 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 12,000000 6,0000001.193 R06AX27 DESLORATADINUM DESLORATADINA TEVA 0,5 mg/ml SOL. ORALA 0,5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA + 1 LINGURA DOZATOARE DIN PEID GRADATA LA DOZE DE 2,5 ML SI 5 ML X 120 M P6L 1 13,31 13,310000 12,000000 6,0000001.194 R06AX27 DESLORATADINUM AERIUS 0,5mg/ml SOL. ORALA 0,5mg/ml MERCK SHARP&DOHME LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML P-RF 1 16,73 16,730000 12,000000 6,0000001.195 R06AX27 DESLORATADINUM LORDESTIN 0,5 mg/ml SOL. ORALA 0,5mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU O LINGURITA DOZATOARE GRADATA LA 2,5 ML SI 5 ML X 120 ML SOL. P6L 1 10,88 10,880000 10,880000 5,4400001.196 R06AX27 DESLORATADINUM DYNID 0,5 mg/ml SOL. ORALA 0,5mg/ml GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA 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 15,000000 7,5000001.197 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 2,3550001.198 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 2,0400001.199 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 2,0400001.200 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 2,0400001.201 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 1,5300001.202 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 7,0900001.203 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 MLP-RF 15 28,94 1,929333 1,251059 0,6255291.204 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 APLICATORP-RF 1 32,50 32,500000 20,850997 10,4254981.205 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 5,6512501.206 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 7,6900001.207 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 4,5539991.208 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 2,2769991.209 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 2,2769991.210 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 2,2500001.211 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 5,9602501.212 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 0,3576151.213 S01CA01 COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM) SPERSADEX COMP PICATURI OFT.-SOL. 5mg/ml+1mg/ml LABORATOIRES THEA FRANTA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF 1 12,53 12,530000 11,920500 5,9602501.214 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 5,0000001.215 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 5,9602501.216 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 4,1721751.217 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 15,245000

Pagina 24 din 25

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

APP Ambalaj Prescriptie

cant/ambala

j

Pret amanunt

ul 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.

Adulti1.218 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 25 din 25

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

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

VALABILĂ ÎNCEPÂND CU 01 IULIE 2014

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

ANEXA 3

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

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

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

Pagina 1 din 44

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 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 0,09500040 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1,90 0,095000 0,095000 0,09500041 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2,85 0,095000 0,095000 0,09500042 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2,85 0,095000 0,095000 0,09500043 C07AB02 METOPROLOLUM METOPROLOL LAROPHARM 50 mg COMPR. 50mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,51 0,175500 0,100800 0,10080044 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080045 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 3,51 0,175500 0,100800 0,10080046 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4,75 0,158333 0,100800 0,10080047 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080048 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 8,40 0,084000 0,084000 0,08400049 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 7,09 0,141800 0,100800 0,10080050 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080051 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7,06 0,235333 0,100800 0,10080052 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,45 0,172500 0,100800 0,10080053 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5,27 0,175666 0,100800 0,10080054 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,51 0,175500 0,100800 0,10080055 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 11,12 0,556000 0,237000 0,23700056 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 100 mg COMPR. FILM. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 9,09 0,303000 0,237000 0,23700057 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 50 mg COMPR. FILM. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 5,24 0,174666 0,100800 0,10080058 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 0,23700059 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 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 0,75700061 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 0,27133362 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 0,45300063 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 4,43200064 C07AB07 BISOPROLOLUM BOREZ 10 mg COMPR. FILM. 10 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 10,51 0,350333 0,350333 0,35033365 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 32,72 1,090666 0,402000 0,40200066 C07AB07 BISOPROLOLUM SOBYC 10 mg COMPR. FILM. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 10,05 0,335000 0,335000 0,33500067 C07AB07 BISOPROLOLUM BOREZ 2,5 mg COMPR. FILM. 2,5 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 8,07 0,269000 0,241599 0,24159968 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 14,76 0,492000 0,241599 0,24159969 C07AB07 BISOPROLOLUM SOBYC 2,5 mg COMPR. FILM. 2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 6,04 0,201333 0,201333 0,20133370 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 22,31 0,743666 0,241599 0,24159971 C07AB07 BISOPROLOLUM SOBYC 5 mg COMPR. FILM. 5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 6,04 0,201333 0,201333 0,20133372 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 34,55 1,233928 0,593142 0,59314273 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 0,59314274 C07AB12 NEBIVOLOLUM** X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 27,09 0,903000 0,593142 0,59314275 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 0,59314276 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 0,59314277 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 0,59314278 C07AB12 NEBIVOLOLUM** NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 24,87 0,829000 0,593142 0,59314279 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 0,49428580 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 0,59314281 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 0,59314282 C07AB12 NEBIVOLOLUM** NEBICARD 5 mg COMPR. 5mg BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L 28 22,93 0,818928 0,593142 0,59314283 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8,20 0,273333 0,273333 0,27333384 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ 12,5 mg COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 8,20 0,273333 0,273333 0,27333385 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 0,327999 0,32799986 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 0,327999 0,32799987 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 0,327999 0,32799988 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 0,327999 0,327999

Pagina 2 din 44

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 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 0,327999 0,32799990 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 0,327999 0,32799991 C07AG02 CARVEDILOLUM MIOCARVIL 12,5 mg COMPR. 12,5mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 13,36 0,445333 0,327999 0,32799992 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 0,327999 0,32799993 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 0,36720094 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 0,36720095 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 0,36720096 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 0,30600097 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 0,36720098 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 0,36720099 C07AG02 CARVEDILOLUM MIOCARVIL 25 mg COMPR. 25mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 23,62 0,787333 0,367200 0,367200100 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 0,367200101 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ 25 mg COMPR. 25mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 9,18 0,306000 0,306000 0,306000102 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 0,213199 0,213199103 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 0,213199 0,213199104 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 0,213199 0,213199105 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 5,33 0,177666 0,177666 0,177666106 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 0,213199 0,213199107 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 0,213199 0,213199108 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 0,213199 0,213199109 C07AG02 CARVEDILOLUM MIOCARVIL 6,25 mg COMPR. 6,25mg SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. P-6L 30 6,89 0,229666 0,213199 0,213199110 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ 6,25 mg COMPR. 6,25mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 5,33 0,177666 0,177666 0,177666111 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 12,5mg COMPR. FILM. 12,5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 14,81 0,528928 0,327999 0,327999112 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 25mg COMPR. FILM. 25mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 21,99 0,785357 0,367200 0,367200113 C07AG02 CARVEDILOLUM CARVEDILOL AUROBINDO 6,25mg COMPR. FILM. 6,25mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 7,32 0,261428 0,213199 0,213199114 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 0,113666115 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 0,136666116 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 0,136800117 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 0,114000118 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 0,114000119 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 0,114000120 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 0,136800121 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 0,114000122 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 0,133500123 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 0,157200124 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 0,157200125 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 0,133500126 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 0,150000127 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 0,131000128 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 0,219500129 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 0,198000130 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 0,219500131 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 0,219500132 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 0,219500133 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 44

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 LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 4,39 0,219500 0,219500 0,219500141 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 0,394320142 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 0,394320143 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 0,394320144 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 0,394320145 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 0,394320146 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 0,394320147 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 0,370666148 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 0,328600149 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 0,394320150 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 20 mg COMPR. 20mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 7,94 0,397000 0,394320 0,394320151 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 0,183500152 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 0,183500153 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 0,183500154 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7,87 0,281071 0,219000 0,219000155 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 0,192000156 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 0,196500157 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 0,186000158 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 0,182500159 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 0,183500160 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 5 mg COMPR. 5mg LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L 20 3,67 0,183500 0,183500 0,183500161 C09AA02 ENALAPRILUM ENAP 1,25 mg/ml SOL. INJ./PERF. 1,25mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. PR/PRF 5 15,45 3,090000 3,090000 3,090000162 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 0,344400163 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 0,344400164 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 0,343666165 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 0,287000166 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 0,344400167 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 0,344400168 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11,96 0,398666 0,344400 0,344400169 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 0,344400170 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 0,312500171 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 0,517200172 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 0,517200173 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 0,501666174 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 0,431000175 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 0,517200176 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 0,517200177 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 0,517200178 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL X 10 COMPR. P-6L 20 14,44 0,722000 0,517200 0,517200179 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 1,310333180 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 0,254666181 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 0,216666182 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 0,259999183 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 0,245666184 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 0,259999185 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9,23 0,329642 0,329642 0,329642186 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 23,28 0,831428 0,389599 0,389599187 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9,74 0,324666 0,324666 0,324666188 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 24,93 0,831000 0,389599 0,389599

Pagina 4 din 44

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 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9,21 0,328928 0,328928 0,328928190 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9,23 0,329642 0,329642 0,329642191 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 14,19 0,506785 0,389599 0,389599192 C09AA05 RAMIPRILUM RAMIPRIL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L 28 9,49 0,338928 0,338928 0,338928193 C09AA05 RAMIPRILUM AMPRIGEN 10 mg COMPR. 10mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 24,04 0,801333 0,389599 0,389599194 C09AA05 RAMIPRILUM RAMIPRIL TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,329333195 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,329333196 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 9,88 0,329333 0,329333 0,329333197 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 4,65 0,166071 0,166071 0,166071198 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 9,37 0,334642 0,194799 0,194799199 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4,87 0,162333 0,162333 0,162333200 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10,02 0,334000 0,194799 0,194799201 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 4,62 0,165000 0,165000 0,165000202 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 4,65 0,166071 0,166071 0,166071203 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 7,15 0,255357 0,194799 0,194799204 C09AA05 RAMIPRILUM AMPRIGEN 2,5 mg COMPR. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 9,92 0,330666 0,194799 0,194799205 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. 2,5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 4,98 0,166000 0,166000 0,166000206 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. 2,5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 4,98 0,166000 0,166000 0,166000207 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 6,70 0,239285 0,239285 0,239285208 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10,17 0,363214 0,286713 0,286713209 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7,18 0,239333 0,239333 0,239333210 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10,85 0,361666 0,286713 0,286713211 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 6,69 0,238928 0,238928 0,238928212 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 6,70 0,239285 0,239285 0,239285213 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10,31 0,368214 0,286713 0,286713214 C09AA05 RAMIPRILUM RAMIPRIL AUROBINDO 5 mg COMPR. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L 28 7,10 0,253571 0,253571 0,253571215 C09AA05 RAMIPRILUM AMPRIGEN 5 mg COMPR. 5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 30 10,75 0,358333 0,286713 0,286713216 C09AA05 RAMIPRILUM RAMIPRIL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,239333217 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,239333218 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L 30 7,18 0,239333 0,239333 0,239333219 C09CA03 VALSARTANUM** VALSARTAN TEVA 160 mg CAPS. 160mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 32,59 1,163928 0,976713 0,976713220 C09CA03 VALSARTANUM** VALSARTAN TEVA 80 mg CAPS. 80mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 20,26 0,723571 0,640713 0,640713221 C09CA03 VALSARTANUM** WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 66,00 2,357142 0,976713 0,976713222 C09CA03 VALSARTANUM** WENZELL 160 mg COMPR. FILM. 160mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 70,74 2,358000 0,976713 0,976713223 C09CA03 VALSARTANUM** VALSARGAMMA 160 mg COMPR. FILM. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 33,91 1,130333 0,976713 0,976713224 C09CA03 VALSARTANUM** DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 116,60 4,164285 0,976713 0,976713225 C09CA03 VALSARTANUM** VALSARTAN TORRENT 160 mg COMPR. FILM. 160mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 65,71 2,346785 0,976713 0,976713226 C09CA03 VALSARTANUM** VALSACOR 160 mg COMPR. FILM. 160mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 32,85 1,173214 0,976713 0,976713227 C09CA03 VALSARTANUM** AVASSAN 160 mg COMPR. FILM. 160mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 66,00 2,357142 0,976713 0,976713228 C09CA03 VALSARTANUM** VALSARTAN ZENTIVA 160 mg COMPR. FILM. 160mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM. P-6L 28 22,79 0,813928 0,813928 0,813928229 C09CA03 VALSARTANUM** VAPRESS 160 mg COMPR. FILM. 160mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 32,82 1,172142 0,976713 0,976713230 C09CA03 VALSARTANUM** VAPRESS 160 mg COMPR. FILM. 160mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 32,82 1,172142 0,976713 0,976713231 C09CA03 VALSARTANUM** WAROTA 160 mg COMPR. FILM. 160mg ALKALOID - INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. P6L 30 33,16 1,105333 0,976713 0,976713232 C09CA03 VALSARTANUM** DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM. P6L 28 71,91 2,568214 0,478285 0,478285233 C09CA03 VALSARTANUM** AVASSAN 40 mg COMPR. FILM. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 42,63 1,522500 0,478285 0,478285234 C09CA03 VALSARTANUM** VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 11,16 0,398571 0,398571 0,398571235 C09CA03 VALSARTANUM** VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 11,16 0,398571 0,398571 0,398571236 C09CA03 VALSARTANUM** WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM. P-6L 28 47,37 1,691785 0,640713 0,640713237 C09CA03 VALSARTANUM** WENZELL 80 mg COMPR. FILM. 80mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM. P-6L 30 50,79 1,693000 0,640713 0,640713238 C09CA03 VALSARTANUM** VALSARGAMMA 80 mg COMPR. FILM. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 23,25 0,775000 0,640713 0,640713

Pagina 5 din 44

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 C09CA03 VALSARTANUM** DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L 28 91,88 3,281428 0,640713 0,640713240 C09CA03 VALSARTANUM** VALSARTAN TORRENT 80 mg COMPR. FILM. 80mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47,00 1,678571 0,640713 0,640713241 C09CA03 VALSARTANUM** VALSACOR 80 mg COMPR. FILM. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 28,84 1,030000 0,640713 0,640713242 C09CA03 VALSARTANUM** AVASSAN 80 mg COMPR. FILM. 80mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 47,40 1,692857 0,640713 0,640713243 C09CA03 VALSARTANUM** VALSARTAN ZENTIVA 80 mg COMPR. FILM. 80mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM. P-6L 28 14,95 0,533928 0,533928 0,533928244 C09CA03 VALSARTANUM** WAROTA 80 mg COMPR. FILM. 80mg ALKALOID - INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. P6L 30 32,48 1,082666 0,640713 0,640713245 C09CA03 VALSARTANUM** VAPRESS 80 mg COMPR. FILM. 80mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 18,18 0,649285 0,640713 0,640713246 C09CA03 VALSARTANUM** VAPRESS 80 mg COMPR. FILM. 80mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 18,18 0,649285 0,640713 0,640713247 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 41,420000248 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 1,155000 1,155000249 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 1,155000 1,155000250 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR. 16mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,995000251 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN SANDOZ 16 mg COMPR. 16mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P-6L 28 26,95 0,962500 0,962500 0,962500252 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 1,155000 1,155000253 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 1,155000 1,155000254 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 1,155000 1,155000255 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 1,155000 1,155000256 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 1,155000 1,155000257 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 16mg COMPR. 16mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,995000258 C09CA06 CANDESARTANUM CILEXETIL** CANDEGAMMA 16 mg COMPR. 16mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 39,63 1,321000 1,155000 1,155000259 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL TEVA 16 mg COMPR. 16mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 29,85 0,995000 0,995000 0,995000260 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN LABORMED 16 mg COMPR. 16mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L 28 41,42 1,479285 1,155000 1,155000261 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN AUROBINDO 16 mg COMPR. 16mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 29,28 0,976000 0,976000 0,976000262 C09CA06 CANDESARTANUM CILEXETIL** ATACAND 32 mg COMPR. 32mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L 28 117,40 4,192857 1,465999 1,465999263 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 32 mg COMPR. 32mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36,65 1,221666 1,221666 1,221666264 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 32 mg COMPR. 32mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 71,36 2,378666 1,465999 1,465999265 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 32 mg COMPR. 32mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 81,75 2,725000 1,465999 1,465999266 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 32 mg COMPR. 32mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 81,75 2,725000 1,465999 1,465999267 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 32 mg COMPR. 32mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 69,33 2,476071 1,465999 1,465999268 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 32 mg COMPR. 32mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 76,32 2,725714 1,465999 1,465999269 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 32mg COMPR. 32mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 36,65 1,221666 1,221666 1,221666270 C09CA06 CANDESARTANUM CILEXETIL** CANDEGAMMA 32 mg COMPR. 32mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 72,06 2,402000 1,465999 1,465999271 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL TEVA 32 mg COMPR. 32mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 36,65 1,221666 1,221666 1,221666272 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN LABORMED 32 mg COMPR. 32mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L 28 56,66 2,023571 1,465999 1,465999273 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 56,10 2,003571 0,648799 0,648799274 C09CA06 CANDESARTANUM CILEXETIL** TANDESAR 8 mg COMPR. 8mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L 28 36,46 1,302142 0,648799 0,648799275 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL ZENTIVA 8 mg COMPR. 8mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 16,22 0,540666 0,540666 0,540666276 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN SANDOZ 8 mg COMPR. 8mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P-6L 28 16,81 0,600357 0,600357 0,600357277 C09CA06 CANDESARTANUM CILEXETIL** HIPOSTYN 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 24,13 0,804333 0,648799 0,648799278 C09CA06 CANDESARTANUM CILEXETIL** KARBIS 8 mg COMPR. 8mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 33,01 1,100333 0,648799 0,648799279 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN TORRENT 8 mg COMPR. 8mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 39,07 1,302333 0,648799 0,648799280 C09CA06 CANDESARTANUM CILEXETIL** CLASTINOL 8 mg COMPR. 8mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 36,46 1,302142 0,648799 0,648799281 C09CA06 CANDESARTANUM CILEXETIL** CANDEPOL 8 mg COMPR. 8mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L 28 36,46 1,302142 0,648799 0,648799282 C09CA06 CANDESARTANUM CILEXETIL** CANZENO 8mg COMPR. 8mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 16,22 0,540666 0,540666 0,540666283 C09CA06 CANDESARTANUM CILEXETIL** CANDEGAMMA 8 mg COMPR. 8mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR. P6L 30 33,77 1,125666 0,648799 0,648799284 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN CILEXETIL TEVA 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L 30 23,07 0,769000 0,648799 0,648799285 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN LABORMED 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L 28 33,65 1,201785 0,648799 0,648799286 C09CA06 CANDESARTANUM CILEXETIL** CANDESARTAN AUROBINDO 8 mg COMPR. 8mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 21,57 0,719000 0,648799 0,648799

Pagina 6 din 44

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 0,338000

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 30 359,66 11,988666 11,988666 11,9886662 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,6650663 B01AC04 CLOPIDOGRELUM*** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,6650664 B01AC04 CLOPIDOGRELUM*** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 57,74 2,062142 0,665066 0,6650665 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 17,86 0,595333 0,595333 0,5953336 B01AC04 CLOPIDOGRELUM*** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,52 1,340000 0,665066 0,6650667 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF 90 52,86 0,587333 0,587333 0,5873338 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL MYLAN 75mg COMPR. FILM. 75mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF 28 79,52 2,840000 0,665066 0,6650669 B01AC04 CLOPIDOGRELUM*** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 79,52 2,840000 0,665066 0,665066

10 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506611 B01AC04 CLOPIDOGRELUM*** CLOPIGAMMA 75 mg COMPR. FILM. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506612 B01AC04 CLOPIDOGRELUM*** PLAVOCORIN 75 mg COMPR. FILM. 75mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506613 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506614 B01AC04 CLOPIDOGRELUM*** DEFROZYP 75 mg COMPR. FILM. 75mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 37,53 1,340357 0,665066 0,66506615 B01AC04 CLOPIDOGRELUM*** TESSYRON 75 mg COMPR. FILM. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF 30 40,26 1,342000 0,665066 0,66506616 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM. 75mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 40,22 1,340666 0,665066 0,66506617 B01AC04 CLOPIDOGRELUM*** MOYTOR 75 mg COMPR. FILM. 75mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM. P-RF 28 37,52 1,340000 0,665066 0,66506618 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF 10 13,82 1,382000 0,665066 0,66506619 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF 60 76,22 1,270333 0,665066 0,66506620 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF 90 114,32 1,270222 0,665066 0,66506621 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TERAPIA 75 mg COMPR. FILM. 75mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF 30 51,97 1,732333 0,665066 0,66506622 B01AC04 CLOPIDOGRELUM*** PLATEL 75 mg COMPR. FILM. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 37,46 1,337857 0,665066 0,66506623 B01AC04 CLOPIDOGRELUM*** DEPLATT 75 mg COMPR. FILM. 75mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 40,20 1,340000 0,665066 0,66506624 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINÂND 30 COMPRIMATE FILMATE P-RF 30 17,18 0,572666 0,572666 0,57266625 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINÂND 90 COMPRIMATE FILMATE P-RF 90 49,88 0,554222 0,554222 0,55422226 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL POLIPHARMA 75 mg COMPR. FILM. 75mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L 30 40,22 1,340666 0,665066 0,665066

Tratamentul se iniţiază de către medicul în specialitatea cardiologie.

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

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

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

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

Pagina 7 din 44

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

9 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 382,22400010 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 197,89 197,890000 197,890000 197,89000011 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 318,52 318,520000 318,520000 318,52000012 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 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 98,85200013 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 261,45 261,450000 237,468000 237,46800014 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 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 225,87400015 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 426,08 426,080000 382,224000 382,22400016 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 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 368,70400017 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL PR 1 87,43 87,430000 87,430000 87,43000018 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL PR 1 183,22 183,220000 183,220000 183,22000019 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 434,34 434,340000 434,340000 434,34000020 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 715,89 715,890000 715,890000 715,89000021 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 µg PULB. + SOLV. PT. SOL. INJ. 100µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 652,37 652,370000 652,370000 652,37000022 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 µg PULB. + SOLV. PT. SOL. INJ. 120µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 768,67 768,670000 768,670000 768,67000023 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 µg PULB. + SOLV. PT. SOL. INJ. 150µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 943,12 943,120000 943,120000 943,12000024 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 µg PULB. + SOLV. PT. SOL. INJ. 50µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 358,21 358,210000 358,210000 358,21000025 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 975,16 975,160000 975,160000 975,16000026 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 17,07 0,341400 0,341400 0,341400

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

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

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

5. HEPATITA AUTOIMUNA - G5

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

Pagina 8 din 44

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. CIROZA HEPATICA - G7

1 A06AD11 LACTULOSUM* DUPHALAC (R) LICHID ORAL 66,7% ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 10,37 10,370000 10,370000 10,3700002 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 10,42 10,420000 10,420000 10,4200003 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3,47 3,470000 3,470000 3,4700004 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 17,23 17,230000 17,230000 17,2300005 A06AD11 LACTULOSUM* LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 33,34 33,340000 33,340000 33,3400006 A06AD11 LACTULOSUM* LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 6,73 6,730000 6,730000 6,7300007 A06AD11 LACTULOSUM* LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 3,57 3,570000 3,570000 3,5700008 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 33,10 2,758333 2,758333 2,7583339 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF 36 91,26 2,535000 2,535000 2,535000

10 A07AA11 RIFAXIMINUM* NORMIX 100mg/5ml GRAN. PT. SUSP. ORALA 100mg/5ml ALFA WASSERMANN SPA ITALIA CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML P-RF 1 19,11 19,110000 19,110000 19,11000011 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,151000 0,15100012 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,02 0,151000 0,151000 0,15100013 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,181200 0,18120014 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 6,02 0,301000 0,181200 0,18120015 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3,04 0,152000 0,152000 0,15200016 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6,02 0,301000 0,181200 0,18120017 C03CA01 FUROSEMIDUM FUROSEMID BIOEEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5,42 0,271000 0,181200 0,18120018 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 6,07 1,214000 1,214000 1,21400019 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28,51 0,950333 0,950333 0,95033320 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 16,07 0,321400 0,258000 0,25800021 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA LPH 25 mg CAPS. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L 60 19,46 0,324333 0,258000 0,25800022 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16,72 0,557333 0,557333 0,55733323 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16,24 0,541333 0,541333 0,54133324 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,30 0,215000 0,215000 0,21500025 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA BIOEEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,30 0,215000 0,215000 0,21500026 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16,21 0,324200 0,258000 0,25800027 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4,30 0,215000 0,215000 0,21500028 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13,74 0,687000 0,649599 0,64959929 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 95,62 31,873333 31,873333 31,87333330 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 35,71 11,903333 11,903333 11,90333331 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 609,00 4,350000 4,350000 4,35000032 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 665,28 3,960000 3,960000 3,96000033 J05AF05 LAMIVUDINUM**** LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R 30 194,11 6,470333 6,470333 6,47033334 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 278,73 9,954642 7,764399 7,76439935 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1.928,98 64,299333 64,299333 64,29933336 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1.748,63 58,287666 58,287666 58,28766637 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1.938,42 64,614000 64,614000 64,61400038 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 326,02 326,020000 237,468000 237,46800039 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 514,01 514,010000 382,224000 382,22400040 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 197,89 197,890000 197,890000 197,89000041 L03AA02 FILGRASTIMUM (G-CSF)** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 318,52 318,520000 318,520000 318,52000042 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 12 MU/0,2ml SOL. INJ./PERF. 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 98,85200043 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 261,45 261,450000 237,468000 237,46800044 L03AA02 FILGRASTIMUM (G-CSF)** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 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 225,87400045 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 426,08 426,080000 382,224000 382,224000

Tratamentul se initiază de către medicul în specialitatea gastroenterologie

Pagina 9 din 44

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

46 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 368,70400047 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL PR 1 87,43 87,430000 87,430000 87,43000048 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL PR 1 183,22 183,220000 183,220000 183,22000049 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 434,34 434,340000 434,340000 434,34000050 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 715,89 715,890000 715,890000 715,89000051 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 µg PULB. + SOLV. PT. SOL. INJ. 100µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 652,37 652,370000 652,370000 652,37000052 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 µg PULB. + SOLV. PT. SOL. INJ. 120µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 768,67 768,670000 768,670000 768,67000053 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 µg PULB. + SOLV. PT. SOL. INJ. 150µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 943,12 943,120000 943,120000 943,12000054 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 µg PULB. + SOLV. PT. SOL. INJ. 50µg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR 1 358,21 358,210000 358,210000 358,21000055 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 975,16 975,160000 975,160000 975,16000056 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 17,07 0,341400 0,341400 0,341400

Tratamentul se ini țiază 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** GRANISETRON ACTAVIS 1 mg COMPR. FILM. 1mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 148,63 14,863000 14,863000 14,8630008 A04AA02 GRANISETRONUM** GRANEGIS 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 148,63 14,863000 14,863000 14,8630009 A04AA02 GRANISETRONUM** GRANORED 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 178,35 17,835000 17,835000 17,835000

10 A04AA02 GRANISETRONUM** SETROGEN 1 mg COMPR. FILM. 1mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 171,89 17,189000 17,189000 17,18900011 A04AA02 GRANISETRONUM** GRANISETRON ACTAVIS 2 mg COMPR. FILM. 2mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 236,15 23,615000 23,615000 23,61500012 A04AA02 GRANISETRONUM** GRANORED 2 mg COMPR. FILM. 2mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 271,77 27,177000 27,177000 27,17700013 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. PR 5 199,30 39,860000 39,860000 39,86000014 A04AA02 GRANISETRONUM** GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ. S 5 71,52 14,304000 14,304000 14,30400015 A04AA02 GRANISETRONUM** GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ. 3mg/3ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ. S 5 199,86 39,972000 39,972000 39,97200016 A04AA05 PALONOSETRONUM** ALOXI 500mcg CAPS. MOI 500mcg HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE PRF 1 403,43 403,430000 403,430000 403,43000017 A04AA05 PALONOSETRONUM** ALOXI SOL. INJ. 250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF 1 381,18 381,180000 381,180000 381,18000018 B03XA01 EPOETINUM ALFA*** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1.728,54 288,090000 288,090000 288,09000019 B03XA01 EPOETINUM ALFA*** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 218,42 36,403333 36,403333 36,40333320 B03XA01 EPOETINUM ALFA*** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 425,83 70,971666 70,971666 70,97166621 B03XA01 EPOETINUM ALFA*** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 788,23 788,230000 788,230000 788,23000022 B03XA01 EPOETINUM ALFA*** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 603,73 100,621666 100,621666 100,62166623 B03XA01 EPOETINUM ALFA*** EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF 1 1.353,47 1353,470000 1193,316000 1193,31600024 B03XA01 EPOETINUM ALFA*** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 994,43 994,430000 994,430000 994,43000025 B03XA01 EPOETINUM ALFA*** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 781,57 130,261666 130,261666 130,26166626 B03XA01 EPOETINUM ALFA*** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 959,37 159,895000 159,895000 159,89500027 B03XA01 EPOETINUM BETA*** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2.346,60 391,100000 391,100000 391,10000028 B03XA01 EPOETINUM BETA*** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526,27 87,711666 87,711666 87,71166629 B03XA01 EPOETINUM BETA*** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1.174,53 1174,530000 1174,530000 1174,53000030 B03XA01 EPOETINUM BETA*** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 981,05 163,508333 163,508333 163,50833331 B03XA01 EPOETINUM BETA*** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1.208,30 201,383333 201,383333 201,38333332 B03XA02 DARBEPOETINUM ALFA*** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3.173,01 793,252500 793,252500 793,25250033 B03XA02 DARBEPOETINUM ALFA*** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 391,56 97,890000 97,890000 97,890000

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

Pagina 10 din 44

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

34 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 1177,087500 1177,087500 1177,08750035 B03XA02 DARBEPOETINUM ALFA*** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 702,64 175,660000 175,660000 175,66000036 B03XA02 DARBEPOETINUM ALFA*** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2.208,61 2208,610000 2208,610000 2208,61000037 B03XA02 DARBEPOETINUM ALFA*** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1.009,47 252,367500 252,367500 252,36750038 B03XA02 DARBEPOETINUM ALFA*** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1.318,95 329,737500 329,737500 329,73750039 B03XA02 DARBEPOETINUM ALFA*** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3.633,81 3633,810000 3633,810000 3633,81000040 B03XA02 DARBEPOETINUM ALFA*** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1.626,76 406,690000 406,690000 406,69000041 B03XA02 DARBEPOETINUM ALFA*** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1.937,17 484,292500 484,292500 484,29250042 B03XA02 DARBEPOETINUM ALFA*** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2.555,95 638,987500 638,987500 638,98750043 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 108,46 2,169200 2,169200 2,16920044 H02AB02 DEXAMETHASONUM DEXAMED COMPR. 0,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF 100 18,38 0,183800 0,183800 0,18380045 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 10 8,32 0,832000 0,832000 0,83200046 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 25 20,42 0,816800 0,816800 0,81680047 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PRF 100 73,64 0,736400 0,736400 0,73640048 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 10 13,87 1,387000 1,387000 1,38700049 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 25 33,18 1,327200 1,327200 1,32720050 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 100 124,62 1,246200 1,246200 1,24620051 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 123,66 1,236600 1,236600 1,23660052 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 6,98 1,396000 1,396000 1,39600053 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF/S 100 118,60 1,186000 1,186000 1,18600054 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 10 14,38 1,438000 1,423200 1,42320055 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 76,92 5,128000 4,203999 4,20399956 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52,56 3,504000 3,504000 3,50400057 J02AC02 ITRACONAZOLUM 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 3,50400058 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 3,50333359 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 52,56 3,504000 3,504000 3,50400060 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 139,91857161 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 36,86892862 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 537,45000063 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 2439,990000 2439,990000 2439,99000064 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 2750,280000 2750,280000 2750,28000065 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 1348,760000 1348,760000 1348,76000066 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 1738,700000 1738,700000 1738,70000067 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 19,86576068 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 16,55480069 L04AD01 CICLOSPORINUM* EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 307,60 6,152000 6,152000 6,15200070 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 1,804080 1,80408071 L04AD01 CICLOSPORINUM* EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 75,17 1,503400 1,503400 1,50340072 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 3,541920 3,54192073 L04AD01 CICLOSPORINUM* EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 147,58 2,951600 2,951600 2,95160074 N02AA01 MORPHYNUM MST CONTINUS 100 mg COMPR. ELIB. MODIF. 100mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD. P-TS 60 205,94 3,432333 2,873599 2,87359975 N02AA01 MORPHYNUM MST CONTINUS 10 mg COMPR. ELIB. MODIF. 10mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD. P-TS 60 37,61 0,626833 0,626833 0,62683376 N02AA01 MORPHYNUM MST CONTINUS 200 mg COMPR. ELIB. MODIF. 200mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD. P-TS 60 393,65 6,560833 6,560833 6,56083377 N02AA01 MORPHYNUM MST CONTINUS 30 mg COMPR. ELIB. MODIF. 30mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD. P-TS 60 65,71 1,095166 0,921600 0,92160078 N02AA01 MORPHYNUM MST CONTINUS 60 mg COMPR. ELIB. MODIF. 60mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD. P-TS 60 132,81 2,213500 1,882399 1,88239979 N02AA01 MORPHYNUM SEVREDOL 10 mg COMPR. FILM. 10mg MUNDIPHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 56 COMPR. FILM. P-TS 56 46,96 0,838571 0,752199 0,75219980 N02AA01 MORPHYNUM SEVREDOL 10 mg COMPR. FILM. 10mg MUNDIPHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM. P-TS 60 50,10 0,835000 0,752199 0,75219981 N02AA01 MORPHYNUM SEVREDOL 20 mg COMPR. FILM. 20mg MUNDIPHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 56 COMPR. FILM. P-TS 56 67,34 1,202500 1,202500 1,20250082 N02AA01 MORPHYNUM SEVREDOL 20 mg COMPR. FILM. 20mg MUNDIPHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM. P-TS 60 71,78 1,196333 1,196333 1,19633383 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 71,84 2,394666 2,394666 2,394666

Pagina 11 din 44

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

84 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 23,04 0,768000 0,768000 0,76800085 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 47,06 1,568666 1,568666 1,56866686 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 1,65800087 N02AA01 MORPHYNUM MORFINA ZENTIVA 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 1,65800088 N02AA05 OXYCODONUM OXYCONTIN 10 mg COMPR. CU ELIB. MODIF. 10 mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 64,10 1,068333 0,861799 0,86179989 N02AA05 OXYCODONUM OXYCONTIN 20 mg COMPR. CU ELIB. MODIF. 20 mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 121,02 2,017000 1,572000 1,57200090 N02AA05 OXYCODONUM OXYCONTIN 40 mg COMPR. CU ELIB. MODIF. 40 mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 172,88 2,881333 2,367799 2,36779991 N02AA05 OXYCODONUM OXYCONTIN 80 mg COMPR. CU ELIB. MODIF. 80mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS 60 309,83 5,163833 4,026000 4,02600092 N02AA05 OXYCODONUM RELTEBON 10 mg COMPR. CU ELIB. PREL. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 43,09 0,718166 0,718166 0,71816693 N02AA05 OXYCODONUM RELTEBON 20 mg COMPR. CU ELIB. PREL. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 78,60 1,310000 1,310000 1,31000094 N02AA05 OXYCODONUM RELTEBON 40 mg COMPR. CU ELIB. PREL. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 118,39 1,973166 1,973166 1,97316695 N02AA05 OXYCODONUM RELTEBON 80 mg COMPR. CU ELIB. PREL. 80mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL. PR, PS 60 201,30 3,355000 3,355000 3,35500096 N02AA05 OXYCODONUM OXIDOLOR 10 mg COMPR. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 43,09 0,718166 0,718166 0,71816697 N02AA05 OXYCODONUM ALNAGON 10 mg COMPR. ELIB. PREL. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL. P-RF 56 48,27 0,861964 0,861799 0,86179998 N02AA05 OXYCODONUM OXIDOLOR 20 mg COMPR. ELIB. PREL. 20mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 78,65 1,310833 1,310833 1,31083399 N02AA05 OXYCODONUM ALNAGON 20 mg COMPR. ELIB. PREL. 20mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL. P-RF 56 88,08 1,572857 1,572000 1,572000100 N02AA05 OXYCODONUM OXIDOLOR 40 mg COMPR. ELIB. PREL. 40mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 118,50 1,975000 1,975000 1,975000101 N02AA05 OXYCODONUM ALNAGON 40 mg COMPR. ELIB. PREL. 40mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL. P-RF 56 132,72 2,370000 2,367799 2,367799102 N02AA05 OXYCODONUM OXICODONA SANDOZ 40 mg COMPR. ELIB. PREL. 40mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL. PS 20 47,40 2,370000 2,367799 2,367799103 N02AA05 OXYCODONUM OXICODONA SANDOZ 60 mg COMPR. ELIB. PREL. 60mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL. PS 20 139,36 6,968000 6,968000 6,968000104 N02AA05 OXYCODONUM OXIDOLOR 80 mg COMPR. ELIB. PREL. 80mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS 60 201,38 3,356333 3,356333 3,356333105 N02AA05 OXYCODONUM OXICODONA SANDOZ 80 mg COMPR. ELIB. PREL. 80mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL. PS 20 80,55 4,027500 4,026000 4,026000106 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 0,861799 0,861799107 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 1,572000 1,572000108 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 2,367799 2,367799109 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 4,026000 4,026000110 N02AA08 DIHYDROCODEINUM DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 128,54 2,295357 2,295357 2,295357111 N02AA08 DIHYDROCODEINUM DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 29,34 0,523928 0,523928 0,523928112 N02AA08 DIHYDROCODEINUM DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS 56 101,69 1,815892 1,815892 1,815892113 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 9,35 1,870000 1,870000 1,870000114 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 38,248000115 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 PS 5 190,93 38,186000 38,186000 38,186000116 N02AB03 FENTANYLUM** ALGOGESIC 100 micrograme/ora PLASTURE TRANSDERMIC 100micrograme/ora ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 191,24 38,248000 38,248000 38,248000117 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 38,248000118 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 14,287200 14,287200119 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 PS 5 69,07 13,814000 13,814000 13,814000120 N02AB03 FENTANYLUM** ALGOGESIC 25 micrograme/ora PLASTURE TRANSDERMIC 25micrograme/ora ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 59,53 11,906000 11,906000 11,906000121 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 13,942000122 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 24,156000123 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 PS 5 120,72 24,144000 24,144000 24,144000124 N02AB03 FENTANYLUM** ALGOGESIC 50 micrograme/ora PLASTURE TRANSDERMIC 50micrograme/ora ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 113,05 22,610000 22,610000 22,610000125 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 24,156000126 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 30,916000127 N02AB03 FENTANYLUM** ALGOGESIC 75 micrograme/ora PLASTURE TRANSDERMIC 75micrograme/ora ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC PS 5 154,58 30,916000 30,916000 30,916000128 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 30,916000129 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5,61 0,280500 0,280500 0,280500130 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 0,291000131 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 0,336600 0,336600132 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 0,336600 0,336600133 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 0,336600 0,336600

Pagina 12 din 44

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

134 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 0,336600 0,336600135 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 3,85 0,385000 0,336600 0,336600136 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5,61 0,280500 0,280500 0,280500137 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 0,336600 0,336600138 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 0,336600 0,336600139 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 0,630000140 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 0,629666141 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 18,91 0,630333 0,630333 0,630333142 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 100 mg 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 0,629666143 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 27,55 0,918333 0,918333 0,918333144 N02AX02 TRAMADOLUM TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 33,41 1,113666 1,101999 1,101999145 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 27,55 0,918333 0,918333 0,918333146 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 34,30 1,143333 1,143333 1,143333147 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 0,336600 0,336600148 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 0,755599149 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 1,101999 1,101999150 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 1,101999 1,101999151 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 1,371999 1,371999152 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 1,371999 1,371999153 N02AX02 TRAMADOLUM TRALGIT 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 3,84 0,384000 0,336600 0,336600154 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 3,84 0,384000 0,336600 0,336600155 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE PRF 10 3,84 0,384000 0,336600 0,336600156 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 1,614720157 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 1,345600158 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 0,986000159 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 1,614720160 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 1,116000161 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 0,488200162 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 0,314400163 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 0,181200 0,181200164 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 0,181200 0,181200165 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3,02 0,151000 0,151000 0,151000166 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3,41 0,170500 0,170500 0,170500167 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 0,159500168 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 0,181200 0,181200169 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 13,507000170 V03AC03 DEFERASIROXUM*** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 787,57 28,127500 28,127500 28,127500171 V03AC03 DEFERASIROXUM*** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 1.631,03 58,251071 58,251071 58,251071172 V03AC03 DEFERASIROXUM*** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 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 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 0,1140003 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 2,1920004 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 0,1385005 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 13,5460006 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 0,137800

9. EPILEPSIE - G11

Pagina 13 din 44

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 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 0,2186668 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 0,270000 0,2700009 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 0,226200

10 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 0,22620011 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 11,31 0,226200 0,226200 0,22620012 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4,96 0,248000 0,248000 0,24800013 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 0,22500014 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 0,22620015 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 0,24800016 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 11,31 0,226200 0,226200 0,22620017 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 26,26 0,525200 0,525200 0,52520018 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 0,52550019 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 P6L 50 15,16 0,303200 0,303200 0,30320020 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 P6L 50 20,62 0,412400 0,412400 0,41240021 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 P6L 50 36,53 0,730600 0,730600 0,73060022 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 0,41360023 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 0,73180024 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 0,270000 0,27000025 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR. FILM. ELIB. PREL. 200mg S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 12,43 0,248600 0,248600 0,24860026 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 0,606480 0,60648027 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 25,27 0,505400 0,505400 0,50540028 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 400mg S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 25,27 0,505400 0,505400 0,50540029 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 0,24860030 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 22,51000031 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 1,29460032 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 2,36600033 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 17,52 0,350400 0,184920 0,18492034 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 26,76 0,535200 0,268680 0,26868035 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 0,184920 0,18492036 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 23,10 0,231000 0,231000 0,23100037 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 33,65 0,336500 0,336500 0,33650038 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-RF 30 16,06 0,535333 0,403800 0,40380039 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 34,40 0,344000 0,268680 0,26868040 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 15,41 0,154100 0,154100 0,15410041 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 0,26800042 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 22,39 0,223900 0,223900 0,22390043 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 21,57 0,431400 0,431400 0,43140044 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 35,24 0,704800 0,403800 0,40380046 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 19,24 19,240000 19,240000 19,24000047 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 17,77 17,770000 17,770000 17,77000048 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57,64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 LINGURITA DOZATOARE P-6L 1 17,77 17,770000 17,770000 17,77000049 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** 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 0,96200051 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 0,96133352 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 1,11664253 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 0,93053554 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 0,94133355 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 2,01100056 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 1,776964

Pagina 14 din 44

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 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 0,15279958 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 0,15279959 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 0,48033360 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 0,48066661 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 0,576213 0,57621362 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 0,48017863 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 0,96133364 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 0,12733365 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 0,56500066 N03AX09 LAMOTRIGINUM** LAMICTAL 2 mg COMPR. DISP./MAST. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST. P-6L 30 0,28 0,009333 0,009333 0,00933367 N03AX09 LAMOTRIGINUM** LAMICTAL 5 mg COMPR. DISP./MAST. 5mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. DISP./MAST. P-6L 30 0,76 0,025333 0,025333 0,02533368 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 1,173999 1,17399969 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 1,173999 1,17399970 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 69,19 1,153166 1,153166 1,15316671 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 52,46 1,748666 1,173999 1,17399972 N03AX11 TOPIRAMATUM** TORLEPTA 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 80,21 2,673666 1,173999 1,17399973 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 1,173999 1,17399974 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 1,173999 1,17399975 N03AX11 TOPIRAMATUM** TOPIRAMAT EGIS 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 133,79 2,229833 1,173999 1,17399976 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 1,173999 1,17399977 N03AX11 TOPIRAMATUM** TOPAMAX 100 mg COMPR. FILM. 100mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 40,80 1,457142 1,173999 1,17399978 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. P6L 30 29,35 0,978333 0,978333 0,97833379 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 5,18016680 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 5,30266681 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 5,16833382 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 0,451599 0,45159983 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 0,451599 0,45159984 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 25,42 0,423666 0,423666 0,42366685 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 20,83 0,694333 0,451599 0,45159986 N03AX11 TOPIRAMATUM** TORLEPTA 25 mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 26,67 0,889000 0,451599 0,45159987 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 0,451599 0,45159988 N03AX11 TOPIRAMATUM** TOPIRAMAT EGIS 25 mg COMPR. FILM. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 48,19 0,803166 0,451599 0,45159989 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 0,451599 0,45159990 N03AX11 TOPIRAMATUM** TOPAMAX 25 mg COMPR. FILM. 25mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 16,21 0,578928 0,451599 0,45159991 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. P6L 30 11,29 0,376333 0,376333 0,37633392 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 0,768399 0,76839993 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 0,768399 0,76839994 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 44,73 0,745500 0,745500 0,74550095 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 35,46 1,182000 0,768399 0,76839996 N03AX11 TOPIRAMATUM** TORLEPTA 50 mg COMPR. FILM. 50mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 44,81 1,493666 0,768399 0,76839997 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 0,768399 0,76839998 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 0,768399 0,76839999 N03AX11 TOPIRAMATUM** TOPIRAMAT EGIS 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PRF 60 74,80 1,246666 0,768399 0,768399100 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 0,768399 0,768399101 N03AX11 TOPIRAMATUM** TOPAMAX 50 mg COMPR. FILM. 50mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 27,58 0,985000 0,768399 0,768399102 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. P6L 30 19,21 0,640333 0,640333 0,640333103 N03AX12 GABAPENTINUM*** GABAPENTIN AUROBINDO 100 mg CAPS. 100 mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. DIIN POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L 50 7,20 0,144000 0,144000 0,144000104 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 0,172800 0,172800105 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 0,172800 0,172800106 N03AX12 GABAPENTINUM*** GABAPENTINA PFIZER 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L 50 22,54 0,450800 0,172800 0,172800

Pagina 15 din 44

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

107 N03AX12 GABAPENTINUM*** GABAPENTINA PFIZER 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100 43,63 0,436300 0,172800 0,172800108 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 23,56 0,392666 0,172800 0,172800109 N03AX12 GABAPENTINUM*** GABAPENTIN AUROBINDO 300 mg CAPS. 300 mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L 50 21,80 0,436000 0,436000 0,436000110 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 0,523200 0,523200111 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 0,523200 0,523200112 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 0,523200 0,523200113 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 0,523200 0,523200114 N03AX12 GABAPENTINUM*** GABAPENTINA PFIZER 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L 50 47,92 0,958400 0,523200 0,523200115 N03AX12 GABAPENTINUM*** GABAPENTINA PFIZER 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100 91,03 0,910300 0,523200 0,523200116 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 51,89 0,864833 0,523200 0,523200117 N03AX12 GABAPENTINUM*** GABAPENTIN AUROBINDO 400 mg CAPS. 400 mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L 50 28,81 0,576200 0,576200 0,576200118 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 0,691440 0,691440119 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 0,691440 0,691440120 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 0,691440 0,691440121 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 0,691440 0,691440122 N03AX12 GABAPENTINUM*** GABAPENTINA PFIZER 400 mg CAPS. 400mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L 50 64,12 1,282400 0,691440 0,691440123 N03AX12 GABAPENTINUM*** GABAPENTINA PFIZER 400 mg CAPS. 400mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100 121,79 1,217900 0,691440 0,691440124 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 64,86 1,081000 0,691440 0,691440125 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 2,173666126 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 2,061333127 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 3,474666128 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 3,289666129 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 30 114,07 3,802333 3,802333 3,802333130 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM G.L. PHARMA 1000 mg COMPR. FILM. 1000 mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 104,85 3,495000 3,495000 3,495000131 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 30 114,11 3,803666 3,803666 3,803666132 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 3,910800 3,910800133 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 3,910800 3,910800134 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 3,372666135 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 30 114,11 3,803666 3,803666 3,803666136 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TEVA 1000mg COMPR. FILM. 1000mg TEVA PHARMA OLANDA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF 30 114,11 3,803666 3,803666 3,803666137 N03AX14 LEVETIRACETAMUM** TRUND 1000 mg COMPR. FILM. 1000mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 60 216,42 3,607000 3,607000 3,607000138 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 30 108,21 3,607000 3,607000 3,607000139 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 3,352000140 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 3,910800 3,910800141 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. PRF 30 97,77 3,259000 3,259000 3,259000142 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 30 114,11 3,803666 3,803666 3,803666143 N03AX14 LEVETIRACETAMUM** NORMEG 1000 mg COMPR. FILM. 1000mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF 30 114,11 3,803666 3,803666 3,803666144 N03AX14 LEVETIRACETAMUM** VETIRA 1000 mg COMPR. FILM. 1000mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR. PRF 30 114,11 3,803666 3,803666 3,803666145 N03AX14 LEVETIRACETAMUM** LEVELANZ 1000 mg COMPR. FILM. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 106,51 3,803928 3,803928 3,803928146 N03AX14 LEVETIRACETAMUM** LEVELANZ 1000 mg COMPR. FILM. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 106,51 3,803928 3,803928 3,803928147 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM POLIPHARMA 1000mg COMPR. FILM. 1000mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM PRF 30 97,77 3,259000 3,259000 3,259000148 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 31,08 1,036000 0,886800 0,886800149 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 26,50 0,883333 0,883333 0,883333150 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM G.L. PHARMA 250 mg COMPR. FILM. 250 mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 29,23 0,974333 0,886800 0,886800151 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 30,82 1,027333 0,886800 0,886800152 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 0,886800 0,886800153 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 31,08 1,036000 0,886800 0,886800154 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 0,886800 0,886800155 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 31,06 1,035333 0,886800 0,886800156 N03AX14 LEVETIRACETAMUM** TRUND 250 mg COMPR. FILM. 250mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 60 53,20 0,886666 0,886666 0,886666

Pagina 16 din 44

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

157 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 30,09 1,003000 0,886800 0,886800158 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 22,17 0,739000 0,739000 0,739000159 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 31,08 1,036000 0,886800 0,886800160 N03AX14 LEVETIRACETAMUM** NORMEG 250 mg COMPR. FILM. 250mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF 30 31,08 1,036000 0,886800 0,886800161 N03AX14 LEVETIRACETAMUM** VETIRA 250 mg COMPR. FILM. 250mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR. PRF 30 31,08 1,036000 0,886800 0,886800162 N03AX14 LEVETIRACETAMUM** LEVELANZ 250 mg COMPR. FILM. 250mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 29,00 1,035714 0,886800 0,886800163 N03AX14 LEVETIRACETAMUM** LEVELANZ 250 mg COMPR. FILM. 250mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 29,00 1,035714 0,886800 0,886800164 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM POLIPHARMA 250mg COMPR. FILM. 250mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM PRF 30 30,09 1,003000 0,886800 0,886800165 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 56,89 1,896333 1,896333 1,896333166 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM G.L. PHARMA 500 mg COMPR. FILM. 500 mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 56,63 1,887666 1,887666 1,887666167 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 58,90 1,963333 1,896799 1,896799168 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 1,896799 1,896799169 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 1,896799 1,896799170 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 1,657666171 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 59,70 1,990000 1,896799 1,896799172 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMA OLANDA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF 30 59,67 1,989000 1,896799 1,896799173 N03AX14 LEVETIRACETAMUM** TRUND 500 mg COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF 60 113,40 1,890000 1,890000 1,890000174 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 56,71 1,890333 1,890333 1,890333175 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 1,668666176 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 1,896799 1,896799177 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 47,42 1,580666 1,580666 1,580666178 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 1,896799 1,896799179 N03AX14 LEVETIRACETAMUM** NORMEG 500 mg COMPR. FILM. 500mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF 30 59,67 1,989000 1,896799 1,896799180 N03AX14 LEVETIRACETAMUM** VETIRA 500 mg COMPR. FILM. 500mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR. PRF 30 59,64 1,988000 1,896799 1,896799181 N03AX14 LEVETIRACETAMUM** LEVELANZ 500 mg COMPR. FILM. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 55,72 1,990000 1,896799 1,896799182 N03AX14 LEVETIRACETAMUM** LEVELANZ 500 mg COMPR. FILM. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 55,72 1,990000 1,896799 1,896799183 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM POLIPHARMA 500mg COMPR. FILM. 500mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM PRF 30 47,42 1,580666 1,580666 1,580666184 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 78,51 2,617000 2,617000 2,617000185 N03AX14 LEVETIRACETAMUM** VETIRA 750 mg COMPR. FILM. 750mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR. PRF 30 85,68 2,856000 2,856000 2,856000186 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 94,20 3,140000 3,140000 3,140000187 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM POLIPHARMA 750mg COMPR. FILM. 750mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM PRF 30 78,51 2,617000 2,617000 2,617000188 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 3,910800 3,910800189 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 34,74 1,158000 0,886800 0,886800190 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 1,896799 1,896799191 N03AX14 LEVETIRACETAMUM** LEVETIRACETAM DESITIN 750 mg GRANULE ACOPERITE, IN PLIC UNIDOZA 750mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 60 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE PRF 60 188,00 3,133333 3,133333 3,133333192 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 1 114,11 114,110000 114,110000 114,110000193 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 136,836000 136,836000194 N03AX14 LEVETIRACETAMUM** TRUND 100 mg/ml SOL. ORALA 100mg/ml GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD PRF 1 114,03 114,030000 114,030000 114,030000195 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 1 114,11 114,110000 114,110000 114,110000196 N03AX14 LEVETIRACETAMUM** VETIRA 100 mg/ml SOL. ORALA 100mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 300 ML SOL. ORALA, + 1 SERINGA GRADATA (PP, PE) X 10 ML SI UN AD PRF 1 114,11 114,110000 114,110000 114,110000197 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 5,440000198 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 5,159107199 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 7,547678200 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 8,162857201 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 3,836428202 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 3,455714203 N03AX17 STIRIPENTOLUM** DIACOMIT 250mg CAPS. 250mg BIOCODEX FRANTA CUTIE X 1 FLAC. DIN PP X 60 CAPS. P-RF/R 60 776,40 12,940000 12,940000 12,940000204 N03AX17 STIRIPENTOLUM** DIACOMIT 500mg CAPS. 500mg BIOCODEX FRANTA CUTIE X 1 FLAC. DIN PP X 60 CAPS. P-RF/R 60 1.513,60 25,226666 25,226666 25,226666205 N03AX17 STIRIPENTOLUM** DIACOMIT 250mg PULB. PT. SUSP. ORALA 250mg BIOCODEX FRANTA CUTIE X 60 PLICURI HARTIE/AL/PE P-RF/R 60 776,40 12,940000 12,940000 12,940000206 N03AX17 STIRIPENTOLUM** DIACOMIT 500mg PULB. PT. SUSP. ORALA 500mg BIOCODEX FRANTA CUTIE X 60 PLICURI HARTIE/AL/PE P-RF/R 60 1.513,60 25,226666 25,226666 25,226666

Pagina 17 din 44

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

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 25,33 0,506600 0,506600 0,5066002 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 200mg/50mg COMPR. 200mg+50mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 23,59 0,786333 0,629199 0,6291995 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERAZIDE 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 0,5243336 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 0,6205007 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 0,7446008 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 489,2514289 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 4,144600

10 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. PRF 100 414,46 4,144600 4,144600 4,14460011 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 4,14460012 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 5,44890013 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 4,14460014 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. PRF 100 414,46 4,144600 4,144600 4,14460015 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 0,34140016 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 0,52900017 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 1,42466618 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 2 mg COMPR. CU ELIB. PREL. 2mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 COMPR. CU ELIB. PREL. P-RF 28 40,72 1,454285 1,454285 1,45428519 N04BC04 ROPINIROLUM** ROPINIROL LPH 2 mg COMPR. CU ELIB. PREL. 2mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 (4X7) COMPR. CU ELIB. PREL. PRF 28 39,89 1,424642 1,424642 1,42464220 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 2,70400021 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 4 mg COMPR. CU ELIB. PREL. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 COMPR. CU ELIB. PREL. P-RF 28 77,41 2,764642 2,764642 2,76464222 N04BC04 ROPINIROLUM** ROPINIROL LPH 4 mg COMPR. CU ELIB. PREL. 4mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 (4X7) COMPR. CU ELIB. PREL. PRF 28 75,71 2,703928 2,703928 2,70392823 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 5,12966624 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 8 mg COMPR. CU ELIB. PREL. 8mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 COMPR. CU ELIB. PREL. P-RF 28 134,78 4,813571 4,813571 4,81357125 N04BC04 ROPINIROLUM** ROPINIROL LPH 8 mg COMPR. CU ELIB. PREL. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 (4X7) COMPR. CU ELIB. PREL. PRF 28 143,63 5,129642 5,129642 5,12964226 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 1,42464227 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 2,70392828 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 5,12964229 N04BC04 ROPINIROLUM** ROPINIROL AUROBINDO 2 mg COMPR. ELIB. PREL. 2 mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL. PRF 28 36,96 1,320000 1,320000 1,32000030 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 1,42178531 N04BC04 ROPINIROLUM** NERVAMAT 2 mg COMPR. ELIB. PREL. 2mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL. PRF 28 39,89 1,424642 1,424642 1,42464232 N04BC04 ROPINIROLUM** ROPINIROL AUROBINDO 4 mg COMPR. ELIB. PREL. 4 mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL. PRF 28 67,67 2,416785 2,416785 2,41678533 N04BC04 ROPINIROLUM** NERVAMAT 4 mg COMPR. ELIB. PREL. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL. PRF 28 75,71 2,703928 2,703928 2,70392834 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 2,70071435 N04BC04 ROPINIROLUM** ROPINIROL AUROBINDO 8 mg COMPR. ELIB. PREL. 8 mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL. PRF 28 121,86 4,352142 4,352142 4,35214236 N04BC04 ROPINIROLUM** NERVAMAT 8 mg COMPR. ELIB. PREL. 8mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL. PRF 28 143,62 5,129285 5,129285 5,12928537 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 5,12678538 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 40,72 1,454285 1,454285 1,45428539 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 77,41 2,764642 2,764642 2,76464240 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 28 134,78 4,813571 4,813571 4,81357141 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 17,43 0,581000 0,581000 0,58100043 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL ZENTIVA 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 17,43 0,581000 0,581000 0,581000

Tratamentul se initiază de către medicul în specialitatea neurologie

Pagina 18 din 44

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

44 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,18 mg COMPR. 0,18mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 49,77 1,659000 0,594799 0,59479945 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 17,70 0,590000 0,590000 0,59000046 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 0,594799 0,59479947 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 0,594799 0,59479948 N04BC05 PRAMIPEXOLUM** MEDOPEXOL 0,18 mg COMPR. 0,18mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 27,83 0,927666 0,594799 0,59479949 N04BC05 PRAMIPEXOLUM** GLEPARK 0,18 mg COMPR. 0,18mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 14,88 0,496000 0,496000 0,49600050 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 0,594799 0,59479951 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 14,87 0,495666 0,495666 0,49566652 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 17,72 0,590666 0,590666 0,59066653 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 0,594799 0,59479954 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL AUROBINDO 0,18 mg COMPR. 0,18mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF 30 23,56 0,785333 0,594799 0,59479955 N04BC05 PRAMIPEXOLUM** MIGLASEN 0,18 mg COMPR. 0,18mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 14,87 0,495666 0,495666 0,49566656 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 1,63066657 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 60,97 2,032333 2,032333 2,03233358 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL AUROBINDO 0,7 mg COMPR. 0,7 mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF 30 83,51 2,783666 2,438799 2,43879959 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL ZENTIVA 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 60,97 2,032333 2,032333 2,03233360 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,7 mg COMPR. 0,7mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 167,86 5,595333 2,438799 2,43879961 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 73,16 2,438666 2,438666 2,43866662 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 2,438799 2,43879963 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 2,438799 2,43879964 N04BC05 PRAMIPEXOLUM** MEDOPEXOL 0,7 mg COMPR. 0,7mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 99,54 3,318000 2,438799 2,43879965 N04BC05 PRAMIPEXOLUM** GLEPARK 0,7 mg COMPR. 0,7mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 72,02 2,400666 2,400666 2,40066666 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 2,438799 2,43879967 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 72,03 2,401000 2,401000 2,40100068 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 73,14 2,438000 2,438000 2,43800069 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 2,438799 2,43879970 N04BC05 PRAMIPEXOLUM** MIGLASEN 0,7 mg COMPR. 0,7mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 72,03 2,401000 2,401000 2,40100071 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,26 mg COMPR. ELIB. PREL. 0,26mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 10 58,12 5,812000 3,875199 3,87519972 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,26mg COMPR. ELIB. PREL. 0,26mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 96,88 3,229333 3,229333 3,22933373 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,52 mg COMPR. ELIB. PREL. 0,52mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 314,07 10,469000 7,349199 7,34919974 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,52mg COMPR. ELIB. PREL. 0,52mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 183,73 6,124333 6,124333 6,12433375 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 1,05 mg COMPR. ELIB. PREL. 1,05mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 650,35 21,678333 16,393999 16,39399976 N04BC05 PRAMIPEXOLUM** OPRYMEA 1,05mg COMPR. ELIB. PREL. 1,05mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 409,85 13,661666 13,661666 13,66166677 N04BC05 PRAMIPEXOLUM** OPRYMEA 1,57mg COMPR. ELIB. PREL. 1,57mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 579,36 19,312000 19,312000 19,31200078 N04BC05 PRAMIPEXOLUM** OPRYMEA 2,10mg COMPR. ELIB. PREL. 2,10mg KRKA D.D. SLOVENIA CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA P-RF 30 748,86 24,962000 24,962000 24,96200079 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 2,1 mg COMPR. ELIB. PREL. 2,1mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1.229,85 40,995000 29,954400 29,95440080 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 3,15 mg COMPR. ELIB. PREL. 3,15mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF 30 1.809,33 60,311000 60,311000 60,31100081 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 13,12464282 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 14,02142883 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 14,52142884 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 13,65392885 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 17,05607186 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 18,22428587 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 20,40750088 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 22,02571489 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 0,72620090 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 0,70370091 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 17,45300092 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 3,087999 3,08799993 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 3,087999 3,087999

Pagina 19 din 44

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

94 N04BX02 ENTACAPONUM*** ENTACAPONE TEVA COMPR. FILM. 200mg TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. FILM PRF 100 257,35 2,573500 2,573500 2,57350095 N04BX02 ENTACAPONUM*** ENCAPIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 81,41 2,713666 2,713666 2,71366696 N04BX02 ENTACAPONUM*** ENCAPIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PRF 60 154,40 2,573333 2,573333 2,57333397 N04BX02 ENTACAPONUM*** ENCAPIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. PRF 100 257,35 2,573500 2,573500 2,57350098 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 2,13580099 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 0,104799 0,1047992 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 PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3,71 0,123666 0,104799 0,1047994 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 0,104799 0,1047995 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 10mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10COMPR. P6L 10 28,81 2,881000 2,881000 2,8810006 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 2,5mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X30 COMPRIMATE P6L 30 21,62 0,720666 0,720666 0,7206667 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 1 400,81 400,810000 400,810000 400,8100008 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 5 241,07 48,214000 48,214000 48,2140009 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 89,66 89,660000 89,660000 89,660000

10 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 23,82 2,382000 2,382000 2,38200011 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 78,67 78,670000 78,670000 78,67000012 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 59,64 59,640000 59,640000 59,64000013 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 1 122,50 122,500000 122,500000 122,50000014 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 1 110,09 110,090000 110,090000 110,09000015 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 1 124,21 124,210000 124,210000 124,21000016 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 78,67 78,670000 78,670000 78,67000017 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 74,80 74,800000 71,568000 71,56800018 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 1 109,54 109,540000 109,540000 109,54000019 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,702100 0,70210020 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 MEDA AB SUEDIA CUTIE X 1 FLAC. X 20 DRAJ. S/P-RF 20 12,33 0,616500 0,616500 0,616500

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 1,4825003 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8,81 8,810000 8,810000 8,8100004 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 31,02 31,020000 31,020000 31,0200005 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF 1 20,48 20,480000 20,480000 20,4800006 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 0,104799 0,1047997 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 PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3,71 0,123666 0,104799 0,1047999 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 0,104799 0,104799

10 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 10mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10COMPR. P6L 10 28,81 2,881000 2,881000 2,881000

11. MIASTENIA GRAVIS - G13

Pagina 20 din 44

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 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 2,5mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X30 COMPRIMATE P6L 30 21,62 0,720666 0,720666 0,72066612 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 1 400,81 400,810000 400,810000 400,81000013 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 5 241,07 48,214000 48,214000 48,21400014 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 89,66 89,660000 89,660000 89,66000015 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 23,82 2,382000 2,382000 2,38200016 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 78,67 78,670000 78,670000 78,67000017 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 59,64 59,640000 59,640000 59,64000018 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 1 122,50 122,500000 122,500000 122,50000019 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 1 110,09 110,090000 110,090000 110,09000020 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 1 124,21 124,210000 124,210000 124,21000021 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 78,67 78,670000 78,670000 78,67000022 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 74,80 74,800000 71,568000 71,56800023 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 1 109,54 109,540000 109,540000 109,54000024 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 643,62000025 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,702100 0,70210026 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 17,52 0,350400 0,184920 0,1849202 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 26,76 0,535200 0,268680 0,2686803 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 0,184920 0,1849204 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 23,10 0,231000 0,231000 0,2310005 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 33,65 0,336500 0,336500 0,3365006 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-RF 30 16,06 0,535333 0,403800 0,4038007 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 34,40 0,344000 0,268680 0,2686808 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 15,41 0,154100 0,154100 0,1541009 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 22,39 0,223900 0,223900 0,22390011 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 21,57 0,431400 0,431400 0,43140012 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 1,89840013 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 35,24 0,704800 0,403800 0,40380014 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 19,24 19,240000 19,240000 19,24000015 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 17,77 17,770000 17,770000 17,77000016 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57,64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 LINGURITA DOZATOARE P-6L 1 17,77 17,770000 17,770000 17,77000017 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 0,96200018 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 0,96200019 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 0,96133320 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 1,11664221 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 0,93053522 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 0,94133323 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 2,01100024 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 1,77696425 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 0,15279926 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 0,152799

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

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

Pagina 21 din 44

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 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 0,48033328 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 0,48066629 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 0,576213 0,57621330 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 0,48017831 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 0,96133332 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 0,12733333 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 0,56500034 N03AX09 LAMOTRIGINUM** LAMICTAL 2 mg COMPR. DISP./MAST. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST. P-6L 30 0,28 0,009333 0,009333 0,00933335 N03AX09 LAMOTRIGINUM** LAMICTAL 5 mg COMPR. DISP./MAST. 5mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. DISP./MAST. P-6L 30 0,76 0,025333 0,025333 0,02533336 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 25,33 0,506600 0,506600 0,50660037 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 0,16200038 N05AD01 HALOPERIDOLUM HALOPERIDOL ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF 30 7,72 0,257333 0,257333 0,25733339 N05AD01 HALOPERIDOLUM HALOPERIDOL ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF 30 10,80 0,360000 0,360000 0,36000040 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 0,71760041 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 4,31000042 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 6,66000043 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 8,90400044 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 2,49600045 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 17,31321446 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 4,26200047 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 5,82379948 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 4,94857149 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 4,85316650 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 7,16779951 N05AE04 ZIPRASIDONUM** ZIXADOX 60 mg CAPS. 60mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS. P-RF 56 354,75 6,334821 6,334821 6,33482152 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 5,97316653 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 7,72939954 N05AE04 ZIPRASIDONUM** ZIXADOX 80 mg CAPS. 80mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS. P-RF 56 403,81 7,210892 7,210892 7,21089255 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 6,44116656 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 64,19000057 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 7,18100058 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER P-RF 50 18,98 0,379600 0,379600 0,37960059 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL 25 mg COMPR. FILM. 25mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER P-RF 50 28,40 0,568000 0,568000 0,56800060 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 32,70000061 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 15,78200062 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 9,29800063 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 2,13580064 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 0,67300065 N05AH03 OLANZAPINUM** ZALASTA 10mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF 28 27,89 0,996071 0,996000 0,99600066 N05AH03 OLANZAPINUM** OLAZAX 10 mg COMPR. 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. P-RF 28 27,80 0,992857 0,992857 0,99285767 N05AH03 OLANZAPINUM** OLANZAPINA AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL/PVC/AL X 28 COMPR. PRF 28 27,89 0,996071 0,996000 0,99600068 N05AH03 OLANZAPINUM** OLANZAPINA AUROBINDO 15 mg COMPR. 15mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL/PVC/AL X 28 COMPR. PRF 28 191,36 6,834285 6,541285 6,54128569 N05AH03 OLANZAPINUM** OLANZAPINA AUROBINDO 20 mg COMPR. 20mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL/PVC/AL X 28 COMPR. PRF 28 241,96 8,641428 5,978570 5,97857070 N05AH03 OLANZAPINUM** ZALASTA 5mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF 28 14,96 0,534285 0,534285 0,53428571 N05AH03 OLANZAPINUM** OLAZAX 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. P-RF 28 14,96 0,534285 0,534285 0,53428572 N05AH03 OLANZAPINUM** OLANZAPINA AUROBINDO 5 mg COMPR. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL/PVC/AL X 28 COMPR. PRF 28 14,96 0,534285 0,534285 0,53428573 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 0,996000 0,99600074 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 0,996000 0,99600075 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 0,996000 0,99600076 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 0,996000 0,996000

Pagina 22 din 44

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

77 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 29,74 0,991333 0,991333 0,99133378 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 23,24 0,830000 0,830000 0,83000079 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 0,996000 0,99600080 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 0,996000 0,99600081 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 0,996000 0,99600082 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 0,996000 0,99600083 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 0,996000 0,99600084 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 0,996000 0,99600085 N05AH03 OLANZAPINUM** OLANZAPINA POLIPHARMA 10 mg COMPR. FILM. 10mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 23,24 0,830000 0,830000 0,83000086 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 6,541285 6,54128587 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 6,541285 6,54128588 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 6,541285 6,54128589 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 6,12928590 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 6,541285 6,54128591 N05AH03 OLANZAPINUM** OLANZAPINA POLIPHARMA 15 mg COMPR. FILM. 15mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 171,61 6,128928 6,128928 6,12892892 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 1,34214293 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 5,978570 5,97857094 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 5,978570 5,97857095 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 5,978570 5,97857096 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 5,978570 5,97857097 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 5,978570 5,97857098 N05AH03 OLANZAPINUM** OLANZAPINA POLIPHARMA 20 mg COMPR. FILM. 20mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 228,83 8,172500 5,978570 5,97857099 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 0,534428 0,534428100 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 0,534428 0,534428101 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 0,534428 0,534428102 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 0,534428 0,534428103 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 16,02 0,534000 0,534000 0,534000104 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 12,47 0,445357 0,445357 0,445357105 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 0,534428 0,534428106 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 0,534428 0,534428107 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 0,534428 0,534428108 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 0,534428 0,534428109 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 0,534428 0,534428110 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 0,534428 0,534428111 N05AH03 OLANZAPINUM** OLANZAPINA POLIPHARMA 5 mg COMPR. FILM. 5mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF 28 12,47 0,445357 0,445357 0,445357112 N05AH03 OLANZAPINUM** OLANZAPINA ACCORD 7,5 mg COMPR. FILM. 7,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF 28 107,05 3,823214 3,823214 3,823214113 N05AH03 OLANZAPINUM** OLANZAPINA POLPHARMA 10 mg COMPR. ORODISPERSABILE 10 mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 28 COMPR. ORODISP. PRF 28 131,30 4,689285 0,996000 0,996000114 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 0,996000 0,996000115 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 27,89 0,996071 0,996000 0,996000116 N05AH03 OLANZAPINUM** OLANZAPINE TEVA 10mg COMPR. ORODISPERSABILE 10mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. ORODISP. P-RF 30 29,88 0,996000 0,996000 0,996000117 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 10 mg COMPR. ORODISPERSABILE 10mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 134,53 4,804642 0,996000 0,996000118 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 10 mg COMPR. ORODISPERSABILE 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 27,80 0,992857 0,992857 0,992857119 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 0,996000 0,996000120 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 0,996000 0,996000121 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 27,87 0,995357 0,995357 0,995357122 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 0,996000 0,996000123 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 0,996000 0,996000124 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 27,73 0,990357 0,990357 0,990357125 N05AH03 OLANZAPINUM** AEDON 10 mg COMPR. ORODISPERSABILE 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE P-RF 30 60,67 2,022333 0,996000 0,996000126 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 27,87 0,995357 0,995357 0,995357

Pagina 23 din 44

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

127 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 0,996000 0,996000128 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 28 171,22 6,115000 0,996000 0,996000129 N05AH03 OLANZAPINUM** ZOLASWIFT 10 mg COMPR. ORODISPERSABILE 10mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE PRF 28 121,63 4,343928 0,996000 0,996000130 N05AH03 OLANZAPINUM** WRANELON 10 mg COMPR. ORODISPERSABILE 10mg GALENICA S.A. GRECIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE PRF 28 27,89 0,996071 0,996000 0,996000131 N05AH03 OLANZAPINUM** OLANZAPINA POLPHARMA 15 mg COMPR. ORODISPERSABILE 15 mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 28 COMPR. ORODISP. PRF 28 195,54 6,983571 6,541285 6,541285132 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 6,541285 6,541285133 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 28 183,12 6,540000 6,540000 6,540000134 N05AH03 OLANZAPINUM** OLANZAPINE TEVA 15mg COMPR. ORODISPERSABILE 15mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. ORODISP. P-RF 30 196,25 6,541666 6,541285 6,541285135 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 15 mg COMPR. ORODISPERSABILE 15mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 203,82 7,279285 6,541285 6,541285136 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 15 mg COMPR. ORODISPERSABILE 15mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 183,16 6,541428 6,541285 6,541285137 N05AH03 OLANZAPINUM** LAPOZAN 15 mg COMPR. ORODISPERSABILE 15mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF 30 200,22 6,674000 6,541285 6,541285138 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 28 170,10 6,075000 6,075000 6,075000139 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 6,541285 6,541285140 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 6,129285141 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 28 161,15 5,755357 5,755357 5,755357142 N05AH03 OLANZAPINUM** AEDON 15 mg COMPR. ORODISPERSABILE 15mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE P-RF 30 163,54 5,451333 5,451333 5,451333143 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 28 201,43 7,193928 6,541285 6,541285144 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 6,541285 6,541285145 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 28 183,17 6,541785 6,541285 6,541285146 N05AH03 OLANZAPINUM** ZOLASWIFT 15 mg COMPR. ORODISPERSABILE 15mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE PRF 28 205,94 7,355000 6,541285 6,541285147 N05AH03 OLANZAPINUM** WRANELON 15 mg COMPR. ORODISPERSABILE 15mg GALENICA S.A. GRECIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE PRF 28 152,63 5,451071 5,451071 5,451071148 N05AH03 OLANZAPINUM** OLANZAPINA POLPHARMA 20 mg COMPR. ORODISPERSABILE 20 mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 28 COMPR. ORODISP. PRF 28 262,48 9,374285 5,978570 5,978570149 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 5,978570 5,978570150 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 28 167,93 5,997500 5,978570 5,978570151 N05AH03 OLANZAPINUM** OLANZAPINE TEVA 20mg COMPR. ORODISPERSABILE 20mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. ORODISP. P-RF 30 179,92 5,997333 5,978570 5,978570152 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 20 mg COMPR. ORODISPERSABILE 20mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 271,77 9,706071 5,978570 5,978570153 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 20 mg COMPR. ORODISPERSABILE 20mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 167,91 5,996785 5,978570 5,978570154 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 28 139,94 4,997857 4,997857 4,997857155 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 5,978570 5,978570156 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 5,978570 5,978570157 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 28 161,15 5,755357 5,755357 5,755357158 N05AH03 OLANZAPINUM** AEDON 20 mg COMPR. ORODISPERSABILE 20mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE P-RF 30 179,91 5,997000 5,978570 5,978570159 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 28 167,93 5,997500 5,978570 5,978570160 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 5,978570 5,978570161 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 28 168,26 6,009285 5,978570 5,978570162 N05AH03 OLANZAPINUM** ZOLASWIFT 20 mg COMPR. ORODISPERSABILE 20mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE PRF 28 274,59 9,806785 5,978570 5,978570163 N05AH03 OLANZAPINUM** WRANELON 20 mg COMPR. ORODISPERSABILE 20mg GALENICA S.A. GRECIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE PRF 28 139,50 4,982142 4,982142 4,982142164 N05AH03 OLANZAPINUM** OLANZAPINA POLPHARMA 5 mg COMPR. ORODISPERSABILE 5 mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 28 COMPR. ORODISP. PRF 28 67,78 2,420714 0,534428 0,534428165 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 0,534428 0,534428166 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 14,96 0,534285 0,534285 0,534285167 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 16,02 0,534000 0,534000 0,534000168 N05AH03 OLANZAPINUM** OLANZAPINA TERAPIA 5 mg COMPR. ORODISPERSABILE 5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 73,57 2,627500 0,534428 0,534428169 N05AH03 OLANZAPINUM** OLAZAX DISPERZI 5 mg COMPR. ORODISPERSABILE 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF 28 14,96 0,534285 0,534285 0,534285170 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 0,534428 0,534428171 N05AH03 OLANZAPINUM** LAPOZAN 5 mg COMPR. ORODISPERSABILE 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE P-RF 50 126,00 2,520000 0,534428 0,534428172 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 0,534428 0,534428173 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 0,534428 0,534428174 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 14,95 0,533928 0,533928 0,533928175 N05AH03 OLANZAPINUM** AEDON 5 mg COMPR. ORODISPERSABILE 5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE P-RF 30 19,18 0,639333 0,534428 0,534428176 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 14,96 0,534285 0,534285 0,534285

Pagina 24 din 44

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

177 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 0,534428 0,534428178 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 28 120,37 4,298928 0,534428 0,534428179 N05AH03 OLANZAPINUM** ZOLASWIFT 5 mg COMPR. ORODISPERSABILE 5mg CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (2X14) COMPR. ORODISPERSABILE PRF 28 61,24 2,187142 0,534428 0,534428180 N05AH03 OLANZAPINUM** WRANELON 5 mg COMPR. ORODISPERSABILE 5mg GALENICA S.A. GRECIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (2X14) COMPR. ORODISPERSABILE PRF 28 14,96 0,534285 0,534285 0,534285181 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 893,610000182 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 1379,830000 1379,830000 1379,830000183 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 1716,380000 1716,380000 1716,380000184 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 19,950000185 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 7,408333186 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 0,867799 0,867799187 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 63,13 1,052166 0,867799 0,867799188 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 43,39 0,723166 0,723166 0,723166189 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 0,867799 0,867799190 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 50,70 0,845000 0,845000 0,845000191 N05AH04 QUETIAPINUM** QUETROP 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 60 84,46 1,407666 0,867799 0,867799192 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 0,867799 0,867799193 N05AH04 QUETIAPINUM** Q MIND 100 mg COMPR. FILM. 100mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 50,70 0,845000 0,845000 0,845000194 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 0,867799 0,867799195 N05AH04 QUETIAPINUM** KATHIRA 100 mg COMPR. FILM. 100mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 52,05 0,867500 0,867500 0,867500196 N05AH04 QUETIAPINUM** KATHIRA 100 mg COMPR. FILM. 100mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 52,05 0,867500 0,867500 0,867500197 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 71,93 1,198833 1,198833 1,198833198 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 1,438599 1,438599199 N05AH04 QUETIAPINUM** KATHIRA 150 mg COMPR. FILM. 150mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 86,31 1,438500 1,438500 1,438500200 N05AH04 QUETIAPINUM** KATHIRA 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 86,31 1,438500 1,438500 1,438500201 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 0,903600 0,903600202 N05AH04 QUETIAPINUM** QUETIAPINE TEVA 200 mg COMPR. FILM. 200mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-ACLAR/AL X 60 COMPR. FILM. P-RF/S 60 45,18 0,753000 0,753000 0,753000203 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 71,93 1,198833 0,903600 0,903600204 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 0,903600 0,903600205 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 53,68 0,894666 0,894666 0,894666206 N05AH04 QUETIAPINUM** QUETROP 200 mg COMPR. FILM. 200mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 60 108,59 1,809833 0,903600 0,903600207 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 0,903600 0,903600208 N05AH04 QUETIAPINUM** Q MIND 200 mg COMPR. FILM. 200mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 84,97 1,416166 0,903600 0,903600209 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 0,903600 0,903600210 N05AH04 QUETIAPINUM** KATHIRA 200 mg COMPR. FILM. 200mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 86,31 1,438500 0,903600 0,903600211 N05AH04 QUETIAPINUM** KATHIRA 200 mg COMPR. FILM. 200mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 86,31 1,438500 0,903600 0,903600212 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 0,566666213 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 0,679999 0,679999214 N05AH04 QUETIAPINUM** KATHIRA 25 mg COMPR. FILM. 25mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 34,00 0,566666 0,566666 0,566666215 N05AH04 QUETIAPINUM** KATHIRA 25 mg COMPR. FILM. 25mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 34,00 0,566666 0,566666 0,566666216 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 1,485199 1,485199217 N05AH04 QUETIAPINUM** QUETIAPINE TEVA 300 mg COMPR. FILM. 300mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-ACLAR/AL X 60 COMPR. FILM. P-RF/S 60 74,26 1,237666 1,237666 1,237666218 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 94,31 1,571833 1,485199 1,485199219 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 1,485199 1,485199220 N05AH04 QUETIAPINUM** QUETROP 300 mg COMPR. FILM. 300mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 60 156,27 2,604500 1,485199 1,485199221 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 1,485199 1,485199222 N05AH04 QUETIAPINUM** Q MIND 300 mg COMPR. FILM. 300mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 104,79 1,746500 1,485199 1,485199223 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 1,485199 1,485199224 N05AH04 QUETIAPINUM** KATHIRA 300 mg COMPR. FILM. 300mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 113,16 1,886000 1,485199 1,485199225 N05AH04 QUETIAPINUM** KATHIRA 300 mg COMPR. FILM. 300mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM. PRF 60 113,16 1,886000 1,485199 1,485199226 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 7,408333

Pagina 25 din 44

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

227 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 9,601666228 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 12,386166229 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 3,867333230 N05AL01 SULPIRIDUM EGLONYL (R) 50 mg CAPS. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 7,94 0,264666 0,264666 0,264666231 N05AL01 SULPIRIDUM EGLONYL (R) 200 mg COMPR. 200mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 1 BLIST. X 12 COMPR. P-RF 12 8,07 0,672500 0,672500 0,672500232 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 49,82 1,660666 1,660666 1,660666233 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 49,82 1,660666 1,660666 1,660666234 N05AL05 AMISULPRIDUM** MIDORA 200 mg COMPR. 200mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF 30 59,64 1,988000 1,988000 1,988000235 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 72,80 2,426666 1,992799 1,992799236 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 30 107,23 3,574333 3,574333 3,574333237 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 0,417600238 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 0,410333239 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 0,417600240 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 0,400333241 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 0,417600242 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 0,348000243 N05AX08 RISPERIDONUM** RISPERIDONA ARENA 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 7,40 0,370000 0,370000 0,370000244 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 0,914600 0,914600245 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 0,933999 0,933999246 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 0,778333247 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 0,857500248 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 26,19 0,873000 0,873000 0,873000249 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 0,890000250 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 0,810500251 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 0,880000252 N05AX08 RISPERIDONUM** RISPERIDONA ARENA 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 16,18 0,809000 0,809000 0,809000253 N05AX08 RISPERIDONUM** RILEPTID 3 mg COMPR. FILM. 3mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 145,26 2,421000 1,384800 1,384800254 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 1,154000255 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 1,258000256 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 1,372000257 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 41,45 1,381666 1,381666 1,381666258 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 1,375500259 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 1,246500260 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 1,326400261 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 1,375000262 N05AX08 RISPERIDONUM** RISPERIDONA ARENA 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 26,19 1,309500 1,309500 1,309500263 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 1,737400264 N05AX08 RISPERIDONUM** RILEPTID 4 mg COMPR. FILM. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 194,33 3,238833 1,904400 1,904400265 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 1,587000266 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 1,680166267 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 1,870500268 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 56,66 1,888666 1,888666 1,888666269 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 1,848500270 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 1,667000271 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 34,94 1,747000 1,747000 1,747000272 N05AX08 RISPERIDONUM** RISPERIDONA ARENA 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 33,25 1,662500 1,662500 1,662500273 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 0,411333274 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 0,417600275 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 0,895333276 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 0,895333

Pagina 26 din 44

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

277 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 1,384800278 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 424,250000279 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-UMPLUTA DIN STICLA INCOLORA CU 2 ML SOLVENT, UN DISPOZITIV ALARIS™ SMARTSITE +2 ACE PENTRU INJECTARE I.M. ÎN MUSCHIUL DELTOID SI IN MUSCHIUL GLUTEAL S/P-RF 1 424,25 424,250000 424,250000 424,250000280 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 597,430000281 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-UMPLUTA DIN STICLA INCOLORA CU 2 ML SOLVENT, UN DISPOZITIV ALARIS™ SMARTSITE +2 ACE PENTRU INJECTARE I.M. ÎN MUSCHIUL DELTOID SI IN MUSCHIUL GLUTEAL S/P-RF 1 597,43 597,430000 597,430000 597,430000282 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 719,030000283 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-UMPLUTA DIN STICLA INCOLORA CU 2 ML SOLVENT, UN DISPOZITIV ALARIS™ SMARTSITE +2 ACE PENTRU INJECTARE I.M. ÎN MUSCHIUL DELTOID SI IN MUSCHIUL GLUTEAL S/P-RF 1 719,03 719,030000 719,030000 719,030000284 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 52,140000285 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 156,630000286 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 28 421,87 15,066785 15,066785 15,066785287 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 28 416,40 14,871428 14,871428 14,871428288 N05AX12 ARIPIPRAZOLUM** ABILIFY MAINTENA 400mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 400mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE CU UN FL.X 400 MG PULB., UN FL. DE 2 ML CU SOLV., O SERINGA LUER-LOCK DE 3 ML CU AC HIPODERMIC PRF 1 1.554,70 1554,700000 1554,700000 1554,700000289 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 19,95 19,950000 19,950000 19,950000290 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 0,237333291 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 0,264285292 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 0,459428293 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 0,382857294 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 1,199642295 N06AB10 ESCITALOPRAMUM** DESPRA 10 mg COMPR. FILM. 10 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 21,00 0,750000 0,750000 0,750000296 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 0,900000 0,900000297 N06AB10 ESCITALOPRAMUM** ESCITIL 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 25,01 0,893214 0,893214 0,893214298 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM-TEVA 10 mg COMPR. FILM. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 22,51 0,750333 0,750333 0,750333299 N06AB10 ESCITALOPRAMUM** LENUXIN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 27,57 0,984642 0,900000 0,900000300 N06AB10 ESCITALOPRAMUM** ESLOREX 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 22,57 0,752333 0,752333 0,752333301 N06AB10 ESCITALOPRAMUM** SERODEPS 10mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF 28 21,06 0,752142 0,752142 0,752142302 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM TORRENT 10 mg COMPR. FILM. 10mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM. PRF 28 32,82 1,172142 0,900000 0,900000303 N06AB10 ESCITALOPRAMUM** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 14 24,13 1,723571 0,900000 0,900000304 N06AB10 ESCITALOPRAMUM** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 46,70 1,667857 0,900000 0,900000305 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF 28 21,00 0,750000 0,750000 0,750000306 N06AB10 ESCITALOPRAMUM** ELICEA 10 mg COMPR. FILM. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 22,57 0,752333 0,752333 0,752333307 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM-TEVA 15 mg COMPR. FILM. 15mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 33,77 1,125666 1,125666 1,125666308 N06AB10 ESCITALOPRAMUM** ELICEA 15 mg COMPR. FILM. 15mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 39,57 1,319000 1,319000 1,319000309 N06AB10 ESCITALOPRAMUM** DESPRA 20 mg COMPR. FILM. 20 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 42,62 1,522142 1,522142 1,522142310 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM-TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 43,57 1,452333 1,452333 1,452333311 N06AB10 ESCITALOPRAMUM** SERODEPS 20mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF 28 36,70 1,310714 1,310714 1,310714312 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM TORRENT 20 mg COMPR. FILM. 20mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM. PRF 28 63,52 2,268571 1,572856 1,572856313 N06AB10 ESCITALOPRAMUM** ESCITALOPRAM ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF 28 42,56 1,520000 1,520000 1,520000314 N06AB10 ESCITALOPRAMUM** ELICEA 20 mg COMPR. FILM. 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 45,60 1,520000 1,520000 1,520000315 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 10 mg COMPR. ORODISPERSABILE 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF 28 21,06 0,752142 0,752142 0,752142316 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 10 mg COMPR. ORODISPERSABILE 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE PRF 28 21,06 0,752142 0,752142 0,752142317 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 15 mg COMPR. ORODISPERSABILE 15mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE PRF 28 36,95 1,319642 1,319642 1,319642318 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 15 mg COMPR. ORODISPERSABILE 15mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF 28 36,95 1,319642 1,319642 1,319642319 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 20 mg COMPR. ORODISPERSABILE 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE PRF 28 42,56 1,520000 1,520000 1,520000320 N06AB10 ESCITALOPRAMUM** ELICEA Q-TAB 20 mg COMPR. ORODISPERSABILE 20mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF 28 42,56 1,520000 1,520000 1,520000321 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 1,247500322 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF 60 63,31 1,055166 1,055166 1,055166323 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 0,623666324 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 0,623666325 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 0,755000326 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 0,706000

Pagina 27 din 44

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

327 N06AX14 TIANEPTINUM** NOBIXAL 12,5 mg COMPR. FILM. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF 30 22,65 0,755000 0,755000 0,755000328 N06AX14 TIANEPTINUM** NOBIXAL 12,5 mg COMPR. FILM. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. PRF 30 22,65 0,755000 0,755000 0,755000329 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 0,847200330 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 23,22 0,829285 0,829285 0,829285331 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 0,829599 0,829599332 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 0,829599 0,829599333 N06AX16 VENLAFAXINUM** IVRYX 150mg CAPS. ELIB. PREL. 150 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 23,22 0,829285 0,829285 0,829285334 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 0,829599 0,829599335 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 40,87 1,362333 0,829599 0,829599336 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 0,829599 0,829599337 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 40,87 1,362333 0,829599 0,829599338 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 23,11 0,825357 0,825357 0,825357339 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 0,829599 0,829599340 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 40,87 1,362333 0,829599 0,829599341 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 40,87 1,362333 0,829599 0,829599342 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 17,24 0,574666 0,574666 0,574666343 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 0,689599 0,689599344 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 17,89 0,638928 0,638928 0,638928345 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 0,639199 0,639199346 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. PRF 30 25,61 0,853666 0,639199 0,639199347 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 17,89 0,638928 0,638928 0,638928348 N06AX16 VENLAFAXINUM** IVRYX 75mg CAPS. ELIB. PREL. 75 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 17,89 0,638928 0,638928 0,638928349 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 0,639199 0,639199350 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 25,59 0,853000 0,639199 0,639199351 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 19,15 0,638333 0,638333 0,638333352 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 25,61 0,853666 0,639199 0,639199353 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 17,72 0,632857 0,632857 0,632857354 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 0,639199 0,639199355 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 25,61 0,853666 0,639199 0,639199356 N06AX16 VENLAFAXINUM** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 25,61 0,853666 0,639199 0,639199357 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 0,689599 0,689599358 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 0,816666359 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 0,639199 0,639199360 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 20,74 0,691333 0,691333 0,691333361 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 15,98 0,532666 0,532666 0,532666362 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 1,277142363 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 2,093928364 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 3,763928365 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 52,19 1,863928 1,863928 1,8639282 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 2,075570 2,0755703 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 64,72 2,157333 2,075570 2,0755704 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 64,72 2,157333 2,075570 2,0755705 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 65,30 2,176666 2,075570 2,075570

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

Pagina 28 din 44

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

6 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 62,61 2,236071 2,075570 2,0755707 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 2,075570 2,0755708 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 2,075570 2,0755709 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 2,075570 2,075570

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 2,075570 2,07557011 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 61,14 2,183571 2,075570 2,07557012 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 2,075570 2,07557013 N06DA02 DONEPEZILUM*** COGNEZIL 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 28 48,43 1,729642 1,729642 1,72964214 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 57,17 2,041785 2,041785 2,04178515 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-RF 50 96,95 1,939000 1,939000 1,93900016 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. P-RF 56 108,57 1,938750 1,938750 1,93875017 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 116,33 1,938833 1,938833 1,93883318 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 98 COMPR. FILM. P-RF 98 180,19 1,838673 1,838673 1,83867319 N06DA02 DONEPEZILUM*** DOSPELIN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-RF 100 183,87 1,838700 1,838700 1,83870020 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 54,62 1,820666 1,820666 1,82066621 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 64,86 2,316428 2,075570 2,07557022 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 37,28 1,331428 1,331428 1,33142823 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 1,487570 1,48757024 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 47,72 1,590666 1,487570 1,48757025 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 47,72 1,590666 1,487570 1,48757026 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 45,18 1,506000 1,487570 1,48757027 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 1,487570 1,48757028 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 1,487570 1,48757029 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 1,487570 1,48757030 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 41,75 1,491071 1,487570 1,48757031 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 1,487570 1,48757032 N06DA02 DONEPEZILUM*** COGNEZIL 5 mg COMPR. FILM. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 28 34,71 1,239642 1,239642 1,23964233 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 41,29 1,474642 1,474642 1,47464234 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-RF 50 71,26 1,425200 1,425200 1,42520035 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. P-RF 56 78,43 1,400535 1,400535 1,40053536 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF 60 84,02 1,400333 1,400333 1,40033337 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 98 COMPR. FILM. P-RF 98 132,50 1,352040 1,352040 1,35204038 N06DA02 DONEPEZILUM*** DOSPELIN 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-RF 100 135,21 1,352100 1,352100 1,35210039 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 37,78 1,259333 1,259333 1,25933340 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 47,94 1,712142 1,487570 1,48757041 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 52,19 1,863928 1,863928 1,86392842 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 2,075570 2,07557043 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 2,075570 2,07557044 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 62,61 2,236071 2,075570 2,07557045 N06DA02 DONEPEZILUM*** DONEPEZIL STADA HEMOFARM 10 mg COMPR. ORODISPERSABILE 10mg STADA HEMOFARM SRL ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ORODISPERSABILE PRF 28 238,90 8,532142 2,075570 2,07557046 N06DA02 DONEPEZILUM*** DONEPEZIL STADA HEMOFARM 10 mg COMPR. ORODISPERSABILE 10mg STADA HEMOFARM SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE PRF 28 238,90 8,532142 2,075570 2,07557047 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 37,28 1,331428 1,331428 1,33142848 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 1,487570 1,48757049 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 1,487570 1,48757050 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 44,72 1,597142 1,487570 1,48757051 N06DA02 DONEPEZILUM*** DONEPEZIL STADA HEMOFARM 5 mg COMPR. ORODISPERSABILE 5mg STADA HEMOFARM SRL ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ORODISPERSABILE PRF 28 125,98 4,499285 1,487570 1,48757052 N06DA02 DONEPEZILUM*** DONEPEZIL STADA HEMOFARM 5 mg COMPR. ORODISPERSABILE 5mg STADA HEMOFARM SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE PRF 28 125,98 4,499285 1,487570 1,48757053 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 1,369500 1,36950054 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 1,26321455 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 1,141250

Pagina 29 din 44

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

56 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 1,29267857 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 1,35321458 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 2,78607159 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 2,68714260 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 2,39250061 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 2,32714262 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 2,55392863 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 56 120,75 2,156250 2,156250 2,15625064 N06DA03 RIVASTIGMINUM*** RIDAXIN 6 mg CAPS. 6mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 153,96 2,749285 2,749285 2,74928565 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 1,35321466 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 2,78607167 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 2,587500 2,58750068 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 3,299142 3,29914269 N06DA03 RIVASTIGMINUM*** EXELON 13,3mg/24h PLASTURE TRANSDERMIC 13,3/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC PR 30 589,06 19,635333 19,635333 19,63533370 N06DA03 RIVASTIGMINUM*** EXELON 4,6mg/24h PLASTURE TRANSDERMIC 4,6mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC PR 30 390,58 13,019333 10,262799 10,26279971 N06DA03 RIVASTIGMINUM*** EVERTAS 4,6 mg/24 h PLASTURE TRANSDERMIC 4,6mg/24h ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 30 PLICURI DIN MATERIAL MULTILAMINAT DIN HARTIE/TEREFTALAT DE POLIETILENA/ALUMINIU/POLIACRI PRF 30 256,57 8,552333 8,552333 8,55233372 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 4,6 mg/24 ore PLASTURE TRANSDERMIC 4,6mg/24ore TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 30 PLICURI MULTILAMINATE, REZISTENTE LA ACTIUNEA COPIILOR, DIN HARTIE/PET/AL/PAN X 1 PASTUR PRF 30 256,57 8,552333 8,552333 8,55233373 N06DA03 RIVASTIGMINUM*** EXELON 9,5mg/24h PLASTURE TRANSDERMIC 9,5mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC PR 30 390,58 13,019333 10,262799 10,26279974 N06DA03 RIVASTIGMINUM*** EVERTAS 9,5 mg/24 h PLASTURE TRANSDERMIC 9,5mg/24h ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 30 PLICURI DIN MATERIAL MULTILAMINAT DIN HARTIE/TEREFTALAT DE POLIETILENA/ALUMINIU/POLIACRI PRF 30 256,57 8,552333 8,552333 8,55233375 N06DA03 RIVASTIGMINUM*** RIVASTIGMINA TEVA 9,5 mg/24 ore PLASTURE TRANSDERMIC 9,5mg/24ore TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 30 PLICURI MULTILAMINATE, REZISTENTE LA ACTIUNEA COPIILOR, DIN HARTIE/PET/AL/PAN X 1 PASTUR PRF 30 256,57 8,552333 8,552333 8,55233376 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 420,26000077 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 1,750285 1,75028578 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 52,50 1,750000 1,750000 1,75000079 N06DA04 GALANTAMINUM*** GALANTAMINA ZENTIVA 16 mg CAPS. ELIB. PREL. 16mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. PRF 28 40,84 1,458571 1,458571 1,45857180 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 1,750285 1,75028581 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 52,50 1,750000 1,750000 1,75000082 N06DA04 GALANTAMINUM*** GALANTAMINA ZENTIVA 24 mg CAPS. ELIB. PREL. 24mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. PRF 28 40,84 1,458571 1,458571 1,45857183 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 1,750285 1,75028584 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 52,50 1,750000 1,750000 1,75000085 N06DA04 GALANTAMINUM*** GALANTAMINA ZENTIVA 8 mg CAPS. ELIB. PREL. 8mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. PRF 28 40,84 1,458571 1,458571 1,45857186 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 254,22000087 N06DX01 MEMANTINUM*** MEMANTINA RATIOPHARM 10 mg COMPR. FILM. 10 mg RATIOPHARM GMBH GERMANIA CUTIE CU BLISTERE DIN FOLIE PVC/PVDC-AL X 56 COMPRIMATE FILMATE PR 56 47,09 0,840892 0,840892 0,84089288 N06DX01 MEMANTINUM*** MEMANTINA POLIPHARMA 10 mg COMPR. FILM. 10 mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC/AL X 28 COMPR. FILM. PR 28 99,13 3,540357 1,009070 1,00907089 N06DX01 MEMANTINUM*** MEMANTINA POLIPHARMA 10 mg COMPR. FILM. 10 mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC/AL X 56 COMPR. FILM. PR 56 188,00 3,357142 1,009070 1,00907090 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R 56 132,46 2,365357 1,009070 1,00907091 N06DX01 MEMANTINUM*** MEMANTINA TORRENT 10 mg COMPR. FILM. 10mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. PR 56 203,45 3,633035 1,009070 1,00907092 N06DX01 MEMANTINUM*** MARUXA COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE CU BLISTER DIN PVC/PVDC-AL X 56 COMPRIMATE FILMATE PR 56 157,92 2,820000 1,009070 1,00907093 N06DX01 MEMANTINUM*** NEMDATINE 10mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC/PVDC-AL X 28 COMPRIMATE FILMATE PR 28 67,03 2,393928 1,009070 1,00907094 N06DX01 MEMANTINUM*** MEMANTINA DR. REDDY'S 10 mg COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PR 56 202,77 3,620892 1,009070 1,00907095 N06DX01 MEMANTINUM*** MIRVEDOL 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 169,34 3,023928 1,009070 1,00907096 N06DX01 MEMANTINUM*** MEMIGMIN 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 202,77 3,620892 1,009070 1,00907097 N06DX01 MEMANTINUM*** MEMANTINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 152,39 2,721250 1,009070 1,00907098 N06DX01 MEMANTINUM*** MEMANTINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. FILM. PR 56 152,39 2,721250 1,009070 1,00907099 N06DX01 MEMANTINUM*** MEMANTINA ATB 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PR 56 201,61 3,600178 1,009070 1,009070100 N06DX01 MEMANTINUM*** MARIXINO 10mg COMPR. FILM. 10mg CONSILIENT HEALTH LTD. IRLANDA CUTIE X BLISTER PVC/PVDC/AL X 56 COMPRIMATE FILMATE PR 56 157,92 2,820000 1,009070 1,009070101 N06DX01 MEMANTINUM*** COGNOMEM 10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PR 56 158,94 2,838214 1,009070 1,009070102 N06DX01 MEMANTINUM*** TORMORO 10 mg COMPR. FILM. 10mg ABBOTT PRODUCTS SAS FRANTA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 172,20 2,870000 1,009070 1,009070103 N06DX01 MEMANTINUM*** MEMANTINA LANNACHER HEILMITTEL 10 mg COMPR. FILM. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 70 COMPR. FILM. PR 70 156,14 2,230571 1,009070 1,009070104 N06DX01 MEMANTINUM*** MEMANTINA POLIPHARMA 20 mg COMPR. FILM. 20 mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC/AL X 28 COMPR. FILM. PR 28 265,89 9,496071 2,018142 2,018142105 N06DX01 MEMANTINUM*** MEMANTINA POLIPHARMA 20 mg COMPR. FILM. 20 mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC/AL X 56 COMPR. FILM. PR 56 519,49 9,276607 2,018142 2,018142

Pagina 30 din 44

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

106 N06DX01 MEMANTINUM*** MEMANTINA RATIOPHARM 20 mg COMPR. FILM. 20 mg RATIOPHARM GMBH GERMANIA CUTIE X BLISTERE DIN FOLIE PVC/PVDC-AL X 28 COMPRIMATE FILMATE PR 28 47,09 1,681785 1,681785 1,681785107 N06DX01 MEMANTINUM*** MEMANTINA TORRENT 20 mg COMPR. FILM. 20mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. PR 56 519,49 9,276607 2,018142 2,018142108 N06DX01 MEMANTINUM*** NEMDATINE 20mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC/PVDC-AL X 28 COMPRIMATE FILMATE PR 28 177,26 6,330714 2,018142 2,018142109 N06DX01 MEMANTINUM*** MEMANTINA TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PR 28 265,89 9,496071 2,018142 2,018142110 N06DX01 MEMANTINUM*** MEMANTINA TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. PR 28 265,89 9,496071 2,018142 2,018142111 N06DX01 MEMANTINUM*** MEMANTINA ATB 20 mg COMPR. FILM. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 265,89 8,863000 2,018142 2,018142112 N06DX01 MEMANTINUM*** COGNOMEM 20 mg COMPR. FILM. 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PR 56 404,46 7,222500 2,018142 2,018142113 N06DX01 MEMANTINUM*** MEMANTINA TEVA 10 mg COMPR. ORODISPERSABILE 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PT. ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 56X1 COMPR. ORODISPERSABILE PR 56 277,51 4,955535 1,009070 1,009070114 N06DX01 MEMANTINUM*** ZENMEM 10 mg COMPR. ORODISPERSABILE 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODISPERSABILE PR 28 79,46 2,837857 1,009070 1,009070115 N06DX01 MEMANTINUM*** ZENMEM 20 mg COMPR. ORODISPERSABILE 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODISPERSABILE PR 28 203,23 7,258214 2,018142 2,018142116 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 274,740000 274,740000117 N06DX01 MEMANTINUM*** MEMANTINA TEVA 10 mg/ml SOL. ORALA 10 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA + SERINGA DOZATOARE A 50 ML SOL. ORALA PR 1 228,95 228,950000 228,950000 228,950000118 N06DX01 MEMANTINUM*** MEMANTINA TORRENT 10 mg/ml SOL. ORALA 10mg/ml TORRENT PHARMA SRL ROMANIA CUTIE CU 1 FLAC. A 100 ML SOL. SOL. ORALA SI O POMPA DOZATOARE PR 1 441,45 441,450000 441,450000 441,450000119 N06DX01 MEMANTINUM*** COGNOMEM 5 mg/doza eliberata SOL. ORALA 5mg/doza eliberata ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA PREVAZUT CU POMPA DOZATOARE X 50 ML SOL. ORALA PR 1 228,95 228,950000 228,950000 228,950000

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 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 0,5226004 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 15,8900005 L04AX01 AZATHIOPRINUM* IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,702100 0,7021006 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 0,7889007 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31,39 0,523166 0,523166 0,523166

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 0,564800 0,5648002 A07EC01 SULFASALAZINUM SALAZIDIN GR 500 mg COMPR. GASTROREZ. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. GASTROREZ. P6L 50 28,20 0,564000 0,564000 0,5640003 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 6,9060004 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 0,6524005 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 1,4825006 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 10mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10COMPR. P6L 10 28,81 2,881000 2,881000 2,8810007 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 2,5mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X30 COMPRIMATE P6L 30 21,62 0,720666 0,720666 0,7206668 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 1 400,81 400,810000 400,810000 400,8100009 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 5 241,07 48,214000 48,214000 48,214000

10 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 89,66 89,660000 89,660000 89,66000011 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 23,82 2,382000 2,382000 2,38200012 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 78,67 78,670000 78,670000 78,67000013 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 59,64 59,640000 59,640000 59,64000014 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 1 122,50 122,500000 122,500000 122,50000015 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 1 110,09 110,090000 110,090000 110,09000016 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 1 124,21 124,210000 124,210000 124,21000017 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 78,67 78,670000 78,670000 78,670000

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

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

Pagina 31 din 44

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 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 74,80 74,800000 71,568000 71,56800019 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 1 109,54 109,540000 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 54,93 1,831000 1,831000 1,83100021 L04AA13 LEFLUNOMIDUM** ARAVA 10mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 80,27 2,675666 2,197200 2,19720022 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 54,93 1,831000 1,831000 1,83100023 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDE WINTHROP 10mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 54,93 1,831000 1,831000 1,83100024 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 2,197200 2,19720025 L04AA13 LEFLUNOMIDUM** LEFLON 10 mg COMPR. FILM. 10mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PR 30 54,93 1,831000 1,831000 1,83100026 L04AA13 LEFLUNOMIDUM** LEFLON 10 mg COMPR. FILM. 10mg NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PR 30 54,93 1,831000 1,831000 1,83100027 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 30 104,33 3,477666 3,477666 3,47766628 L04AA13 LEFLUNOMIDUM** ARAVA 20mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 152,20 5,073333 4,173199 4,17319929 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA RATIOPHARM 20 MG COMPR. FILM. 20mg RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF 30 104,33 3,477666 3,477666 3,47766630 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDE WINTHROP 20mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 104,33 3,477666 3,477666 3,47766631 L04AA13 LEFLUNOMIDUM** LEFLUNOMIDA MEDAC 20 mg COMPR. FILM. 20mg MEDAC GESELLSCHAFT FUR KLINISCHE SPEZIALPRAPARATE GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR.FILM PR 30 190,22 6,340666 4,173199 4,17319932 L04AA13 LEFLUNOMIDUM** LEFLON 20 mg COMPR. FILM. 20mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PR 30 104,33 3,477666 3,477666 3,47766633 L04AA13 LEFLUNOMIDUM** LEFLON 20 mg COMPR. FILM. 20mg NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PR 30 104,33 3,477666 3,477666 3,47766634 L04AD01 CICLOSPORINUM* EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 307,60 6,152000 6,152000 6,15200035 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 1,804080 1,80408036 L04AD01 CICLOSPORINUM* EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 75,17 1,503400 1,503400 1,50340037 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 3,541920 3,54192038 L04AD01 CICLOSPORINUM* EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 147,58 2,951600 2,951600 2,95160039 L04AX01 AZATHIOPRINUM* IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,702100 0,70210040 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 0,78890041 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 2,38500042 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 0,47160043 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 0,13620044 M01AB05 DICLOFENACUM DICLOTARD® 100 mg COMPR. CU ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL P-6L 20 8,21 0,410500 0,410500 0,41050045 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 0,39300046 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 0,49260047 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 0,42750048 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 0,13620049 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 0,13620050 M01AB05 DICLOFENACUM DICLOFENAC HELCOR 50 mg COMPR. FILM. GASTROREZ. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2,27 0,113500 0,113500 0,11350051 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 0,13620052 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 0,19066653 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 0,12700054 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 0,13250055 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 0,13266656 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 0,97200057 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 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 0,97200059 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 0,97200060 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 0,97200061 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 0,81000062 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 0,656666 0,65666663 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 0,765600 0,76560064 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 0,695000 0,69500065 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 6,38 0,638000 0,638000 0,63800066 M01AB05 DICLOFENACUM DICLOFENAC SINTOFARM 12,5 mg SUPOZ. 12,5 mg SINTOFARM S.A. ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE P6L 6 3,64 0,606666 0,606666 0,60666667 M01AB05 DICLOFENACUM DICLOFENAC SINTOFARM 12,5 mg SUPOZ. 12,5 mg SINTOFARM S.A. ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 5 SUPOZITOARE P6L 10 6,01 0,601000 0,601000 0,601000

Pagina 32 din 44

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 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 0,94500069 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31,39 0,523166 0,523166 0,523166

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 0,564800 0,5648002 A07EC01 SULFASALAZINUM SALAZIDIN GR 500 mg COMPR. GASTROREZ. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. GASTROREZ. P6L 50 28,20 0,564000 0,564000 0,5640003 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 6,9060004 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 2,3850005 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 0,4716006 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 0,1362007 M01AB05 DICLOFENACUM DICLOTARD® 100 mg COMPR. CU ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL P-6L 20 8,21 0,410500 0,410500 0,4105008 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 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 0,13620012 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 0,13620013 M01AB05 DICLOFENACUM DICLOFENAC HELCOR 50 mg COMPR. FILM. GASTROREZ. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2,27 0,113500 0,113500 0,11350014 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 0,13620015 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 0,19066616 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 0,12700017 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 0,13250018 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 0,13266619 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 0,97200020 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 0,97200021 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 0,97200022 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 0,97200023 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 0,97200024 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 0,81000025 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 0,656666 0,65666626 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 0,765600 0,76560027 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 0,695000 0,69500028 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 6,38 0,638000 0,638000 0,63800029 M01AB05 DICLOFENACUM DICLOFENAC SINTOFARM 12,5 mg SUPOZ. 12,5 mg SINTOFARM S.A. ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE P6L 6 3,64 0,606666 0,606666 0,60666630 M01AB05 DICLOFENACUM DICLOFENAC SINTOFARM 12,5 mg SUPOZ. 12,5 mg SINTOFARM S.A. ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 5 SUPOZITOARE P6L 10 6,01 0,601000 0,601000 0,60100031 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

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 18,561000

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 )

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

Pagina 33 din 44

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

2 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 30 183,02 6,100666 6,100666 6,1006668 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 1 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 10 34,06 3,406000 3,406000 3,4060009 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 97,02 3,234000 3,234000 3,234000

10 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 3829,620000 3829,620000 3829,62000011 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 2400,540000 2400,540000 2400,54000012 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 5288,920000 5288,920000 5288,92000013 H01CB02 OCTREOTIDUM**** OCTREOTID KABI 0,1 mg/ml SOL INJ. 0,1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 5 FLAC. DIN SICLA INCOLORA, CU CAPACITATEA DE 2 ML X 1 ML SOL. INJ. PRF 5 95,45 19,090000 19,090000 19,09000014 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 22,908000 22,90800015 H01CB03 LANREOTIDUM**** SOMATULINE® PR 30 mg LIOF. PT. SOL. INJ. + SOLV. 30mg IPSEN PHARMA FRANTA CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE S 1 1.572,80 1572,800000 1572,800000 1572,80000016 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 5089,120000 5089,120000 5089,12000017 H01CB05 PASIREOTIDUM** SIGNIFOR 0,3 mg SOL INJ. 0,3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 30 FIOLE DIN STICLA A 1ML X 0,3 MG PR 30 7.863,11 262,103666 262,103666 262,10366618 H01CB05 PASIREOTIDUM** SIGNIFOR 0,6 mg SOL INJ. 0,6mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 30 FIOLE DIN STICLA A 1ML X 0,6 MG PR 30 8.674,14 289,138000 289,138000 289,13800019 H01CB05 PASIREOTIDUM** SIGNIFOR 0,9 mg SOL INJ. 0,9mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 30 FIOLE DIN STICLA A 1ML X 0,9 MG PR 30 9.264,78 308,826000 308,826000 308,82600020 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 0,95560021 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 31,87333322 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 11,90333323 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 0,104799 0,10479924 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 0,08733325 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 0,104799 0,10479926 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 0,104799 0,10479927 H02AB09 HYDROCORTISONUM HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. PRF 25 12,20 0,488000 0,488000 0,48800028 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 3,91000029 H02AB09 HYDROCORTISONUM HIDROCORTIZON HF 500 mg PULB. + SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML, INCCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, C PR/PRF 1 11,91 11,910000 11,910000 11,91000030 H02AB09 HYDROCORTISONUM HIDROCORTIZON HF 100 mg PULB. SI SOLV. PT. SOL. INJ./PERF. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 5 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DE ALUMINIU, CON PR/PRF 1 7,09 7,090000 4,692000 4,69200031 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 4,26600032 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 0,091200 0,09120033 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 100 micrograme COMPR. 100micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 7,60 0,076000 0,076000 0,07600034 H03AA01 LEVOTHYROXINUM EUTHYROX 100µg COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 11,69 0,116900 0,091200 0,09120035 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 125 micrograme COMPR. 125micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 9,49 0,094900 0,094900 0,09490036 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 150 micrograme COMPR. 150micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 11,40 0,114000 0,114000 0,11400037 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 175 micrograme COMPR. 175micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 13,30 0,133000 0,133000 0,13300038 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 0,188400 0,18840039 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 200 micrograme COMPR. 200micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 15,70 0,157000 0,157000 0,15700040 H03AA01 LEVOTHYROXINUM EUTHYROX 200µg COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-6L 100 24,14 0,241400 0,188400 0,18840041 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 0,074160 0,07416042 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 25 micrograme COMPR. 25micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 6,18 0,061800 0,061800 0,06180043 H03AA01 LEVOTHYROXINUM EUTHYROX 25µg COMPR. 25µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 9,51 0,095100 0,074160 0,07416044 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 0,064560 0,06456045 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 50 micrograme COMPR. 50micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 5,38 0,053800 0,053800 0,05380046 H03AA01 LEVOTHYROXINUM EUTHYROX 50µg COMPR. 50µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 8,27 0,082700 0,064560 0,06456047 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 75 micrograme COMPR. 75micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 8,07 0,080700 0,080700 0,08070048 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 0,12330049 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 0,12330050 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 0,19230051 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 0,192300

Pagina 34 din 44

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

52 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

Pagina 35 din 44

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 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 29,9540004 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 288,0900005 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 36,4033336 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 70,9716667 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 788,2300008 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 100,6216669 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 1353,470000 1193,316000 1193,316000

10 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 994,43000011 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 130,26166612 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 159,89500013 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 391,10000014 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 87,71166615 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 1174,530000 1174,530000 1174,53000016 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 163,50833317 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 201,38333318 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 793,25250019 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 97,89000020 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 1177,087500 1177,087500 1177,08750021 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 175,66000022 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 2208,610000 2208,610000 2208,61000023 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 252,36750024 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 329,73750025 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 3633,810000 3633,810000 3633,81000026 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 406,69000027 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 484,29250028 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 638,98750029 C09CA04 IRBESARTANUM** IRBESARTAN AUROBINDO 150 mg COMPR. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 27,21 0,971785 0,775713 0,77571330 C09CA04 IRBESARTANUM** IRBESARTAN AUROBINDO 300 mg COMPR. 300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L 28 35,53 1,268928 1,243285 1,24328531 C09CA04 IRBESARTANUM** IRBESARTAN GALENICA 150 mg COMPR. FILM. 150 mg GALENICA S.A. GRECIA CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM. P6L 28 18,10 0,646428 0,646428 0,64642832 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 32,76 1,170000 0,775713 0,77571333 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 18,12 0,647142 0,647142 0,64714234 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 29,83 1,065357 0,775713 0,77571335 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 0,775713 0,77571336 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 23,08 0,769333 0,769333 0,76933337 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 0,775713 0,77571338 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 21,54 0,769285 0,769285 0,76928539 C09CA04 IRBESARTANUM** IRBESARTAN TORRENT 150 mg COMPR. FILM. 150mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 21,54 0,769285 0,769285 0,76928540 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 24,01 0,857500 0,775713 0,77571341 C09CA04 IRBESARTANUM** IRBESARTAN ZENTIVA 150mg COMPR. FILM. 150mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 18,12 0,647142 0,647142 0,647142

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

19. BOALA WILSON - G23

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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

42 C09CA04 IRBESARTANUM** IRBESARTAN HF 150 mg COMPR. FILM. 150mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 23,08 0,769333 0,769333 0,76933343 C09CA04 IRBESARTANUM** APROVEL 150mg COMPR. FILM. 150mg SANOFI CLIR SNC FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 32,76 1,170000 0,775713 0,77571344 C09CA04 IRBESARTANUM** ATOKKEN 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 24,01 0,857500 0,775713 0,77571345 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 29,01 1,036071 1,036071 1,03607146 C09CA04 IRBESARTANUM** IRBESARTAN GALENICA 300 mg COMPR. FILM. 300 mg GALENICA S.A. GRECIA CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM. P6L 28 29,43 1,051071 1,051071 1,05107147 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 43,20 1,542857 1,243285 1,24328548 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 29,32 1,047142 1,047142 1,04714249 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 38,87 1,388214 1,243285 1,24328550 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 1,243285 1,24328551 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 1,243285 1,24328552 C09CA04 IRBESARTANUM** IRBESARTAN TORRENT 300 mg COMPR. FILM. 300mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 29,01 1,036071 1,036071 1,03607153 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 31,00 1,107142 1,107142 1,10714254 C09CA04 IRBESARTANUM** IRBESARTAN ZENTIVA 300mg COMPR. FILM. 300mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L 28 29,32 1,047142 1,047142 1,04714255 C09CA04 IRBESARTANUM** IRBESARTAN HF 300 mg COMPR. FILM. 300mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 31,09 1,036333 1,036333 1,03633356 C09CA04 IRBESARTANUM** APROVEL 300mg COMPR. FILM. 300mg SANOFI CLIR SNC FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 43,20 1,542857 1,243285 1,24328557 C09CA04 IRBESARTANUM** ATOKKEN 300 mg COMPR. FILM. 300mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 31,00 1,107142 1,107142 1,10714258 C09CA04 IRBESARTANUM** IRBESARTAN TORRENT 75 mg COMPR. FILM. 75mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 16,18 0,577857 0,577857 0,57785759 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 23,11 0,825357 0,693428 0,69342860 C09CA04 IRBESARTANUM** ATOKKEN 75 mg COMPR. FILM. 75mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 23,11 0,825357 0,693428 0,69342861 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 0,104799 0,10479962 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 0,08733363 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 0,104799 0,10479964 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 0,104799 0,10479965 H05BX02 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES S.A. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 474,83 94,966000 94,966000 94,96600066 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 0,52260067 L04AD01 CICLOSPORINUM* EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 307,60 6,152000 6,152000 6,15200068 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 1,804080 1,80408069 L04AD01 CICLOSPORINUM* EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 75,17 1,503400 1,503400 1,50340070 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 3,541920 3,54192071 L04AD01 CICLOSPORINUM* EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 147,58 2,951600 2,951600 2,95160072 L04AX01 AZATHIOPRINUM* IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,702100 0,70210073 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 0,78890074 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

Tratamentul se initiaza de catre medicul in specialitatea nefrologie.

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 5,32000011 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 6,384000

21. GLAUCOM - G 26

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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

12 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. 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 15,95000015 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 81,85000016 S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM) SIFIOPT 20 mg/5 mg/ml PIC. OFT., SOL. 20mg/5mg/ml OFTAFARMA ROMÂNIA S.R.L. ROMANIA CUTIE CU 1 FLAC. PE ALB, OPAC +PICURATOR PEID A 5 ML PIC. OFT. SOL. PRF 1 44,73 44,730000 44,730000 44,73000017 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 53,676000 53,67600018 S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) GLAUTAN PLUS 50 micrograme/ml + 5 mg/ml PIC. OFT., SOL 50 micrograme/ml + 5 mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE X 1 FLACON DIN PEJD CU PICURATOR DIN PEJD INCHIS CU CAPAC DIN PEID X 2.5ML PICATURI OFTALMICE- P6L 1 52,19 52,190000 43,896000 43,89600019 S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) LATANOPROST/TIMOLOL STADA HEMOFARM 50 micrograme/ml si 5 mg/ml PIC. OFT., SOL 50micrograme/ml+5mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLAC. TRANSPARENT PEJD + PICURATOR TRANSPARENT PEJD X 2,5 ML PIC. OFT., SOL. P6L 1 36,58 36,580000 36,580000 36,58000020 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 43,896000 43,89600021 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 43,896000 43,89600022 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 88,49000023 S01EE01 LATANOPROSTUM SIFITAN 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 27,04000024 S01EE01 LATANOPROSTUM LATANOPROST STADA HF 50 micrograme/ml PIC. OFT., SOL. 50 micrograme/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEJD CU CAPAC DIN PEID X 2,5 ML PIC. OFT. PT. APROX. 80 PIC. SOL. P6L 1 27,77 27,770000 27,770000 27,77000025 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 51,50 51,500000 30,876000 30,87600026 S01EE01 LATANOPROSTUM MONOPOST 50 micrograme/ml PIC. OFT., SOL., IN RECIPIENT UNIDOZA 50micrograme/ml LABORATOIRES THEA FRANTA CUTIE CU 30 (6X5) RECIPIENTE UNIDOZA DIN PEID AMBALATE CATE 5 IN 6 PLICURI LAMINATE DIN PE-AL-COPOLI P6L 30 63,52 2,117333 2,117333 2,11733327 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 2,5 ML PIC. OFT., SOL. P6L 1 25,73 25,730000 25,730000 25,73000028 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 30,876000 30,87600029 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 30,876000 30,87600030 S01EE03 BIMATOPROSTUM BIMAGAN 0,3 mg/ml PIC. OFT., SOL 0,3 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLACON ALB DIN PEJD CU PICURATOR DIN PEJD SI CAPAC CU INEL DE SIGURANTA DIN PEID X 3ML PIC PRF 1 42,80 42,800000 42,800000 42,80000031 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 76,07000032 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 51,360000 51,36000033 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 UN SUPORT 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 UN SUPORT 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 UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 10 13,87 1,387000 1,387000 1,3870006 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 25 33,18 1,327200 1,327200 1,3272007 H02AB02 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ. 4mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. PRF 100 124,62 1,246200 1,246200 1,2462008 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 123,66 1,236600 1,236600 1,2366009 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 6,98 1,396000 1,396000 1,396000

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 100 118,60 1,186000 1,186000 1,18600011 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 10 14,38 1,438000 1,423200 1,42320012 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 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 8,81000015 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 31,02000016 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF 1 20,48 20,480000 20,480000 20,48000017 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 0,104799 0,10479918 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 PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3,71 0,123666 0,104799 0,10479920 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 0,104799 0,10479921 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 0,52260022 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 15,890000

22. PEMFIGUS - G 27

Pagina 38 din 44

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

23 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 10mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10COMPR. P6L 10 28,81 2,881000 2,881000 2,88100024 L01BA01 METHOTREXATUM4) METHOTREXATE PCH 2,5mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X30 COMPRIMATE P6L 30 21,62 0,720666 0,720666 0,72066625 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 1 400,81 400,810000 400,810000 400,81000026 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 5 241,07 48,214000 48,214000 48,21400027 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 89,66 89,660000 89,660000 89,66000028 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 23,82 2,382000 2,382000 2,38200029 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 78,67 78,670000 78,670000 78,67000030 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 59,64 59,640000 59,640000 59,64000031 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 1 122,50 122,500000 122,500000 122,50000032 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 1 110,09 110,090000 110,090000 110,09000033 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 1 124,21 124,210000 124,210000 124,21000034 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 78,67 78,670000 78,670000 78,67000035 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 74,80 74,800000 71,568000 71,56800036 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 1 109,54 109,540000 109,540000 109,54000037 L04AD01 CICLOSPORINUM* EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 307,60 6,152000 6,152000 6,15200038 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 1,804080 1,80408039 L04AD01 CICLOSPORINUM* EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 75,17 1,503400 1,503400 1,50340040 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 3,541920 3,54192041 L04AD01 CICLOSPORINUM* EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 147,58 2,951600 2,951600 2,95160042 L04AX01 AZATHIOPRINUM* IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 70,21 0,702100 0,702100 0,70210043 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. PR 1 3.492,21 3492,210000 3492,210000 3492,2100002 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. PR 1 6.907,43 6907,430000 6907,430000 6907,430000

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 4,01 0,401000 0,401000 0,4010002 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 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 0,3610004 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 6,83 0,683000 0,420000 0,4200005 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 0,1495006 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 0,1794007 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 100 401,74 4,017400 4,017400 4,0174008 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 4,68 4,680000 4,680000 4,6800009 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 4,67 4,670000 4,670000 4,670000

10 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 100 401,74 4,017400 4,017400 4,01740011 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 100 274,48 2,744800 2,744800 2,74480012 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 3,14 3,140000 3,140000 3,14000013 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 0,28916614 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN® 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL/PVC-PVDC X 6 COMPR. FILM. P-RF 12 6,10 0,508333 0,508333 0,508333

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

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.

Pagina 39 din 44

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

15 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 0,21833316 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400.000 U.I./5 ml SUSP. ORALA 400.000U.I./5ml SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML SUSP. ORALA CU CAPAC SI LINGURITA DOZATOARE P-RF 1 8,63 8,630000 8,630000 8,63000017 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 5,39 5,390000 5,390000 5,39000018 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 100 451,96 4,519600 4,519600 4,51960019 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 2,15600020 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 3,47700021 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5 55,99 11,198000 11,198000 11,19800022 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 101,25 10,125000 10,125000 10,12500023 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 0,35450024 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 0,42540025 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 0,42200026 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 11,46000027 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 4,25000028 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 5,10000029 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 4,22666630 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 5,10000031 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 25,52 4,253333 4,253333 4,25333332 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 25,52 4,253333 4,253333 4,25333333 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 8,503999 8,50399934 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 8,503999 8,50399935 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 8,503999 8,50399936 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 25,64 8,546666 8,503999 8,50399937 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 25,64 8,546666 8,503999 8,50399938 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 8,503999 8,50399939 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 22,13 7,376666 7,376666 7,37666640 J01FA10 AZITHROMYCINUM AZATRIL 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM. PRF 3 21,26 7,086666 7,086666 7,08666641 J01FA10 AZITHROMYCINUM AZITROMICINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF 3 25,64 8,546666 8,503999 8,50399942 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 14,87000043 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 14,87000044 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 32,35000045 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 16,36000046 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 22,45000047 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 34,36000048 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 17,84400049 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 48,58000050 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 60,36000051 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 3,73100052 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 3,28050053 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 0,57120054 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 0,57120055 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 6,83 0,683000 0,571200 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 6,83 0,683000 0,571200 0,57120057 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 0,57120058 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 0,57120059 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 0,57120060 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 0,57120061 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 0,47600062 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 0,77880063 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 0,77880064 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 0,778800

Pagina 40 din 44

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

65 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 0,77880066 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 PHARMA 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 PHARMA 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 CIPROFLOXACINA ZENTIVA 10 mg/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 3,27744079 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 4,79 4,790000 3,277440 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 9,58 9,580000 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 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 6.262,99 2087,663333 2087,663333 2087,6633332 L04AB02 INFLIXIMABUM**** INFLECTRA 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 5.343,18 1781,060000 1781,060000 1781,0600003 L04AB02 INFLIXIMABUM**** REMSIMA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.828,68 1828,680000 1828,680000 1828,6800004 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 2374,565000 2374,565000 2374,565000

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 41 din 44

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 1229,820000 1229,820000 1229,8200002 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 6043,000000 6043,000000 6043,0000003 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 1141,415000 1141,415000 1141,4150005 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 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 567,5025007 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 1117,292500 1117,292500 1117,2925008 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 1117,292500 1117,292500 1117,2925009 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 6.262,99 2087,663333 2087,663333 2087,663333

10 L04AB02 INFLIXIMABUM**** INFLECTRA 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 5.343,18 1781,060000 1781,060000 1781,06000011 L04AB02 INFLIXIMABUM**** REMSIMA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.828,68 1828,680000 1828,680000 1828,68000012 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 2374,565000 2374,565000 2374,565000

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 1141,415000 1141,415000 1141,4150003 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 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 567,5025005 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 1117,292500 1117,292500 1117,2925006 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 1117,292500 1117,292500 1117,2925007 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 6.262,99 2087,663333 2087,663333 2087,6633338 L04AB02 INFLIXIMABUM**** INFLECTRA 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 5.343,18 1781,060000 1781,060000 1781,0600009 L04AB02 INFLIXIMABUM**** REMSIMA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.828,68 1828,680000 1828,680000 1828,680000

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 2374,565000 2374,565000 2374,565000

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 1141,415000 1141,415000 1141,4150003 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 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 567,5025005 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 1117,292500 1117,292500 1117,2925006 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 1117,292500 1117,292500 1117,2925007 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 6.262,99 2087,663333 2087,663333 2087,6633338 L04AB02 INFLIXIMABUM**** INFLECTRA 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 5.343,18 1781,060000 1781,060000 1781,0600009 L04AB02 INFLIXIMABUM**** REMSIMA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.828,68 1828,680000 1828,680000 1828,680000

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 2374,565000 2374,565000 2374,565000

28. SPONDILITA ANKILOZANTA - G 31d

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)

Pagina 42 din 44

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 43 din 44

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 1141,415000 1141,415000 1141,4150003 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 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 567,5025005 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 1117,292500 1117,292500 1117,2925006 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 1117,292500 1117,292500 1117,292500

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 1141,415000 1141,415000 1141,4150003 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 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 567,5025005 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 1117,292500 1117,292500 1117,2925006 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 1117,292500 1117,292500 1117,2925007 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 6.262,99 2087,663333 2087,663333 2087,6633338 L04AB02 INFLIXIMABUM**** INFLECTRA 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 3 5.343,18 1781,060000 1781,060000 1781,0600009 L04AB02 INFLIXIMABUM**** REMSIMA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.828,68 1828,680000 1828,680000 1828,680000

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 2374,565000 2374,565000 2374,565000

NOTA:

30. PSORIAZIS CRONIC SEVER - G 31f

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

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

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

- 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; - 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;

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)

Pagina 44 din 44

ANEXA 4

Nr.crt

Grupa terapeut

icaDenumire generica Denumire comerciala

Forma farmaceutic

a

Concentratie / U.T. Firma Tara Ambalaj

Pres

crip

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 PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

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 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 5,9760006 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 4,9800007 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 5,6400008 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 5,6400009 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 5 G CREMA P-RF 1 3,99 3,990000 3,990000 5,39 5,390000 5,390000

10 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 5,64000011 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 4,70000012 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 5,64000013 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 0,99333314 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 1,90666615 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 0,35533216 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 0,35500017 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 242,55 0,242550 0,242550 296,11 0,296110 0,29611018 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 0,35533219 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 0,468216 7,04 0,704000 0,57160820 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 0,390180 238,17 0,476340 0,47634021 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 0,413000 11,17 0,558500 0,55850022 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 0,458000 6,19 0,619000 0,57160823 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5,55 0,555000 0,468216 7,50 0,750000 0,57160824 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 3,94 3,940000 3,940000 5,33 5,330000 5,33000025 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 376,06 3,760600 3,760600 448,06 4,480600 4,48060026 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 3,64 3,640000 3,640000 4,92 4,920000 4,92000027 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 349,30 3,493000 3,493000 418,89 4,188900 4,18890028 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 100 349,30 3,493000 3,493000 418,89 4,188900 4,18890029 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 3,64 3,640000 3,640000 4,92 4,920000 4,92000030 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 4,48060031 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 5,33000032 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 14,57920033 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 50 633,77 12,675400 12,675400 728,96 14,579200 14,57920034 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 1,60142835 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 1,086000 39,13 2,795000 1,46742836 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 0,630857 33,07 1,181071 0,85285737 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 0,77357138 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 7,36 0,525714 0,525714 9,95 0,710714 0,71071439 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 0,630857 15,32 1,094285 0,85285740 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 0,630857 28,06 2,004285 0,85285741 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 12,67 0,905000 0,905000 17,12 1,222857 1,22285742 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 1,35500043 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 1,086000 26,35 1,882142 1,46742844 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 1,086000 25,07 1,790714 1,46742845 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 0,630857 16,53 1,180714 0,85285746 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 50 355,00 7,100000 7,100000 425,10 8,502000 8,50200047 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 50 355,00 7,100000 7,100000 425,10 8,502000 8,50200048 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 14,02800049 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 11,69000050 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 22,11000051 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 6,46000052 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 12,93000053 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 7,752000

VALABILĂ ÎNCEPÂND CU 01 IULIE 2014

SECŢIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaţionale corespunzătoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc

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

Pagina 1 din 43

54 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA + PRF 1 4,79 4,790000 4,790000 6,47 6,470000 6,47000055 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 7,75200056 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 15,51600057 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 34,30000058 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 24,02000059 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 30,99000060 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 30,99000061 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 27,00083362 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 30,99000063 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 30,99000064 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 53,53000065 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 45,03583366 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 53,53000067 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 53,55000068 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 53,53000069 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 45,03583370 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 386,57 38,657000 26,541000 459,51 45,951000 32,40100071 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 389,01 38,901000 38,901000 462,17 46,217000 46,21700072 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 4,826400 535,19 10,703800 6,31320073 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 4,826400 163,39 16,339000 6,31320074 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 4,826400 13,94 13,940000 6,31320075 J01DD04 CEFTRIAXONUM CEFTRIAXONA-MIP 1 g PULB. PT. SOL. INJ./PERF. 1g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10 40,22 4,022000 4,022000 52,61 5,261000 5,26100076 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 6,90700077 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 6,00700078 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 8,888400 278,89 27,889000 11,23800079 J01DD04 CEFTRIAXONUM CEFTRIAXONA-MIP 2 g PULB. PT. SOL. INJ./PERF. 2g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10 74,07 7,407000 7,407000 93,65 9,365000 9,36500080 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 8,888400 257,43 25,743000 11,23800081 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 10,46000082 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 8,888400 57,56 57,560000 11,23800083 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 8,888400 17,49 17,490000 11,23800084 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 2,15600085 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 3,47700086 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5 42,81 8,562000 8,562000 55,99 11,198000 11,19800087 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 80,08 8,008000 8,008000 101,25 10,125000 10,12500088 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 11,41200089 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 18,82800090 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 187,44 18,744000 13,932000 228,83 22,883000 18,82800091 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 5,24000092 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 15,69000093 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 9,51000094 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 22,27344095 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 18,56120096 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 19,26960097 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 21,99400098 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 75,78000099 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 127,270000

100 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 75,322800101 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 44,287200102 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 1000 mg PULB. PT. SOL. INJ. SAU PERF. 1000 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 680,44 68,044000 64,903200 779,83 77,983000 75,322800103 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 500 mg PULB. PT. SOL. INJ. SAU PERF. 500 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000104 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 75,322800105 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA PRF 10 680,43 68,043000 64,903200 779,82 77,982000 75,322800106 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 62,769000107 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 75,322800108 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 72,350000109 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. PR 10 361,25 36,125000 36,125000 431,91 43,191000 43,191000110 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 36,906000111 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 44,287200112 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA PRF 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000113 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 41,150000114 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 1 30,31 30,310000 30,310000 39,65 39,650000 39,650000115 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000116 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000117 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,710000118 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,711000119 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,710000120 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,711000121 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 35,710000122 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 36,255000123 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 42,852000124 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 5,47 0,273500 0,273500 7,40 0,370000 0,370000

Pagina 2 din 43

125 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 0,260500 7,04 0,352000 0,352000126 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 0,285500 7,72 0,386000 0,386000127 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 0,285500 7,72 0,386000 0,386000128 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 4,760000129 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SUSP. ORALA 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOAREP-RF 1 7,75 7,750000 7,750000 10,48 10,480000 10,480000130 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 7,29 0,455625 0,455625 9,85 0,615625 0,615625131 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 18,91 1,891000 1,891000 25,56 2,556000 2,556000132 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 1,561714 32,05 4,578571 2,110285133 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. ELIB. PREL. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL. PRF 6 21,73 3,621666 1,561714 29,37 4,895000 2,110285134 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 8,40 0,600000 0,600000 11,36 0,811428 0,811428135 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 0,719142 28,57 2,040714 0,972000136 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 0,719142 16,69 1,192142 0,972000137 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 0,719142 16,69 1,192142 0,972000138 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 0,719142 14,67 1,047857 0,972000139 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 250 mg COMPR. FILM. 250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 8,39 0,599285 0,599285 11,34 0,810000 0,810000140 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 8,40 0,600000 0,600000 11,36 0,811428 0,811428141 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 24,13 1,723571 1,561714 32,62 2,330000 2,110285142 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 1,561714 32,62 2,330000 2,110285143 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 1,561714 32,08 2,291428 2,110285144 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 18,22 1,301428 1,301428 24,62 1,758571 1,758571145 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 1,561714 32,62 2,330000 2,110285146 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.P-RF 20 40,76 2,038000 1,561714 53,31 2,665500 2,110285147 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 1,561714 43,35 2,167500 2,110285148 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 24,13 1,723571 1,561714 32,62 2,330000 2,110285149 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 25,34 3,620000 1,561714 33,15 4,735714 2,110285150 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 1,561714 28,09 4,012857 2,110285151 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 1,561714 36,43 7,286000 2,110285152 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 18,940000153 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 29,920000 39,14 39,140000 39,140000154 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 22,728000155 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 22,728000156 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 22,728000157 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 21,29 21,290000 21,290000 28,78 28,780000 28,780000158 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 PPP-RF 1 21,29 21,290000 21,290000 28,78 28,780000 28,780000159 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 61,308000160 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 31,680000161 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 51,090000162 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 53,780000163 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 4,250000164 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 5,100000165 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 4,226666166 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 18,88 3,146666 3,146666 25,52 4,253333 4,253333167 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 5,100000168 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 18,88 3,146666 3,146666 25,52 4,253333 4,253333169 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 16,37 5,456666 5,456666 22,13 7,376666 7,376666170 J01FA10 AZITHROMYCINUM AZITROMICINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF 3 18,97 6,323333 6,292000 25,64 8,546666 8,503999171 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 18,97 6,323333 6,292000 25,64 8,546666 8,503999172 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 18,97 6,323333 6,292000 25,64 8,546666 8,503999173 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 6,292000 25,65 8,550000 8,503999174 J01FA10 AZITHROMYCINUM AZATRIL 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM. PRF 3 15,73 5,243333 5,243333 21,26 7,086666 7,086666175 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 6,292000 38,17 12,723333 8,503999176 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 6,292000 25,65 8,550000 8,503999177 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 6,292000 48,80 16,266666 8,503999178 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 14,870000179 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 14,870000180 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 32,350000181 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 16,360000182 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 22,450000183 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 34,360000184 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 DOZATOAREP-RF 1 18,63 18,630000 13,644000 25,18 25,180000 17,844000185 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 48,580000186 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 60,360000187 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 0,713000188 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 0,811200189 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 0,811200190 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 0,676000191 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 6,960000192 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 1,136000193 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 1,363200194 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 3,280500195 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 3,731000

Pagina 3 din 43

196 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 0,571200197 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 0,571200198 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 0,571200199 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 0,571200200 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 0,571200201 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 0,571200202 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 0,571200203 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 0,476000204 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 0,571200205 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 0,778800206 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 0,778800207 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 0,778800208 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 0,778800209 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 0,778800210 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 0,649000211 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 0,778800212 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 0,778800213 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 0,778800214 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 3,731000215 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 3,850000216 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER PHARMA 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 12,100000217 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER PHARMA 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 0,778800218 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 3,277440219 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 2,731200220 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ZENTIVA 10 mg/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 3,277440221 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 3,277440222 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 3,277440223 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 9,580000224 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 8,749000225 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 15,733000226 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 18,879600227 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 2,786000228 J01MA06 NORFLOXACINUM NORFLOXACIN HELCOR 400 mg COMPR. FILM. 400mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 13,02 0,651000 0,549600 17,60 0,880000 0,742800229 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 0,549600 15,73 0,786500 0,742800230 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 0,549600 17,60 0,880000 0,742800231 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 0,619000232 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 0,549600 17,60 0,880000 0,742800233 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 12,87 1,838571 1,838571 17,40 2,485714 2,485714234 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 2,098800 26,78 3,825714 2,836800235 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 2,485714236 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 2,487142237 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA MACLEODS 250 mg COMPR. FILM. 250mg MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 17,49 1,749000 1,749000 23,64 2,364000 2,364000238 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 4,835714239 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 4,807142240 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 4,837142241 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA MACLEODS 500 mg COMPR. FILM. 500mg MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 17,49 3,498000 3,498000 23,64 4,728000 4,728000242 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 4,565714243 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 4,565714244 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 3,847200 52,08 7,440000 5,031600245 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA MACLEODS 500 mg COMPR. FILM. 500mg MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 32,06 3,206000 3,206000 41,93 4,193000 4,193000246 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 49,330000247 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 93,880000248 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 93,880000249 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 93,690000250 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 49,430000251 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 88,920000 136,96 136,960000 112,428000252 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 42,33 8,466000 8,466000 55,37 11,074000 11,074000253 J01MA14 MOXIFLOXACINUM MOFINACIN 400 mg COMPR. FILM. 400mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM PRF 5 42,18 8,436000 8,436000 55,17 11,034000 11,034000254 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF 5 58,59 11,718000 8,481600 74,08 14,816000 11,092800255 J01MA14 MOXIFLOXACINUM MOFIL 400 mg COMPR. FILM. 400mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF 5 35,34 7,068000 7,068000 46,22 9,244000 9,244000256 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 137,272000257 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 63,520000258 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 32,820000259 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 53,519000260 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 28,603000261 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 63,300000262 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 63,370000263 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 32,670000264 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 64,222800265 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 1 109,84 109,840000 109,840000 134,09 134,090000 134,090000266 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 21,179000

Pagina 4 din 43

267 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 0,257333268 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 5,25 0,262500 0,228400 7,09 0,354500 0,308800269 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 8,354166270 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 8,190833271 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 8,910000272 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 9,110000273 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 4,837000274 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 4,892000275 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 5,804400276 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 178,571000277 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 996,650000278 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 126,314400 1.785,71 178,571000 142,261200279 J01XX08 LINEZOLIDUM LINEZOLID TEVA 2 mg/ml SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA PRF 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000280 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000281 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 407,225000282 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 33,15 4,735714 3,996000 43,36 6,194285 5,401714283 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 4,715000284 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 4,501428285 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 5,401714286 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 5,166250287 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 7,908000288 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 7,908000289 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 6,590000290 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,908000291 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 10,02 10,020000 5,856000 13,54 13,540000 7,908000292 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 7,908000293 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 7,908000294 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 7,908000295 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 7,908000296 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 6,590000297 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 7,908000298 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 7,908000299 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 7,908000300 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 7,908000301 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,908000302 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 7,908000303 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 5,624285304 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 2,251428305 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 2,701714306 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 2,307142307 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 21,91 3,130000 1,998857 29,61 4,230000 2,701714308 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 2,701714309 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 2,384285310 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 2,701714311 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 2,701714312 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 2,701714313 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 2,701714314 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 2,701714315 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O PRF 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000316 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500317 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400318 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000319 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 22,328000320 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 25,179000321 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 88,14 88,140000 88,140000 111,45 111,450000 103,986000322 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/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 17,91 17,910000 17,910000 24,21 24,210000 24,210000323 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000324 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000325 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 20,737200 45,82 45,820000 25,316400326 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 103,620000327 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 20,737200 44,84 44,840000 25,316400328 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 17,91 17,910000 17,910000 24,21 24,210000 24,210000329 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 21,666500330 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 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 20,737200 53,14 53,140000 25,316400331 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 87,817000332 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 20,737200 533,65 53,365000 25,316400333 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 20,737200 906,22 45,311000 25,316400334 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 3,504000335 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 4,204000336 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 3,503333337 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 3,504000

Pagina 5 din 43

338 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000339 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 139,918571340 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 36,868928341 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 537,450000342 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 2.439,990000343 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 2.750,280000344 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 1.348,760000345 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 1.738,700000346 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 1.628,130000347 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 159,50 0,106333 0,106333 194,72 0,129813 0,129813348 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500 395,00 0,263333 0,263333 468,70 0,312466 0,312466349 J04AC01 ISONIAZIDUM ISONIAZID SIROP 100mg/5ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. X 200 ML SIROP PR 1 29,01 29,010000 29,010000 37,95 37,950000 37,950000350 J04AC01 ISONIAZIDUM BITUB SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE A 5ML PR 10 14,16 1,416000 1,416000 19,14 1,914000 1,914000351 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 434,58 0,289720 0,289720 511,84 0,341226 0,341226352 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500 434,58 0,289720 0,289720 511,84 0,341226 0,341226353 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 5,54 0,277000 0,277000 7,49 0,374500 0,374500354 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. DIN PE X 50 CAPS. PRF 50 13,72 0,274400 0,274400 18,54 0,370800 0,370800355 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 314,54 0,209693 0,209693 381,00 0,254000 0,254000356 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 485,00 0,323333 0,323333 566,80 0,377866 0,377866357 J04AK02 ETHAMBUTOLUM INBUTOL SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 10 ML SOL. INJ PR 1 15,55 15,550000 15,550000 21,02 21,020000 21,020000358 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 580,00 0,580000 0,580000 670,35 0,670350 0,670350359 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 0,780000360 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 0,780000361 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 0,780000362 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 704,14 0,704140 0,577200 805,66 0,805660 0,780000363 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 1,948000364 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 0,780000365 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 0,780000366 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 0,650000367 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 0,690500368 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 20,11 2,011000 1,729200 27,18 2,718000 2,337600369 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 56,594000370 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 1.085,34 7,752428 7,752428 1.221,17 8,722642 8,722642371 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 9,302914 2.661,10 15,839880 10,467170372 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 117,330000373 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 3,396000 56,95 5,695000 4,441200374 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 28,30 2,830000 2,830000 37,01 3,701000 3,701000375 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 88,982166376 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 47,511428377 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 9,527500378 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 7,991333379 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 14,529500380 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 331,984000381 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 22,791500382 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 457,320000383 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 29,337000384 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB PHARMA EEIG 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 62,726000385 J05AE09 TIPRANAVIRUM** APTIVUS 250mg CAPS. MOI 250mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI P-RF/R 120 2.969,40 24,745000 24,745000 3.274,80 27,290000 27,290000386 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 37,244500387 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 52,258166388 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 354,20 3,542000 3,542000 424,23 4,242300 4,242300389 J05AF01 ZIDOVUDINUM RETROVIR® SOL. ORALA 1% VIIV HEALTHCARE UK LIMITED 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 43,52 43,520000 43,520000 56,92 56,920000 56,920000390 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 16,601666391 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 25,145666392 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 10,168571393 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 10,465714394 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 6,436000395 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 319,27 5,321166 5,321166 386,16 6,436000 6,436000396 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 7,723200397 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 12,872000398 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 ADAPTORP-RF/R 1 131,82 131,820000 131,820000 160,92 160,920000 160,920000399 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 14,942666400 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 256,260000401 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 41,129666402 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 25,114333403 J05AG01 NEVIRAPINUM VIRAMUNE 200mg COMPR. 200mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. X 10 COMPR. PR 60 625,14 10,419000 6,550600 719,55 11,992500 7,903200404 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 6,550600 492,51 8,208500 7,903200405 J05AG01 NEVIRAPINUM NEVIRAPINA SANDOZ 200 mg COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. PR 60 327,53 5,458833 5,458833 395,16 6,586000 6,586000406 J05AG01 NEVIRAPINUM VIRAMUNE 100mg COMPR. ELIB. PREL. 100mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH 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 9,284444407 J05AG01 NEVIRAPINUM VIRAMUNE 400mg COMPR. ELIB. PREL. 400mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH 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 36,398000408 J05AG01 NEVIRAPINUM VIRAMUNE 50mg COMPR. ELIB. PREL. 50mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH 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 4,642222

Pagina 6 din 43

409 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON PR 1 186,84 186,840000 186,840000 228,10 228,100000 228,100000410 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 2,842666411 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 18,003166412 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 9,408000 777,10 12,951666 11,017800413 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 470,40 7,840000 7,840000 550,89 9,181500 9,181500414 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** 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 9,408000 1.157,41 19,290166 11,017800415 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 49,550333416 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 31,077166417 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 31,077166418 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 111,285166419 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 63,868000420 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 61,546166421 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 61,546166422 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 988,630000423 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 529,740000424 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 3.386,740000425 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 6.702,890000426 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 761,480000427 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 1.728,250000428 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 3.819,400000429 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 540,070000430 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 1.007,990000431 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 1.945,120000432 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 230,200000433 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 1.009,280000434 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 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000435 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 1.947,710000436 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 3.824,570000437 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 539,420000438 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 2.273,520000439 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 271,370000440 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 621,520000441 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 125,200000442 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 1.998,190000443 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 552,680000444 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 1.034,520000445 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 1.309,850000446 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 2.502,970000447 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 736,240000448 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 1.172,190000449 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 2.347,880000450 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 237,468000451 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 382,224000452 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 197,890000453 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 318,520000454 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 98,852000455 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 237,468000456 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 225,874000457 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 382,224000458 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 368,704000459 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 1,716200460 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 14,180000461 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 1,929333462 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 17,016000463 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 5.155,370000464 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 5,550000465 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 10,120000466 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 6,660000467 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

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

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 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 0,4555003 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 2,0680004 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 1,3960005 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 44,43 0,044430 0,044430 58,12 0,058120 0,0581206 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 0,0697447 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 0,069744

Pagina 7 din 43

8 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 0,0697449 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 0,069744

10 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 1,561714 32,05 4,578571 2,11028511 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. ELIB. PREL. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL. PRF 6 21,73 3,621666 1,561714 29,37 4,895000 2,11028512 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 8,40 0,600000 0,600000 11,36 0,811428 0,81142813 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 0,719142 28,57 2,040714 0,97200014 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 0,719142 16,69 1,192142 0,97200015 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 0,719142 16,69 1,192142 0,97200016 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 0,719142 14,67 1,047857 0,97200017 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 250 mg COMPR. FILM. 250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 8,39 0,599285 0,599285 11,34 0,810000 0,81000018 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 8,40 0,600000 0,600000 11,36 0,811428 0,81142819 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 24,13 1,723571 1,561714 32,62 2,330000 2,11028520 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 1,561714 32,62 2,330000 2,11028521 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 1,561714 32,08 2,291428 2,11028522 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 18,22 1,301428 1,301428 24,62 1,758571 1,75857123 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 1,561714 32,62 2,330000 2,11028524 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.P-RF 20 40,76 2,038000 1,561714 53,31 2,665500 2,11028525 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 1,561714 43,35 2,167500 2,11028526 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 24,13 1,723571 1,561714 32,62 2,330000 2,11028527 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 25,34 3,620000 1,561714 33,15 4,735714 2,11028528 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 1,561714 28,09 4,012857 2,11028529 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 1,561714 36,43 7,286000 2,11028530 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 18,94000031 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 29,920000 39,14 39,140000 39,14000032 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 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 22,72800035 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 21,29 21,290000 21,290000 28,78 28,780000 28,78000036 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 PPP-RF 1 21,29 21,290000 21,290000 28,78 28,780000 28,78000037 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 61,30800038 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 31,68000039 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 51,09000040 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 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 3,41140043 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 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 2,05120045 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 6,96000046 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 1,13600047 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 1,36320048 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 3,28050049 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 3,73100050 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 0,57120051 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 0,57120052 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 0,57120053 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 0,57120054 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 0,57120055 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 9,10 0,455000 0,422400 12,30 0,615000 0,57120056 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 0,57120057 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 0,47600058 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 0,57120059 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 0,77880060 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 0,77880061 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 0,77880062 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 0,77880063 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 0,77880064 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 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 0,77880066 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 0,77880067 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 0,77880068 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 3,73100069 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 3,85000070 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER PHARMA 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 12,10000071 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER PHARMA 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 0,77880072 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 3,27744073 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 2,73120074 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ZENTIVA 10 mg/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 3,27744075 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 3,27744076 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 3,27744077 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 9,58000078 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 8,749000

Pagina 8 din 43

79 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 15,73300080 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 18,87960081 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 42,33 8,466000 8,466000 55,37 11,074000 11,07400082 J01MA14 MOXIFLOXACINUM MOFINACIN 400 mg COMPR. FILM. 400mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM PRF 5 42,18 8,436000 8,436000 55,17 11,034000 11,03400083 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF 5 58,59 11,718000 8,481600 74,08 14,816000 11,09280084 J01MA14 MOXIFLOXACINUM MOFIL 400 mg COMPR. FILM. 400mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF 5 35,34 7,068000 7,068000 46,22 9,244000 9,24400085 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 137,27200086 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 4,64800087 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 5,01470088 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 163,52 0,163520 0,163520 199,62 0,199620 0,19962089 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S 1000 530,00 0,530000 0,530000 615,85 0,615850 0,61585090 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 159,50 0,106333 0,106333 194,72 0,129813 0,12981391 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500 395,00 0,263333 0,263333 468,70 0,312466 0,31246692 J04AC01 ISONIAZIDUM ISONIAZID SIROP 100mg/5ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. X 200 ML SIROP PR 1 29,01 29,010000 29,010000 37,95 37,950000 37,95000093 J04AC01 ISONIAZIDUM BITUB SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE A 5ML PR 10 14,16 1,416000 1,416000 19,14 1,914000 1,91400094 J04AD01 PROTIONAMIDUM PETEHA 250 mg COMPR. 250 mg S.C. PHARMA S.A. ROMANIA CUTIE X 100 COMPR. PR 100 98,56 0,985600 0,985600 124,62 1,246200 1,24620095 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 434,58 0,289720 0,289720 511,84 0,341226 0,34122696 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500 434,58 0,289720 0,289720 511,84 0,341226 0,34122697 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 5,54 0,277000 0,277000 7,49 0,374500 0,37450098 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. DIN PE X 50 CAPS. PRF 50 13,72 0,274400 0,274400 18,54 0,370800 0,37080099 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 314,54 0,209693 0,209693 381,00 0,254000 0,254000

100 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 485,00 0,323333 0,323333 566,80 0,377866 0,377866101 J04AK02 ETHAMBUTOLUM INBUTOL SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 10 ML SOL. INJ PR 1 15,55 15,550000 15,550000 21,02 21,020000 21,020000102 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 580,00 0,580000 0,580000 670,35 0,670350 0,670350

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILEC) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR 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 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 7,606000

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 85,78 1,715600 1,715600 108,46 2,169200 2,1692002 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 ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 238,56 9,542400 9,542400 291,24 11,649600 11,6496005 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 288,54 11,541600 11,541600 352,25 14,090000 14,0900006 L01AA03 MELPHALANUM ALKERAN 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT PR 1 654,63 654,630000 654,630000 751,70 751,700000 751,7000007 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 117,1600008 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 1.028,76 10,287600 10,287600 1.159,50 11,595000 11,5950009 L01AB01 BUSULFANUM BUSILVEX 6mg/ml CONC. PT. SOL. PERF. 6mg/ml PIERRE FABRE MEDICAMENT FRANTA CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ. S 8 9.151,91 1.143,988750 1.143,988750 10.013,75 1.251,718750 1.251,718750

10 L01AD02 LOMUSTINUM4) CECENU CAPS. 40mg CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON X 20 CAPSULE PR 20 1.858,81 92,940500 92,940500 2.064,26 103,213000 103,21300011 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 5 393,55 78,710000 78,710000 467,12 93,424000 93,42400012 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA GLENMARK 100 mg CAPS. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 479,26 95,852000 94,452000 560,54 112,108000 112,10800013 L01AX03 TEMOZOLOMIDUM** BRASTORYN 100 mg CAPS. 100mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERI PR 5 393,55 78,710000 78,710000 467,12 93,424000 93,42400014 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA HF 100 mg CAPS. 100mg STADA HEMOFARM SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 495,60 99,120000 94,452000 578,35 115,670000 112,10880015 L01AX03 TEMOZOLOMIDUM** TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 589,30 117,860000 94,452000 680,49 136,098000 112,10880016 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 5 675,04 135,008000 94,452000 773,95 154,790000 112,10880017 L01AX03 TEMOZOLOMIDUM** BLASTOMAT 100 mg CAPS. 100mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID X 5 CAPS. PRF 5 472,26 94,452000 94,452000 552,91 110,582000 110,58200018 L01AX03 TEMOZOLOMIDUM** NOGRON 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. PEID X 5 CAPS. PRF 5 629,66 125,932000 94,452000 724,48 144,896000 112,10880019 L01AX03 TEMOZOLOMIDUM** BRASTORYN 100 mg CAPS. 100mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 393,55 78,710000 78,710000 467,12 93,424000 93,42400020 L01AX03 TEMOZOLOMIDUM** BRASTORYN 140 mg CAPS. 140mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 857,79 171,558000 170,160000 973,14 194,628000 194,62800021 L01AX03 TEMOZOLOMIDUM** BRASTORYN 140 mg CAPS. 140mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERI PR 5 857,79 171,558000 170,160000 973,14 194,628000 194,62800022 L01AX03 TEMOZOLOMIDUM** TEMODAL 140mg CAPS. 140mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 825,68 165,136000 165,136000 938,14 187,628000 187,62800023 L01AX03 TEMOZOLOMIDUM** NOGRON 140 mg CAPS. 140mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. PEID X 5 CAPS. PRF 5 929,60 185,920000 170,160000 1.051,42 210,284000 194,63040024 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA HF 140 mg CAPS. 140mg STADA HEMOFARM SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 709,00 141,800000 141,800000 810,96 162,192000 162,19200025 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 170,160000 1.834,68 366,936000 194,63040026 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA HF 180 mg CAPS. 180mg STADA HEMOFARM SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 903,00 180,600000 180,600000 1.022,42 204,484000 204,48400027 L01AX03 TEMOZOLOMIDUM** TEMODAL 180 mg CAPS. 180mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 1.019,21 203,842000 203,842000 1.149,09 229,818000 229,81800028 L01AX03 TEMOZOLOMIDUM** NOGRON 180 mg CAPS. 180mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. PEID X 5 CAPS. PRF 5 1.247,53 249,506000 216,720000 1.397,96 279,592000 245,38080029 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 92,91 18,582000 18,582000 117,48 23,496000 23,49600030 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA GLENMARK 20 mg CAPS. 20mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 115,47 23,094000 22,298400 140,96 28,192000 28,19200031 L01AX03 TEMOZOLOMIDUM** TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 140,39 28,078000 22,298400 171,39 34,278000 28,19520032 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA HF 20 mg CAPS. 20mg STADA HEMOFARM SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 93,94 18,788000 18,788000 118,78 23,756000 23,75600033 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 5 141,91 28,382000 22,298400 173,24 34,648000 28,195200

Pagina 9 din 43

34 L01AX03 TEMOZOLOMIDUM** BLASTOMAT 20 mg CAPS. 20mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID X 5 CAPS. PRF 5 107,00 21,400000 21,400000 130,63 26,126000 26,12600035 L01AX03 TEMOZOLOMIDUM** NOGRON 20 mg CAPS. 20mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. PEID X 5 CAPS. PRF 5 131,91 26,382000 22,298400 161,04 32,208000 28,19520036 L01AX03 TEMOZOLOMIDUM** BRASTORYN 20 mg CAPS. 20mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 92,91 18,582000 18,582000 117,48 23,496000 23,49600037 L01AX03 TEMOZOLOMIDUM** BRASTORYN 20 mg CAPS. 20mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERI PR 5 92,91 18,582000 18,582000 117,48 23,496000 23,49600038 L01AX03 TEMOZOLOMIDUM** BRASTORYN 250 mg CAPS. 250mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERI PR 5 1.557,47 311,494000 310,096800 1.735,80 347,160000 347,16000039 L01AX03 TEMOZOLOMIDUM** BRASTORYN 250 mg CAPS. 250mg ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 1.557,47 311,494000 310,096800 1.735,80 347,160000 347,16000040 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA GLENMARK 250 mg CAPS. 250mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 1.557,48 311,496000 310,096800 1.735,81 347,162000 347,16200041 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 1.557,48 311,496000 310,096800 1.735,81 347,162000 347,16200042 L01AX03 TEMOZOLOMIDUM** BLASTOMAT 250 mg CAPS. 250mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID X 5 CAPS. PRF 5 1.550,35 310,070000 310,070000 1.728,03 345,606000 345,60600043 L01AX03 TEMOZOLOMIDUM** TEMOZOLOMIDA HF 250 mg CAPS. 250mg STADA HEMOFARM SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 1.292,07 258,414000 258,414000 1.446,51 289,302000 289,30200044 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 310,096800 2.806,17 561,234000 347,16240045 L01AX03 TEMOZOLOMIDUM** TEMODAL 2,5mg/ml PULB. PT. SOL. PERF. 2,5mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. PERF. P-RF/R 1 582,04 582,040000 582,040000 672,57 672,570000 672,57000046 L01AX04 DACARBAZINUM DACARBAZINE MEDAC 500 mg PULB. PT. SOL. INJ. 500mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ. PR/PRF 1 66,94 66,940000 66,940000 84,64 84,640000 84,64000047 L01AX04 DACARBAZINUM DACARBAZIN MEDAC 200mg PULB. PT. SOL. INJ./PERF. 200mg CN UNIFARM S.A. ROMANIA CUTIE X 10 FLACOANE PR 10 795,44 79,544000 79,544000 905,18 90,518000 90,51800048 L01BA01 METHOTREXATUM METHOTREXATE PCH 10mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10COMPR. P6L 10 21,32 2,132000 2,132000 28,81 2,881000 2,88100049 L01BA01 METHOTREXATUM METHOTREXATE PCH 2,5mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X30 COMPRIMATE P6L 30 16,00 0,533333 0,533333 21,62 0,720666 0,72066650 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 400,81000051 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 48,21400052 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 89,66000053 L01BA01 METHOTREXATUM BENDATREXAT SOL INJ. 25mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 2 ML PR 1 65,37 65,370000 65,370000 82,65 82,650000 82,65000054 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 2,38200055 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 78,67000056 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 110,09000057 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 122,50000058 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 59,64000059 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 109,54000060 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 71,56800061 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 78,67000062 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 124,21000063 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 5.537,28000064 L01BB02 MERCAPTOPURINUM PURI - NETHOL COMPR. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF 25 300,20 12,008000 12,008000 365,37 14,614800 14,61480065 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 638,68 25,547200 25,547200 734,31 29,372400 29,37240066 L01BB03 TIOGUANINUM THIOGUANIN ASPEN 40 mg COMPR. 40mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU 25 COMPR. PR 25 638,68 25,547200 25,547200 734,31 29,372400 29,37240067 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 1.603,17000068 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 1.094,66 54,733000 54,733000 1.231,33 61,566500 61,56650069 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 5 513,08 102,616000 102,616000 597,41 119,482000 119,48200070 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 123,139200 408,89 408,890000 143,37840071 L01BB06 CLOFARABINUM**** EVOLTRA 1mg/ml CONC. PT. SOL. PERF. 1mg/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF. PR 1 6.346,63 6.346,630000 6.346,630000 6.955,99 6.955,990000 6.955,99000072 L01BB07 NELARABINUM**** ATRIANCE SOL. PERF. 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S 6 7.484,57 1.247,428333 1.247,428333 8.196,34 1.366,056666 1.366,05666673 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 12,33600074 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 6,24000075 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 30,300000 59,15 59,150000 39,63600076 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 60,600000 96,52 96,520000 76,62000077 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ. SAU PERF. 100mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA X 5 ML SOL. INJ. SAU PERF. PR 1 25,25 25,250000 25,250000 33,03 33,030000 33,03000078 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ. SAU PERF. 100mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ. SAU PERF. PR 1 50,50 50,500000 50,500000 63,85 63,850000 63,85000079 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ. SAU PERF. 100mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ. SAU PERF. PR 1 99,23 99,230000 99,230000 125,47 125,470000 125,47000080 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 7.636,10000081 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 6,32 6,320000 6,320000 8,54 8,540000 8,54000082 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 11,17 11,170000 11,170000 15,10 15,100000 15,10000083 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 68,66 68,660000 68,660000 86,81 86,810000 86,81000084 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 13,64 13,640000 13,640000 18,44 18,440000 18,44000085 L01BC02 FLUOROURACILUM FLUOROURACIL PCH 50 mg/ml SOL INJ. 50 mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA FLACON X 10ML SOLUTIE INJECTABILA PR 1 11,53 11,530000 11,530000 15,58 15,580000 15,58000086 L01BC02 FLUOROURACILUM FLUOROURACIL PCH 50 mg/ml SOL INJ. 50 mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA FLACON X 100ML SOLUTIE INJECTABILA PR 1 99,35 99,350000 82,392000 125,62 125,620000 104,17200087 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 UN FLAC. DIN STICLA INCOLORA CU INVELIS PROTECTOR ,,ONCO-SAFE" A 100 ML CONC. PT. SOL. PERF S 1 185,77 185,770000 185,770000 226,79 226,790000 226,79000088 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 UN FLAC. DIN STICLA INCOLORA CU INVELIS PROTECTOR ,,ONCO-SAFE" A 20 ML CONC. PT. SOL. PERF. S 1 41,54 41,540000 41,540000 54,34 54,340000 54,34000089 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 439,01000090 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 226,79000091 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 54,34000092 L01BC05 GEMCITABINUM** GEMCITABINA KABI 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA, CU DISC DIN PP, A 1000 MG/25 ML CONC. PT. SOL. PERF. PR 1 184,80 184,800000 184,800000 225,60 225,600000 225,60000093 L01BC05 GEMCITABINUM** GEMCITABINA KABI 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VIOLET, CU DISC DIN PP, A 2000 MG/50 ML CONC. PT. SOL. PERF. PR 1 367,00 367,000000 367,000000 438,18 438,180000 438,18000094 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 440,400000 603,26 603,260000 525,81600095 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 54,34000096 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 226,79000097 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 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 226,79000098 L01BC05 GEMCITABINUM** GEMCITABINA TEVA 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA PR 1 367,76 367,760000 367,760000 439,01 439,010000 439,01000099 L01BC05 GEMCITABINUM** GEMCITABINA KABI 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, CU DISC DIN PP, A 200 MG/5 ML CONC. PT. SOL. PERF. PR 1 41,04 41,040000 41,040000 53,68 53,680000 53,680000

100 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 265,680000101 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 226,790000

Pagina 10 din 43

102 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 226,790000103 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 226,770000104 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 439,020000105 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 54,340000106 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 49,248000 79,39 79,390000 64,416000107 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 54,340000108 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 54,340000109 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 49,248000 79,39 79,390000 64,416000110 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 GEMCITABINAS 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000111 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 265,680000112 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 54,340000113 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 440,140000114 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 226,790000115 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 439,010000116 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 221,400000117 L01BC06 CAPECITABINUM CAPECITABINA GLENMARK 150 mg COMPR. FILM. 150mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 6 BLIST. AL-AL X 60 (6X10) COMPR. FILM. PR 60 101,61 1,693500 1,635199 124,04 2,067333 2,067333118 L01BC06 CAPECITABINUM CAPECITABINA FRESENIUS KABI 150 mg COMPR. FILM. 150mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 6 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10 COMPR. FILM. PR 60 91,84 1,530666 1,530666 116,12 1,935333 1,935333119 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 60 206,50 3,441666 1,635199 252,09 4,201500 2,067600120 L01BC06 CAPECITABINUM XALVOBIN 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 156,07 2,601166 1,635199 190,53 3,175500 2,067600121 L01BC06 CAPECITABINUM XALVOBIN 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. PR 60 156,07 2,601166 1,635199 190,53 3,175500 2,067600122 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE PR 60 101,24 1,687333 1,635199 123,60 2,060000 2,060000123 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PR 60 101,24 1,687333 1,635199 123,60 2,060000 2,060000124 L01BC06 CAPECITABINUM CAPECITABINE TEVA 150 mg COMPR. FILM. 150mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 60 COMPR. FILM. PR 60 81,76 1,362666 1,362666 103,38 1,723000 1,723000125 L01BC06 CAPECITABINUM ARXEDA 150 mg COMPR. FILM. 150mg ROMASTRU TRADING SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PRF 60 101,61 1,693500 1,635199 124,04 2,067333 2,067333126 L01BC06 CAPECITABINUM CAPECITABINA ACTAVIS 150 mg COMPR. FILM. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 92,94 1,549000 1,549000 117,51 1,958500 1,958500127 L01BC06 CAPECITABINUM CAPECITABINA SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ SRL ROMANIA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 81,76 1,362666 1,362666 103,38 1,723000 1,723000128 L01BC06 CAPECITABINUM ARXEDA 150 mg COMPR. FILM. 150mg ROMASTRU TRADING SRL ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. PRF 60 101,61 1,693500 1,635199 124,04 2,067333 2,067333129 L01BC06 CAPECITABINUM CAPECITABINA ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PR 60 101,61 1,693500 1,635199 124,05 2,067500 2,067500130 L01BC06 CAPECITABINUM CAPECITABINA ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR 60 101,61 1,693500 1,635199 124,05 2,067500 2,067500131 L01BC06 CAPECITABINUM ECANSYA 300mg COMPR. FILM. 300mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE PR 60 312,14 5,202333 5,202333 378,38 6,306333 6,306333132 L01BC06 CAPECITABINUM ECANSYA 300mg COMPR. FILM. 300mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PR 60 312,14 5,202333 5,202333 378,38 6,306333 6,306333133 L01BC06 CAPECITABINUM XALVOBIN 500 mg COMPR. FILM. 500mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699134 L01BC06 CAPECITABINUM CAPECITABINA GLENMARK 500 mg COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 12 BLIST. AL-AL X 120 (12X10) COMPR. FILM. PR 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916135 L01BC06 CAPECITABINUM XALVOBIN 500 mg COMPR. FILM. 500mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699136 L01BC06 CAPECITABINUM COLOXET 500 mg COMPR. FILM. 500mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 12 BLIST. AL/AL X 10 COMPR. FILM. PR 120 971,29 8,094083 5,142400 1.096,86 9,140500 5,986699137 L01BC06 CAPECITABINUM CAPECITABINA FRESENIUS KABI 500 mg COMPR. FILM. 500mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 12 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10 COMPR. FILM. PR 120 580,00 4,833333 4,833333 670,35 5,586250 5,586250138 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE PR 120 622,25 5,185416 5,142400 716,40 5,970000 5,970000139 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 120 COMPRIMATE FILMATE PR 120 622,25 5,185416 5,142400 716,40 5,970000 5,970000140 L01BC06 CAPECITABINUM CAPECITABINA DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL-PET-HARTIE X 120 COMPRIMATE FILMATE PR 120 971,30 8,094166 5,142400 1.096,87 9,140583 5,986699141 L01BC06 CAPECITABINUM CAPECITABINE TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 120 COMPR. FILM. PR 120 514,24 4,285333 4,285333 598,67 4,988916 4,988916142 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 1.275,41 10,628416 5,142400 1.428,35 11,902916 5,986699143 L01BC06 CAPECITABINUM COLOXET 500 mg COMPR. FILM. 500mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 12 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PR 120 971,29 8,094083 5,142400 1.096,86 9,140500 5,986699144 L01BC06 CAPECITABINUM CAPECITABINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR 120 580,39 4,836583 4,836583 670,78 5,589833 5,589833145 L01BC06 CAPECITABINUM CAPECITABINA SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ SRL ROMANIA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR 120 514,24 4,285333 4,285333 598,67 4,988916 4,988916146 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 971,30 8,094166 5,142400 1.096,87 9,140583 5,986699147 L01BC06 CAPECITABINUM ARXEDA 500 mg COMPR. FILM. 500mg ROMASTRU TRADING SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PRF 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916148 L01BC06 CAPECITABINUM ARXEDA 500 mg COMPR. FILM. 500mg ROMASTRU TRADING SRL ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PRF 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916149 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 971,30 8,094166 5,142400 1.096,87 9,140583 5,986699150 L01BC06 CAPECITABINUM CAPECITABINA ZENTIVA 500 mg COMPR. FILM. 500mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699151 L01BC06 CAPECITABINUM CAPECITABINA ZENTIVA 500 mg COMPR. FILM. 500mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699152 L01BC08 DECITABINUM**** DACOGEN PULB. PT. CONC. PT. SOL. PERF. 50mg JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA PR 1 5.755,43 5.755,430000 5.755,430000 6.311,58 6.311,580000 6.311,580000153 L01CA01 VINBLASTINUM4) VINBLASTINA TEVA 1 mg/ml SOL INJ. 1mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. PR 1 29,63 29,630000 29,630000 38,75 38,750000 38,750000154 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 25,54 25,540000 25,540000 33,40 33,400000 33,400000155 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 238,150000156 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 357,190000157 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 352,010000 421,84 421,840000 421,840000158 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 72,140000 91,21 91,210000 91,210000159 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 352,010000 421,84 421,840000 421,840000160 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 422,412000 527,44 527,440000 506,208000161 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 72,150000 91,23 91,230000 91,230000162 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 72,140000 91,21 91,210000 91,210000163 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 86,568000 1.150,95 115,095000 109,452000164 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 37,753000165 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 18,724500166 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 50,172000167 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 42,940000168 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 41,810000169 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 77,220000

Pagina 11 din 43

170 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 132,744000171 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 1.237,860000172 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 1.139,990000173 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 538,200000 647,91 647,910000 632,424000174 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 1.237,890000175 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 425,271000176 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 132,744000177 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 527,020000178 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 129,590000179 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 110,620000180 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 1.140,040000181 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 1.237,710000182 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 538,200000 945,12 945,120000 632,424000183 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 407,510000184 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 425,271000185 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 538,200000 647,79 647,790000 632,424000186 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 425,271000187 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 132,744000188 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 354,392500189 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 425,271000190 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 1.237,890000191 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 1.029,410000192 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 132,744000193 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 1 227,82 227,820000 77,952000 278,12 278,120000 98,568000194 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 77,952000 435,77 435,770000 98,568000195 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 1 148,08 148,080000 77,952000 180,78 180,780000 98,568000196 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 1.043,54 1.043,540000 307,296000 1.175,61 1.175,610000 375,144000197 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 1 787,79 787,790000 307,296000 896,84 896,840000 375,144000198 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 307,296000 1.530,85 1.530,850000 375,144000199 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 2 ML CONC. PT. SOL. PERF. S/P-RF 1 64,96 64,960000 64,960000 82,14 82,140000 82,140000200 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 8 ML CONC. PT. SOL. PERF. S/P-RF 1 256,08 256,080000 256,080000 312,62 312,620000 312,620000201 L01CD02 DOCETAXELUM** DOCETAXEL HOSPIRA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 16 ML CONC. PT. SOL. PERF. S/P-RF 1 466,50 466,500000 466,500000 546,64 546,640000 546,640000202 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 559,800000 1.719,64 1.719,640000 655,968000203 L01CD02 DOCETAXELUM** DOCETAXEL PFIZER 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 13 ML CONC. PT. SOL. PERF. PR 1 1.577,91 1.577,910000 1.577,910000 1.758,07 1.758,070000 1.758,070000204 L01CD02 DOCETAXELUM** DOCETAXEL PFIZER 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 2 ML CONC. PT. SOL. PERF. PR 1 261,95 261,950000 77,952000 319,79 319,790000 98,568000205 L01CD02 DOCETAXELUM** DOCETAXEL PFIZER 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 20 ML CONC. PT. SOL. PERF. PR 1 2.411,40 2.411,400000 2.411,400000 2.666,58 2.666,580000 2.666,580000206 L01CD02 DOCETAXELUM** DOCETAXEL PFIZER 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 8 ML CONC. PT. SOL. PERF. PR 1 924,39 924,390000 307,296000 1.045,74 1.045,740000 375,144000207 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 77,952000 319,79 319,790000 98,568000208 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 1 466,50 466,500000 466,500000 546,64 546,640000 546,640000209 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 64,96 64,960000 64,960000 82,14 82,140000 82,140000210 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 1 256,08 256,080000 256,080000 312,62 312,620000 312,620000211 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 307,296000 1.045,74 1.045,740000 375,144000212 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 PR 1 2.361,67 2.361,670000 559,800000 2.612,37 2.612,370000 655,968000213 L01CD02 DOCETAXELUM** DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 20 mg/1 ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 6 ML CONCENTRAT PENTRU SOL. PERFUZABILA PR 1 1.359,59 1.359,590000 1.359,590000 1.520,11 1.520,110000 1.520,110000214 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. PR 1 287,07 287,070000 77,952000 350,45 350,450000 98,568000215 L01CD02 DOCETAXELUM** DOCETAXEL KABI 160 mg/8 ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 8 ML CONCENTRAT CE CONTINE 160 MG DOCETAXEL PR 1 1.706,08 1.706,080000 559,800000 1.897,78 1.897,780000 655,968000216 L01CD02 DOCETAXELUM** TOLNEXA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE PORTOCALIE, A 8 ML CONC. PT. SOL. PERF. CARE CONTINE 160 MG DOCETAXEL PR 1 566,74 566,740000 559,800000 655,90 655,900000 655,900000217 L01CD02 DOCETAXELUM** DOCETAXEL KABI 180 mg/9 ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 9 ML CONCENTRAT CE CONTINE 180 MG DOCETAXEL PR 1 2.024,40 2.024,400000 2.024,400000 2.244,75 2.244,750000 2.244,750000218 L01CD02 DOCETAXELUM** DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR 1 916,40 916,400000 307,296000 1.037,03 1.037,030000 375,144000219 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 77,952000 319,79 319,790000 98,568000220 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 307,296000 1.045,74 1.045,740000 375,144000221 L01CD02 DOCETAXELUM** TOLNEXA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE ROSIE, A 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAXEL PR 1 309,04 309,040000 307,296000 375,00 375,000000 375,000000222 L01CD02 DOCETAXELUM** TOLNEXA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE PORTOCALIE, A 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAXEL PR 1 77,91 77,910000 77,910000 98,51 98,510000 98,510000223 L01CD02 DOCETAXELUM** DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20MG DOCETAXEL PR 1 256,30 256,300000 77,952000 312,89 312,890000 98,568000224 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 2.625,280000225 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. PR 1 1.195,82 1.195,820000 307,296000 1.341,60 1.341,600000 375,144000226 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 1 148,08 148,080000 77,952000 180,78 180,780000 98,568000227 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 1 787,78 787,780000 307,296000 896,83 896,830000 375,144000228 L01CX01 TRABECTEDINUM**** YONDELIS 0,25mg PULB. PT.CONC. PT.SOL. PERF. 0,25mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 2.068,12 2.068,120000 2.068,120000 2.292,40 2.292,400000 2.292,400000229 L01CX01 TRABECTEDINUM**** YONDELIS 1mg PULB. PT.CONC. PT.SOL. PERF. 1mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 7.697,96 7.697,960000 7.697,960000 8.428,94 8.428,940000 8.428,940000230 L01DA01 DACTINOMICINUM4) COSMEGEN LYOVAC 0,5 mg PULB. PT. SOL. INJ. 0,5mg CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON PULBERE LIOFILIZATA PENTRU SOLUTIE PERFUZABILA PR 1 128,87 128,870000 128,870000 157,32 157,320000 157,320000231 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 134,490000232 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 35,550000233 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 36,910000234 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 83,740000235 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 1.613,290000236 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 35,860000237 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 329,520000

Pagina 12 din 43

238 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 123,340000239 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 2.250,972000 3.926,95 3.926,950000 2.476,452000240 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 128,990000241 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 254,100000242 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 319,320000243 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 78,810000244 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 36,910000245 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 112,820000246 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 275,510000247 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 PR 1 63,03 63,030000 63,030000 79,70 79,700000 79,700000248 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 PR 1 89,23 89,230000 89,230000 112,82 112,820000 112,820000249 L01DB01 DOXORUBICINUM DHARUXO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml NEOLA PHARMA 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 35,860000250 L01DB01 DOXORUBICINUM DHARUXO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml NEOLA PHARMA 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 83,740000251 L01DB01 DOXORUBICINUM DHARUXO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml NEOLA PHARMA 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 123,340000252 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 3.751,62 1.875,810000 1.875,810000 4.127,42 2.063,710000 2.063,710000253 L01DB01 DOXORUBICINUM MYOCET 50mg PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF 50mg TEVA PHARMA B.V. OLANDA CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.) S 2 3.751,62 1.875,810000 1.875,810000 4.127,42 2.063,710000 2.063,710000254 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 35,550000255 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 128,990000256 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 59,688000257 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 317,892000258 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 202,188000259 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 55,900000260 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 202,188000261 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 168,490000262 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 202,188000263 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 317,892000264 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 476,772000 879,36 879,360000 565,464000265 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 202,188000266 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 264,910000267 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 471,220000268 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 202,188000269 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml NEOLA PHARMA 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 202,188000270 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml NEOLA PHARMA 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 317,892000271 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml NEOLA PHARMA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA S 1 771,75 771,750000 476,772000 879,36 879,360000 565,464000272 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml NEOLA PHARMA 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 52,310000273 L01DB03 EPIRUBICINUM ECCLEPIA 2 mg/ml SOL. INJ./PERF. 2mg/ml NEOLA PHARMA 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 102,200000274 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 52,310000275 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 102,200000276 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 679,140000277 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 476,772000 881,13 881,130000 565,464000278 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 103,620000279 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 49,740000280 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 55,590000281 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 105,420000282 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 248,220000283 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 175,000000284 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 643,620000285 L01DC01 BLEOMYCINUM SULFAS BLEOMYCIN MEDAC 15000 UI PULB. PT. SOL. INJ. 15000UI MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 105,44 105,440000 105,440000 128,72 128,720000 128,720000286 L01XA01 CISPLATINUM PLATOSIN 0,5 mg/ml CONC. PT. SOL. PERF. 0,5 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. PR 1 11,00 11,000000 11,000000 14,87 14,870000 14,868000287 L01XA01 CISPLATINUM PLATOSIN 0,5 mg/ml CONC. PT. SOL. PERF. 0,5 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF. PR 1 19,75 19,750000 19,750000 26,70 26,700000 26,700000288 L01XA01 CISPLATINUM PLATOSIN 0,5 mg/ml CONC. PT. SOL. PERF. 0,5 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF. PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000289 L01XA01 CISPLATINUM PLATOSIN 1 mg/ml CONC. PT. SOL. PERF. 1 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF. PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000290 L01XA01 CISPLATINUM PLATOSIN 1 mg/ml CONC. PT. SOL. PERF. 1 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF. PR 1 67,91 67,910000 67,910000 85,86 85,860000 85,860000291 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 12,390000292 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 48,45 48,450000 37,884000 63,37 63,370000 49,560000293 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 18,81 18,810000 11,004000 25,42 25,420000 14,868000294 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 29,810000295 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 31,570000 41,30 41,300000 41,300000296 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 62,060000297 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 158,400000 217,39 217,390000 193,380000298 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 21,624000 29,55 29,550000 29,220000299 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA PR 1 174,90 174,900000 174,900000 213,52 213,520000 213,520000300 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 24,390000301 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 63,220000302 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 18,02 18,020000 18,020000 24,35 24,350000 24,350000303 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA PR 1 47,42 47,420000 47,420000 62,03 62,030000 62,030000304 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 132,00 132,000000 132,000000 161,15 161,150000 161,150000305 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 162,140000

Pagina 13 din 43

306 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 162,410000307 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 56,904000 79,05 79,050000 74,436000308 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 173,196000 322,48 322,480000 211,440000309 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 362,700000 608,56 608,560000 441,120000310 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 759,336000 1.560,32 1.560,320000 873,456000311 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 1 493,70 493,700000 362,700000 576,28 576,280000 441,120000312 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. PR 1 165,76 165,760000 165,760000 202,36 202,360000 202,360000313 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. PR 1 331,41 331,410000 331,410000 399,39 399,390000 399,390000314 L01XA03 OXALIPLATINUM OXALIPLATIN HAEMATO 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml HAEMATO PHARM AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 40 ML X 200 MG OXALIPLATINA PR 1 632,78 632,780000 632,780000 727,88 727,880000 727,880000315 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 1 957,36 957,360000 759,336000 1.081,67 1.081,670000 873,456000316 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 362,700000 709,35 709,350000 441,120000317 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 173,196000 389,40 389,400000 211,440000318 L01XA03 OXALIPLATINUM OXALIPLATIN HAEMATO 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml HAEMATO PHARM AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 10 ML X 50 MG OXALIPLATINA PR 1 165,76 165,760000 165,760000 202,36 202,360000 202,360000319 L01XA03 OXALIPLATINUM OXALIPLATIN HAEMATO 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml HAEMATO PHARM AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 20 ML X 100 MG OXALIPLATINA PR 1 331,41 331,410000 331,410000 399,39 399,390000 399,390000320 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 173,196000 389,41 389,410000 211,440000321 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 362,700000 709,35 709,350000 441,120000322 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 1 255,01 255,010000 173,196000 311,32 311,320000 211,440000323 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 759,336000 1.560,35 1.560,350000 873,456000324 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 173,196000 389,41 389,410000 211,440000325 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 362,700000 709,35 709,350000 441,120000326 L01XA03 OXALIPLATINUM OXALIPLATIN STADA 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA PR 1 302,25 302,250000 302,250000 367,60 367,600000 367,600000327 L01XA03 OXALIPLATINUM OXALIPLATIN STADA 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA PR 1 144,33 144,330000 144,330000 176,20 176,200000 176,200000328 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 PR 1 1.609,04 1.609,040000 1.609,040000 1.792,01 1.792,010000 1.792,010000329 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 PR 1 871,57 871,570000 362,700000 988,16 988,160000 441,120000330 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 1 165,75 165,750000 165,750000 202,35 202,350000 202,350000331 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 1 331,40 331,400000 331,400000 399,38 399,380000 399,380000332 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 PR 1 457,29 457,290000 173,196000 536,60 536,600000 211,440000333 L01XB01 PROCARBAZINUM4) NATULAN CAPS. 50 mg CN UNIFARM S.A. ROMANIA CUTIE X 50CAPSULE PRF 50 669,00 13,380000 13,380000 767,36 15,347200 15,347200334 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 1.229,820000335 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 6.043,000000336 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. PR 1 2.621,74 2.621,740000 2.621,740000 2.895,85 2.895,850000 2.895,850000337 L01XC03 TRASTUZUMABUM**** HERCEPTIN 600mg/5ml SOL. INJ. 600mg/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) S 1 8.534,12 8.534,120000 8.534,120000 9.340,35 9.340,350000 9.340,350000338 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 987,750000339 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 5.756,930000340 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 1.490,620000341 L01XC10 OFATUMUMAB**** ARZERRA 1000mg CONC. PT. SOL. PERF. 20mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA X 50 ML CONCENTRAT PT. SOL. PERF. (1000MG OFATUMUMAB)+2 SETURI DE EXTEN S 1 8.805,58 8.805,580000 8.805,580000 9.636,25 9.636,250000 9.636,250000342 L01XE01 IMATINIBUM**** NIBIX 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500343 L01XE01 IMATINIBUM**** IMATINIB ACTAVIS 100 mg CAPS. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTER DIN AL/PVC/ACLAR X 120 CAPSULE PR 120 5.269,99 43,916583 43,916583 5.782,45 48,187083 48,187083344 L01XE01 IMATINIBUM**** EGITINID 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500345 L01XE01 IMATINIBUM**** GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. PR 120 8.091,78 67,431500 52,699900 8.858,20 73,818333 57,824500346 L01XE01 IMATINIBUM**** IMATINIB TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 120 X 1 COMPRIMAT PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500347 L01XE01 IMATINIBUM**** NEOXELL 100 mg COMPR. FILM. 100mg ROMASTRU TRADING SRL ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500348 L01XE01 IMATINIBUM**** MEAXIN 100 mg COMPR. FILM. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500349 L01XE01 IMATINIBUM**** MEAXIN 100 mg COMPR. FILM. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500350 L01XE01 IMATINIBUM**** IMAKREBIN 100 mg COMPR. FILM. 100mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500351 L01XE01 IMATINIBUM**** IMATINIB GLENMARK 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500352 L01XE01 IMATINIBUM**** IMATINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500353 L01XE01 IMATINIBUM**** IMATINIB TEVA 400 mg COMPR. FILM. 400 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 30 X 1 COMPRIMAT PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000354 L01XE01 IMATINIBUM**** NEOXELL 400 mg COMPR. FILM. 400mg ROMASTRU TRADING SRL ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000355 L01XE01 IMATINIBUM**** IMATINIB GLENMARK 400 mg COMPR. FILM. 400mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000356 L01XE01 IMATINIBUM**** MEAXIN 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000357 L01XE01 IMATINIBUM**** MEAXIN 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000358 L01XE01 IMATINIBUM**** IMAKREBIN 400 mg COMPR. FILM. 400mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000359 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 230,343666360 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 306,148666361 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 184,479666362 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 366,598000363 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 730,834666364 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 142,313303365 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 593,939333366 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 140,479500367 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 279,778833368 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 279,778833369 L01XE08 NILOTINIBUM**** TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) P-RF/R 28 2.813,91 100,496785 100,496785 3.105,32 110,904285 110,904285370 L01XE08 NILOTINIBUM**** TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE 4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL) P-RF/R 112 11.165,63 99,693125 99,693125 12.208,70 109,006250 109,006250371 L01XE08 NILOTINIBUM**** TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE 4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 112 15.225,88 135,945357 135,945357 16.634,38 148,521250 148,521250372 L01XE08 NILOTINIBUM**** TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 3.828,97 136,748928 136,748928 4.211,73 150,418928 150,418928373 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 4.111,670000

Pagina 14 din 43

374 L01XE18 RUXOLITINIBUM**** JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON DIN PEÎD, CU GARNITURA ETANSA SI SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CONTINÂND 60 PR 60 17.353,45 289,224166 289,224166 18.953,43 315,890500 315,890500375 L01XE18 RUXOLITINIBUM**** JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON DIN PEÎD, CU GARNITURA ETANSA SI SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CONTINÂND 60 PR 60 17.353,45 289,224166 289,224166 18.953,43 315,890500 315,890500376 L01XE18 RUXOLITINIBUM**** JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON DIN PEÎD, CU GARNITURA ETANSA SI SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CONTINÂND 60 PR 60 8.622,14 143,702333 143,702333 9.436,29 157,271500 157,271500377 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 381,390000378 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 320,360000379 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 0,831000380 L01XX14 TRETINOINUM4) VESANOID 10 mg CAPS. MOI 10mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI PRF 100 625,29 6,252900 6,252900 719,72 7,197200 7,197200381 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 176,347000382 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 207,850000383 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 745,670000384 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 745,660000385 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 745,670000386 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 207,850000387 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 743,640000388 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 744,140000389 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 745,660000390 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 776,688000 1.109,03 1.109,030000 892,368000391 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 426,100000 502,60 502,600000 502,600000392 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 426,030000393 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 402,160000 476,50 476,500000 476,500000394 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 152,480000 186,15 186,150000 186,150000395 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 374,640000 446,51 446,510000 446,510000396 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 416,850000 492,52 492,520000 492,520000397 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 1.345,750000 1.505,02 1.505,020000 1.505,020000398 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 426,180000 502,69 502,690000 502,690000399 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 2.010,900000 2.230,03 2.230,030000 2.230,030000400 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 163,740000 199,89 199,890000 199,890000401 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 1.753,180000 1.949,12 1.949,120000 1.949,120000402 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 427,020000 735,09 735,090000 511,236000403 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 1.554,888000 2.359,12 2.359,120000 1.740,612000404 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 167,110000 204,01 204,010000 204,010000405 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 1.394,570000 1.558,23 1.558,230000 1.558,230000406 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 1.295,740000 1.450,51 1.450,510000 1.450,510000407 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 28,366800408 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 5.038,170000409 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 4,119666410 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 994,940000411 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 429,710000412 L02AE02 LEUPRORELINUM** ELIGARD 22,5 mg PULB+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 TAVI TERMOFORMATE S 1 736,20 736,200000 736,200000 840,61 840,610000 840,610000413 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 2.251,730000414 L02AE02 LEUPRORELINUM** ELIGARD 7,5 mg PULB+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 TAVI TERMOFORMATE S 1 257,84 257,840000 257,840000 314,77 314,770000 314,770000415 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 1.172,570000416 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 436,520000417 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 19,231428418 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 1.184,810000419 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 440,580000420 L02AE04 TRIPTORELINUM** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING GMBH GERMANIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 543,42 19,407857 18,903428 630,48 22,517142 22,517142421 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 0,397800 52,03 0,520300 0,520300422 L02BA03 FULVESTRANTUM** FASLODEX 250mg 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 1.729,710000423 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 1,391400424 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 1,344000425 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 1,461333426 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 16,716428427 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 15,213928428 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 16,232142429 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 16,382000430 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 15,242142431 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 18,256714432 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 6,115000433 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 7,305199434 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 7,305199435 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 28 167,54 5,983571 5,983571 204,53 7,304642 7,304642436 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 6,156071437 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 6,087666438 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 6,660714439 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 7,305199440 L02BB03 BICALUTAMIDUM BICALUTAMIDA ATB 50 mg COMPR. FILM. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PR 30 179,30 5,976666 5,976666 218,89 7,296333 7,296333441 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 7,305199

Pagina 15 din 43

442 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 91,46 3,048666 3,048666 115,64 3,854666 3,854666443 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 85,12 3,040000 3,040000 107,63 3,843928 3,843928444 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 96,88 3,460000 3,460000 122,50 4,375000 4,324200445 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 103,80 3,460000 3,460000 126,72 4,224000 4,224000446 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 169,90 3,398000 3,398000 207,42 4,148400 4,148400447 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P-6L 84 285,45 3,398214 3,398214 348,48 4,148571 4,148571448 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P-6L 98 332,75 3,395408 3,395408 400,85 4,090306 4,090306449 L02BG03 ANASTROZOLUM ELOZA 1 mg COMPR. FILM. 1mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 91,40 3,046666 3,046666 115,56 3,852000 3,852000450 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. PR 30 113,17 3,772333 3,461142 138,16 4,605333 4,324200451 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 338,93 3,389300 3,389300 407,58 4,075800 4,075800452 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. PR 30 91,46 3,048666 3,048666 115,64 3,854666 3,854666453 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 4,298571454 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 91,40 3,046666 3,046666 115,56 3,852000 3,852000455 L02BG03 ANASTROZOLUM ANAROMAT 1 mg COMPR. FILM. 1mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PR 28 89,60 3,200000 3,200000 113,29 4,046071 4,046071456 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 3,461142 157,47 5,623928 4,324200457 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 69,20 3,460000 3,460000 87,50 4,375000 4,324200458 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 3,400000 120,37 4,298928 4,298928459 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 4,273571460 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P-6L/S 300 956,79 3,189300 3,189300 1.081,05 3,603500 3,603500461 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 3,461142 130,06 4,645000 4,324200462 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. PR 90 338,63 3,762555 3,461142 407,26 4,525111 4,324200463 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 3,772857464 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 2,607199 241,92 8,064000 3,296800465 L02BG04 LETROZOLUM LETROZOL KABI 2,5 mg COMPR. FILM. 2,5mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L 10 72,53 7,253000 2,607199 91,71 9,171000 3,296800466 L02BG04 LETROZOLUM LORTANDA 2,5 mg COMPR. FILM. 2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 65,18 2,172666 2,172666 82,42 2,747333 2,747333467 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 2,607199 554,35 18,478333 3,296800468 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 74,74 2,491333 2,491333 94,50 3,150000 3,150000469 L02BG04 LETROZOLUM ELOZORA 2,5 mg COMPR. FILM. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 96,38 3,212666 2,607199 121,86 4,062000 3,296800470 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 2,607199 279,12 9,304000 3,296800471 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 2,607199 200,76 6,692000 3,296800472 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 30 165,05 5,501666 2,607199 201,49 6,716333 3,296800473 L02BG04 LETROZOLUM TROZEL 2,5 mg COMPR. FILM. 2,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 73,81 2,460333 2,460333 93,32 3,110666 3,110666474 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 2,607199 200,76 6,692000 3,296800475 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 78,21 2,607000 2,607000 98,89 3,296333 3,296333476 L02BG04 LETROZOLUM LETROZOL STADA 2,5 mg COMPR. FILM. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 100 (10X10) COMPR. FILM. P6L 100 280,55 2,805500 2,607199 342,50 3,425000 3,296800477 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 78,22 2,607333 2,607199 98,90 3,296666 3,296666478 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 77,28 2,576000 2,576000 97,71 3,257000 3,257000479 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 2,607199 202,87 7,245357 3,296800480 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 77,84 2,594666 2,594666 98,42 3,280666 3,280666481 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 2,705200 188,71 6,290333 3,420400482 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 2,705200 245,85 8,195000 3,420400483 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 81,15 2,705000 2,705000 102,61 3,420333 3,420333484 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 30 185,49 6,183000 2,705200 226,45 7,548333 3,420400485 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 2,705200 224,21 7,473666 3,420400486 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 2,705200 245,99 8,199666 3,420400487 L02BG06 EXEMESTANUM EXEMESTAN POLIPHARMA 25 mg COMPR. FILM. 25mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 154,58 5,152666 2,705200 188,71 6,290333 3,420400488 L02BG06 EXEMESTANUM EXEMESTAN GLENMARK 2 5mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333489 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 2,705200 215,89 7,196333 3,420400490 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 81,15 2,705000 2,705000 102,61 3,420333 3,420333491 L02BG06 EXEMESTANUM ESCEPRAN 25 mg COMPR. FILM. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 67,63 2,254333 2,254333 85,51 2,850333 2,850333492 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 2,705200 226,44 7,548000 3,420400493 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 81,15 2,705000 2,705000 102,61 3,420333 3,420333494 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 81,15 2,705000 2,705000 102,61 3,420333 3,420333495 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 2,705200 376,26 12,542000 3,420400496 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 237,468000497 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 382,224000498 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 197,890000499 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 318,520000500 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 98,852000501 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 237,468000502 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 225,874000503 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 382,224000504 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 368,704000505 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 3.643,510000506 L03AA13 PEGFILGRASTIMUM*** NEULASTA 6mg SOL. INJ. 6mg AMGEN EUROPE B.V. OLANDA CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 3.307,67 3.307,670000 3.307,670000 3.643,51 3.643,510000 3.643,510000507 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 PR 1 69,15 69,150000 69,150000 87,43 87,430000 87,430000508 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 PR 1 150,08 150,080000 150,080000 183,22 183,220000 183,220000509 L03AB05 INTERFERONUM ALFA 2B*** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 363,48 363,480000 363,480000 434,34 434,340000 434,340000

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510 L03AB05 INTERFERONUM ALFA 2B*** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 621,78 621,780000 621,780000 715,89 715,890000 715,890000511 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 11,281500512 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 28,040000513 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML S/P-RF 1 102,98 102,980000 102,980000 125,72 125,720000 125,720000514 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML S/P-RF 1 158,95 158,950000 158,950000 194,05 194,050000 194,050000515 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML S/P-RF 1 361,86 361,860000 285,384000 432,58 432,580000 348,396000516 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 123,576000 687,63 171,907500 150,864000517 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 30mg pulbere pentru solutie perfuzabila PULB. PT. SOL. PERF. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. PR 1 152,87 152,870000 152,870000 186,63 186,630000 186,630000518 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 60mg pulbere pentru solutie perfuzabila PULB. PT. SOL.PERF. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. PR 1 237,82 237,820000 237,820000 290,33 290,330000 290,330000519 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 21,590714520 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 50 mg COMPR. FILM. 50 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE FILMATE PR 28 637,14 22,755000 22,269428 732,63 26,165357 25,908857521 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC GLENMARK 50 mg COMPR. FILM. 50mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM. PR 28 562,00 20,071428 20,071428 650,73 23,240357 23,240357522 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 25,908857523 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 25,866785524 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 25,908857525 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 6 mg CONC. PT. SOL. PERF. 6mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI PR 1 596,39 596,390000 596,390000 688,22 688,220000 688,220000526 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 825,864000527 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 688,220000528 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC TEVA 4 mg/5 ml CONC. PT. SOL. PERF. 4 mg/5 ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 377,14 377,140000 356,400000 449,23 449,230000 435,096000529 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC SANDOZ 4 mg/100 ml CONC. PT. SOL. PERF. 4mg/100ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" X 100 ML CONC. PT. SOL. PERF. PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000530 M05BA08 ACIDUM ZOLEDRONICUM** ZOLACITOR 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU 1 FLAC., DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. PR 1 724,40 724,400000 356,400000 827,75 827,750000 435,096000531 M05BA08 ACIDUM ZOLEDRONICUM** ZOLACITOR 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU 4 FLAC., DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. PR 4 2.807,00 701,750000 356,400000 3.097,78 774,445000 435,096000532 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC ACTAVIS 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000533 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC PFIZER 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL CU CONC. PT. SOL. PERF. PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000534 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC TERAPIA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000535 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF. PR 4 1.417,59 354,397500 354,397500 1.583,33 395,832500 395,832500536 M05BA08 ACIDUM ZOLEDRONICUM** FAYTON 4 mg/ 5 ml CONC. PT. SOL. PERF. 4mg/5ml GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN COPOLIMER CICLOOLEFINIC SI CAPAC PP CU CAPACITATEA DE 5 ML CARE CONTINE CONC. P PR 1 676,00 676,000000 356,400000 774,99 774,990000 435,096000537 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC DR. REDDY'S 4mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU CONC. PT. SOL. PERF. PR 1 297,00 297,000000 297,000000 362,58 362,580000 362,580000538 M05BA08 ACIDUM ZOLEDRONICUM** DESINOBON 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR DE 5 ML DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUC PR 1 452,56 452,560000 356,400000 531,44 531,440000 435,096000539 M05BA08 ACIDUM ZOLEDRONICUM** OSPORIL 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,096000540 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF. PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000541 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 4 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF. PR 4 1.418,88 354,720000 354,720000 1.584,73 396,182500 396,182500542 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC RICHTER 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON TRANSPARENT, INCOLOR DIN POLIMER CICLO-OLEFENIC INCHIS CU DOP GRI INCHIS DIN CAUCIUC CU STRAT FLUOROPOLIMERIC, CAPSA DIN AL SI SISTEM "FLIP-OFF" DIN PLASTIC ROSU X 5ML CONC. PT. SOL. PERF. PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000543 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC SANDOZ 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" X 5 ML CONC. PT. SOL. PERF. PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000544 M05BA08 ACIDUM ZOLEDRONICUM** ZYOLIX 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC BROMOB PR 1 459,66 459,660000 356,400000 539,18 539,180000 435,096000545 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC MEDAC 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLACON DIN PLASTIC CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000546 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC HOSPIRA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP BROMOBUTIL, ACOPERIT CU UN STRAT DE FLUOROP PR 1 364,11 364,110000 356,400000 435,03 435,030000 435,030000547 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. PR 1 1.098,45 1.098,450000 356,400000 1.235,46 1.235,460000 435,096000548 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC HOSPIRA 4 mg/100 ml SOL. PERF. 4 mg/100 ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU U PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000549 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC MEDAC 4mg/100ml SOL. PERF. 4mg/100ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLACON DIN PLASTIC CU 100 ML SOLUTIE PERFUZABILA PR 1 522,14 522,140000 356,400000 607,28 607,280000 435,096000550 M05BA08 ACIDUM ZOLEDRONICUM** ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR 1 724,00 724,000000 356,400000 827,31 827,310000 435,096000551 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC ZENTIVA 4 mg/5 ml SOL. PERF. 4mg/5ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC. PT. SOL. PERF. PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,096000552 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 3,912666553 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 1,904000554 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 38,590000555 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 38,550000556 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 15,242400557 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 34,710000558 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 12,702000

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* IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,7021008 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 zaharat

1 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 56,660000

Pagina 17 din 43

2 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 23,0060003 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 81,26 16,252000 16,252000 102,75 20,550000 20,5500004 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 105,39 21,078000 21,078000 128,66 25,732000 25,7320005 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 81,26 16,252000 16,252000 102,75 20,550000 20,5500006 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 31,4880007 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 37,7856008 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 31,8780009 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 5 108,80 21,760000 21,760000 132,82 26,564000 26,564000

10 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 5 108,80 21,760000 21,760000 132,82 26,564000 26,56400011 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 56,66000012 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 23,00600013 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 81,26 16,252000 16,252000 102,75 20,550000 20,55000014 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 5 111,21 22,242000 22,242000 135,77 27,154000 27,15400015 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 81,26 16,252000 16,252000 102,75 20,550000 20,55000016 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 38,21200017 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 56,66000018 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 23,00600019 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 19,502400 128,27 25,654000 24,66000020 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 81,26 16,252000 16,252000 102,75 20,550000 20,55000021 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 81,26 16,252000 16,252000 102,75 20,550000 20,55000022 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 5 137,51 27,502000 27,502000 167,87 33,574000 33,57400023 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 81,26 16,252000 16,252000 102,75 20,550000 20,55000024 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 32,89600025 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 38,21200026 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 33,21400027 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 38,21200028 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 34,32400029 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 5 203,05 40,610000 40,610000 247,88 49,576000 49,57600030 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 1 146,86 146,860000 146,860000 179,29 179,290000 179,29000031 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 5 200,05 40,010000 40,010000 244,22 48,844000 48,84400032 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 59,95200033 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 0,16455034 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 0,17040035 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 0,08066636 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 0,15200037 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 0,09679938 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 0,09679939 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 0,19746040 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 0,19746041 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM P6L 120 15,93 0,132750 0,132750 21,53 0,179416 0,17941642 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 8,75 0,145833 0,145833 11,83 0,197166 0,19716643 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 6,64 0,221333 0,150960 8,98 0,299333 0,19746044 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P6L 60 13,28 0,221333 0,150960 17,95 0,299166 0,19746045 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 4,38 0,146000 0,146000 5,92 0,197333 0,19733346 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 0,19746047 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 13,13 0,145888 0,145888 17,75 0,197222 0,19722248 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 0,09300049 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 0,09333350 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 2,55 0,085000 0,071599 3,45 0,115000 0,09679951 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P6L 60 5,10 0,085000 0,071599 6,89 0,114833 0,09679952 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 0,09679953 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. P6L 20 3,24 0,162000 0,071599 4,38 0,219000 0,09679954 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 0,121333 4,92 0,164000 0,16400055 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. P6L 20 5,65 0,282500 0,131200 7,64 0,382000 0,17760056 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 0,14820057 A10BA02 METFORMINUM METFOGAMMA 850 mg COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM. P6L 120 13,54 0,112833 0,112833 18,30 0,152500 0,15250058 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 0,14800059 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 0,121166 9,82 0,163666 0,16366660 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 0,121111 14,73 0,163666 0,16366661 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 0,131200 18,18 0,303000 0,17760062 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P6L 60 7,18 0,119666 0,119666 9,71 0,161833 0,16183363 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 3,60 0,120000 0,120000 4,87 0,162333 0,16233364 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 0,14800065 A10BA02 METFORMINUM GLUCOPHAGE 850 mg COMPR. FILM. 850mg MERCK SANTE FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P6L 100 18,70 0,187000 0,131200 25,27 0,252700 0,17760066 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 0,14850067 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 0,06366668 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 0,056400 11,82 0,098500 0,07639969 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 55,56 0,055560 0,055560 70,25 0,070250 0,07025070 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 0,06833371 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 0,056400 11,62 0,116200 0,07639972 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 0,054799

Pagina 18 din 43

73 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 76,44 0,076440 0,040399 96,65 0,096650 0,05479974 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 0,05479975 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 0,05479976 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 0,04566677 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 0,19100078 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 0,51766679 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 1,54133380 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 0,62119981 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 20,38 0,339666 0,339666 27,55 0,459166 0,45916682 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P6L 30 9,71 0,323666 0,291300 13,13 0,437666 0,39390083 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 0,32825084 A10BB09 GLICLAZIDUM GLYCLADA 60 mg COMPR. CU ELIB. MODIF. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF. PRF 60 21,90 0,365000 0,365000 29,60 0,493333 0,49333385 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 0,32560086 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 0,438000 45,64 0,760666 0,59200087 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA D.D. NOVO MESTO 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 0,27266688 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 0,27266689 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 0,27133390 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 0,121333 4,92 0,164000 0,16400091 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 0,122400 9,09 0,303000 0,16560092 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 0,102000 4,14 0,138000 0,13800093 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 0,102666 4,16 0,138666 0,13866694 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 0,21439995 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 0,21439996 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 0,21439997 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 0,17866698 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 0,21439999 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 0,397600

100 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 0,397600101 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 0,397600102 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 0,397600103 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 0,331333104 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 0,354666 14,38 0,479333 0,479333105 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 0,354000 14,36 0,478666 0,478666106 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 11,61 0,387000 0,387000 15,69 0,523000 0,523000107 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 0,859666108 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 0,515200109 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 0,435020110 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P-RF 60 20,35 0,339166 0,339166 27,50 0,458333 0,458333111 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P-RF 60 20,35 0,339166 0,339166 27,50 0,458333 0,458333112 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) 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 0,458333113 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIBOMET (R) COMPR. FILM. 400mg/2,5mg 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 0,429333114 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 0,458333115 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 3,481964116 A10BF01 ACARBOSUM GLUCOBAY® 100 COMPR. 100mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 51,89 0,432416 0,432416 65,61 0,546750 0,546750117 A10BF01 ACARBOSUM GLUCOBAY® 50 COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 39,95 0,332916 0,332916 52,25 0,435416 0,435416118 A10BG03 PIOGLITAZONUM*** ZIPION 15 mg COMPR. 15 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. PRF 30 56,24 1,874666 1,465600 71,11 2,370333 1,916800119 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 1,465600 122,43 4,372500 1,916800120 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA POLIPHARMA 15 mg COMPR. 15mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. P6L 30 36,64 1,221333 1,221333 47,92 1,597333 1,597333121 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA AUROBINDO 15 mg COMPR. 15mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR. PRF 30 64,41 2,147000 1,465600 81,44 2,714666 1,916800122 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 43,89 1,463000 1,463000 57,41 1,913666 1,913666123 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 34,20 1,221428 1,221428 44,73 1,597500 1,597500124 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 40,47 1,349000 1,349000 52,93 1,764333 1,764333125 A10BG03 PIOGLITAZONUM*** ZIPION 30 mg COMPR. 30 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. PRF 30 84,33 2,811000 2,811000 106,63 3,554333 3,554333126 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 67,20 2,400000 2,400000 84,97 3,034642 3,034642127 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 86,35 2,878333 2,878333 109,18 3,639333 3,639333128 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 82,84 2,761333 2,761333 104,74 3,491333 3,491333129 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA AUROBINDO 30 mg COMPR. 30mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR. PRF 30 98,49 3,283000 2,880000 124,53 4,151000 3,641570130 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA POLIPHARMA 30 mg COMPR. 30mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. P6L 30 72,00 2,400000 2,400000 91,04 3,034666 3,034666131 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 2,880000 184,24 6,580000 3,641570132 A10BG03 PIOGLITAZONUM*** ZIPION 45 mg COMPR. 45 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. PRF 30 143,75 4,791666 3,840000 175,49 5,849666 4,855200133 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 89,60 3,200000 3,200000 113,29 4,046071 4,046071134 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 30 118,80 3,960000 3,840000 145,03 4,834333 4,834333135 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA AUROBINDO 45 mg COMPR. 45mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR. PRF 30 130,18 4,339333 3,840000 158,92 5,297333 4,855200136 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 3,840000 251,99 8,999642 4,855200137 A10BG03 PIOGLITAZONUM*** PIOGLITAZONA POLIPHARMA 45 mg COMPR. 45mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. P6L 30 96,00 3,200000 3,200000 121,38 4,046000 4,046000138 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 30 116,90 3,896666 3,840000 142,71 4,757000 4,757000139 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 7,008571140 A10BX02 REPAGLINIDUM RENEOS 0,5 mg COMPR. 0,5 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF 90 20,20 0,224444 0,224444 27,30 0,303333 0,303333141 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 0,269333 75,52 0,629333 0,364000142 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 0,269333 161,12 0,596740 0,364000143 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 0,269333 20,54 0,684666 0,364000

Pagina 19 din 43

144 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 0,269333 59,63 0,662555 0,364000145 A10BX02 REPAGLINIDUM RENEOS 1 mg COMPR. 1 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF 90 20,20 0,224444 0,224444 27,30 0,303333 0,303333146 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 0,269333 27,24 0,908000 0,364000147 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 0,269333 213,71 0,791518 0,364000148 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 0,269333 75,11 0,834555 0,364000149 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 0,269333 100,16 0,834666 0,364000150 A10BX02 REPAGLINIDUM RENEOS 2 mg COMPR. 2 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR. PRF 90 20,20 0,224444 0,224444 27,30 0,303333 0,303333151 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 0,269333 33,30 1,110000 0,364000152 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 0,269333 91,81 1,020111 0,364000153 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 0,269333 122,41 1,020083 0,364000154 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 0,269333 261,12 0,967111 0,364000155 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 4 380,67 95,167500 95,167500 453,08 113,270000 113,270000156 A10BX04 EXENATIDUM*** BYDUREON 2 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 2 mg BRISTOL-MYERS SQUIBB/ASTRAZENECA EEIG MAREA BRITANIE AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN PRF 4 380,67 95,167500 95,167500 453,08 113,270000 113,270000157 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 1 314,81 314,810000 314,810000 381,29 381,290000 381,290000158 A10BX04 EXENATIDUM*** BYETTA 10µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10µg/doza BRISTOL-MYERS SQUIBB/ASTRAZENECA EEIG MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 314,81 314,810000 314,810000 381,29 381,290000 381,290000159 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 1 303,47 303,470000 303,470000 368,93 368,930000 368,930000160 A10BX04 EXENATIDUM*** BYETTA 5µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5µg/doza BRISTOL-MYERS SQUIBB/ASTRAZENECA EEIG MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 303,47 303,470000 303,470000 368,93 368,930000 368,930000161 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 0,574400162 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 0,937600163 A11DBN1 COMBINATII** MILGAMMA (R) 100+100mg DRAJ. 100mg+100mg 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 1,499166164 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 3,704000165 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 3,704000166 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 PENTRU 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 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 858,9200003 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 447,3000004 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** BETAFACT 50 UI/ml PULB+SOLV. PT. SOL. INJ. 50 UI/ml LFB - BIOMEDICAMENTS FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. (250 UI/5 ML) + 1 FLAC. STICLA X 5 ML SOLV. PT. SOL. INJ. + SISTEM DE TRANSFER SI 1 AC CU FILTRU PR 1 487,95 487,950000 487,950000 570,02 570,020000 570,02000030 B02BD04 FACTOR IX DE COAGULARE** BETAFACT 50 UI/ml PULB+SOLV. PT. SOL. INJ. 50 UI/ml LFB - BIOMEDICAMENTS FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. (500 UI/10 ML) + 1 FLAC. STICLA X 10 ML SOLV. PT. SOL. INJ. + SISTEM DE TRANSFER SI 1 AC CU FILTRU PR 1 945,90 945,900000 945,900000 1.069,18 1.069,180000 1.069,18000031 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 1.814,63000032 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 942,74000033 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 1.767,79000034 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 1.010,32000035 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 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 1.496,17000037 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 1.124,01000038 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 2.177,16000039 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 1000 UI PULB.+SOLV. PT. SOL. INJ. 1000UI BAYER AG AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FIL PR 1 1.234,15 1.234,150000 1.234,150000 1.383,38 1.383,380000 1.383,38000040 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 250 UI PULB.+SOLV. PT. SOL. INJ. 250UI BAYER AG AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FIL PR 1 302,86 302,860000 302,860000 368,27 368,270000 368,27000041 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 500 UI PULB.+SOLV. PT. SOL. INJ. 500UI BAYER AG AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FIL PR 1 580,68 580,680000 580,680000 671,09 671,090000 671,09000042 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 5.958,41000043 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 15.073,110000

Pagina 20 din 43

44 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 3.014,63000045 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 13,50700046 V03AC03 DEFERASIROXUM**** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 687,54 24,555000 24,555000 787,57 28,127500 28,12750047 V03AC03 DEFERASIROXUM**** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 1.461,36 52,191428 52,191428 1.631,03 58,251071 58,25107148 V03AC03 DEFERASIROXUM**** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 2.660,12 95,004285 95,004285 2.937,68 104,917142 104,917142

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU 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 5,70 5,700000 5,700000 7,70 7,700000 7,7000003 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 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 21,7400006 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 15,2400007 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 12,5100008 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 15,2400009 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 12,510000

10 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 23,82000011 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 0,14950012 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 0,15844813 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 0,13204014 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 0,13850015 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 PENTRU 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 C02KX02 AMBRISENTANUM** VOLIBRIS 10mg COMPR. FILM. 10mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMP. FILM (BLIST. PVC/PVDC/AL) P-RF/R 30 8.848,19 294,939666 294,939666 9.682,69 322,756333 322,7563334 C02KX02 AMBRISENTANUM** VOLIBRIS 5mg COMPR. FILM. 5mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMP. FILM (BLIST. PVC/PVDC/AL) P-RF/R 30 8.848,19 294,939666 294,939666 9.682,69 322,756333 322,7563335 G04BE03 SILDENAFILUM** REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. PR 90 1.873,53 20,817000 20,817000 2.080,30 23,114444 23,1144446 G04BE03 SILDENAFILUM** REVATIO 10mg/ml SUSP. ORALA 10mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE CU UN FLACON DIN STICLA BRUNA CE CONTINE 32,27 G DE PULBERE PENTRU SUSP. ORALA PR 1 1.033,53 1.033,530000 1.033,530000 1.164,70 1.164,700000 1.164,700000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU 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 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 1,561714 32,05 4,578571 2,1102856 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. ELIB. PREL. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL. PRF 6 21,73 3,621666 1,561714 29,37 4,895000 2,1102857 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 8,40 0,600000 0,600000 11,36 0,811428 0,8114288 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 0,719142 28,57 2,040714 0,9720009 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 0,719142 16,69 1,192142 0,972000

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 0,719142 16,69 1,192142 0,97200011 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 0,719142 14,67 1,047857 0,97200012 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 250 mg COMPR. FILM. 250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 8,39 0,599285 0,599285 11,34 0,810000 0,81000013 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 8,40 0,600000 0,600000 11,36 0,811428 0,81142814 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 24,13 1,723571 1,561714 32,62 2,330000 2,11028515 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 1,561714 32,62 2,330000 2,11028516 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 1,561714 32,08 2,291428 2,11028517 J01FA09 CLARITHROMYCINUM CLARITROMICINA TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF 14 18,22 1,301428 1,301428 24,62 1,758571 1,75857118 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 1,561714 32,62 2,330000 2,11028519 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.P-RF 20 40,76 2,038000 1,561714 53,31 2,665500 2,11028520 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 1,561714 43,35 2,167500 2,11028521 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 24,13 1,723571 1,561714 32,62 2,330000 2,11028522 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 25,34 3,620000 1,561714 33,15 4,735714 2,11028523 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 1,561714 28,09 4,012857 2,11028524 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 1,561714 36,43 7,286000 2,11028525 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 18,94000026 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 29,920000 39,14 39,140000 39,14000027 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 22,72800028 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 22,72800029 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 22,728000

Pagina 21 din 43

30 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 21,29 21,290000 21,290000 28,78 28,780000 28,78000031 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 PPP-RF 1 21,29 21,290000 21,290000 28,78 28,780000 28,78000032 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 61,30800033 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 31,68000034 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 51,09000035 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 53,78000036 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 56 8.112,06 144,858214 144,858214 8.880,31 158,576964 158,57696437 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 PENTRU BOLI RARE SI SEPSIS SEVER P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

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 100 ML S 1 872,00 872,000000 872,000000 988,63 988,630000 988,6300002 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 529,7400003 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** 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 3.819,4000008 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 540,0700009 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 1.007,990000

10 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 1.945,12000011 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 230,20000012 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 1.009,28000013 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 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,46000014 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 1.947,71000015 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 3.824,57000016 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 539,42000017 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 10 ML SOL.PERF. S 1 99,02 99,020000 99,020000 125,20 125,200000 125,20000021 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 100 ML SOL.PERF. S 1 914,10 914,100000 914,100000 1.034,52 1.034,520000 1.034,52000024 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 200 ML S 1 2.261,30 2.261,300000 2.261,300000 2.502,97 2.502,970000 2.502,97000026 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 736,24000027 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: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

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

1 N07XX02 RILUZOLUM** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. PR 56 535,66 9,565357 9,565357 622,02 11,107500 11,107500

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.3: Tratamentul medicamentos al bolnavilor cu polineuropatie familială amiloidă cu transtiretină

1 N07XX08 TAFAMIDIS** VYNDAQEL CAPS. MOI 20mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 53.258,63 1.775,287666 1.775,287666 58.090,13 1.936,337666 1.936,337666

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

1 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML S/P-RF 1 102,98 102,980000 102,980000 125,72 125,720000 125,7200002 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML S/P-RF 1 158,95 158,950000 158,950000 194,05 194,050000 194,0500003 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML S/P-RF 1 361,86 361,860000 285,384000 432,58 432,580000 348,3960004 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 123,576000 687,63 171,907500 150,8640005 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 30mg pulbere pentru solutie perfuzabila PULB. PT. SOL. PERF. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. PR 1 152,87 152,870000 152,870000 186,63 186,630000 186,6300006 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 60mg pulbere pentru solutie perfuzabila PULB. PT. SOL.PERF. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. PR 1 237,82 237,820000 237,820000 290,33 290,330000 290,330000

Pagina 22 din 43

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

1 H01AC01 SOMATROPINUM** ZOMACTON PULB. + 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 1 363,94 363,940000 363,940000 434,84 434,840000 434,8400002 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 15mg/1,5ml SOL INJ. 15mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. PR/PRF 1 1.482,36 1.482,360000 1.482,360000 1.653,92 1.653,920000 1.653,9200004 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 484,1200005 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 765,7300006 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 918,8760007 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 918,8760008 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 PENTRU BOLI RARE SI SEPSIS SEVER 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. PR 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 PENTRU 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. PR 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 PENTRU 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 PENTRU BOLI RARE SI SEPSIS SEVER P6.12: MUCOPOLIZAHARIDOZĂ 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 PENTRU BOLI RARE SI SEPSIS SEVER P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

1 A16AB05 LARONIDAZUM** ALDURAZYME 100UI/ml CONC. PT. SOL. PERF. 100UI/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 PENTRU BOLI RARE SI SEPSIS SEVER P6.14: AFIBRINOGENEMIE CONGENITALA

1 B02BB01 FIBRINOGEN UMAN** HAEMOCOMPLETTAN P 1 g PULB. PT. SOL. INJ./PERF. 1g CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ/PERF. S 1 1.302,70 1.302,700000 1.302,700000 1.458,09 1.458,090000 1.458,090000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.15: Sindrom de imunodeficienţă primară

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 100 ML S 1 872,00 872,000000 872,000000 988,63 988,630000 988,6300002 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 529,7400003 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** 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 3.819,4000008 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 540,0700009 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 1.007,990000

10 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 1.945,12000011 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 230,20000012 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 1.009,28000013 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 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,46000014 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 1.947,710000

Pagina 23 din 43

15 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 3.824,57000016 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 539,42000017 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 10 ML SOL.PERF. S 1 99,02 99,020000 99,020000 125,20 125,200000 125,20000021 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 100 ML SOL.PERF. S 1 914,10 914,100000 914,100000 1.034,52 1.034,520000 1.034,52000024 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 200 ML S 1 2.261,30 2.261,300000 2.261,300000 2.502,97 2.502,970000 2.502,97000026 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 736,24000027 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: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.16: Scleroza sistemică şi ulcere digitale evolutive

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 179,765892

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.17: Purpura trombocitopenică imună cronică la adulţii splenectomizaţi şi nesplenectomizaţi

1 B02BX04 ROMIPLOSTIMUM**** NPLATE 250mcg PULB. PT. SOL. INJ. 250mcg AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ. S 1 2.905,50 2.905,500000 2.905,500000 3.205,15 3.205,150000 3.205,1500002 B02BX04 ROMIPLOSTIMUM**** NPLATE 500mcg PULB. PT. SOL. INJ. 500mcg AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC X 500MCG PULB. PT. SOL. INJ. S 1 5.780,98 5.780,980000 5.780,980000 6.339,43 6.339,430000 6.339,430000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.18: Pacienţi adulţi şi copii cu hiperfenilalaninemie diagnosticaţi cu fenilcetonurie sau deficit de tetrahidrobiopterină (BH4)

1 A16AX07 SAPROPTERINUM**** KUVAN COMPR. SOLUBILE 100 mg MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X FLAC. PEID X 30 COMPR. SOLUBILE PR 30 2.755,69 91,856333 91,856333 3.041,86 101,395333 101,3953332 A16AX07 SAPROPTERINUM**** KUVAN COMPR. SOLUBILE 100 mg MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE PR 120 10.927,33 91,061083 91,061083 11.948,96 99,574666 99,574666

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.19: Scleroză tuberoasă

1 L01XE10 EVEROLIMUS**** VOTUBIA COMPR. 2,5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR 30 5.656,21 188,540333 188,540333 6.203,43 206,781000 206,7810002 L01XE10 EVEROLIMUS**** VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR 30 11.282,41 376,080333 376,080333 12.335,99 411,199666 411,199666

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

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 16,99 0,566333 0,566333 22,97 0,765666 0,7656663 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 26,00 0,866666 0,866666 34,01 1,133666 1,1336665 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 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. 50µg/24ore BAYER PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 22,11 5,527500 5,527500 29,89 7,472500 7,47250011 G03CX01 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 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 8,81000017 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 31,02000018 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF 1 15,15 15,150000 15,150000 20,48 20,480000 20,48000019 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 0,067440 11,69 0,116900 0,09120020 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 100 micrograme COMPR. 100micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 5,62 0,056200 0,056200 7,60 0,076000 0,07600021 H03AA01 LEVOTHYROXINUM EUTHYROX 100µg COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 8,65 0,086500 0,067440 11,69 0,116900 0,09120022 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 125 micrograme COMPR. 125micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 7,02 0,070200 0,070200 9,49 0,094900 0,09490023 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 150 micrograme COMPR. 150micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 8,43 0,084300 0,084300 11,40 0,114000 0,11400024 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 175 micrograme COMPR. 175micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 9,84 0,098400 0,098400 13,30 0,133000 0,133000

Pagina 24 din 43

25 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 0,139440 24,14 0,241400 0,18840026 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 200 micrograme COMPR. 200micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 11,62 0,116200 0,116200 15,70 0,157000 0,15700027 H03AA01 LEVOTHYROXINUM EUTHYROX 200µg COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-6L 100 17,86 0,178600 0,139440 24,14 0,241400 0,18840028 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 0,054840 9,51 0,095100 0,07416029 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 25 micrograme COMPR. 25micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 4,57 0,045700 0,045700 6,18 0,061800 0,06180030 H03AA01 LEVOTHYROXINUM EUTHYROX 25µg COMPR. 25µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 7,04 0,070400 0,054840 9,51 0,095100 0,07416031 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 0,047760 8,27 0,082700 0,06456032 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 50 micrograme COMPR. 50micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 3,98 0,039800 0,039800 5,38 0,053800 0,05380033 H03AA01 LEVOTHYROXINUM EUTHYROX 50µg COMPR. 50µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 6,12 0,061200 0,047760 8,27 0,082700 0,06456034 H03AA01 LEVOTHYROXINUM LEVOTIROXINA TEVA 75 micrograme COMPR. 75micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 5,97 0,059700 0,059700 8,07 0,080700 0,08070035 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 0,42000036 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 0,51040037 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 22,83 0,228300 0,228300 30,86 0,308600 0,30860038 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 0,12330039 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 0,12330040 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 0,19230041 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 0,19230042 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 1.644,38000043 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 6,47200044 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 6,89200045 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 5,694000 48,27 12,067500 7,69200046 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L 4 36,90 9,225000 5,694000 48,27 12,067500 7,69200047 M05BA04 ACIDUM ALENDRONICUM** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 28,39 14,195000 5,694000 37,13 18,565000 7,69200048 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 5,694000 47,66 11,915000 7,69200049 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 6,41000050 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 5,694000 24,78 12,390000 7,69200051 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 5,694000 131,92 10,993333 7,69200052 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 5,694000 47,97 11,992500 7,69200053 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 46,96 46,960000 35,592000 61,42 61,420000 46,56000054 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 35,592000 71,46 71,460000 46,56000055 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 29,66 29,660000 29,660000 38,80 38,800000 38,80000056 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 70,97 70,970000 35,592000 89,74 89,740000 46,56000057 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 35,592000 52,90 52,900000 46,56000058 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 35,592000 72,31 72,310000 46,56000059 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 21,59071460 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 50 mg COMPR. FILM. 50 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE FILMATE PR 28 637,14 22,755000 22,269428 732,63 26,165357 25,90885761 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC GLENMARK 50 mg COMPR. FILM. 50mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM. PR 28 562,00 20,071428 20,071428 650,73 23,240357 23,24035762 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 25,90885763 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 25,86678564 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 25,90885765 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 6 mg CONC. PT. SOL. PERF. 6mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI PR 1 596,39 596,390000 596,390000 688,22 688,220000 688,22000066 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 825,86400067 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 688,22000068 M05BA06 ACIDUM IBANDRONICUM** ACID IBANDRONIC TEVA 3 mg SOL INJ. IN SERINGA PREUMPLUTA 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE P6L 1 232,02 232,020000 179,712000 283,25 283,250000 219,39600069 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 219,39600070 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 1 222,35 222,350000 179,712000 271,45 271,450000 219,39600071 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 219,39600072 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/PRF 1 149,76 149,760000 149,760000 182,83 182,830000 182,83000073 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 3,177000 35,79 8,947500 4,29300074 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT SODIC ZENTIVA 35mg COMPR. FILM. 35mg ZENTIVA KS REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE P-6L 4 10,59 2,647500 2,647500 14,31 3,577500 3,57750075 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 3,177000 36,50 9,125000 4,29300076 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 53,23 13,307500 3,177000 67,31 16,827500 4,29300077 M05BA07 ACIDUM RISEDRONICUM** RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 10,59 2,647500 2,647500 14,31 3,577500 3,57750078 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT SODIC SANDOZ 35 mg COMPR. FILM. 35mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 4 COMPR. FILM. P6L 4 21,00 5,250000 3,177000 28,38 7,095000 4,29300079 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 34,61 8,652500 3,177000 45,27 11,317500 4,29300080 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICALS SRL ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 34,61 8,652500 3,177000 45,27 11,317500 4,29300081 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 52,51 26,255000 26,255000 66,39 33,195000 33,19500082 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC TEVA 4 mg/5 ml CONC. PT. SOL. PERF. 4 mg/5 ml TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 377,14 377,140000 356,400000 449,23 449,230000 435,09600083 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC SANDOZ 4 mg/100 ml CONC. PT. SOL. PERF. 4mg/100ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" X 100 ML CONC. PT. SOL. PERF. PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,09600084 M05BA08 ACIDUM ZOLEDRONICUM** ZOLACITOR 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU 1 FLAC., DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. PR 1 724,40 724,400000 356,400000 827,75 827,750000 435,09600085 M05BA08 ACIDUM ZOLEDRONICUM** ZOLACITOR 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE CU 4 FLAC., DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. PR 4 2.807,00 701,750000 356,400000 3.097,78 774,445000 435,09600086 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC ACTAVIS 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,09600087 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC PFIZER 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL CU CONC. PT. SOL. PERF. PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,09600088 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC TERAPIA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,09600089 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF. PR 4 1.417,59 354,397500 354,397500 1.583,33 395,832500 395,83250090 M05BA08 ACIDUM ZOLEDRONICUM** FAYTON 4 mg/ 5 ml CONC. PT. SOL. PERF. 4mg/5ml GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN COPOLIMER CICLOOLEFINIC SI CAPAC PP CU CAPACITATEA DE 5 ML CARE CONTINE CONC. P PR 1 676,00 676,000000 356,400000 774,99 774,990000 435,09600091 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC DR. REDDY'S 4mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU CONC. PT. SOL. PERF. PR 1 297,00 297,000000 297,000000 362,58 362,580000 362,58000092 M05BA08 ACIDUM ZOLEDRONICUM** DESINOBON 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR DE 5 ML DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUC PR 1 452,56 452,560000 356,400000 531,44 531,440000 435,09600093 M05BA08 ACIDUM ZOLEDRONICUM** OSPORIL 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,09600094 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF. PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,09600095 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 4 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF. PR 4 1.418,88 354,720000 354,720000 1.584,73 396,182500 396,182500

Pagina 25 din 43

96 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC RICHTER 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON TRANSPARENT, INCOLOR DIN POLIMER CICLO-OLEFENIC INCHIS CU DOP GRI INCHIS DIN CAUCIUC CU STRAT FLUOROPOLIMERIC, CAPSA DIN AL SI SISTEM "FLIP-OFF" DIN PLASTIC ROSU X 5ML CONC. PT. SOL. PERF. PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,09600097 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC SANDOZ 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" X 5 ML CONC. PT. SOL. PERF. PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,09600098 M05BA08 ACIDUM ZOLEDRONICUM** ZYOLIX 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC BROMOB PR 1 459,66 459,660000 356,400000 539,18 539,180000 435,09600099 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC MEDAC 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLACON DIN PLASTIC CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000

100 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC HOSPIRA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP BROMOBUTIL, ACOPERIT CU UN STRAT DE FLUOROP PR 1 364,11 364,110000 356,400000 435,03 435,030000 435,030000101 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. PR 1 1.098,45 1.098,450000 356,400000 1.235,46 1.235,460000 435,096000102 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC HOSPIRA 4 mg/100 ml SOL. PERF. 4 mg/100 ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU U PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000103 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC MEDAC 4mg/100ml SOL. PERF. 4mg/100ml MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 1 FLACON DIN PLASTIC CU 100 ML SOLUTIE PERFUZABILA PR 1 522,14 522,140000 356,400000 607,28 607,280000 435,096000104 M05BA08 ACIDUM ZOLEDRONICUM** ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR 1 724,00 724,000000 356,400000 827,31 827,310000 435,096000105 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC ZENTIVA 4 mg/5 ml SOL. PERF. 4mg/5ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC. PT. SOL. PERF. PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,096000106 M05BA08 ACIDUM ZOLEDRONICUM** ACID ZOLEDRONIC POLIPHARMA 5 mg SOL. PERF. 5mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PLASTIC (PP) TRANSPARENTA, PREVAZUTA CU UN PERFUZOR SI UN CONECTOR CU MEMBRANA DIN CAUCIUC, CE CONTINE 100 ML SOL. PERF. PR 1 920,00 920,000000 920,000000 1.040,95 1.040,950000 1.040,950000107 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. PR 1 1.399,70 1.399,700000 1.104,000000 1.563,83 1.563,830000 1.249,140000108 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 23,650000109 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 22,460000110 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 23,650000111 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 22,460000112 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 6,235714113 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 7,481428

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

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI 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 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 4,7580006 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 8,7460007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOROM 250 mg CAPS. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L 60 42,41 0,706833 0,706833 55,47 0,924500 0,9245008 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 0,848200 68,77 1,375400 1,1094009 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 98,29 0,982900 0,848200 124,28 1,242800 1,109400

10 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 0,848200 71,49 1,429800 1,10940011 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 0,90316612 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 1,79400013 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 2,73040014 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 2,68170015 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 97,49000016 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 2,56000017 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 5.958,41000018 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 15.073,11000019 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 3.014,63000020 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 25,95700021 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 30,99000022 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 30,99000023 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 27,00083324 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 30,99000025 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 30,99000026 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/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 45,03583328 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 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 53,55000030 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 53,53000031 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 45,03583332 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 386,57 38,657000 26,541000 459,51 45,951000 32,40100033 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 389,01 38,901000 38,901000 462,17 46,217000 46,21700034 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 75,32280035 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 44,28720036 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 1000 mg PULB. PT. SOL. INJ. SAU PERF. 1000 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 680,44 68,044000 64,903200 779,83 77,983000 75,32280037 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 500 mg PULB. PT. SOL. INJ. SAU PERF. 500 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 361,24 36,124000 36,124000 431,90 43,190000 43,19000038 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 75,32280039 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA PRF 10 680,43 68,043000 64,903200 779,82 77,982000 75,32280040 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 62,76900041 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 75,32280042 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 72,35000043 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. PR 10 361,25 36,125000 36,125000 431,91 43,191000 43,19100044 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 36,90600045 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 44,28720046 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA PRF 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000

Pagina 26 din 43

47 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 41,15000048 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 1 30,31 30,310000 30,310000 39,65 39,650000 39,65000049 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,71000050 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,71100051 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71000052 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71100053 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71000054 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71100055 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 35,71000056 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 36,25500057 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 42,85200058 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 63,52000059 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 32,82000060 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 53,51900061 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 28,60300062 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 63,30000063 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 63,37000064 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 32,67000065 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 64,22280066 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 1 109,84 109,840000 109,840000 134,09 134,090000 134,09000067 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 178,57100068 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 996,65000069 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 126,314400 1.785,71 178,571000 142,26120070 J01XX08 LINEZOLIDUM LINEZOLID TEVA 2 mg/ml SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA PRF 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100071 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100072 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 33,15 4,735714 3,996000 43,36 6,194285 5,40171473 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 4,71500074 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 4,50142875 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 5,40171476 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 5,16625077 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 7,90800078 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 7,90800079 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 6,59000080 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800081 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 10,02 10,020000 5,856000 13,54 13,540000 7,90800082 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 7,90800083 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 7,90800084 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 7,90800085 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 7,90800086 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 6,59000087 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 7,90800088 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 7,90800089 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 7,90800090 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 7,90800091 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800092 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 7,90800093 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 5,62428594 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 2,25142895 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 2,70171496 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 2,30714297 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 21,91 3,130000 1,998857 29,61 4,230000 2,70171498 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 2,70171499 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 2,384285

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 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 2,701714102 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 2,701714103 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 2,701714104 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 2,701714105 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O PRF 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000106 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500107 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400108 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000109 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 22,328000110 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 25,179000111 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 88,14 88,140000 88,140000 111,45 111,450000 103,986000112 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/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 17,91 17,910000 17,910000 24,21 24,210000 24,210000113 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000114 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000115 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 20,737200 45,82 45,820000 25,316400116 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 103,620000117 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 20,737200 44,84 44,840000 25,316400

Pagina 27 din 43

118 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 17,91 17,910000 17,910000 24,21 24,210000 24,210000119 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 21,666500120 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 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 20,737200 53,14 53,140000 25,316400121 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 87,817000122 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 20,737200 533,65 53,365000 25,316400123 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 20,737200 906,22 45,311000 25,316400124 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 139,918571125 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 36,868928126 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 537,450000127 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 2.439,990000128 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 2.750,280000129 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 1.348,760000130 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 1.738,700000131 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 0,780000132 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 0,780000133 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 0,780000134 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 704,14 0,704140 0,577200 805,66 0,805660 0,780000135 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 1,948000136 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 0,780000137 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 0,780000138 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 0,650000139 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 0,690500140 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 20,11 2,011000 1,729200 27,18 2,718000 2,337600141 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 56,594000142 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 3,396000 56,95 5,695000 4,441200143 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 28,30 2,830000 2,830000 37,01 3,701000 3,701000144 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 88,982166145 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 988,630000146 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 529,740000147 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 3.386,740000148 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 6.702,890000149 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 761,480000150 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 1.728,250000151 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 3.819,400000152 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 540,070000153 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 1.007,990000154 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 1.945,120000155 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 230,200000156 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 1.009,280000157 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 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000158 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 200 ML SOL. PERF. S 1 3.473,78 3.473,780000 3.473,780000 3.824,57 3.824,570000 3.824,570000160 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 539,420000161 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 2.273,520000162 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 271,370000163 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 621,520000164 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 125,200000165 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 1.998,190000166 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 552,680000167 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 1.034,520000168 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 1.309,850000169 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 2.502,970000170 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 736,240000171 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 1.172,190000172 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 0,522600173 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 15,890000174 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 288,54 11,541600 11,541600 352,25 14,090000 14,090000175 L01AA03 MELPHALANUM ALKERAN 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT PR 1 654,63 654,630000 654,630000 751,70 751,700000 751,700000176 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 117,160000177 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 1.028,76 10,287600 10,287600 1.159,50 11,595000 11,595000178 L01AB01 BUSULFANUM BUSILVEX 6mg/ml CONC. PT. SOL. PERF. 6mg/ml PIERRE FABRE MEDICAMENT FRANTA CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ. S 8 9.151,91 1.143,988750 1.143,988750 10.013,75 1.251,718750 1.251,718750179 L01BA01 METHOTREXATUM METHOTREXATE PCH 10mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10COMPR. P6L 10 21,32 2,132000 2,132000 28,81 2,881000 2,881000180 L01BA01 METHOTREXATUM METHOTREXATE PCH 2,5mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X30 COMPRIMATE P6L 30 16,00 0,533333 0,533333 21,62 0,720666 0,720666181 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 400,810000182 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 48,214000183 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 89,660000184 L01BA01 METHOTREXATUM BENDATREXAT SOL INJ. 25mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 2 ML PR 1 65,37 65,370000 65,370000 82,65 82,650000 82,650000185 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 2,382000186 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 78,670000187 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 110,090000188 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 122,500000

Pagina 28 din 43

189 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 59,640000190 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 109,540000191 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 71,568000192 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 78,670000193 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 124,210000194 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 1.094,66 54,733000 54,733000 1.231,33 61,566500 61,566500195 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 5 513,08 102,616000 102,616000 597,41 119,482000 119,482000196 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 123,139200 408,89 408,890000 143,378400197 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 37,753000198 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 18,724500199 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 50,172000200 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 42,940000201 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 41,810000202 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 77,220000203 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 248,220000204 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 175,000000205 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 643,620000206 L01XA01 CISPLATINUM PLATOSIN 0,5 mg/ml CONC. PT. SOL. PERF. 0,5 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. PR 1 11,00 11,000000 11,000000 14,87 14,870000 14,868000207 L01XA01 CISPLATINUM PLATOSIN 0,5 mg/ml CONC. PT. SOL. PERF. 0,5 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF. PR 1 19,75 19,750000 19,750000 26,70 26,700000 26,700000208 L01XA01 CISPLATINUM PLATOSIN 0,5 mg/ml CONC. PT. SOL. PERF. 0,5 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF. PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000209 L01XA01 CISPLATINUM PLATOSIN 1 mg/ml CONC. PT. SOL. PERF. 1 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF. PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000210 L01XA01 CISPLATINUM PLATOSIN 1 mg/ml CONC. PT. SOL. PERF. 1 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF. PR 1 67,91 67,910000 67,910000 85,86 85,860000 85,860000211 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 12,390000212 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 48,45 48,450000 37,884000 63,37 63,370000 49,560000213 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 18,81 18,810000 11,004000 25,42 25,420000 14,868000214 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 29,810000215 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 31,570000 41,30 41,300000 41,300000216 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 62,060000217 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 158,400000 217,39 217,390000 193,380000218 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 21,624000 29,55 29,550000 29,220000219 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA PR 1 174,90 174,900000 174,900000 213,52 213,520000 213,520000220 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 24,390000221 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 63,220000222 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 18,02 18,020000 18,020000 24,35 24,350000 24,350000223 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA PR 1 47,42 47,420000 47,420000 62,03 62,030000 62,030000224 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 132,00 132,000000 132,000000 161,15 161,150000 161,150000225 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 162,140000226 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 162,410000227 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 56,904000 79,05 79,050000 74,436000228 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 1.229,820000229 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 6.043,000000230 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 237,468000231 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 382,224000232 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 197,890000233 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 318,520000234 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 98,852000235 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 237,468000236 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 225,874000237 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 382,224000238 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 368,704000239 L03AX16 PLERIXAFOR** MOZOBIL 20mg/ml SOL. INJ. 20 mg/ml GENZYME EUROPE B.V. OLANDA FLACON CU 1,2 ML SOL. X 20 MG/ML S 1 20.861,97 20.861,970000 20.861,970000 22.777,73 22.777,730000 22.777,730000240 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** ATG-FRESENIUS CONC. PT. SOL. PERF. 20mg/ml FRESENIUS BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 1.158,60 1.158,600000 1.158,600000 1.301,02 1.301,020000 1.301,020000241 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** THYMOGLOBULINE PULB. PT. SOL. PERF. 5mg/ml GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 708,31 708,310000 708,310000 810,21 810,210000 810,210000242 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 4,528600 531,77 5,317700 5,317700243 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 9,057200 531,77 10,635400 10,635400244 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 5,383250245 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 9,782083246 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 3,560100247 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600248 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600249 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 3,676700250 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 5,546600251 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 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900252 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 500 mg COMPR. FILM. 500 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. PRF 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800253 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 6,047200 367,72 7,354400 7,354400254 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 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800255 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 6,655600256 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 6,655600257 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 6,046200 367,67 7,353400 7,353400258 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 19,049333259 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 206,532500

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260 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 1.141,415000261 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 568,800000262 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 567,502500263 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 1.117,292500264 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 1.117,292500265 L04AD01 CICLOSPORINUM EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000266 L04AD01 CICLOSPORINUM EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400267 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 2,249600 137,32 2,746400 2,746400268 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 4,786400 292,16 5,843200 5,843200269 L04AD01 CICLOSPORINUM EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600270 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 PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400271 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 3,259400272 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 4,107800 250,74 5,014800 5,014800273 L04AD02 TACROLIMUSUM** TRACSUS 0,5 mg CAPS. 0,5mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800274 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** 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 PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200276 L04AD02 TACROLIMUSUM** TRACSUS 1 mg CAPS. 1mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400277 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 7,274800 434,63 8,692600 8,692600278 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** 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 5,826200280 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 34,303600 1.907,70 38,154000 38,154000281 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400282 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 8,050600 476,91 9,538200 9,538200283 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600284 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 172,241000285 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500286 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 0,249000 9,00 0,450000 0,336600287 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 0,249000 7,67 0,383500 0,336600288 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 0,249000 7,67 0,383500 0,336600289 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2,85 0,285000 0,249000 3,85 0,385000 0,336600290 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500291 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 0,291000292 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 0,249000 3,85 0,385000 0,336600293 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 0,249000 7,67 0,383500 0,336600294 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 0,249000 7,67 0,383500 0,336600295 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 0,630000296 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 0,629666297 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 100 mg 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 0,629666298 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 13,99 0,466333 0,466333 18,91 0,630333 0,630333299 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 20,38 0,679333 0,679333 27,55 0,918333 0,918333300 N02AX02 TRAMADOLUM TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 24,72 0,824000 0,815200 33,41 1,113666 1,102000301 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 20,38 0,679333 0,679333 27,55 0,918333 0,918333302 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 26,22 0,874000 0,874000 34,30 1,143333 1,143333303 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 0,249000 10,65 0,355000 0,336600304 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 0,755599305 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 0,815200 22,03 2,203000 1,102000306 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 0,815200 41,57 1,385666 1,102000307 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 1,048800 53,20 1,773333 1,372000308 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 1,048800 28,18 2,818000 1,372000309 N02AX02 TRAMADOLUM TRALGIT 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600310 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE PRF 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600311 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600312 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 1,614720313 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 1,345600314 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 0,986000315 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 1,614720316 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 1,116000317 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 106,563333318 V03AC03 DEFERASIROXUM** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 687,54 24,555000 24,555000 787,57 28,127500 28,127500319 V03AC03 DEFERASIROXUM** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 1.461,36 52,191428 52,191428 1.631,03 58,251071 58,251071320 V03AC03 DEFERASIROXUM** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 2.660,12 95,004285 95,004285 2.937,68 104,917142 104,917142321 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, TESUTURI SI CELULE DE ORIGINE UMANA P9.2: TRANSPLANT DE CORD

1 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 137,50 1,375000 1,375000 167,86 1,678600 1,6786002 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,4300003 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,4300004 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 30,990000

Pagina 30 din 43

5 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 30,9900006 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 30,9900008 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 30,9900009 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 53,530000

10 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 45,03583311 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 53,53000012 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 53,55000013 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 53,53000014 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 45,03583315 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 386,57 38,657000 26,541000 459,51 45,951000 32,40100016 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 389,01 38,901000 38,901000 462,17 46,217000 46,21700017 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 11,41200018 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 18,82800019 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 187,44 18,744000 13,932000 228,83 22,883000 18,82800020 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 5,24000021 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 15,69000022 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 9,51000023 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 1 30,31 30,310000 30,310000 39,65 39,650000 39,65000024 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,71000025 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,71100026 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71000027 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71100028 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71000029 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 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 35,71100030 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 35,71000031 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 36,25500032 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 42,85200033 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 178,57100034 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 996,65000035 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 126,314400 1.785,71 178,571000 142,26120036 J01XX08 LINEZOLIDUM LINEZOLID TEVA 2 mg/ml SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA PRF 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100037 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100038 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 33,15 4,735714 3,996000 43,36 6,194285 5,40171439 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 4,71500040 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 4,50142841 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 5,40171442 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 5,16625043 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 7,90800044 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 7,90800045 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 6,59000046 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800047 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 10,02 10,020000 5,856000 13,54 13,540000 7,90800048 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 7,90800049 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 7,90800050 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 7,90800051 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 7,90800052 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 6,59000053 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 7,90800054 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 7,90800055 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 7,90800056 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 7,90800057 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800058 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 7,90800059 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 5,62428560 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 2,25142861 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 2,70171462 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 2,30714263 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 21,91 3,130000 1,998857 29,61 4,230000 2,70171464 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 2,70171465 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 2,38428566 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 2,70171467 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 2,70171468 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 2,70171469 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 2,70171470 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 2,70171471 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O PRF 1 23,46 23,460000 23,460000 31,71 31,710000 31,71000072 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 350,00 17,500000 17,500000 419,65 20,982500 20,98250073 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 630,00 31,500000 20,737200 724,85 36,242500 25,31640074 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 10 760,00 76,000000 76,000000 866,55 86,655000 86,65500075 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 22,328000

Pagina 31 din 43

76 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 25,17900077 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 88,14 88,140000 88,140000 111,45 111,450000 103,98600078 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/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 17,91 17,910000 17,910000 24,21 24,210000 24,21000079 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700080 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700081 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 20,737200 45,82 45,820000 25,31640082 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 103,62000083 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 20,737200 44,84 44,840000 25,31640084 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 17,91 17,910000 17,910000 24,21 24,210000 24,21000085 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 21,66650086 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 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 20,737200 53,14 53,140000 25,31640087 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 87,81700088 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 20,737200 533,65 53,365000 25,31640089 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 20,737200 906,22 45,311000 25,31640090 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 139,91857191 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 36,86892892 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 537,45000093 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 2.439,99000094 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 88,98216695 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** ATG-FRESENIUS CONC. PT. SOL. PERF. 20mg/ml FRESENIUS BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 1.158,60 1.158,600000 1.158,600000 1.301,02 1.301,020000 1.301,02000096 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** THYMOGLOBULINE PULB. PT. SOL. PERF. 5mg/ml GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 708,31 708,310000 708,310000 810,21 810,210000 810,21000097 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 4,528600 531,77 5,317700 5,31770098 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 9,057200 531,77 10,635400 10,63540099 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 5,383250

100 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 9,782083101 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 3,560100102 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600103 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600104 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 3,676700105 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 5,546600106 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 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900107 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 500 mg COMPR. FILM. 500 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. PRF 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800108 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 6,047200 367,72 7,354400 7,354400109 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 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800110 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 6,655600111 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 6,655600112 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 6,046200 367,67 7,353400 7,353400113 L04AD01 CICLOSPORINUM EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000114 L04AD01 CICLOSPORINUM EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400115 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 2,249600 137,32 2,746400 2,746400116 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 4,786400 292,16 5,843200 5,843200117 L04AD01 CICLOSPORINUM EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600118 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 PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400119 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 3,259400120 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 4,107800 250,74 5,014800 5,014800121 L04AD02 TACROLIMUSUM** TRACSUS 0,5 mg CAPS. 0,5mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800122 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 3,259400123 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 PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200124 L04AD02 TACROLIMUSUM** TRACSUS 1 mg CAPS. 1mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400125 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 7,274800 434,63 8,692600 8,692600126 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 5,826200127 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 5,826200128 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 34,303600 1.907,70 38,154000 38,154000129 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400130 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 8,050600 476,91 9,538200 9,538200131 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600132 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, TESUTURI SI CELULE DE ORIGINE UMANA P9.3: TRANSPLANT HEPATIC

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOROM 250 mg CAPS. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L 60 42,41 0,706833 0,706833 55,47 0,924500 0,9245002 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 0,848200 68,77 1,375400 1,1094003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 98,29 0,982900 0,848200 124,28 1,242800 1,1094004 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 0,848200 71,49 1,429800 1,1094005 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 0,9031666 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27,43 1,371500 1,371500 35,88 1,794000 1,7940007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 111,83 2,236600 2,236600 136,52 2,730400 2,7304008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 219,67 2,196700 2,196700 268,17 2,681700 2,6817009 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 77,10 77,100000 77,100000 97,49 97,490000 97,490000

Pagina 32 din 43

10 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. PR/PRF 10 49,00 4,900000 4,900000 64,09 6,409000 6,40900011 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. PR/PRF 10 93,99 9,399000 9,399000 118,84 11,884000 11,88400012 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. PR/PRF 10 118,32 11,832000 11,832000 144,45 14,445000 14,44500013 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. PR/PRF 2 30,69 15,345000 15,345000 40,14 20,070000 20,07000014 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml LABORATOIRE AVENTIS FRANTA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A PR/PRF 6 104,35 17,391666 17,391666 127,39 21,231666 21,23166615 B01AC11 ILOPROSTUM** ILOMEDIN 20 CONC. PT. SOL. PERF. 20µg/ml BAYER PHARMA AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S/P-RF 5 650,50 130,100000 130,100000 747,20 149,440000 149,44000016 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 INTERNATIONAL GMBH 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 5.958,41000020 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 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 23,29 0,776333 0,776333 31,48 1,049333 1,04933325 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P6L 20 17,25 0,862500 0,862500 23,31 1,165500 1,16550026 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 4,02166627 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 4,28333328 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 30 149,92 4,997333 4,997333 183,02 6,100666 6,10066629 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 76,73 2,557666 2,557666 97,02 3,234000 3,23400030 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 1 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 10 26,04 2,604000 2,604000 34,06 3,406000 3,40600031 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 30,99000032 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 30,99000033 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 27,00083334 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 30,99000035 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 30,99000036 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 53,53000037 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 45,03583338 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 53,53000039 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 53,55000040 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 53,53000041 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 45,03583342 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 386,57 38,657000 26,541000 459,51 45,951000 32,40100043 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 389,01 38,901000 38,901000 462,17 46,217000 46,21700044 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 178,57100045 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 996,65000046 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 126,314400 1.785,71 178,571000 142,26120047 J01XX08 LINEZOLIDUM LINEZOLID TEVA 2 mg/ml SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA PRF 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100048 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100049 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 139,91857150 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 36,86892851 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 537,45000052 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 2.439,99000053 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 1.348,76000054 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 1.738,70000055 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 88,98216656 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 BLISTEREPRF 5 9.205,00 1.841,000000 1.841,000000 10.071,60 2.014,320000 2.014,32000057 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 4.918,70000058 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 237,46800059 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 382,22400060 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 197,89000061 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 318,52000062 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 98,85200063 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 237,46800064 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 225,87400065 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 382,22400066 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 368,70400067 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 4,528600 531,77 5,317700 5,31770068 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 9,057200 531,77 10,635400 10,63540069 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 5,38325070 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 9,78208371 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 3,56010072 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,98560073 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,98560074 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 3,67670075 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 5,54660076 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 100 133,10 1,331000 1,331000 162,49 1,624900 1,62490077 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 500 mg COMPR. FILM. 500 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. PRF 50 160,05 3,201000 3,201000 195,39 3,907800 3,90780078 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 6,047200 367,72 7,354400 7,35440079 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 50 133,10 2,662000 2,662000 162,49 3,249800 3,24980080 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 6,655600

Pagina 33 din 43

81 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 6,65560082 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 6,046200 367,67 7,353400 7,35340083 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 19,04933384 L04AD01 CICLOSPORINUM EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,15200085 L04AD01 CICLOSPORINUM EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,50340086 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 2,249600 137,32 2,746400 2,74640087 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 4,786400 292,16 5,843200 5,84320088 L04AD01 CICLOSPORINUM EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,95160089 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 PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,25940090 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 3,25940091 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 4,107800 250,74 5,014800 5,01480092 L04AD02 TACROLIMUSUM** TRACSUS 0,5 mg CAPS. 0,5mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 91,62 1,832400 1,832400 115,84 2,316800 2,31680093 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 3,25940094 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 PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,82620095 L04AD02 TACROLIMUSUM** TRACSUS 1 mg CAPS. 1mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 179,98 3,599600 3,599600 219,72 4,394400 4,39440096 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 7,274800 434,63 8,692600 8,69260097 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 5,82620098 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 5,82620099 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 34,303600 1.907,70 38,154000 38,154000

100 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400101 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 8,050600 476,91 9,538200 9,538200102 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600103 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, TESUTURI SI CELULE DE ORIGINE UMANA P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOROM 250 mg CAPS. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L 60 42,41 0,706833 0,706833 55,47 0,924500 0,9245002 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 0,848200 68,77 1,375400 1,1094003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 98,29 0,982900 0,848200 124,28 1,242800 1,1094004 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 0,848200 71,49 1,429800 1,1094005 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 0,9031666 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27,43 1,371500 1,371500 35,88 1,794000 1,7940007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 111,83 2,236600 2,236600 136,52 2,730400 2,7304008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 219,67 2,196700 2,196700 268,17 2,681700 2,6817009 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 77,10 77,100000 77,100000 97,49 97,490000 97,490000

10 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 0,67240011 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 16,99 0,566333 0,566333 22,97 0,765666 0,76566612 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 1,04666613 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 26,00 0,866666 0,866666 34,01 1,133666 1,13366614 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 24,87800015 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 13,28100016 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 25,19400017 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. PR/PRF 10 49,00 4,900000 4,900000 64,09 6,409000 6,40900024 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. PR/PRF 10 93,99 9,399000 9,399000 118,84 11,884000 11,88400025 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. PR/PRF 10 118,32 11,832000 11,832000 144,45 14,445000 14,44500026 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. PR/PRF 2 30,69 15,345000 15,345000 40,14 20,070000 20,07000027 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml LABORATOIRE AVENTIS FRANTA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A PR/PRF 6 104,35 17,391666 17,391666 127,39 21,231666 21,23166628 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 3.829,62000029 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 2.400,54000030 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 5.288,92000031 H01CB02 OCTREOTIDUM** OCTREOTID KABI 0,1 mg/ml SOL INJ. 0,1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 5 FLAC. DIN SICLA INCOLORA, CU CAPACITATEA DE 2 ML X 1 ML SOL. INJ. PRF 5 75,49 15,098000 15,098000 95,45 19,090000 19,09000032 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 18,117600 152,62 30,524000 22,90800033 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 30,99000034 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 30,99000035 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 30,99000037 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 30,99000038 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 53,53000039 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 45,03583340 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 53,53000041 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 53,55000042 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 45,035833

Pagina 34 din 43

44 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 386,57 38,657000 26,541000 459,51 45,951000 32,40100045 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 389,01 38,901000 38,901000 462,17 46,217000 46,21700046 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 1 109,84 109,840000 109,840000 134,09 134,090000 134,09000047 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 178,57100048 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 996,65000049 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 126,314400 1.785,71 178,571000 142,26120050 J01XX08 LINEZOLIDUM LINEZOLID TEVA 2 mg/ml SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA PRF 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100051 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100052 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 33,15 4,735714 3,996000 43,36 6,194285 5,40171453 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 4,71500054 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 4,50142855 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 5,40171456 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 5,16625057 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 7,90800058 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 7,90800059 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 6,59000060 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800061 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 10,02 10,020000 5,856000 13,54 13,540000 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 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 7,90800064 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 7,90800065 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 7,90800066 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 6,59000067 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 7,90800068 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 7,90800069 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 7,90800070 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 7,90800071 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800072 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 7,90800073 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 5,62428574 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 2,25142875 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 2,70171476 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 2,30714277 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 21,91 3,130000 1,998857 29,61 4,230000 2,70171478 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 2,70171479 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 2,38428580 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 2,70171481 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 2,70171482 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 2,70171483 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 2,70171484 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 2,70171485 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O PRF 1 23,46 23,460000 23,460000 31,71 31,710000 31,71000086 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 350,00 17,500000 17,500000 419,65 20,982500 20,98250087 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 630,00 31,500000 20,737200 724,85 36,242500 25,31640088 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 10 760,00 76,000000 76,000000 866,55 86,655000 86,65500089 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 22,32800090 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 25,17900091 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 88,14 88,140000 88,140000 111,45 111,450000 103,98600092 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/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 17,91 17,910000 17,910000 24,21 24,210000 24,21000093 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700094 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700095 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 20,737200 45,82 45,820000 25,31640096 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 103,62000097 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 20,737200 44,84 44,840000 25,31640098 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 17,91 17,910000 17,910000 24,21 24,210000 24,21000099 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 21,666500

100 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 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 20,737200 53,14 53,140000 25,316400101 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 87,817000102 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 20,737200 533,65 53,365000 25,316400103 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 20,737200 906,22 45,311000 25,316400104 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 3,504000105 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 4,204000106 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 3,503333107 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 3,504000108 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000109 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 139,918571110 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 36,868928111 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 537,450000112 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 2.439,990000113 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 1.348,760000114 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 1.738,700000

Pagina 35 din 43

115 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 0,780000116 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 0,780000117 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 0,780000118 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 704,14 0,704140 0,577200 805,66 0,805660 0,780000119 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 1,948000120 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 0,780000121 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 0,780000122 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 0,650000123 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 0,690500124 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 20,11 2,011000 1,729200 27,18 2,718000 2,337600125 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 56,594000126 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 3,396000 56,95 5,695000 4,441200127 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 28,30 2,830000 2,830000 37,01 3,701000 3,701000128 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 88,982166129 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 988,630000130 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 529,740000131 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 3.386,740000132 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 6.702,890000133 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 761,480000134 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 1.728,250000135 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 3.819,400000136 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 540,070000137 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 1.007,990000138 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 1.945,120000139 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 230,200000140 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 1.009,280000141 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 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000142 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 1.947,710000143 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 3.824,570000144 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 539,420000145 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 2.273,520000146 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 271,370000147 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 621,520000148 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 125,200000149 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 1.998,190000150 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 552,680000151 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 1.034,520000152 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 1.309,850000153 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 2.502,970000154 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 736,240000155 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 1.172,190000156 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 0,522600157 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 15,890000158 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 237,468000159 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 382,224000160 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 197,890000161 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 318,520000162 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 98,852000163 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 237,468000164 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 225,874000165 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 382,224000166 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 368,704000167 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** ATG-FRESENIUS CONC. PT. SOL. PERF. 20mg/ml FRESENIUS BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 1.158,60 1.158,600000 1.158,600000 1.301,02 1.301,020000 1.301,020000168 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** THYMOGLOBULINE PULB. PT. SOL. PERF. 5mg/ml GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 708,31 708,310000 708,310000 810,21 810,210000 810,210000169 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 4,528600 531,77 5,317700 5,317700170 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 9,057200 531,77 10,635400 10,635400171 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 5,383250172 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 9,782083173 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 3,560100174 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600175 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600176 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 3,676700177 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 5,546600178 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 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900179 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 500 mg COMPR. FILM. 500 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. PRF 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800180 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 6,047200 367,72 7,354400 7,354400181 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 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800182 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 6,655600183 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 6,655600184 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 6,046200 367,67 7,353400 7,353400185 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 19,049333

Pagina 36 din 43

186 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 4.689,690000187 L04AD01 CICLOSPORINUM EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000188 L04AD01 CICLOSPORINUM EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400189 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 2,249600 137,32 2,746400 2,746400190 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 4,786400 292,16 5,843200 5,843200191 L04AD01 CICLOSPORINUM EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600192 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 PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400193 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 3,259400194 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 4,107800 250,74 5,014800 5,014800195 L04AD02 TACROLIMUSUM** TRACSUS 0,5 mg CAPS. 0,5mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800196 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 3,259400197 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 PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200198 L04AD02 TACROLIMUSUM** TRACSUS 1 mg CAPS. 1mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400199 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 7,274800 434,63 8,692600 8,692600200 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 5,826200201 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 5,826200202 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 34,303600 1.907,70 38,154000 38,154000203 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400204 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 8,050600 476,91 9,538200 9,538200205 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600206 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 172,241000207 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,702100208 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 0,788900209 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 5,694000 48,27 12,067500 7,692000210 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L 4 36,90 9,225000 5,694000 48,27 12,067500 7,692000211 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 28,39 14,195000 5,694000 37,13 18,565000 7,692000212 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 5,694000 47,66 11,915000 7,692000213 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 6,410000214 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 5,694000 24,78 12,390000 7,692000215 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 5,694000 131,92 10,993333 7,692000216 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 5,694000 47,97 11,992500 7,692000217 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 6,92 1,384000 1,384000 9,35 1,870000 1,870000

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

1 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 178,5710002 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 996,6500003 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 126,314400 1.785,71 178,571000 142,2612004 J01XX08 LINEZOLIDUM LINEZOLID TEVA 2 mg/ml SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA PRF 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,5510005 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,5510006 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, TESUTURI 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. PR/PRF 10 49,00 4,900000 4,900000 64,09 6,409000 6,4090002 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. PR/PRF 10 93,99 9,399000 9,399000 118,84 11,884000 11,8840003 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. PR/PRF 10 118,32 11,832000 11,832000 144,45 14,445000 14,4450004 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. PR/PRF 2 30,69 15,345000 15,345000 40,14 20,070000 20,0700005 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml LABORATOIRE AVENTIS FRANTA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A PR/PRF 6 104,35 17,391666 17,391666 127,39 21,231666 21,2316666 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 2,5600007 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 137,50 1,375000 1,375000 167,86 1,678600 1,6786008 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,4300009 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,430000

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 30,99000011 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 30,99000012 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 27,00083313 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 30,99000014 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 30,99000015 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 53,53000016 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 45,03583317 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 53,53000018 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 53,55000019 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 53,530000

Pagina 37 din 43

20 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 45,03583321 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 386,57 38,657000 26,541000 459,51 45,951000 32,40100022 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 389,01 38,901000 38,901000 462,17 46,217000 46,21700023 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 178,57100024 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 996,65000025 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 126,314400 1.785,71 178,571000 142,26120026 J01XX08 LINEZOLIDUM LINEZOLID TEVA 2 mg/ml SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA PRF 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100027 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,55100028 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 33,15 4,735714 3,996000 43,36 6,194285 5,40171429 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 4,71500030 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 4,50142831 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 5,40171432 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 5,16625033 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 7,90800034 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 7,90800035 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 6,59000036 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800037 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 10,02 10,020000 5,856000 13,54 13,540000 7,90800038 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 7,90800039 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 7,90800040 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 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 7,90800042 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 6,59000043 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 7,90800044 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 7,90800045 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 7,90800046 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 7,90800047 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800048 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 7,90800049 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 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 2,25142851 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 2,70171452 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 2,30714253 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 21,91 3,130000 1,998857 29,61 4,230000 2,70171454 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 2,70171455 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 2,38428556 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 2,70171457 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 2,70171458 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 2,70171459 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 2,70171460 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 2,70171461 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O PRF 1 23,46 23,460000 23,460000 31,71 31,710000 31,71000062 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 350,00 17,500000 17,500000 419,65 20,982500 20,98250063 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 630,00 31,500000 20,737200 724,85 36,242500 25,31640064 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 10 760,00 76,000000 76,000000 866,55 86,655000 86,65500065 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 22,32800066 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 25,17900067 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 88,14 88,140000 88,140000 111,45 111,450000 103,98600068 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/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 17,91 17,910000 17,910000 24,21 24,210000 24,21000069 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700070 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700071 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 20,737200 45,82 45,820000 25,31640072 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 103,62000073 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 20,737200 44,84 44,840000 25,31640074 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 17,91 17,910000 17,910000 24,21 24,210000 24,21000075 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 21,66650076 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 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 20,737200 53,14 53,140000 25,31640077 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 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 20,737200 533,65 53,365000 25,31640079 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 20,737200 906,22 45,311000 25,31640080 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 139,91857181 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 36,86892882 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 537,45000083 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 2.439,99000084 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 0,78000085 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 0,78000086 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 0,78000087 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 704,14 0,704140 0,577200 805,66 0,805660 0,78000088 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 1,94800089 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 0,78000090 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

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91 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 0,65000092 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 0,69050093 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 20,11 2,011000 1,729200 27,18 2,718000 2,33760094 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 56,59400095 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 88,98216696 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** ATG-FRESENIUS CONC. PT. SOL. PERF. 20mg/ml FRESENIUS BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 1.158,60 1.158,600000 1.158,600000 1.301,02 1.301,020000 1.301,02000097 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE** THYMOGLOBULINE PULB. PT. SOL. PERF. 5mg/ml GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 708,31 708,310000 708,310000 810,21 810,210000 810,21000098 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 4,528600 531,77 5,317700 5,31770099 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 9,057200 531,77 10,635400 10,635400

100 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 5,383250101 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 9,782083102 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 3,560100103 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600104 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600105 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 3,676700106 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 5,546600107 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 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900108 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 500 mg COMPR. FILM. 500 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. PRF 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800109 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 6,047200 367,72 7,354400 7,354400110 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 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800111 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 6,655600112 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 6,655600113 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 6,046200 367,67 7,353400 7,353400114 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 4.689,690000115 L04AD01 CICLOSPORINUM EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000116 L04AD01 CICLOSPORINUM EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400117 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 2,249600 137,32 2,746400 2,746400118 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 4,786400 292,16 5,843200 5,843200119 L04AD01 CICLOSPORINUM EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600120 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,702100121 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 0,788900122 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500123 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 0,249000 9,00 0,450000 0,336600124 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 0,249000 7,67 0,383500 0,336600125 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 0,249000 7,67 0,383500 0,336600126 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2,85 0,285000 0,249000 3,85 0,385000 0,336600127 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500128 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 0,291000129 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 0,249000 3,85 0,385000 0,336600130 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 0,249000 7,67 0,383500 0,336600131 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 0,249000 7,67 0,383500 0,336600132 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 0,630000133 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 0,629666134 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 100 mg 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 0,629666135 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 13,99 0,466333 0,466333 18,91 0,630333 0,630333136 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 20,38 0,679333 0,679333 27,55 0,918333 0,918333137 N02AX02 TRAMADOLUM TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 24,72 0,824000 0,815200 33,41 1,113666 1,102000138 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 20,38 0,679333 0,679333 27,55 0,918333 0,918333139 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 26,22 0,874000 0,874000 34,30 1,143333 1,143333140 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 0,249000 10,65 0,355000 0,336600141 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 0,755599142 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 0,815200 22,03 2,203000 1,102000143 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 0,815200 41,57 1,385666 1,102000144 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 1,048800 53,20 1,773333 1,372000145 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 1,048800 28,18 2,818000 1,372000146 N02AX02 TRAMADOLUM TRALGIT 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600147 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE PRF 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600148 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600149 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 1,614720150 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 1,345600151 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 0,986000152 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 1,614720153 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, TESUTURI SI CELULE DE ORIGINE UMANA P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOROM 250 mg CAPS. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L 60 42,41 0,706833 0,706833 55,47 0,924500 0,9245002 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 0,848200 68,77 1,375400 1,1094003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 98,29 0,982900 0,848200 124,28 1,242800 1,109400

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4 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 0,848200 71,49 1,429800 1,1094005 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 0,9031666 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 27,43 1,371500 1,371500 35,88 1,794000 1,7940007 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 50 111,83 2,236600 2,236600 136,52 2,730400 2,7304008 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 219,67 2,196700 2,196700 268,17 2,681700 2,6817009 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 77,10 77,100000 77,100000 97,49 97,490000 97,490000

10 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 0,65240011 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 1,48250012 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 SUPERIOR) 4ML SOLV P-RF 1 15,15 15,150000 15,150000 20,48 20,480000 20,48000015 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 44,43 0,044430 0,044430 58,12 0,058120 0,05812016 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 0,06974417 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 0,06974418 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 0,06974419 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 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 5,47 0,273500 0,273500 7,40 0,370000 0,37000021 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 0,260500 7,04 0,352000 0,35200022 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 0,285500 7,72 0,386000 0,38600023 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 0,285500 7,72 0,386000 0,38600024 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 4,76000025 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SUSP. ORALA 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOAREP-RF 1 7,75 7,750000 7,750000 10,48 10,480000 10,48000026 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 33,15 4,735714 3,996000 43,36 6,194285 5,40171427 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 4,71500028 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 4,50142829 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 5,40171430 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 5,16625031 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 7,90800032 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 7,90800033 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 6,59000034 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800035 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 10,02 10,020000 5,856000 13,54 13,540000 7,90800036 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 7,90800037 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 7,90800038 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 7,90800039 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 7,90800040 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 6,59000041 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 7,90800042 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 7,90800043 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 7,90800044 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 7,90800045 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8,90 8,900000 5,856000 12,03 12,030000 7,90800046 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 7,90800047 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 5,62428548 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 2,25142849 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 2,70171450 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 2,30714251 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 21,91 3,130000 1,998857 29,61 4,230000 2,70171452 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 2,70171453 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 2,38428554 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 2,70171455 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 2,70171456 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 2,70171457 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 2,70171458 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 2,70171459 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O PRF 1 23,46 23,460000 23,460000 31,71 31,710000 31,71000060 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 350,00 17,500000 17,500000 419,65 20,982500 20,98250061 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 20 630,00 31,500000 20,737200 724,85 36,242500 25,31640062 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PE PR 10 760,00 76,000000 76,000000 866,55 86,655000 86,65500063 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 22,32800064 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 25,17900065 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 88,14 88,140000 88,140000 111,45 111,450000 103,98600066 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/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 17,91 17,910000 17,910000 24,21 24,210000 24,21000067 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700068 J02AC01 FLUCONAZOLUM MYCOMAX INF 2mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOLS 10 172,81 17,281000 17,281000 210,97 21,097000 21,09700069 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 20,737200 45,82 45,820000 25,31640070 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 103,62000071 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 20,737200 44,84 44,840000 25,31640072 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 17,91 17,910000 17,910000 24,21 24,210000 24,21000073 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 21,66650074 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 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 20,737200 53,14 53,140000 25,316400

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75 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 87,81700076 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 20,737200 533,65 53,365000 25,31640077 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 20,737200 906,22 45,311000 25,31640078 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 139,91857179 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 36,86892880 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 537,45000081 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 2.439,99000082 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 2.750,28000083 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 0,78000084 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 0,78000085 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 0,78000086 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 704,14 0,704140 0,577200 805,66 0,805660 0,78000087 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 1,94800088 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 0,78000089 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 0,78000090 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 0,65000091 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 0,69050092 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 20,11 2,011000 1,729200 27,18 2,718000 2,33760093 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 56,59400094 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 88,98216695 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 6,47033396 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 7,76440097 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 6,43600098 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 319,27 5,321166 5,321166 386,16 6,436000 6,43600099 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 7,723200

100 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 12,872000101 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 ADAPTORP-RF/R 1 131,82 131,820000 131,820000 160,92 160,920000 160,920000102 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 4,528600 531,77 5,317700 5,317700103 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 9,057200 531,77 10,635400 10,635400104 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 5,383250105 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 9,782083106 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 3,560100107 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600108 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 250 mg CAPS. 250 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS. PRF 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600109 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 3,676700110 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 5,546600111 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 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900112 L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL STADA 500 mg COMPR. FILM. 500 mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. PRF 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800113 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 6,047200 367,72 7,354400 7,354400114 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 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800115 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 6,655600116 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 6,655600117 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 6,046200 367,67 7,353400 7,353400118 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 19,049333119 L04AD01 CICLOSPORINUM EQUORAL® 100 mg CAPS. MOI 100mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000120 L04AD01 CICLOSPORINUM EQUORAL® 25 mg CAPS. MOI 25mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400121 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 2,249600 137,32 2,746400 2,746400122 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 4,786400 292,16 5,843200 5,843200123 L04AD01 CICLOSPORINUM EQUORAL® 50 mg CAPS. MOI 50mg TEVA CZECH INDUSTRIES S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600124 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 PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400125 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 3,259400126 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 4,107800 250,74 5,014800 5,014800127 L04AD02 TACROLIMUSUM** TRACSUS 0,5 mg CAPS. 0,5mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800128 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 3,259400129 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 PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200130 L04AD02 TACROLIMUSUM** TRACSUS 1 mg CAPS. 1mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT PRF 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400131 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 7,274800 434,63 8,692600 8,692600132 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 5,826200133 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 5,826200134 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 34,303600 1.907,70 38,154000 38,154000135 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400136 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 8,050600 476,91 9,538200 9,538200137 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600138 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 172,241000139 L04AX01 AZATHIOPRINUM* IMURAN® COMPR. FILM. 50mg ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,702100140 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

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

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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 16,99 0,566333 0,566333 22,97 0,765666 0,7656663 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 26,00 0,866666 0,866666 34,01 1,133666 1,1336665 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 B01AB01 HEPARINUM** HEPARIN NATRIUM 25000 RATIOPHARM SOL INJ. 25000UI/5ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU 5 FIOLE A 5 ML X 25000 UI PRF 5 68,32 13,664000 13,664000 86,38 17,276000 17,27600011 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 18,34200012 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 12,81400013 B01AB01 HEPARINUM** HEPARINA POLIPHARMA SOL. INJ. 5000UI/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOLUTIE INJECTABILA PR 10 142,47 14,247000 14,247000 173,93 17,393000 17,39300014 B01AB01 HEPARINUM** HEPARINA POLIPHARMA SOL. INJ. 5000UI/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECTABILA PR 5 64,90 12,980000 12,980000 82,06 16,412000 16,41200015 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. PR/PRF 10 49,00 4,900000 4,900000 64,09 6,409000 6,40900016 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. PR/PRF 10 93,99 9,399000 9,399000 118,84 11,884000 11,88400017 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. PR/PRF 10 118,32 11,832000 11,832000 144,45 14,445000 14,44500018 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. PR/PRF 2 30,69 15,345000 15,345000 40,14 20,070000 20,07000019 B01AB05 ENOXAPARINUM** CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml LABORATOIRE AVENTIS FRANTA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A PR/PRF 6 104,35 17,391666 17,391666 127,39 21,231666 21,23166620 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 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 97,33 9,733000 9,733000 123,06 12,306000 12,30600026 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 CULO PR/PRF 10 439,68 43,968000 43,968000 517,40 51,740000 51,74000027 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 CULO PR/PRF 10 965,50 96,550000 96,550000 1.090,55 109,055000 109,05500028 B01AB10 TINZAPARINUM** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE PR/PRF 10 97,33 9,733000 9,733000 123,06 12,306000 12,30600029 B01AB10 TINZAPARINUM** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 10 127,04 12,704000 12,704000 155,09 15,509000 15,50900030 B01AB10 TINZAPARINUM** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 2 77,76 38,880000 38,880000 98,32 49,160000 49,16000031 B01AB10 TINZAPARINUM** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 2 95,03 47,515000 47,515000 120,16 60,080000 60,08000032 B01AB10 TINZAPARINUM** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. PR/PRF 2 58,25 29,125000 29,125000 73,65 36,825000 36,82500033 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 29,95400034 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 288,09000035 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 36,40333336 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 70,97166637 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 788,23000038 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 100,62166639 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 1.193,31600040 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 994,43000041 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 130,26166642 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 159,89500043 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 391,10000044 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 87,71166645 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 1.174,53000046 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 163,50833347 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 201,38333348 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 793,25250049 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 97,89000050 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 1.177,08750051 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 175,66000052 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 2.208,61000053 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 252,36750054 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 329,73750055 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 3.633,81000056 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 406,69000057 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 484,29250058 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 638,98750059 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 30,71928560 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 55,20750061 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 77,96678562 H05BX02 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES S.A. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 400,62 80,124000 80,124000 474,83 94,966000 94,96600063 V03AE02 SEVELAMER** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 625,88 3,477111 3,477111 720,36 4,002000 4,002000

P11: PROGRAM NATIONAL DE SANATATE MINTALASUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

Pagina 42 din 43

1 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 0,4882002 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 1,2580003 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 1,2176004 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 0,3145005 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 0,3144006 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg COMPR. SUBLING. 2mg/0,5mg RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC) P-TS; S 7 18,31 2,615714 2,615714 24,75 3,535714 3,5357147 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg COMPR. SUBLING. 8mg/2mg RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC) P-TS; S 7 55,36 7,908571 7,908571 70,00 10,000000 10,000000

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 43 din 43

ANEXA 5

Nr. crt

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambala

j

PRET AMANUN

TUL MAXIMA

L (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 TAKEDA 1 mg/ml SOL. INJ. 1mg/ml TAKEDA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S 5 7,73 1,546000 1,546000 1,5460003 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 7,23 0,361500 0,361500 0,3615005 A03DA02 COMBINATII ALGIFEN COMPRIMATE COMPR. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7,23 0,361500 0,361500 0,3615006 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 12,23 2,446000 2,446000 2,4460007 A05BAN3 COMBINATII ASPATOFORT (R) SOL. INJ. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 10 ML P-RF 10 28,51 2,851000 2,851000 2,8510008 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 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 1,39600022 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 0,57440023 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 0,93760024 A11DBN1 COMBINATII MILGAMMA (R) 100+100mg DRAJ. 100mg+100mg 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 1,49916625 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 3,70400026 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 3,70400027 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 0,53364028 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 0,44470029 A11GA01 ACIDUM ASCORBICUM VITAMINA C SALF 1000 mg/5 ml SOL INJ. 1000mg/5ml IMECO SA ROMANIA CUTIE CU 5 FIOLE DIN STICLA BRUNA A 5 ML SOL. INJ. X 1000MG/5ML PRF 5 12,65 2,530000 2,530000 2,53000030 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 9,86 1,972000 1,972000 1,97200031 A11GA01 ACIDUM ASCORBICUM VITAMINA C SALF 500mg/5ml SOL. INJ. 500mg/ml IMECO SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML PRF 5 9,86 1,972000 1,972000 1,97200032 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 2,366400 2,36640033 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 0,45550034 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 0,45550035 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 2,06800036 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 1,39600037 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 0,38958338 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 0,84350039 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU ZENTIVA 95 mg/ml SOL. INJ. 95mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ. P-RF 5 15,92 3,184000 1,012200 1,012200

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

DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOAREVALABILĂ ÎNCEPÂND CU 01 IULIE 2014

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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 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 1,01220041 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 0,25500042 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 2,989000 2,98900043 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 2,90160044 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 21,74400045 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 1,34600046 B02BX01 ETAMSYLATUM ETAMSILAT ZENTIVA 250mg 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 1,34600047 B02BX02 CARBAZOCHROMI SALICYLAS ADRENOSTAZIN SOL. INJ. 0,3mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 5 ML P-RF 5 11,56 2,312000 2,312000 2,31200048 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 0,38600049 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 20 21,00 1,050000 1,050000 1,05000050 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 0,27570051 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 0,33084052 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 0,50066653 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 0,59566654 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 0,48600055 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 0,88650056 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 1,39600057 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 0,93760058 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 0,93760059 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 320,63800060 C01EA01 ALPROSTADILUM** ALPROSTADIL "REMEDIA" 500 µg CONC. PT. SOL. PERF. 500µg FARMACEUTICA REMEDIA S.A. ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S 5 1.603,19 320,638000 320,638000 320,63800061 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 11,82000062 C05AA01 COMBINATII HEMORZON SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE CU 2 FOLII TERMOFORMATE PVC X 3 SUPOZ. P-6L 6 7,00 1,166666 1,166666 1,16666663 C05AA01 COMBINATII HEMORZON UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-6L 1 12,50 12,500000 12,500000 12,50000064 C05AA08 COMBINATII ULTRAPROCT SUPOZITOARE SUPOZ. FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 2 FOLII X 5 SUPOZ. P-RF 10 12,93 1,293000 1,293000 1,29300065 C05AA08 COMBINATII ULTRAPROCT UNGUENT RECTAL UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 30 G + 1 CANULA PEJD P-RF 1 30,91 30,910000 30,910000 30,91000066 C05AA08 COMBINATII ULTRAPROCT UNGUENT RECTAL 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 14,58000067 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 22,31000068 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 0,71533369 C05CA54 TROXERUTINUM (COMBINATII) GINKOR FORT CAPS. FARA CONCENTRATIE IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 25,73 0,857666 0,857666 0,85766670 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 7,10 0,236666 0,236666 0,23666671 C08CA06 NIMODIPINUM NIMOTOP 30 mg COMPR. FILM. 30mg BAYER PHARMA AG GERMANIA CUTIE CU 10 BLIST. AL/PP X 10 COMPR. FILM. P-RF 100 70,00 0,700000 0,700000 0,70000072 C08CA06 NIMODIPINUM NIMOTOP® SOL. PERF. 10mg/50ml BAYER PHARMA AG GERMANIA CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA S 5 153,79 30,758000 30,758000 30,75800073 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 11,62000074 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 5,38000075 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA CREMA 20mg/g SC HYPERION SA ROMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 7,94 7,940000 7,940000 7,94000076 D01AC08 KETOCONAZOLUM NIZORAL 20 mg/g CREMA 20mg/g JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 8,29 8,290000 6,456000 6,45600077 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 10,17000078 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 7,40000079 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 12,30000080 D07AC05 FLUOCORTOLONUM ULTRALAN UNGUENT UNGUENT 0,25% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 12,79 12,790000 12,790000 12,79000081 D07CB01 COMBINATII NIDOFLOR CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 10,00 10,000000 10,000000 10,00000082 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 7,66000083 D07CC02 COMBINATII FLUOCINOLON N UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 8,20 8,200000 8,200000 8,20000084 D07XB02 COMBINATII TRIAMCINOLON S CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 9,00 9,000000 9,000000 9,00000085 D07XC01 COMBINATII DIPROSALIC SOL. CUT. FARA CONCENTRATIE MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR P-RF 1 10,79 10,790000 10,790000 10,79000086 D07XC01 COMBINATII DIPROSALIC UNGUENT FARA CONCENTRATIE MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 6,93 6,930000 6,930000 6,93000087 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 7,00000088 D07XC04 COMBINATII TRAVOCORT CREMA FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 25,21 25,210000 25,210000 25,210000

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(RON) PT. ADULTI

89 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 21,02000090 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 8,09000091 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 32,50000092 D11AH02 PIMECROLIMUS ELIDEL 1% (10mg/g) CREMA 10mg/g MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 1 TUB AL X 15 G CREMA P-RF 1 68,96 68,960000 68,960000 68,96000093 G01AF01 METRONIDAZOLUM FLAGYL OVULE 500mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST. X 5 OVULE P-RF 10 8,57 0,857000 0,857000 0,85700094 G01AX12 CICLOPIROXUM DAFNEGIN OVULE 100mg POLICHEM SA LUXEMBURG CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PEP-6L 6 38,11 6,351666 6,351666 6,35166695 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 0,98000096 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 25,19 2,519000 2,519000 2,51900097 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P6L 10 31,51 3,151000 3,151000 3,15100098 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 15,04000099 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 82,512000100 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 56,930000101 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 0,289400102 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 22,273440103 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 21,994000104 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 50 963,48 19,269600 19,269600 19,269600105 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 18,561200106 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 75,780000107 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 127,270000108 J01EB05 SULFAFURAZOLUM SULFAFURAZOL ARENA 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12,63 0,631500 0,631500 0,631500109 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 0,713000110 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 0,811200111 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 0,811200112 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 0,676000113 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 21,179000114 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 139,918571115 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 36,868928116 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 2439,990000 2439,990000 2439,990000117 M01AA01 PHENYLBUTAZONUM FENILBUTAZONA 250 mg SUPOZ. 250mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 10,89 1,089000 1,089000 1,089000118 M01AB55 COMBINATII TRATUL PLUS CAPS. GASTROREZ. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 30 15,79 0,526333 0,526333 0,526333119 M01AB55 COMBINATII TRATUL PLUS CAPS. GASTROREZ. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 50 24,95 0,499000 0,499000 0,499000120 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 21,912000121 M01AB55 COMBINATII ACECLOFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L 6 5,99 0,998333 0,998333 0,998333122 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 1,428500123 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 1,401000124 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 0,605666125 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 0,228000126 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 0,273600127 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 0,273600128 M01AE01 IBUPROFENUM BRUFEN 400 mg COMPR. FILM. 400mg ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 60 COMPR. FILM. P-6L 60 18,38 0,306333 0,273600 0,273600129 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 0,273600130 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 0,273600131 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 0,273600132 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 0,273600133 M01AE01 IBUPROFENUM IBUPROFEN CIPLA 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVCAL X 10 COMPR. FILM. P6L 20 4,56 0,228000 0,228000 0,228000134 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 0,439200135 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 0,366000136 M01AE01 IBUPROFENUM IBUPROFEN CIPLA 600 COMPR. FILM. 600mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVCAL X 10 COMPR. FILM. P6L 20 7,32 0,366000 0,366000 0,366000137 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 0,439200

Pagina 3 din 6

Nr. crt

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

tara det. APP Ambalaj Prescriptie

cant/ambala

j

PRET AMANUN

TUL MAXIMA

L (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 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 9,49 9,490000 9,490000 9,490000139 M01AE01 IBUPROFENUM IBALGIN BABY SUSP. ORALA 100mg/5ml ZENTIVA K.S. CEHIA CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PE X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRA P-RF 1 9,49 9,490000 9,490000 9,490000140 M01AE01 IBUPROFENUM ALGIN BABY 100 mg/5 ml SUSP. ORALA 100mg/5ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 ML SUSP. ORALA, CU CAPAC DIN PP SI O SERINGA DOZATOARE (GRAD PRF 1 9,49 9,490000 9,490000 9,490000141 M01AE01 IBUPROFENUM ALGIN BABY 100 mg/5 ml SUSP. ORALA 100mg/5ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 ML SUSP. ORALA, CU CAPAC DIN PE SI O SERINGA DOZATOARE (GRAD PRF 1 9,49 9,490000 9,490000 9,490000142 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 AL SI SIGILIU DIN PEJD + SERINGA DOZATOARE DIN PP DE 5 ML P6L 1 14,61 14,610000 11,388000 11,388000143 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15,02 0,751000 0,751000 0,751000144 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 23,93 1,196500 1,196500 1,196500145 M01AE02 NAPROXENUM NALDOREX 275 mg COMPR. FILM. 275mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P6L 10 10,31 1,031000 1,031000 1,031000146 M01AE02 NAPROXENUM NALDOREX 275 mg COMPR. FILM. 275mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P6L 20 17,40 0,870000 0,870000 0,870000147 M01AE02 NAPROXENUM NALDOREX 550 mg COMPR. FILM. 550mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P6L 10 15,50 1,550000 1,550000 1,550000148 M01AE02 NAPROXENUM NALDOREX 550 mg COMPR. FILM. 550mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P6L 20 26,26 1,313000 1,313000 1,313000149 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 0,416666150 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 29,446000151 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 29,033000152 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 0,221000153 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 0,206000154 M03BB03 CHLORZOXAZONUM CLORZOXAZONA ARENA 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 0,206000155 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 0,486000156 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 20 9,82 0,491000 0,491000 0,491000157 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 0,243333158 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 143,420000159 N02AA59 COMBINATII ( PARACETAMOLUM + CODEINUM) ULTRACOD 500 mg/30 mg COMPR. 500 mg/30 mg ZENIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. PRF 30 33,01 1,100333 0,764400 0,764400160 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 0,637000161 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 0,991500162 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 8,26 0,413000 0,361200 0,361200163 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 0,344500 0,344500164 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 0,342000 0,342000165 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 0,301000166 N02BB02 METAMIZOLUM NATRIUM NOVOCALMIN COMPR. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8,17 0,408500 0,361200 0,361200167 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 0,326000168 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 0,344500 0,344500169 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 0,343500 0,343500170 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 0,309000171 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 0,340000 0,340000172 N02BB02 METAMIZOLUM NATRIUM ALVOTOR 500 mg/ml PIC. ORALE, SOL. 500mg/ml TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, PREVAZUT CU PICURATOR DIN PEJD A 100 ML PIC. ORALE, SOL. P6L 1 28,75 28,750000 28,750000 28,750000173 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 1,184000174 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 1,261666175 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 14,50 1,208333 1,208333 1,208333176 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 0,558000177 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 0,669600178 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 2,272800 2,272800179 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ. S/P-RF 10 18,94 1,894000 1,894000 1,894000180 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 0,768333181 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 1,594666182 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 3,193333183 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. PR, PS 30 192,42 6,414000 6,414000 6,414000184 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. PR, PS 30 229,23 7,641000 7,641000 7,641000185 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. PR, PS 30 296,84 9,894666 9,894666 9,894666186 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 14,761428

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TUL MAXIMA

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VAL.SUPORTATAT CNAS/ UT(RON)-

LEGEA NR. 95/2006 ART

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

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187 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 14,761428188 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 13,862857189 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 13,862857190 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 13,862857191 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 19,850000192 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 0,600333193 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 0,666800194 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 1,213400195 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 40,590000196 N06BX02 PYRITINOLUM ENCEPHABOL 80,5 mg/5 ml SUSP. ORALA 80,5mg/5ml MERCK KGAA GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML + 1 LINGURITA DOZATOARE DIN PP ALBA, CU GRADATII LA 1,25 P6L 1 40,59 40,590000 40,590000 40,590000197 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 0,117199 0,117199198 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 0,101000199 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 0,116000200 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 0,097666201 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 0,111000202 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 0,117199 0,117199203 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 0,117199 0,117199204 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 0,117199 0,117199205 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 0,336000206 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 0,403200207 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 0,117199 0,117199208 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 0,105500209 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 0,117199 0,117199210 N06BX03 PIRACETAMUM PIRACETAM HELCOR 400mg 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 0,117199 0,117199211 N06BX03 PIRACETAMUM PIRACETAM-RICHTER 400 mg COMPR. FILM. 400mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. FILM. P6L 20 3,50 0,175000 0,117199 0,117199212 N06BX03 PIRACETAMUM PIRACETAM 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 4,81 0,240500 0,240500 0,240500213 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 0,221000214 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 0,264600215 N06BX03 PIRACETAMUM PIRACETAM HELCOR 800mg 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 0,220500216 N06BX03 PIRACETAMUM PIRACETAM-RICHTER 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. FILM. P6L 20 4,81 0,240500 0,240500 0,240500217 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 1,794000218 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 0,082500219 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 0,090199220 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 0,075166221 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 1,445000222 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 0,578333223 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 1,156666224 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 6,560000225 R01AD07 TIXOCORTOLUM PIVALONE 0,9mg/pulverizare SPRAY NAZAL SUSPENSIE 0,9mg/pulverizare 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 10,480000226 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 10,480000227 R01ADN1 COMBINATII BIORINIL SPRAY NAZ.,SUSP. FARA CONCENTRATIE THEA FARMA SPA ITALIA CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF 1 25,87 25,870000 25,870000 25,870000228 R01BA52 COMBINATII (DESLORATADINUM+ PSEUDOEPHEDRINE) AERINAZE (vezi R06AX27) 2,5mg/120mg COMPR. FILM. ELIB. MODIF. 2,5mg/120mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 10 COMPR.FILM.ELIB.MODIF. ( BLIST.PCTFE/PVC/AL) P-RF 10 21,00 2,100000 2,100000 2,100000229 R01BA52 COMBINATII (LORATADINUM+PSEUDOEFEDRINUM) CLARINASE 5 mg/120 mg COMPR. ELIB. MODIF. 5mg/120mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 COMPR. ELIB. MODIF. P-6L 7 9,26 1,322857 1,322857 1,322857230 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 20,020000231 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 0,312666232 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 7,41 1,482000 1,482000 1,482000233 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 7,41 1,482000 1,482000 1,482000234 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 1576,280000 1576,280000 1576,280000235 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 915,380000

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cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP

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L (RON)

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VAL.SUPORTATAT CNAS/ UT

(RON) PT. ADULTI

236 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 1,510000237 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 13,130000238 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 1,648000239 R05CB03 CARBOCISTEINUM HUMEX EXPECTORANT PENTRU COPII SIROP 100mg/5ml LAB. URGO FRANTA CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML P-RF 1 5,96 5,960000 5,960000 5,960000240 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 7,152000 7,152000241 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 4,16 4,160000 4,160000 4,160000242 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 2,800000243 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 0,359000244 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 0,162500245 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 0,163333246 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 5,790000247 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 14,400000248 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 7,090000249 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 12,000000250 R06AX13 LORATADINUM LORATADINA LEK 5mg/5ml 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 12,000000251 S01AA01 CHLORAMPHENICOLUM SIFICETINA PULB. + SOLV. PT. SOL. OFT. 0,4% S.I.F.I. SPA ITALIA CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR P-RF 1 30,39 30,390000 30,390000 30,390000252 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 14,64 14,640000 14,640000 14,640000253 S01AA13 ACIDUM FUSIDICUM FUCITHALMIC 10mg/g GEL OFT. 10mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L 1 14,64 14,640000 14,640000 14,640000254 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 6,390000255 S01AA30 COMBINATII ANTIBIOPTAL PICATURI OFT.-SOL. FARA CONCENTRATIE THEA FARMA SPA ITALIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 13,13 13,130000 13,130000 13,130000256 S01AA30 COMBINATII COLBIOCIN PULB. + SOLV. PT. SOL. OFT. FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE P-RF 1 33,28 33,280000 33,280000 33,280000257 S01BA07 FLUOROMETHOLONUM FLUMETOL S PICATURI OFT.SUSP. 2mg/ml THEA FARMA SPA ITALIA CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF 1 32,02 32,020000 32,020000 32,020000258 S01BA07 FLUOROMETHOLONUM FLUMETOL S UNGUENT OFTALMIC UNG. OFT. 1mg/g THEA FARMA SPA ITALIA CUTIE X 1 TUB X 5G P-RF 1 10,12 10,120000 10,120000 10,120000259 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 14,500000260 S02CA05 COMBINATII OTIS-T PICATURI AURICULARE-SOL. FARA CONCENTRATIE TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. AURICULARE, SOL. P-RF 1 5,16 5,160000 4,068000 4,068000261 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 acsubliste .

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

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